Tüm alıştırma soruları

During afternoon rounds, a client who underwent a percutaneous liver biopsy three hours ago reports feeling unusually thirsty and lightheaded. The practical nurse obtains the following vital signs: heart rate 114 bpm, blood pressure 96/58 mm Hg, and respiratory rate 22 breaths/min. The client's baseline blood pressure prior to the procedure was 128/74 mm Hg. Based on these findings, which action should the nurse take first?

A practical nurse is preparing to administer a prescribed dose of oral amoxicillin suspension to a pediatric client who weighs $14 \text{ kg}$. The provider's prescription states: amoxicillin $40 \text{ mg/kg/day}$ by mouth divided into two equal doses every $12$ hours. The pharmacy dispenses amoxicillin suspension at a concentration of $250 \text{ mg}/5 \text{ mL}$. How many $\text{mL}$ should the nurse administer per dose? (Record your answer to the nearest tenth. Do not include units in your answer.)

An LPN/LVN is assigned to care for a client recovering from a partial colectomy performed earlier in the day. The client's current vital signs reveal a heart rate of $114$ beats/minute, a blood pressure of $96/58$ mm Hg, and a respiratory rate of $22$ breaths/minute. Simultaneously, the electronic health record alerts the nurse to a newly resulted serum hemoglobin level of $7.3$ g/dL. Based on these clinical findings, what is the most appropriate initial action?

An LPN/LVN is assisting a female client with limited mobility in collecting a midstream clean-catch urine specimen. To reduce the risk of sample contamination, arrange the following steps in the correct sequence.

During a shift at a community health clinic, a practical nurse evaluates clients presenting for scheduled immunizations. Which clients can safely undergo their prescribed vaccination therapies today? (Select all that apply)

An older adult client diagnosed with heart failure is prescribed a daily scheduled dose of oral spironolactone. During the morning chart review, the practical nurse notes that the client's most recent serum potassium level is $5.8 \text{ mEq/L}$. Which action should the practical nurse take next?

During a shift on a surgical unit, a practical nurse is evaluating a client who underwent a partial nephrectomy $4\text{ hours}$ ago. The client's current vital signs include a heart rate of $116\text{ beats/min}$ and a blood pressure of $94/58\text{ mm Hg}$. The electronic health record displays a recent postoperative serum hemoglobin level of $11.0\text{ g/dL}$. The client is awake and reporting moderate incisional pain. Which action should the practical nurse take first?

A practical nurse is preparing to administer prescribed ophthalmic drops to a client diagnosed with glaucoma. Arrange the steps of the procedure in the correct chronological order. All steps must be used.

While observing a 75-year-old client admitted earlier today with a closed pelvic fracture, the practical nurse notes the client is newly restless, mildly confused, and repeatedly asking for a drink. The client's current vital signs reveal a blood pressure of 102/66 mm Hg, a heart rate of 108 beats/min, and a respiratory rate of 22 breaths/min. Which of the following actions is the priority for the practical nurse?

A practical nurse is preparing to administer scheduled morning medications to a client who is nonverbal and experiencing acute delirium. The client's family is not currently present in the room. Which action describes the correct method for verifying this client's identity prior to medication administration?

A practical nurse (PN) is assigned to a 78-year-old client who sustained a fractured right femur 24 hours ago. The client, who has a history of mild cognitive impairment, suddenly becomes highly agitated, attempts to pull out the intravenous (IV) line, and develops a respiratory rate of 28 breaths/minute with newly noted petechiae on the upper chest. Which actions should the PN take? Select all that apply.

A practical nurse is caring for a client who had a fiberglass cast applied to the right lower leg earlier in the day. The client reports severe, throbbing pain in the right leg that is rated as a 9 on a 0-to-10 scale, despite receiving an oral opioid analgesic one hour ago. The nurse notes that the client's right toes are cool to the touch and capillary refill is 4 seconds. Which action should the nurse take next?

A practical nurse is caring for a client who is scheduled to receive a morning dose of oral furosemide. During the pre-administration assessment, the nurse notes the client's blood pressure is 86/52 mm Hg, heart rate is 114 beats/min, and the morning serum potassium level is 3.1 mEq/L (3.1 mmol/L). Which action should the practical nurse take?

A practical nurse (PN) is reviewing their client assignments and preparing to administer medications on a medical-surgical unit. Which of the following planned actions by the PN demonstrate safe pharmacological practice? Select all that apply.

A client is recovering on the surgical unit 6 hours after an abdominal hysterectomy. The practical nurse reviews the client's vital sign trends over the course of the shift:

While the nurse is collecting data at 18:00, the client states, 'I feel really dizzy and my stomach feels unusually tight.' Which action should the practical nurse take first?

A practical nurse is caring for a client with heart failure who is receiving prescribed intravenous furosemide therapy. Which of the following assessment findings indicate a potential complication and require immediate escalation to the registered nurse? Select all that apply.

Three hours after a total knee arthroplasty, an older adult client becomes newly confused and asks if it is time to go to work. The client's skin appears pale, and current vital signs are: heart rate 108 beats/min, respiratory rate 22 breaths/min, and blood pressure 104/68 mm Hg. Which action should the practical nurse take first?

A licensed practical nurse (LPN) is reviewing the morning laboratory results for a client who is receiving a continuous intravenous heparin infusion for a deep vein thrombosis. The client's results are as follows:

* Hemoglobin: 13.8 g/dL
* Platelets: 82,000/mm³ (admission baseline: 250,000/mm³)
* Activated partial thromboplastin time (aPTT): 68 seconds (control: 30 seconds)

Based on these findings, which action should the LPN take next?

A practical nurse is preparing to administer a newly prescribed transdermal nitroglycerin patch to a client with a history of stable angina. Arrange the steps of this medication administration procedure in the correct chronological sequence.

A practical nurse (PN) is caring for an 82-year-old client who is receiving a continuous intravenous heparin infusion for a right leg deep vein thrombosis (DVT). The client suddenly becomes highly restless, reports feeling short of breath, and exhibits a respiratory rate of 28 breaths/min. Which of the following actions should the PN take? (Select all that apply)