All practice questions

A clinic nurse is assessing a client's readiness to quit smoking using the Stages of Change (Transtheoretical) Model. Arrange the following client statements in chronological order representing the stages of behavior change, from the initial stage to the final stage.

A nurse is coordinating the care for an older adult client of the Hindu faith who is admitted with a severe exacerbation of heart failure. Which of the following nursing actions demonstrate an appropriate incorporation of the client's religious and spiritual practices into the plan of care? Select all that apply.

A school nurse is planning health initiatives for the upcoming academic year. Which of the following planned activities represents a primary level of disease prevention?

During the immediate postoperative period following a posterior total hip arthroplasty, the nurse plans care to maintain joint stability. Which specific action must the nurse implement to protect the new prosthesis from dislocation?

A nurse is admitting a client with severe anxiety and a history of self-directed violence to an inpatient psychiatric unit. Which actions by the nurse support the establishment and maintenance of a safe and therapeutic environment? (Select all that apply.)

A nurse is preparing to perform a routine capillary blood glucose test for a client with diabetes mellitus. Arrange the following steps of the procedure in the correct chronological order to ensure accurate diagnostic results and minimize the risk of infection.

A client diagnosed with community-acquired pneumonia is scheduled to receive a $0.5\text{-gram}$ dose of oral amoxicillin. The unit medication supply contains a liquid suspension with a concentration of $250\text{ mg}/5\text{ mL}$. How many milliliters must the nurse administer to provide the required dose?

Following a high-speed motor vehicle collision, a pregnant client at 34 weeks gestation is admitted to the obstetric triage unit for continuous observation. The client reports no abdominal pain, and palpation reveals a relaxed, non-tender uterus. The client's vital signs are remarkably stable: blood pressure 112/70 mmHg, heart rate 82 bpm, respiratory rate 18/min, and oxygen saturation 99% on room air. Upon reviewing the continuous fetal telemetry data, the nurse observes a baseline heart rate of 155 bpm with completely absent beat-to-beat variability. The tracing displays a continuous, smooth, undulating sine-wave formation oscillating at 4 cycles per minute, which has persisted for the last 25 minutes without any abrupt changes, accelerations, or decelerations. Which of the following is the most accurate clinical interpretation of these findings and the corresponding priority intervention?

A school nurse is counseling a 15-year-old student who confides that they and their peers have been participating in "choking games" (intentional strangulation) during unsupervised after-school hours to achieve a brief euphoric high. The student states, "It is totally safe because we always have a friend watch and let go right before anyone actually passes out." Which action should the nurse take first?

A nurse is assessing a client who is 4 hours postoperative following a total thyroidectomy. Which of the following assessment findings indicate a potential life-threatening complication and require immediate intervention? Select all that apply.

During routine care for a client isolated with Clostridioides difficile, a nurse gathers heavily soiled wound dressings into a red biohazard bag. As the nurse lifts the bag to discard it, the bottom tears and bloody drainage begins to drip onto the floor. Which action should the nurse take first?

A nurse in a community health clinic is evaluating a 24-month-old child whose parents have brought them in for a general assessment. After observing the child's interactions and motor skills, the nurse reviews the findings. Which assessment finding should the nurse identify as a developmental delay requiring further evaluation?

A nurse is creating a comprehensive basic care and comfort plan for an older adult client with advanced dementia who is bedbound, has a history of sacral pressure injuries, and is receiving continuous enteral tube feedings. Which of the following nursing interventions should be included in the client's plan of care? Select all that apply.

A charge nurse is observing a newly hired registered nurse (RN) prioritize and delegate care for a group of post-surgical clients. Which action by the new RN compromises client safety and requires immediate intervention by the charge nurse?

A client is admitted to the intensive care unit with diabetic ketoacidosis (DKA). At admission, the client's serum glucose was $720\text{ mg/dL}$ ($40.0\text{ mmol/L}$) and serum potassium was $5.2\text{ mEq/L}$ ($5.2\text{ mmol/L}$). The client was started on a continuous intravenous (IV) regular insulin infusion and fluid resuscitation with $0.9\%$ sodium chloride.

Four hours later, the client's serum glucose is $245\text{ mg/dL}$ ($13.6\text{ mmol/L}$) and serum potassium is $3.7\text{ mEq/L}$ ($3.7\text{ mmol/L}$). The anion gap remains elevated at $18\text{ mEq/L}$ (normal: $8-12\text{ mEq/L}$). Which of the following modifications to the client's parenteral therapy should the nurse anticipate next?

A nurse is conducting an admission assessment on a client with a history of schizophrenia. During the interview, the client abruptly stops speaking mid-sentence, tilts their head to the side, and begins whispering as if responding to an unseen presence. Which action is the priority for the nurse to take?

A nurse is caring for a client with acute decompensated heart failure who is prescribed a continuous intravenous infusion of dobutamine at $5\text{ mcg/kg/min}$. The client weighs $187\text{ lbs}$. The pharmacy provides dobutamine as $500\text{ mg}$ mixed in $250\text{ mL}$ of $5\%\text{ dextrose in water}$ (D5W). How many $\text{mL/hr}$ should the nurse set the infusion pump to deliver? (Record your answer to the nearest tenth.)

A nurse is preparing to access an implanted venous port (port-a-cath) for a client who is scheduled to receive intravenous chemotherapy. Arrange the following actions in the correct sequence to safely access the device. (All steps must be used).

Following a right-sided total hip arthroplasty using a posterior approach, a client arrives at the postoperative surgical unit. Which positioning intervention should the nurse implement to minimize the risk of joint dislocation?

While reviewing the morning assessment documentation for an octogenarian client on a telemetry unit, the registered nurse notes several distinct clinical findings. Which specific finding should be prioritized as an indicator of an acute medical emergency requiring immediate physician notification, rather than being attributed to the normal senescence process?