All practice questions

The primary care provider has prescribed bilateral soft wrist restraints for a client who is severely disoriented and continuously interfering with a newly inserted chest tube. After gathering the necessary supplies, arrange the nurse's subsequent actions in the correct chronological sequence, from first to last.

A nurse is providing education to a pregnant client at 16 weeks gestation who has a history of intravenous heroin use. The client is currently stable on prescribed buprenorphine maintenance therapy. The client expresses intense anxiety, stating, 'I want to stop taking the buprenorphine completely because I read online that it will cause my baby to have severe withdrawals after birth.' Which of the following is the most appropriate response by the nurse?

A gerontological nurse conducts a comprehensive assessment of an 84-year-old client who recently moved into an independent living facility. The family expresses concern regarding several recent changes in the client's behavior and physical status over the past two months. Which of the following findings should the nurse identify as expected age-related transitions rather than pathological processes requiring immediate intervention? Select all that apply.

A nurse is caring for a client with a gastrostomy tube who is prescribed a scheduled dose of oral methotrexate, a hazardous antineoplastic medication. The medication is currently available in the unit's automated dispensing cabinet as solid oral tablets. Which action by the nurse demonstrates the safest handling of this hazardous material?

The registered nurse is caring for a client who is on strict contact precautions for a Clostridioides difficile infection and is receiving a continuous intravenous infusion of a hazardous antineoplastic agent. Upon entering the room, the nurse observes that the intravenous tubing has disconnected at the hub, the antineoplastic medication is actively dripping onto the floor, and the client has just had a large episode of liquid stool incontinence. Which of the following actions should the nurse take? Select all that apply.

The healthcare provider has prescribed an intermittent intravenous (IV) infusion of potassium chloride for a client experiencing severe hypokalemia. Which of the following safety measures must the registered nurse implement? Select all that apply.

A 42-year-old female client at average risk for breast cancer visits a community wellness center for a routine health evaluation. She states she has never had a mammogram and asks the nurse when she should begin this screening. Based on current consensus guidelines, which of the following is the most appropriate instruction by the nurse?

A clinic nurse is providing discharge instructions to an adult client who has a history of intravenous (IV) substance use and is not currently seeking rehabilitation. Which harm-reduction strategies should the nurse emphasize to promote the client's safety? (Select all that apply.)

A client in the intensive care unit is receiving mechanical ventilation. The client suddenly exhibits severe agitation and aggressively attempts to remove the endotracheal tube. After verbal de-escalation fails and the client's oxygen saturation begins to drop rapidly, the nurse determines that emergency physical restraints are required. Arrange the following nursing actions in the correct sequence of execution from first to last.

A client on Contact Precautions for a severe *Clostridioides difficile* infection has been discharged. The nurse is responsible for cleaning and disinfecting the reusable medical equipment (e.g., intravenous pump, telemetry monitor) left in the room before returning it to the central supply department. Arrange the following actions in the correct chronological sequence to ensure safe and effective infection control.

A nurse in an intensive care unit is caring for a client who is intubated and mechanically ventilated. The client is experiencing acute agitation and repeatedly grasps at the endotracheal tube. After determining that verbal de-escalation and therapeutic touch are insufficient to maintain airway safety, the nurse obtains a prescription for bilateral soft wrist restraints. Which action should the nurse take to ensure proper safety and compliance with restraint protocols?

A registered nurse is caring for an 82-year-old client who suddenly reports severe cramping abdominal pain and exhibits new-onset abdominal distension. The nurse prepares to perform a focused physical assessment of the client's abdomen. Which of the following actions demonstrates the correct assessment technique?

A nurse is preparing to administer a prescribed intravenous (IV) push medication through a client's existing continuous IV fluid infusion. Which action should the nurse take first to ensure client safety?

A nurse is performing a comprehensive physical assessment on an 80-year-old client admitted with abdominal distention and new-onset confusion. Which action by the nurse demonstrates correct assessment principles?

A nurse is reviewing the medication administration record for a client admitted with a severe lower respiratory tract infection. The client is scheduled to receive a newly prescribed dose of intravenous (IV) ceftriaxone. During the pre-administration assessment, the nurse notes that the client has a documented allergy to amoxicillin, with the reaction listed as anaphylactic shock. Which of the following actions is the priority for the nurse?

A nurse is caring for a client who is actively experiencing status epilepticus. The healthcare provider prescribes phenytoin IV push. The client has an existing continuous peripheral IV infusion of 5% dextrose in water (D5W) infusing at 100 mL/hr. Which action should the nurse take?

A nurse is caring for a client whose spouse died unexpectedly 3 days ago. The client is pacing the room, crying, and states, 'I do not know how I am going to survive without him. Everything is ruined, and it is my fault for not making him go to the hospital sooner.' Which of the following is the most therapeutic response by the nurse?

A nurse is preparing to discharge an older adult client who recently had a stroke. The client's spouse, who will be the primary caregiver, states, 'I am terrified. I do not know how I will be able to provide care 24 hours a day by myself.' Which response by the nurse best identifies and utilizes an appropriate support system?

A nurse is caring for a client in septic shock who is receiving a continuous intravenous (IV) infusion of norepinephrine through a dedicated single-lumen peripherally inserted central catheter (PICC). The client's current blood pressure is 86/48 mmHg. The healthcare provider prescribes pantoprazole 40 mg IV push daily. Which action should the nurse take first?

During the evening shift, a client admitted for osteomyelitis returns from an unescorted pass off the unit. The nurse immediately notes that the client is exhibiting severe psychomotor agitation, profound diaphoresis, and pupillary dilation. The client is rapidly pacing the hallway and shouting about hidden cameras. Current vital signs include a heart rate of 128 beats per minute and a blood pressure of 188/110 mm Hg. Based on these manifestations of suspected acute stimulant intoxication, which nursing actions should be prioritized? Select all that apply.