Tüm alıştırma soruları

A practical nurse (PN) is preparing to administer a prescribed oral liquid suspension of ibuprofen to an 18-month-old toddler. Which action should the PN take to ensure safe medication administration?

A practical nurse is caring for a client who is 48 hours postoperative following a right above-the-knee amputation. To prevent a common musculoskeletal complication associated with this procedure, which positioning action should the practical nurse implement?

During the admission of a client with newly diagnosed disseminated herpes zoster, the nursing team must establish appropriate isolation precautions. Which specific actions should be included in this client's care plan? (Select all that apply.)

Following a shift handoff report, you are reviewing the clinical data of a client who underwent an open splenectomy 12 hours ago. Which of the following findings requires the most urgent notification of the registered nurse (RN)?

A 72-year-old client is admitted to the medical unit with acute gastroenteritis and frequent watery stools. During the afternoon shift, the practical nurse (PN) observes that the client is restless, has dry oral mucosa, and exhibits new mild confusion. The client's current vital signs are: blood pressure 102/64 mm Hg (admission baseline 130/80 mm Hg) and heart rate 114 beats/min (admission baseline 84 beats/min). Which action should the PN take first?

A practical nurse (PN) is evaluating a 79-year-old client admitted yesterday with an acute exacerbation of peptic ulcer disease. The client's spouse calls the PN to the room, stating the client suddenly seems highly disoriented and is attempting to get out of bed. The PN observes the client's skin is pale and cool to the touch. Current vital signs are: heart rate 108 beats/minute, respirations 22 breaths/minute, and blood pressure 104/66 mm Hg. The client's admission blood pressure was 142/84 mm Hg. Which action should the PN take FIRST?

A practical nurse is providing care for a geriatric client on a medical unit. The client, who was previously oriented and cooperative, abruptly begins thrashing in bed, exhibiting rapid breathing, and attempting to climb over the side rails. Which intervention is the priority for the nurse to ensure client safety?

Following a motor vehicle collision, a client with a confirmed pelvic fracture is admitted to the progressive care unit. During the morning assessment, the practical nurse reviews the client's laboratory results, which reveal a hemoglobin level of 9.2 g/dL (92 g/L). The nurse notes that the client has produced only 80 mL of urine over the previous 4 hours. Current vital signs include a heart rate of 118 beats/minute, blood pressure of 102/64 mm Hg, and respiratory rate of 22 breaths/minute. The client suddenly reports an intense, new sensation of pressure in the pelvic region. Which of the following actions should the practical nurse take first?

An adult client is recovering on the surgical unit on the third day after undergoing a left below-the-knee amputation. As part of routine daily management, which fundamental care and comfort actions should the practical nurse implement? Select all that apply.

A practical nurse is reviewing clinical data for four assigned clients. Which client finding indicates the highest risk for a life-threatening complication and requires immediate communication to the registered nurse?

A practical nurse (PN) is providing morning care to a client who is 3 days postoperative following an exploratory laparotomy. The client coughs forcefully and reports a "popping" sensation. The PN observes that the abdominal incision has completely separated, with a loop of bowel protruding. Arrange the following nursing actions in the correct priority sequence from first to last.

A practical nurse (PN) is preparing to administer morning medications, including digoxin and furosemide. When checking the client's chart, the PN discovers a new serum potassium result of $2.6$ mEq/L. Arrange the following actions in the correct priority sequence.

While providing morning hygiene and comfort measures for an individual recovering from a recent right posterior total hip arthroplasty, the practical nurse (PN) needs to change the soiled bottom bed linens. Which specific technique must the PN utilize to complete this task safely?

During the morning shift, a practical nurse (PN) is reviewing the electronic health record for a client with pneumonia who recently developed peripheral edema. The new medication prescriptions include oral azithromycin and intravenous (IV) push bumetanide. The client's most recent basic metabolic panel reveals a serum potassium level of $2.8$ mEq/L ($2.8$ mmol/L). Which is the most appropriate action for the PN to take?

A practical nurse is preparing to perform open tracheostomy suctioning for a client whose sputum is positive for methicillin-resistant Staphylococcus aureus (MRSA). The nurse anticipates contact with copious respiratory secretions. Arrange the following steps for donning the required personal protective equipment (PPE) in the correct sequence.

A practical nurse is caring for a 65-year-old client who underwent a total abdominal hysterectomy 4 hours ago. The client becomes restless, reports feeling dizzy, and states, "I am extremely thirsty." Baseline vital signs upon arrival to the unit were blood pressure 124/76 mm Hg, heart rate 82 beats/min, and respiratory rate 16 breaths/min. Current vital signs are blood pressure 104/66 mm Hg, heart rate 110 beats/min, and respiratory rate 22 breaths/min. The visible abdominal dressing is dry and intact. Which action should the practical nurse take first?

During the morning huddle on an acute care unit, the charge nurse delegates various tasks to the nursing staff. Which of the following tasks, involving clients with specific infection risks, falls safely within the scope of practice for a practical nurse (PN) and demonstrates correct isolation protocols?

An outpatient clinic practical nurse (PN) is reviewing the health records of several clients scheduled to receive the live-attenuated measles, mumps, and rubella (MMR) vaccine. Which client findings require the PN to withhold the immunization and immediately consult the registered nurse (RN)? Select all that apply.

An unresponsive client requires oral hygiene to maintain mucosal integrity. In which order should the practical nurse perform the following actions to complete this procedure safely? Arrange the steps in the correct chronological sequence.

An elderly client is receiving care in a subacute rehabilitation facility following a recent lower respiratory tract infection. While completing evening rounds, the practical nurse (PN) collects data on the client's current physiological status. Which of the following assessment findings require immediate escalation to the registered nurse (RN) for suspected clinical deterioration? Select all that apply.