All practice questions
3881 questions
A nurse has just completed administering an intramuscular medication to a client. What is the most appropriate action for disposing of the used needle and syringe?
An older adult client with acute delirium is continuously pulling at a newly inserted peripheral intravenous (IV) catheter. The primary healthcare provider has been notified. Arrange the following safety interventions in order from the least restrictive measure to the most restrictive measure.
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A home health nurse is visiting a 68-year-old client whose spouse died unexpectedly 6 weeks ago. The client was recently diagnosed with complicated grief and major depressive disorder, and was started on fluoxetine 3 weeks ago. Previously, the client exhibited profound psychomotor retardation, severe insomnia, and an inability to complete activities of daily living. Today, the client is fully dressed, appears noticeably energetic and calm, and states, 'I finally see things clearly now. I gave my prized vintage car to my nephew this morning because I won't be needing it anymore.' Which action is the nurse's priority?
A pediatric nurse is creating a care plan for a 10-year-old client who requires a prolonged hospital stay. To best support the client's mastery of their current psychosocial developmental stage according to Erikson, which intervention should the nurse prioritize?
A pediatric nurse conducts a well-child checkup for a 10-year-old client and discusses developmental milestones with the parents. Which statements by the parents indicate an understanding of the expected psychosocial and cognitive transitions for a school-age child? Select all that apply.
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An advanced practice registered nurse is performing a routine health screening for a 2-year-old client. The parents express frustration, stating the child frequently screams 'no!' when given directions, snatches toys from other children without sharing, and communicates primarily using two-word combinations. During the physical examination, the nurse observes the child successfully kick a stationary ball, stack six wooden blocks, and turn the pages of a magazine one by one. Which nursing determination is most accurate based on these findings?
A young adult client is brought to the emergency department unresponsive, with pinpoint pupils and a respiratory rate of 6 breaths per minute. The nurse suspects an acute opioid overdose resulting from high-risk substance use. Arrange the following nursing actions in the correct order of priority from first to last.
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A client who is receiving treatment for leukemia was administered a dose of intravenous cyclophosphamide 12 hours ago. The nurse is preparing to assist the client with hygiene and toileting. Which actions by the nurse indicate appropriate handling of hazardous materials and bodily fluids? Select all that apply.
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A client is receiving care for a confirmed enteric infection caused by Clostridioides difficile. When exiting the client's room after providing direct care, which hand hygiene method is mandatory for the nurse to use?
A clinical nurse educator is evaluating a newly licensed nurse who is caring for an older adult client with bilateral soft wrist restraints. The restraints were applied to prevent the client from dislodging a continuous bladder irrigation (CBI) catheter. Which action by the newly licensed nurse indicates a correct understanding of regulatory and safety protocols for restraint management?
A nurse discovers that approximately 30 mL of a liquid antineoplastic (chemotherapy) medication has spilled onto the floor of a client's room due to a disconnected intravenous line. Which of the following actions should the nurse take to safely manage this hazardous spill? Select all that apply.
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A registered nurse is assigned to care for an infant who is diagnosed with severe respiratory syncytial virus (RSV) and is prescribed continuous aerosolized ribavirin therapy. Recognizing the teratogenic and highly hazardous nature of this pharmacological agent, which of the following combinations of environmental controls and safety protocols must the nurse implement?
A nursing team is reviewing the plan of care for a client who requires both droplet and contact precautions due to a confirmed pertussis infection and a methicillin-resistant Staphylococcus aureus (MRSA) infected wound. Which of the following actions indicate appropriate adherence to infection control protocols? Select all that apply.
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A charge nurse is reviewing infection control protocols with a newly licensed nurse regarding a client diagnosed with seasonal influenza. Which of the following statements by the newly licensed nurse indicate a correct understanding of the required precautions? Select all that apply.
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A registered nurse in a community clinic is conducting an initial intake for a newly registered 52-year-old male client. The client has a body mass index (BMI) of 31, a 25-pack-year smoking history, and continues to smoke half a pack of cigarettes daily. He reports feeling healthy and has not seen a healthcare provider in over a decade. Based on current evidence-based guidelines, which of the following secondary prevention health screenings are indicated for this client? Select all that apply.
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A community health nurse is evaluating a 22-year-old client who admits to actively injecting illicit drugs. The client states, "I know it is bad for me, but I am not ready to go to rehab or stop right now." Which of the following nursing interventions best demonstrates the principle of primary harm reduction for this client?
A nurse in an outpatient clinic is developing a teaching plan for a 15-year-old client who was recently diagnosed with type 1 diabetes mellitus. Which intervention should the nurse prioritize to best support the client's psychosocial development and promote adherence to the treatment regimen?
A nurse is preparing to enter the room of a client placed on contact and droplet precautions. Arrange the steps for donning (putting on) personal protective equipment (PPE) in the correct sequence from first to last.
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A pediatric oncology nurse is caring for a 7-year-old client who is transitioning to the actively dying phase. The client's parents and 4-year-old sibling are present at the bedside. Which of the following nursing actions are most appropriate to support the family through the anticipatory grief process? Select all that apply.
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A client on a medical-surgical unit is confused and continuously attempts to get out of bed, posing a significant risk for falls. Which action should the nurse implement first as a less restrictive alternative to a physical restraint?