All practice questions

A nurse is caring for a client receiving a packed red blood cell (PRBC) transfusion. Fifteen minutes into the transfusion, the client reports sudden chills, severe lower back pain, and shortness of breath. In what chronological order should the nurse perform the following actions to reduce the risk of further physiological deterioration? Arrange the actions from first to last.

A nurse is preparing to administer ondansetron $4 \text{ mg}$ via intravenous (IV) push to a client experiencing nausea. The medication vial is labeled $2 \text{ mg/mL}$. How many milliliters (mL) should the nurse administer?

A nurse is preparing to administer an initial intravenous (IV) loading dose of phenytoin to a client diagnosed with a seizure disorder. The client has an existing continuous IV infusion of 5% dextrose in water (D5W) running at 75 mL/hr. Which action should the nurse take to ensure safe administration of the medication?

A nurse is evaluating a client who has been receiving continuous nasogastric (NG) suctioning for 3 days due to a paralytic ileus. The client reports new-onset severe muscle cramping and palpitations. The cardiac monitor displays frequent premature ventricular contractions (PVCs). The client's respiratory rate is 10 breaths/min and shallow. Arterial blood gas (ABG) results are: pH 7.54, PaCO2 49 mm Hg, PaO2 88 mm Hg, and HCO3 35 mEq/L. To reduce the risk of impending physiological decompensation, which action is the nurse's priority?

A nurse is preparing to administer sodium nitroprusside to a client experiencing a hypertensive emergency. The client weighs $78 \text{ kg}$. The prescribed continuous intravenous infusion rate is $4 \text{ mcg/kg/min}$. The pharmacy provides a prepared IV bag containing $50 \text{ mg}$ of sodium nitroprusside in $250 \text{ mL}$ of $5\%$ dextrose in water (D5W).

Calculate the required infusion pump rate in $\text{mL/hr}$. (Record your answer to the nearest whole number.)

A 78-year-old client with advanced Alzheimer's disease, severe kyphosis, and a recent right hemispheric stroke resulting in right homonymous hemianopsia and dysphagia is admitted to a palliative care unit. The client is completely bedbound, non-verbal, and grimaces frequently when turned. When planning the client's basic care and comfort interventions, which of the following actions should the nurse include in the plan of care? (Select all that apply.)

A community health nurse is developing a population health program and mentoring a nursing student on the levels of disease prevention. The nurse asks the student to identify an example of tertiary prevention. Which of the following examples provided by the student indicates a correct understanding?

A clinic nurse is developing a health promotion and lifestyle modification plan for a 68-year-old client with newly diagnosed prediabetes and mild osteoarthritis. Which of the following nursing interventions and teaching points are appropriate? Select all that apply.

A surgical unit nurse is evaluating the clinical status of four clients who recently underwent major abdominal procedures. Based on the documented assessments, which client finding should the nurse recognize as the earliest physiological indicator of a developing hemorrhagic shock state?

An occupational health nurse is evaluating an employee who appears visibly unwell after returning from a lunch break. The employee confidentially admits to attempting to stop using prescribed hydrocodone without medical assistance, stating, 'My last dose was over 24 hours ago.' Which assessment findings corroborate that this individual is experiencing acute opioid withdrawal? Select all that apply.

A nurse is planning care and safety protocols for a client who is receiving internal radiation therapy (brachytherapy) via a sealed vaginal implant for cervical cancer. Which of the following nursing actions are appropriate to ensure the safe handling of the environment and minimize hazardous exposure? Select all that apply.

Following an admission for severe pneumonia, a client's clinical status begins to deteriorate. Which of the following initial assessment findings should alert the nurse to the early development of septic shock?

A nurse is evaluating the most recent arterial blood gas (ABG) results for a client who was admitted with a severe asthma exacerbation. The results are: pH 7.28, PaCO2 56 mm Hg, and HCO3 24 mEq/L. Which of the following acid-base imbalances should the nurse identify?

A nurse is inserting a nasogastric (NG) tube for enteral nutrition in an alert adult client. Arrange the following procedural steps in the exact chronological sequence to ensure safe insertion and minimize the risk of tracheal intubation.

A client is admitted to the psychiatric emergency unit with acute methamphetamine intoxication. The client is pacing the hallway, speaking rapidly, and demonstrating paranoid delusions. Which of the following nursing interventions are appropriate for this client? Select all that apply.

A client is admitted to the telemetry unit immediately after undergoing a cardiac catheterization using the right femoral artery approach. Which actions are essential for the nurse to take to minimize the risk of complications? Select all that apply.

A nurse is preparing to change the bed linens for a 78-year-old client who is receiving continuous enteral nutrition via a nasogastric (NG) tube. The client must be temporarily placed in a flat, supine position to allow the nurse to safely roll them side-to-side. Which of the following actions should the nurse take?

A nurse is caring for a client with a deep vein thrombosis who is receiving a continuous intravenous (IV) infusion of heparin via a single-lumen peripherally inserted central catheter (PICC). The client suddenly reports severe nausea and vomits dark, coffee-ground emesis. The client's most recent activated partial thromboplastin time (aPTT) is $125 \text{ seconds}$. The healthcare provider prescribes a stat dose of IV pantoprazole $40 \text{ mg}$. Which sequence of actions is the most appropriate for the nurse to perform?

A nurse is caring for a client who is receiving intravenous fluids through a central venous catheter. The client suddenly develops severe dyspnea, chest pain, and a feeling of impending doom. The nurse suspects a central line-associated air embolism. In what order should the nurse take the following actions to reduce the risk of a life-threatening complication? Arrange the steps from first to last.

A client with end-stage renal disease misses two dialysis sessions and presents to the emergency department with profound muscle weakness. The initial serum potassium level is $7.6\text{ mEq/L}$ ($7.6\text{ mmol/L}$), and the 12-lead electrocardiogram (ECG) reveals absent P waves, a widened QRS complex, and tall, peaked T waves. The healthcare provider prescribes several emergency interventions. Arrange the following nursing actions in the correct priority order from first to last.