All practice questions

A client receiving an initial intravenous dose of ceftriaxone suddenly reports tightness in the throat and severe shortness of breath. The nurse observes facial angioedema and notes a precipitous drop in blood pressure to 82/48 mm Hg. Place the following emergency nursing actions in the correct order of priority, from first to last.

During the administration of packed red blood cells, a client abruptly reports intense lower back pain, sudden chills, and difficulty breathing. To minimize further physiological injury, arrange the following nursing actions in the correct sequence of execution.

A nurse is caring for a client admitted to the emergency department with diabetic ketoacidosis (DKA). The client is lethargic with Kussmaul respirations, a blood glucose of 640 mg/dL, and an arterial blood pH of 7.18. Arrange the following nursing interventions in the priority order they should be implemented.

While rounding on a medical-surgical unit, a nurse assesses a client admitted with chronic heart failure. The client suddenly exhibits profound respiratory distress, orthopnea, and severe anxiety. Assessment reveals an oxygen saturation of 82% on room air, diffuse bilateral crackles, and the expectoration of pink, frothy sputum. Arrange the following collaborative and independent nursing actions in the correct order of priority. All options must be used.

A nurse is preparing to administer a mixed dose of regular insulin and NPH insulin in a single syringe for a client with diabetes mellitus. In what order should the nurse perform the following actions? Arrange the steps in the correct chronological order from first to last.

While performing a morning assessment on a client who underwent an open bowel resection 48 hours ago, the client experiences a sudden, forceful cough. The client states, "Something just gave way in my stomach." The nurse inspects the surgical site and observes that the wound edges have separated with intestinal loops visible outside the abdominal cavity. In what sequence should the nurse perform the following actions? (Arrange the steps in the correct order of priority.)

A nurse is caring for a client with a T4 spinal cord injury who suddenly reports a severe, pounding headache and blurred vision. The client's blood pressure is 215/115 mm Hg, heart rate is 52 bpm, and they have profound diaphoresis above the level of the injury. In what order should the nurse perform the following interventions? Arrange the actions from highest priority (first) to lowest priority (last).

A nurse is monitoring a client who is receiving a unit of packed red blood cells. Fifteen minutes into the infusion, the client reports sudden, severe lower back pain and a feeling of impending doom. The client's heart rate is 124 beats per minute, blood pressure is 86/52 mm Hg, and the nurse observes dark, reddish-brown urine in the Foley catheter tubing. Arrange the following nursing actions in the correct priority sequence from first to last.

A nurse is assessing a client who is two days postoperative following an exploratory laparotomy. The client coughs unexpectedly and reports a sudden "popping" sensation in the abdomen. The nurse inspects the surgical site and observes that a loop of bowel is protruding through the incision. Arrange the following nursing actions in the priority order they should be performed.

A nurse is preparing to administer an intravenous (IV) push medication through a client's established peripheral IV saline lock. Place the following nursing actions in the correct chronological sequence.

A client receiving intravenous fluids via a central venous catheter suddenly develops severe shortness of breath, chest pain, and lightheadedness. The nurse notes that the catheter's injection cap has fallen off and the lumen is open to room air. Suspecting an air embolism, in what order should the nurse perform the following actions to reduce the risk of further physiological compromise? Arrange the interventions from first to last.

A client is admitted to the emergency department with a diagnosis of severe diabetic ketoacidosis (DKA). The client is lethargic, has a respiratory rate of $32$ breaths/minute with deep, rapid breathing, and a blood glucose level of $680$ mg/dL ($37.7$ mmol/L). Arrange the following nursing actions in the correct priority order of implementation.

An assigned nurse is preparing to initiate an intermittent intravenous (IV) piggyback antibiotic for a patient receiving a continuous primary infusion of $0.9\%$ sodium chloride. The primary line is controlled by an electronic infusion device. After performing hand hygiene and verifying medication rights, how should the nurse sequence the setup steps?

A nurse is caring for a client with a T4 spinal cord injury who suddenly complains of a severe, throbbing headache. The nurse notes profuse diaphoresis above the level of the injury, flushing of the skin, and a blood pressure of 210/115 mmHg. Arrange the following nursing interventions in the correct order of priority from first to last.

A nurse is preparing to withdraw a prescribed parenteral medication from a glass ampule. Arrange the following actions in the correct chronological order to ensure safe preparation. All options must be used.

A nurse is caring for a client who is 3 days postoperative following an open exploratory laparotomy. The client coughs forcefully and reports a sudden "giving way" sensation in the abdomen. The nurse inspects the surgical site and observes that the incision has separated and a portion of the bowel is protruding. In what order should the nurse perform the following actions? Arrange the actions from first to last.

A nurse is evaluating a client who is two days postoperative following an exploratory laparotomy. The client suddenly reports a 'popping' sensation in the abdomen after a forceful cough. Upon inspection, the nurse observes that the surgical incision has separated and loops of bowel are protruding. In what order should the nurse perform the following interventions? (Arrange the actions from first to last)

A nurse is preparing to administer a prescribed intravenous (IV) push medication through a client's central venous catheter (CVC). The specific lumen to be used is currently capped and locked with a heparin solution. Place the following steps for administering the medication in the correct chronological order.

A nurse is caring for a client who is two days postoperative following a right total knee arthroplasty. The client suddenly reports sharp, pleuritic chest pain, severe shortness of breath, and a feeling of impending doom. The client appears diaphoretic and highly agitated. Arrange the following nursing actions in the priority order they should be performed. (Place the first action at the top and the last action at the bottom.)

A nurse is preparing to discontinue a client's non-tunneled central venous catheter (CVC) from the internal jugular vein. In what order should the nurse perform the following actions to minimize the risk of complications? Arrange the steps in the correct sequence from first to last.