Tüm alıştırma soruları

A practical nurse (PN) is orienting a newly admitted client who has severe bilateral vision loss and diabetic peripheral neuropathy to a private room. Which of the following interventions should the PN implement to promote an accident and injury-free environment? Select all that apply.

A practical nurse (PN) is preparing to provide care for a newly admitted client with suspected avian influenza. Facility infection control protocols mandate airborne, contact, and eye precautions. In what order should the PN don the required personal protective equipment (PPE) before entering the client's room? Arrange the actions from first to last.

A client diagnosed with a right-sided pleural effusion is preparing for a bedside thoracentesis. The healthcare provider is at the bedside arranging the sterile equipment. Which action should the practical nurse prioritize to prevent a procedural error?

While rounding on a medical unit, the practical nurse (PN) encounters a conscious client with a history of diabetes mellitus who is trembling and visibly diaphoretic. Place the following nursing interventions in the correct chronological sequence to appropriately manage this acute situation.

A practical nurse has finished providing care for a client who requires both airborne and contact precautions. The nurse is currently wearing an isolation gown, gloves, and an N95 respirator. Arrange the steps for doffing the personal protective equipment (PPE) and exiting the area in the correct sequential order to prevent contamination.

A practical nurse is assisting with the care of a client who is 1 day postoperative following a right total knee arthroplasty. The client reports discomfort in the right leg and asks the nurse to place a pillow directly under their right knee for support. Which of the following is the most appropriate nursing action?

A practical nurse is assigned to care for a 78-year-old client who had a partial colectomy 3 days ago. During the morning data collection, which of the following findings should the nurse recognize as early indicators of systemic physiological decompensation requiring immediate escalation? Select all that apply.

A 76-year-old client, who is on strict bed rest recovering from an ischemic stroke, has been calm and oriented. The client abruptly becomes highly agitated, attempts to pull off their gown, and reports a feeling of impending doom. Current vital signs show a heart rate of 112 beats/minute, a respiratory rate of 24 breaths/minute, and a blood pressure of 118/74 mm Hg. Which action should the practical nurse take first?

A client is resting in bed 3 hours after a cardiac catheterization performed via the right femoral artery. The client presses the call light and reports a new, constant dull ache in the lower back. The practical nurse (PN) obtains the following vital signs: blood pressure 100/62 mm Hg, heart rate 108 beats/min, and respiratory rate 18 breaths/min. Which of the following is the priority action for the PN?

A healthcare provider has just finished discussing a bedside thoracentesis with a client and leaves the room. The provider asks the practical nurse (PN) to obtain the client's signature on the informed consent form. Which of the following actions are within the PN's legal scope of practice regarding this consent? (Select all that apply)

A practical nurse (PN) is reviewing the morning client assignments on a busy medical-surgical unit. Due to a high census, several clients requiring transmission-based precautions are sharing rooms. Which client assignment and planned intervention should the PN accept as safe and within the practical nursing scope of practice?

The practical nurse (PN) is monitoring the day room at a behavioral health rehabilitation center. A client abruptly stands up, forcefully knocks a chair to the floor, and begins shouting aggressively at a visiting family member. Which action should the PN take first?

Match each therapeutic communication technique with the corresponding example of the practical nurse's response.

While conducting evening rounds on a medical-surgical unit, a licensed practical nurse evaluates an elderly client who underwent an abdominal bowel resection yesterday. The client, who has been cooperative and oriented, is suddenly agitated, disoriented, and repeatedly attempting to remove their intravenous line. The nurse observes that the client's skin is clammy and pale. Current vital signs reveal a temperature of 97.4°F (36.3°C), a heart rate of 116 beats per minute, a blood pressure of 92/54 mm Hg, and a respiratory rate of 28 breaths per minute. Based on these clinical findings, what is the most critical action for the nurse to take?

An older adult client is receiving care on a medical unit for a diagnosed urinary tract infection. During a routine assessment, the practical nurse (PN) observes that the client's skin is flushed and warm to the touch, and the client is unusually drowsy. Current vital signs reveal a blood pressure of $94/56$ mm Hg, a heart rate of $114$ beats/min, and a respiratory rate of $24$ breaths/min. A review of the electronic health record shows a newly resulted serum lactic acid level of $4.6$ mmol/L (reference range: $0.5$ to $2.2$ mmol/L). What is the priority action for the PN?

A client who is 3 days postoperative following a below-the-knee amputation turns away from the practical nurse and stares at the wall. The client states, "There is no point in trying to get out of bed. I am never going to be normal again." Which response by the nurse is the most therapeutic?

Mid-way through a morning wellness group on an inpatient psychiatric unit, a veteran experiencing a severe post-traumatic stress disorder flashback suddenly drops to the floor and yells, "Take cover, they are targeting us!" The individual rapidly stands, assumes a defensive combat stance, and hoists a solid wooden table, effectively barricading the sole doorway. The remaining group attendees show signs of acute distress. What is the priority nursing intervention to manage this behavioral emergency?

During shift planning on an acute medical-surgical unit, a practical nurse (PN) reviews the assigned client interventions. Which of the following delegated activities should the PN decline because it exceeds the legal scope of practice?

A client is admitted to the medical unit with severe, watery diarrhea and is subsequently diagnosed with a Clostridioides difficile infection. Which action by the practical nurse demonstrates the appropriate application of infection control protocols?

A practical nurse (PN) is documenting client care on a computer at the nurses' station. Another nurse urgently calls for assistance with a client who has fallen in the hallway. Which of the following is the priority action for the PN to take regarding the computer before responding to the emergency?