Tüm alıştırma soruları

An unlicensed assistive personnel informs the registered nurse (RN) that a postoperative client is experiencing severe pain. The RN, who is occupied with a new admission, hands a filled syringe to the practical nurse (PN) and asks the PN to administer the intravenous (IV) push morphine to the client. Which statement by the PN is the most appropriate response?

A practical nurse has finished providing care for a client on Contact and Droplet precautions. The nurse is currently wearing gloves, an isolation gown, a face shield, and a surgical mask. In what order should the nurse safely remove the personal protective equipment (PPE)? Arrange the steps in the correct sequence from first to last.

A practical nurse (PN) is observing a client who is receiving a transfusion of packed red blood cells. Ten minutes into the transfusion, the client reports sudden lower back pain, chills, and shortness of breath. In what order should the PN perform the following actions to minimize client risk?

A 74-year-old client is admitted with an exacerbation of chronic obstructive pulmonary disease (COPD) and is receiving oxygen at 2 L/min via nasal cannula. During a routine check, the practical nurse (PN) observes that the client is newly agitated, attempting to pull off the oxygen tubing, and confused about their location. The client's heart rate is 108 beats/min and blood pressure is 102/64 mm Hg. Which action should the PN take first?

A licensed practical nurse (LPN) is assisting with the care of a client who is 6 hours postoperative following a subtotal thyroidectomy. Which of the following nursing actions are appropriate to reduce the client's risk for complications? Select all that apply.

An older adult client is recovering in the surgical unit 4 hours after an exploratory laparotomy. The practical nurse (PN) reviews the client's current clinical status. Which of the following findings indicate an expected post-operative progression? Select all that apply.

While planning care for a client who underwent a left below-the-knee amputation 48 hours ago, the practical nurse considers interventions to promote mobility and prevent musculoskeletal complications. Which actions should be included in the client's care plan? Select all that apply.

A practical nurse is assisting with the care of a client who underwent a bedside left-sided thoracentesis $1\text{ hour}$ ago. During the current assessment, the client appears highly restless and reports a sudden increase in shortness of breath. The client's vital signs are: blood pressure $102/64\text{ mm Hg}$ (baseline $138/82\text{ mm Hg}$), heart rate $114\text{ beats/min}$, and respiratory rate $28\text{ breaths/min}$. The nurse notes asymmetrical chest wall expansion and a subtle deviation of the trachea to the right. Which action should the practical nurse take first?

A licensed practical nurse (LPN) is reviewing the electronic health record of a client admitted with a mechanical small bowel obstruction. The client has a nasogastric (NG) tube connected to low continuous wall suction, which has drained 1,800 mL of fluid over the last 24 hours. Which assessment finding represents the greatest potential for a life-threatening complication and requires immediate reporting to the registered nurse?

An adult client on a medical-surgical unit reports severe abdominal cramping and multiple episodes of watery stool. Laboratory results confirm a *Clostridioides difficile* infection. Which interventions are appropriate for managing this client's care environment? Select all that apply.

A practical nurse (PN) is preparing to obtain a capillary blood glucose reading for a client with type 2 diabetes mellitus. To ensure an accurate result and reduce the risk of infection, in what order should the PN perform the following actions? (Arrange the steps in the correct sequence.)

A client is recovering on the surgical unit following an abdominal procedure and receives a prescribed dose of intravenous morphine for severe pain. Shortly after, the practical nurse (PN) finds the client minimally responsive with a respiratory rate of 7 breaths/min. The PN immediately summons the registered nurse (RN), who administers intravenous naloxone. Fifteen minutes later, the client is fully awake and breathing at 16 breaths/min. Which action should the PN prioritize next?

A practical nurse (PN) is caring for a client with a history of heart failure who is receiving a continuous intravenous (IV) infusion of 0.9% sodium chloride at 150 mL/hr for mild dehydration. During data collection, the PN notes the client's heart rate has increased from 80 to 118 bpm, and blood pressure has risen from 110/70 to 160/90 mmHg. The client becomes newly restless and states, "My chest feels tight and I cannot catch my breath." Which action should the PN take first?

A practical nurse (PN) in a pediatric clinic is preparing to administer the first dose of oral amoxicillin to a toddler diagnosed with acute otitis media. The toddler weighs $33\text{ lbs}$. The primary healthcare provider has prescribed $45\text{ mg/kg/day}$ of amoxicillin, to be administered in two equally divided doses every $12\text{ hours}$. The clinic pharmacy dispenses amoxicillin oral suspension at a concentration of $250\text{ mg}/5\text{ mL}$. How many milliliters ($\text{mL}$) should the PN administer for this single dose? Record your answer to the nearest tenth. Do not include units in your answer.

A practical nurse (PN) is preparing to administer an iron dextran intramuscular (IM) injection using the Z-track method to a client with severe iron deficiency anemia. The PN has already identified the client, donned gloves, cleansed the site, and prepared the syringe. In which order should the PN perform the following steps? (Arrange the actions from first to last)

A practical nurse is preparing to transfer a client with left-sided hemiparesis from the bed to a wheelchair. In what order should the nurse perform the following actions? Arrange the steps in the correct sequence.

While working in an endoscopy recovery unit, a practical nurse evaluates a client who underwent a colonoscopy with a polypectomy two hours prior. The client complains of a sudden onset of severe, sharp abdominal pain. During the assessment, the nurse palpates a firm, board-like abdomen and observes that the client's heart rate has increased from a pre-procedure baseline of 74 beats per minute to 118 beats per minute. Which action should the nurse take first?

An assigned client with peripheral edema and a history of heart failure is scheduled to receive a routine morning dose of oral torsemide. Review of the electronic health record reveals a morning serum potassium level of 2.7 mEq/L and a blood pressure of 108/64 mm Hg. What is the priority action for the practical nurse?

An 82-year-old client is admitted to the medical-surgical unit with a severe systemic infection and is prescribed scheduled doses of intravenous (IV) piggyback gentamicin and oral levofloxacin. During the morning assessment, the practical nurse (PN) observes that the client, who was alert and oriented the previous evening, is now highly agitated and disoriented to time and place. The client's morning laboratory results reveal a serum creatinine of 2.8 mg/dL (baseline was 0.9 mg/dL on admission). Which action should the PN take first regarding the client's care and scheduled medications?

A practical nurse (PN) is monitoring a client admitted with acute gastroenteritis and frequent episodes of vomiting. During the most recent data collection, the PN notes the client's blood pressure has decreased from 124/80 mm Hg to 98/62 mm Hg, and the heart rate has increased from 86 beats/min to 118 beats/min. The client's skin is cool and clammy. Which action is the priority for the PN to take?