All practice questions

A registered nurse is reviewing unit protocols for safe intravenous (IV) medication administration. Which of the following practices demonstrate adherence to standard parenteral therapy safety principles? Select all that apply.

A nurse is preparing to perform a routine central venous catheter (CVC) dressing change for a client receiving long-term parenteral nutrition. In what chronological order should the nurse perform the following steps to ensure strict aseptic technique and prevent catheter dislodgement?

The nurse is caring for a client who was recently admitted with a massive pulmonary embolism. The client is currently receiving a continuous intravenous infusion of unfractionated heparin through a single-lumen peripheral catheter. A new prescription is received for an urgent dose of intravenous vancomycin to treat a suspected bloodstream infection. After consulting a drug reference and discovering that the two medications are physically incompatible, which action should the nurse take?

While rounding on the medical unit, a nurse prepares to administer a scheduled intravenous (IV) push medication to a patient. The patient currently has a continuous IV infusion of 0.9% sodium chloride running through a peripheral line. What is the most critical initial action the nurse should take to ensure safe medication administration?

Following a right total hip arthroplasty, a nurse is establishing a plan of care to minimize potential postoperative complications. Which of the following interventions should be included? (Select all that apply.)

A nurse in the emergency department is evaluating a pregnant client at 37 weeks of gestation who sustained blunt abdominal trauma from a fall. The nurse suspects abruptio placentae and is monitoring for early signs of hypovolemic shock. Which of the following clinical findings indicate the client is in the early (compensatory) stage of shock? Select all that apply.

A medical-surgical nurse is preparing to administer a scheduled dose of intravenous ceftriaxone $1\text{ g}$ to an adult client diagnosed with bacterial pneumonia. The client currently has a single-lumen peripheral venous catheter that is continuously infusing Lactated Ringer's solution at $125\text{ mL/hr}$. What is the most appropriate nursing intervention for safely delivering the prescribed antibiotic?

A triage nurse is the first medical responder at the scene of a structural collapse at a crowded stadium. Using the START (Simple Triage and Rapid Treatment) algorithm for mass casualty incidents, which client must the nurse categorize as "Immediate" (Red tag)?

A pediatric client is admitted to the inpatient unit with a confirmed diagnosis of active varicella (chickenpox). When planning care for this client, which of the following infection control interventions should the nurse implement? (Select all that apply.)

A nurse preceptor is observing a newly hired registered nurse (RN) implement fall precautions for a client who experiences severe orthostatic hypotension. Which action by the newly hired RN requires immediate correction by the preceptor to prevent client injury?

A nurse in the intensive care unit is caring for a client with acute respiratory distress syndrome (ARDS) who is mechanically ventilated. The most recent assessment reveals a mean arterial pressure (MAP) of $54 \text{ mm Hg}$ and arterial blood gas (ABG) values showing: $pH = 7.25$, $PaCO_2 = 62 \text{ mm Hg}$, $HCO_3^- = 25 \text{ mEq/L}$, and $PaO_2 = 54 \text{ mm Hg}$ on an $FiO_2$ of $0.80$. To reduce the risk of further physiological deterioration, which of the following interventions should the nurse implement? Select all that apply.

A critical care nurse is tasked with obtaining a blood specimen for a complete blood count (CBC) from a client's multi-lumen central venous catheter (CVC). A continuous infusion of total parenteral nutrition (TPN) is currently infusing through the medial lumen. Place the following steps for obtaining the blood sample in the correct sequential order. (Arrange the steps from first to last).

A primary health care provider prescribes a continuous intravenous heparin infusion for a client diagnosed with a deep vein thrombosis. The client's admission weight is $198\text{ lb}$. The prescribed infusion rate is $15\text{ units/kg/hr}$, and the medication arrives from the pharmacy as a premixed $500\text{ mL}$ bag containing $25,000\text{ units}$ of heparin. At what rate should the nurse set the infusion pump in $\text{mL/hr}$? (Record the answer as a whole number)

A 54-year-old client is being monitored on the acute care unit 90 minutes after an ultrasound-guided percutaneous liver biopsy. The client's baseline vital signs upon arrival to the unit were a blood pressure of 136/74 mm Hg and a heart rate of 72 beats per minute. Upon reassessment, the nurse notes the client is increasingly restless, with a blood pressure of 114/92 mm Hg, a heart rate of 108 beats per minute, and a respiratory rate of 22 breaths per minute. The client also mentions a newly developed dull ache in the right shoulder. To minimize the risk of a severe physiological complication, which of the following actions must the nurse implement?

A 78-year-old client with moderate cognitive impairment is receiving intravenous therapy for a respiratory infection. The client is agitated, repeatedly picks at the venous access site, and exhibits new-onset urinary incontinence. Which basic care and comfort interventions should the nurse include in the plan of care? Select all that apply.

A newly admitted client is severely disoriented and repeatedly attempts to remove a functioning chest tube. The nursing staff is evaluating the need for physical restraints to prevent disruption of this critical intervention. Which action by the nurse aligns with established safety and legal protocols for restraint use?

The clinical flow coordinator is evaluating bed availability across the facility. A specialized negative-pressure isolation room has just been terminally cleaned and is ready for a new admission. Based on transmission-based precaution guidelines, which client must be prioritized for this specific room?

A nurse is developing a comprehensive care plan for an elderly client with end-stage heart failure who is experiencing profound dyspnea at rest, severe fatigue, and anorexia. Which of the following basic care and comfort interventions should the nurse include in the client's plan of care? (Select all that apply.)

A client is transferred to the medical-surgical unit after undergoing an esophagogastroduodenoscopy (EGD) with a gastric biopsy under conscious sedation. Which of the following nursing actions and assessments should the nurse implement to reduce the risk of postoperative complications? Select all that apply.

An adult client who underwent a surgical tracheostomy 24 hours ago requires transport to the imaging department. The client requires continuous humidified oxygen via a tracheostomy collar and is on contact precautions for an active Clostridioides difficile infection. Which action is essential for the registered nurse to implement to prevent an adverse event and ensure safety during transport?