Tüm alıştırma soruları

Prior to entering the room of a client diagnosed with varicella, a nurse gathers the necessary personal protective equipment (PPE). Arrange the following donning steps in the correct sequence according to standard guidelines.

A practical nurse is preparing to administer morning medications to a group of assigned clients. Which of the following actions by the nurse demonstrate safe pharmacological practice? Select all that apply.

A practical nurse is caring for a client who is receiving a continuous intravenous heparin infusion for a deep vein thrombosis. The client's baseline vital signs at the start of the shift were: heart rate 74/min and blood pressure 128/78 mm Hg. The nurse notes the current vital signs are: heart rate 114/min and blood pressure 102/64 mm Hg. Morning laboratory results indicate an activated partial thromboplastin time (aPTT) of 68 seconds and a hemoglobin level of 10.8 g/dL, which is a decrease from 13.2 g/dL the previous day. The client also reports a new, continuous, dull ache in the lower back. Which action should the nurse take first?

An 82-year-old client is being treated on the medical-surgical unit for a severe lower respiratory tract infection. During afternoon rounds, a visiting family member tells the practical nurse (PN) that the client seems "much more restless and confused" compared to the morning. Which subsequent assessment findings should the PN identify as early warning signs of systemic hypoperfusion or impending shock? Select all that apply.

A practical nurse (PN) is caring for a client who had a vaginal delivery two hours ago. The client's heart rate is 116 beats per minute, and blood pressure is 94/58 mm Hg. The client is restless and states, "I feel very lightheaded." Which action should the PN take first?

Upon completing routine hygienic care for a client under strict contact and droplet protocols for an adenovirus infection, a practical nurse must remove all worn personal protective equipment (PPE). The nurse is currently wearing a surgical mask, a face shield, a fluid-resistant gown, and gloves. To adhere to standard infection control practices, in what chronological order should the nurse remove these items?

A practical nurse is preparing to administer a scheduled morning dose of oral clozapine to a client diagnosed with schizophrenia. Prior to administration, the nurse reviews the client's most recent complete blood count (CBC) results, which indicate a white blood cell (WBC) count of $2,800/\text{mm}^3$ and an absolute neutrophil count (ANC) of $900/\text{mm}^3$. Which of the following is the most appropriate action by the nurse?

A practical nurse and a registered nurse are reviewing the daily census on a pediatric medical unit to determine task distribution. Which of the following assignments is within the scope of practice for the practical nurse to accept?

A practical nurse is planning immediate post-procedure care for a client who has just returned to the unit following a percutaneous liver biopsy. Which nursing action correctly mitigates the risk of a severe complication?

A practical nurse (PN) is preparing to collect an aerobic wound culture from a client's stage 3 pressure injury. To ensure accurate laboratory results and reduce the risk of specimen contamination, arrange the following actions in the correct chronological sequence.

A practical nurse is managing communications at the nurses' station and receives several inquiries regarding clients. Match each request for information with the legally and ethically appropriate nursing action.

A practical nurse (PN) is prioritizing tasks and reviewing client needs at the start of a shift on a medical-surgical unit. Which planned action by the PN is appropriate and falls within their established scope of practice?

While responding to a call light for a client on strict contact and droplet isolation, a practical nurse gathers the required protective garments: a fluid-impermeable gown, a procedural mask, face goggles, and clean nitrile gloves. In what specific order should the nurse apply these items to establish an effective barrier?

Upon arriving for a shift on a medical-surgical unit, a practical nurse reviews the shift roster and discovers they have been assigned a client who is hemodynamically unstable and requires continuous titration of intravenous vasoactive medications. Arrange the actions the practical nurse should take in the correct chronological order to safely manage this assignment conflict.

A practical nurse is preparing to provide nasotracheal suctioning for an infant infected with respiratory syncytial virus (RSV). Based on the precautions required for this pathogen and procedure, arrange the personal protective equipment (PPE) donning steps in the correct chronological order from first to last.

During the second post-operative day after a right below-the-knee amputation, the practical nurse is planning positioning strategies for the client. Which specific action should the nurse implement to prevent the development of a hip flexion contracture?

A practical nurse (PN) is collecting data on a client who is 4 hours post-operative following a total thyroidectomy. Which of the following assessment findings indicate a potential critical complication requiring immediate escalation to the registered nurse (RN)? (Select all that apply.)

A practical nurse (PN) is preparing to transfer a client with left-sided hemiplegia from a bed to a wheelchair using a portable mechanical sling lift. The client has a history of unpredictable agitation. Which of the following actions by the PN demonstrates safe equipment use and adherence to standards of care?

A practical nurse is preparing to provide oral hygiene to a client who is comatose following a traumatic brain injury. Arrange the following actions in the order the nurse should perform them to ensure client safety and comfort. All options must be used.

A 78-year-old client who is two days post-operative suddenly becomes extremely agitated, disoriented, and repeatedly attempts to pull off their surgical dressing. Which actions should the practical nurse implement to prevent injury and promote client safety? Select all that apply.