All practice questions

While caring for a client with a continuous intravenous (IV) infusion of normal saline, the nurse receives a new prescription for an IV push analgesic. Which action is the most critical for the nurse to perform before injecting the medication into the existing IV line?

A nurse is caring for a client who is in the immediate postoperative period following a total thyroidectomy. Which of the following actions should the nurse take to reduce the risk of complications? (Select all that apply.)

A healthcare provider prescribes haloperidol $3 \text{ mg}$ intramuscularly (IM) for a client experiencing severe agitation. The pharmacy supplies a vial labeled haloperidol $5 \text{ mg/mL}$. How many $\text{mL}$ should the nurse administer? (Record the answer using one decimal place.)

A 65-year-old client is transferred to the telemetry unit immediately following a diagnostic cardiac catheterization accessed via the right femoral artery. The client is awake, reports feeling hungry, and has stable vital signs. The right pedal pulse is palpable. To reduce the risk of severe hemorrhage or hematoma at the puncture site, which positioning directive must the nurse enforce?

A nurse is planning a bed bath and a linen change for a client who is 12 hours post-operative following a craniotomy and is currently being managed for increased intracranial pressure (ICP). Which of the following actions should the nurse implement to ensure client safety and comfort?

A triage nurse at a primary care clinic is reviewing telephone messages from the caregivers of four older adult clients. Which client should the nurse contact first?

A nurse is preparing to administer a large-volume cleansing enema to an adult client experiencing severe constipation. In what order should the nurse perform the following actions? Arrange the steps from first to last.

A nurse is assessing the risk profiles of several clients on a medical-surgical unit. Which of the following clients are at greatest risk for developing respiratory acidosis? (Select all that apply.)

An acute care facility experiences a sudden hospital-wide cyberattack, resulting in a complete failure of the electronic health record (EHR) system. The incident command center declares a system downtime emergency. Arrange the following response actions in the correct chronological sequence.

Match each client scenario with the most appropriate transmission-based precaution.

A client is brought to the emergency department experiencing a severe panic attack. The client is acutely tachypneic with a respiratory rate of 34 breaths/minute and reports numbness and tingling in the fingers. Based on these clinical findings, which acid-base imbalance should the nurse suspect?

A nurse is establishing a plan for basic care and comfort for a client who returned to the surgical unit 4 hours ago following a transsphenoidal hypophysectomy. The client has nasal packing in place and is restricted to breathing through the mouth. Which interventions should the nurse include in the client's care plan? Select all that apply.

A nurse is preparing to administer an intermittent intravenous (IV) piggyback antibiotic to a client. The client currently has a continuous primary IV infusion of 0.9% sodium chloride running via an electronic infusion pump. In what order should the nurse perform the following actions? Arrange the steps from first to last.

An experienced registered nurse (RN) and a licensed practical nurse (LPN/VN) are partnered to provide care on an inpatient oncology floor. The RN is reviewing the morning task list. Which of the following interventions are appropriate for the RN to delegate to the LPN/VN? Select all that apply.

A registered nurse (RN) is working with an unlicensed assistive personnel (UAP) on an orthopedic unit. Which of the following tasks should the RN safely delegate to the UAP?

A nurse enters the room of a client receiving internal radiation therapy (brachytherapy) for cervical cancer. The nurse discovers that the intracavitary radioactive applicator has accidentally dislodged and is resting on the client's bed linens. To safely reduce the risk of harmful radiation exposure, arrange the following nursing actions in the correct priority sequence.

A nurse is caring for a client with a history of heart failure who suddenly develops severe dyspnea, extreme anxiety, and a cough producing pink, frothy sputum. The nurse suspects acute pulmonary edema. In what order should the nurse perform the following actions? (Arrange the actions in the correct sequence from first to last)

A local hospital has activated its emergency operations plan due to a nearby bridge collapse resulting in mass casualties. The nursing supervisor instructs the medical-surgical unit charge nurse to immediately identify clients for safe discharge to create surge capacity. Which of the following clients should the charge nurse recommend for immediate discharge?

A charge nurse is evaluating the care of a client who returned to the unit following a large-volume paracentesis for severe ascites. Which of the following assessment findings or nursing actions require IMMEDIATE follow-up to prevent physiological decompensation? (Select all that apply.)

A surgical nurse is developing a daily care regimen for a client who is 48 hours postoperative following a right above-the-knee amputation. To prevent musculoskeletal complications and ensure safe hygiene practices, which intervention is most appropriate to include in the plan?