All practice questions

At exactly 5 minutes of life, a newborn is assessed by the delivery room team. The documented findings include: an apical pulse of 94 beats per minute, weak and irregular respirations, slight flexion of the arms and legs, a strong sneeze in response to bulb suctioning of the nares, and completely pink skin over the entire body.

Based on these findings, what is the infant's total Apgar score?

A client recovering from an ischemic stroke has residual dysphagia and requires assistance with oral intake. The nurse is planning interventions to prevent complications during feeding. Which of the following actions is the most appropriate for the nurse to implement?

A nurse is caring for a client who is receiving a packed red blood cell (PRBC) transfusion. Fifteen minutes after the transfusion begins, the client reports sudden chills and lower back pain. In what order should the nurse perform the following actions to minimize the client's risk of further injury? Arrange the steps from first to last.

An older adult client with advanced Parkinson's disease is receiving continuous enteral nutrition via a percutaneous endoscopic gastrostomy (PEG) tube. The client has a stage 2 sacral pressure injury and is exhibiting new-onset restlessness. The nurse needs to lower the head of the bed to reposition the client to a lateral position for pressure relief. Which action is the priority for the nurse to implement?

A hospital's rapid response team is deactivated after stabilizing a client, and the primary nurse returns to the general care environment where several safety-related events are occurring simultaneously. Which event represents the greatest immediate threat to client safety and dictates the nurse's immediate priority?

Match each clinical scenario with the most appropriate primary transmission-based or standard precaution category required for the client's safe care.

A nurse is performing a 1-hour postpartum assessment on a client who had a spontaneous vaginal delivery. The nurse notes heavy vaginal bleeding, and the uterine fundus is palpated as soft, boggy, and displaced to the right of the umbilicus. Arrange the following nursing actions in the correct priority sequence from first to last.

A rapid response team transfers an adult client with severe sepsis to the critical care unit. The client has a newly established multilumen central venous catheter (CVC) and is receiving a continuous intravenous (IV) infusion of norepinephrine. To safely manage this pharmacological therapy and the client's hemodynamic status, which interventions should the nurse implement? (Select all that apply.)

A nurse is preparing to collect a blood specimen for a comprehensive metabolic panel (CMP) from a patient's multi-lumen central venous catheter (CVC). The patient is currently receiving continuous total parenteral nutrition (TPN) through the distal lumen, and the nurse plans to use the proximal lumen for the blood draw. Arrange the following actions in the correct sequential order to ensure accurate laboratory results and maintain catheter patency.

Appropriate client positioning is crucial for minimizing physiological risks during and after clinical interventions. Which clinical situations are correctly paired with their required therapeutic position? Select all that apply.

A medical-surgical nurse discovers that a client with a history of hypertension mistakenly received another client's prescribed dose of oral metoprolol. Arrange the following nursing actions in the correct sequence from highest to lowest priority.

A nurse is establishing the infection control plan for a client admitted with confirmed seasonal influenza. Which of the following transmission-based precautions should the nurse implement? (Select all that apply.)

A 45-year-old client arrives at the surgical step-down unit directly from the post-anesthesia care unit following a total thyroidectomy for hyperthyroidism. To effectively reduce the risk of postoperative complications, which actions are essential for the nurse to implement? Select all that apply.

The nurse is assisting a client with a known seizure disorder to ambulate down the unit hallway. Suddenly, the client loses consciousness, their body stiffens, and they begin to experience a generalized tonic-clonic seizure. Which of the following is the nurse's immediate priority action to prevent client injury?

A multiparous client at 41 weeks gestation is receiving a continuous intravenous oxytocin infusion for labor induction. External monitoring reveals a fetal heart rate baseline of 135 beats per minute with minimal variability. During the past 15 minutes, the nurse observes recurrent, uniform drops in the fetal heart rate that begin after the acme of each contraction and do not recover to baseline until the contraction has entirely finished. What is the priority nursing action at this time?

A nurse is instructing a client with left-sided hemiparesis on how to safely descend stairs using a quad cane. The client holds the cane in the right hand. In what order should the nurse instruct the client to perform the following actions to step down?

During the admission assessment of a client with severe gastroenteritis, the laboratory reports a critically low serum potassium level of $2.2\text{ mEq/L}$. The electronic health record displays a stat prescription for $40\text{ mEq}$ of potassium chloride in $100\text{ mL}$ of $0.9\%$ sodium chloride, to be infused intravenously over $60\text{ minutes}$. The client is connected to continuous cardiac monitoring and has a 20-gauge peripheral intravenous catheter in the right forearm. Which clinical action should the nurse take next?

A healthcare provider is preparing to enter the negative-pressure isolation room of a client with suspected severe acute respiratory syndrome (SARS). The client requires airborne and contact precautions, along with standard precautions and eye protection. Arrange the following steps for donning personal protective equipment (PPE) in the correct chronological sequence according to Centers for Disease Control and Prevention (CDC) guidelines.

A nurse is continuously monitoring a client who is receiving an intravenous infusion of doxorubicin, a known vesicant, via a peripheral catheter. The client suddenly reports severe burning pain at the insertion site, and the nurse observes localized swelling and erythema. To reduce the risk of severe tissue necrosis, in what order should the nurse perform the following interventions?

A nurse is assessing a client who is 4 hours postoperative following an abdominal hysterectomy. Which of the following findings is the earliest indicator that the client may be developing hemorrhagic shock?