Tüm alıştırma soruları

During a shift on a long-term care unit, a practical nurse prepares to assign morning hygiene and mobility tasks to an assistive personnel (AP). Sequence the following steps of the delegation process in the correct chronological order to ensure safe client care.

A 78-year-old client admitted with urosepsis becomes increasingly restless and makes repeated attempts to disconnect their intravenous (IV) line. The healthcare provider issues a prescription stating, "Soft wrist restraints PRN for agitation." The registered nurse (RN) hands the restraint equipment to the practical nurse (PN) and delegates the application. Which action demonstrates the PN's correct understanding of restraint protocols?

The charge nurse assigns a practical nurse (PN) to care for multiple clients requiring various isolation protocols. Which of the following planned actions by the PN are appropriate? (Select all that apply.)

A client on a rehabilitation unit is recovering from a stroke and suddenly becomes highly agitated, repeatedly attempting to stand and walk unassisted. To prevent a fall and maintain environmental safety, which action is the priority for the practical nurse (PN) to implement?

During a midday shift on a cardiac telemetry unit, a practical nurse reviews pending tasks for a group of assigned clients. Which of the following actions should the practical nurse safely and legally perform?

A practical nurse (PN) receives a hand-off report for a client admitted with severe alcohol withdrawal. The off-going nurse states, "The client was shouting and pacing the room earlier, so the healthcare provider wrote a prescription for bilateral soft wrist restraints PRN (as needed) if the client becomes physically combative." Which action should the PN take?

A practical nurse (PN) is preparing to apply bilateral soft wrist restraints to a client with severe agitation who is actively disrupting life-saving medical devices. The least restrictive alternatives have been unsuccessful. Arrange the following steps for restraint application in the correct chronological order.

An older adult client is 24 hours postoperative following a right total hip arthroplasty using a posterior approach. The client suddenly exhibits acute confusion, severe restlessness, and reports urgent bladder fullness. The client is currently prescribed strict bed rest. Which action is most appropriate for the practical nurse (PN) to take to safely assist this client with elimination?

During a home health visit, a practical nurse (PN) is caring for a client recovering from a mild stroke. The client is currently resting in the bedroom, but remains fully alert and oriented when awake. The client's adult child, who is visiting to assist with household chores, asks the PN for a printed copy of the client's current medication list to help organize a weekly pill organizer. The adult child is not designated as a healthcare proxy and is not listed on the client's authorized disclosure form. Which of the following is the most appropriate action for the PN to take?

While completing a medication pass at a long-term care facility, a practical nurse (PN) observes another nurse who appears drowsy, is slurring their words, and is about to administer an oral medication to a client. In what order should the PN take the following actions? Arrange the steps from first to last.

A practical nurse is caring for a client who is on postoperative day 2 following an exploratory laparotomy with a large midline abdominal incision. The client reports moderate incisional pain and nausea. Which basic care and comfort actions should the nurse implement? Select all that apply.

A practical nurse is observing a full-term newborn who is 8 hours old. Which of the following physical findings should the nurse recognize as expected and document as normal? Select all that apply.

A practical nurse is planning care for a client who is newly admitted with severe pertussis and severe diarrhea caused by a Clostridioides difficile infection. Which of the following infection control measures should the nurse implement? Select all that apply.

A registered nurse (RN) charge nurse is delegating care tasks to a licensed practical/vocational nurse (LPN/VN) on a medical-surgical unit. Which of the following client care activities should the LPN/VN accept as within their scope of practice? (Select all that apply.)

A practical nurse is preparing to administer a scheduled oral dose of metoprolol to a client diagnosed with hypertension. The client's current vital signs are blood pressure $130/82$ mm Hg and heart rate $78$ beats/min. Which action must the nurse perform immediately before administering the medication to ensure client safety?

An older adult client with bilateral macular degeneration and right-sided profound hearing loss is recovering on the surgical unit 48 hours after a right femoral-popliteal bypass graft. The client is currently receiving scheduled oral opioid analgesics. To maintain a safe care environment and prevent injury, which interventions should the practical nurse (PN) incorporate into the plan of care? Select all that apply.

A client who had an uncomplicated vaginal birth at 38 weeks of gestation is currently 2 hours postpartum. A practical nurse is preparing to evaluate the client's uterine fundus and lochia. Arrange the following actions in the order the practical nurse should perform them to safely complete this evaluation.

A practical nurse (PN) is in the hallway preparing medications. Through the glass door, the PN observes an older adult client who is on strict contact precautions for a multidrug-resistant infection. The previously alert and oriented client is now acutely agitated, attempting to climb over the raised bedrails, and forcefully pulling at their peripheral intravenous (IV) line. What is the priority action for the PN to prevent client injury while maintaining unit safety?

A practical nurse is assisting with the care of a client who is in the active phase of labor at 40 weeks of gestation. The electronic fetal monitor displays a continuous pattern of late decelerations. Which action should the nurse take first?

An LPN/LVN has finished assisting with a wound dressing change for an adult client hospitalized with disseminated herpes zoster. The required protective attire for this airborne and contact precaution environment includes a fitted particulate respirator, a fluid-resistant gown, and examination gloves. Place the following steps in the correct chronological sequence for the safe removal of these items and exiting the area.