All practice questions

A client arrives at the medical-surgical unit immediately after undergoing a lumbar puncture. To promote comfort and minimize post-procedure complications, which of the following positions should the nurse maintain the client in?

An ambulatory care nurse is reviewing the daily schedule for a family practice clinic to identify clients who require specific health maintenance interventions. Based on current national guidelines, which of the following planned actions represent an appropriate, evidence-based secondary prevention health screening? Select all that apply.

A nurse is caring for an older adult client who is admitted with right-sided lobar pneumonia. The client is receiving oxygen at 2 L/min via nasal cannula but continues to experience significant dyspnea, pleuritic chest pain, and increasing restlessness. The client's oxygen saturation is 88%. Which of the following actions should the nurse take to best promote the client's oxygenation and comfort?

A client diagnosed with severe gastroenteritis has a confirmed serum potassium level of $2.8\text{ mEq/L}$. The healthcare provider prescribes $20\text{ mEq}$ of intravenous potassium chloride (KCl) diluted in $250\text{ mL}$ of $0.9\%$ sodium chloride. Which action is essential for the nurse to implement for safe administration?

A nurse is preparing to administer an intermittent enteral feeding to a client via a nasogastric (NG) tube. Arrange the following steps in the correct order of performance from first to last.

A triage nurse in an urgent care clinic is evaluating an 82-year-old client brought in by their adult child. The child states, 'Over the past 48 hours, my parent has become increasingly restless, keeps forgetting the year, and was incontinent of urine this morning. I know this is just part of getting older, but it is becoming difficult to manage at home.' Which action should the nurse take FIRST based on an understanding of older adult developmental transitions and health variations?

The nurse on a progressive care unit is organizing morning care for a group of stable adult clients. Which interventions should the nurse safely delegate to the unlicensed assistive personnel (UAP)? (Select all that apply)

A charge nurse on a rehabilitation unit is organizing daily care tasks for the upcoming shift. Which specific task is most appropriate to delegate to an unlicensed assistive personnel (UAP)?

A registered nurse is planning care assignments for a shift on a medical-surgical unit. The care team includes an experienced unlicensed assistive personnel (UAP). What specific task is safely within the scope of practice to delegate to the UAP?

A fire alarm sounds on a medical-surgical unit due to heavy smoke rapidly spreading from a central supply closet. The charge nurse initiates a horizontal evacuation to the adjacent fire compartment beyond the fire doors. Arrange the following clients in the correct order for evacuation, from first to last.

A charge nurse is auditing information security and privacy practices on a busy medical-surgical unit. Which of the following staff actions represent a violation of the Health Insurance Portability and Accountability Act (HIPAA) and require immediate intervention by the charge nurse? (Select all that apply)

An interdisciplinary healthcare team is managing client care on an inpatient infectious disease ward. The team includes a registered nurse (RN) and an unlicensed assistive personnel (UAP). Which clinical task is most appropriate for the RN to delegate to the UAP?

A nurse is providing care for a client who is receiving intravenous fluids via a central venous catheter. While the nurse is untangling the tubing, the catheter cap accidentally disconnects and the line is briefly open to room air. The client suddenly gasps, develops severe dyspnea, and becomes cyanotic. In what order should the nurse perform the following actions? Arrange the interventions from first to last.

A nurse is assessing a client who is 12 hours post-operative following a subtotal thyroidectomy. Which of the following assessment findings require immediate intervention or notification of the healthcare provider? (Select all that apply)

A nurse is assisting a client to change a soiled hospital gown. The client has a continuous peripheral intravenous (IV) infusion in the right forearm. In what order should the nurse perform the following actions? (Arrange the steps from first to last.)

A nurse is assessing a client who was brought to the emergency department experiencing a severe panic attack. The client is visibly agitated and has been hyperventilating for the past twenty minutes. Based on this respiratory pattern, which of the following acid-base imbalances should the nurse expect?

The nursing supervisor on a cardiovascular step-down unit is evaluating the task assignments established by the charge nurse. The current shift's staffing matrix includes an experienced core unit registered nurse (RN), an RN floated from an orthopedic surgical unit, a licensed practical nurse (LPN), and an unlicensed assistive personnel (UAP). Which assignment represents the safest and most legally sound application of delegation principles?

A nurse is evaluating a 24-month-old toddler during a routine well-child visit. Which play behavior should the nurse expect this child to demonstrate based on typical developmental stages?

A triage nurse in the obstetrical unit is preparing to administer a magnesium sulfate bolus to a gravid client admitted with severe preeclampsia. The provider orders a loading dose of $4 \text{ g}$ of magnesium sulfate to be infused intravenously over $20 \text{ minutes}$. The medication is supplied by the pharmacy as a premixed $500 \text{ mL}$ bag of 0.9% normal saline containing $20 \text{ g}$ of magnesium sulfate. What should the nurse set the intravenous infusion pump rate to in $\text{mL/hr}$? Record your answer as a whole number.

A 42-year-old client is recuperating on the orthopedic unit two days after an open reduction and internal fixation of the tibia. During morning rounds, the client's spouse quietly shares, 'He gets very jittery and anxious if he misses his evening six-pack, and he hasn't had a drink since before the accident.' The client is currently restless, diaphoretic, and exhibiting mild bilateral hand tremors. Which of the following actions are appropriate for the nurse to take? (Select all that apply.)