Tüm alıştırma soruları

A practical nurse (PN) is stationed at the entry desk of a secure inpatient behavioral health unit. A client admitted earlier in the shift has an active "opt-out" status for the facility directory due to a recent history of being stalked. An individual approaches the desk, states the client's exact full name, presents valid photo identification showing they are an immediate family member, and asks for the client's room number. Which statement by the PN is the most appropriate response?

During hourly overnight rounds on a surgical unit, a practical nurse observes an older adult client who is recovering from a recent right total hip arthroplasty. The client, who has a history of transient confusion, is agitated, attempting to exit the bed unassisted, and actively crossing their right leg over their left leg. Which intervention is the priority for the nurse to implement to prevent a severe complication?

During a clinical observation on a subacute rehabilitation unit, a charge nurse evaluates a licensed practical nurse (LPN) who is implementing safety measures for several high-risk clients. Which action by the LPN demonstrates appropriate adherence to accident and error prevention protocols?

A nurse is providing morning care for a client who had a right total hip arthroplasty (posterior approach) 48 hours ago. The client needs assistance with bathing, dressing, and using the restroom. Which interventions should be included to ensure proper joint positioning and client comfort? Select all that apply.

A practical nurse (PN) is assigned to care for a client with a traumatic brain injury who is highly restless and repeatedly attempting to pull out a newly placed gastrostomy tube. The healthcare provider has prescribed bilateral soft wrist restraints. In what order should the PN perform the following steps to safely implement this prescription? Arrange the actions from first to last.

An older adult client who recently experienced a cerebrovascular accident has residual left-sided hemiparesis. The practical nurse is helping the client put on a clean, front-buttoning shirt. In what order should the nurse complete the following actions? Arrange the steps in the correct sequence from first to last.

A practical nurse is reviewing morning laboratory results before administering scheduled oral medications to a client with chronic kidney disease and atrial fibrillation.

Which action should the practical nurse take?

A practical nurse is caring for an adult client on a medical-surgical unit who is on contact precautions due to a severe Clostridioides difficile (C. diff) infection. Which of the following actions should the nurse include in the client's care? (Select all that apply)

A practical nurse (PN) working in an outpatient pediatric clinic is reviewing various requests for client health information. Match each specific information request scenario with the appropriate disclosure determination based on HIPAA and client confidentiality standards.

Following medication administration and a dressing change for a client diagnosed with both active pulmonary tuberculosis and a draining methicillin-resistant Staphylococcus aureus (MRSA) wound, the practical nurse prepares to leave the isolation environment. Which procedure correctly describes the removal of the required personal protective equipment (PPE)?

The nursing care team on a medical-surgical unit consists of a Registered Nurse (RN), a Practical/Vocational Nurse (PN/VN), and an Assistive Personnel (AP). Match each clinical task to the most appropriate interprofessional team member based on their legal scope of practice and safe delegation principles.

A practical nurse is caring for an alert and oriented older adult client whose discharge is scheduled for later in the day. The client's adult child, who is the designated healthcare proxy, arrives and states, "I am taking my parent to a memory care facility right now." The client privately tells the nurse, "I do not want to go there. I live independently and I want to go back to my own house." Which of the following is the most appropriate action for the practical nurse to take?

A practical nurse is preparing to administer a morning dose consisting of $5\text{ units}$ of regular insulin and $15\text{ units}$ of NPH insulin to a client with type 2 diabetes mellitus. After performing hand hygiene, in what order should the nurse perform the following actions to safely prepare the mixed injection? Arrange the steps in the correct chronological sequence.

A 68-year-old client is receiving care for severe acute pancreatitis. On the second day of admission, the client suddenly becomes extremely restless, disoriented to time and place, and complains of intense thirst. Current clinical data reveals a temperature of 99.2°F (37.3°C), a heart rate of 118 beats/minute, a blood pressure of 100/78 mm Hg, and a respiratory rate of 26 breaths/minute. The client's urine output has been 35 mL over the past two hours. Which action is the priority for the practical nurse to take?

A practical nurse is preparing to perform a routine fundal assessment on a client who is 12 hours postpartum following a spontaneous vaginal delivery at 39 weeks of gestation. In what order should the nurse perform the following actions? Arrange the steps in the correct clinical sequence.

A practical nurse is caring for a client receiving oral morphine sulfate for cancer-related pain. The client's spouse states, "My partner is in a lot of pain, please give the next dose of medication." Upon assessment, the nurse observes that the client is somnolent, difficult to arouse, and has a respiratory rate of $10\text{ breaths per minute}$. Which action should the nurse take first?

While walking a recovering individual down the facility corridor, the client suddenly reports extreme dizziness and begins to collapse. To prevent injury, arrange the following actions in the correct sequence for the nurse to safely assist the client to the floor.

An older adult client with type 2 diabetes mellitus is prescribed $12\text{ units}$ of regular insulin and $20\text{ units}$ of NPH insulin subcutaneously. Arrange the steps the practical nurse must follow to safely prepare this mixed dose in a single syringe in the correct chronological order.

A practical nurse (PN) is documenting vital signs on a computer workstation in a clinical unit. A healthcare provider approaches, states they are in a rush to manage an emergency, and asks the PN to leave the electronic health record (EHR) session open so the provider can quickly enter a medication order for a different client. Which action should the PN take?

A practical nurse is planning morning hygiene care for an immobile client who receives continuous enteral tube feedings. The client requires a complete bed bath and a bottom sheet change, which will necessitate temporarily lowering the head of the bed. Which action should the nurse take to safely provide this basic care?