Tüm alıştırma soruları

A practical nurse (PN) is assigned to care for a diverse group of clients on a medical-surgical unit. Which of the following data collection and reporting actions by the PN demonstrate appropriate scope of practice and clinical understanding? Select all that apply.

During a shift in a neurological rehabilitation unit, a client with a traumatic brain injury becomes intensely agitated after a sudden schedule change. The client begins pacing the hallway rapidly, clenching their fists, and shouting at staff. Arrange the following nursing interventions in the correct sequence, prioritizing from least restrictive to most restrictive.

An assigned client has left-sided hemiplegia resulting from a recent cerebrovascular accident. The healthcare provider prescribes out-of-bed activity to a chair for all meals. Arrange the following nursing actions for a safe bed-to-wheelchair transfer in the correct chronological order. (Place the initial action at the top and the final action at the bottom.)

A client with major depressive disorder is admitted to the inpatient psychiatric unit with active suicidal ideation. The registered nurse has initiated suicide precautions. In which order should the practical nurse (PN) implement the following actions? (Arrange from first action to last.)

A practical nurse (PN) is providing care for a client who is 12 hours post-operative following a left-sided pneumonectomy for lung cancer. Which basic care and comfort interventions should the PN implement? Select all that apply.

A client with a history of seizure disorder is receiving continuous enteral nutrition via a gastrostomy tube. The healthcare provider prescribes liquid phenytoin to be administered via the gastrostomy tube every $12\text{ hours}$. Which action by the practical nurse (PN) demonstrates safe and effective pharmacological management?

Following the vaginal delivery of a macrosomic infant 2 hours ago, a 25-year-old client reports feeling extremely thirsty and dizzy. The practical nurse (PN) observes that the uterine fundus is boggy and displaced to the right of the umbilicus. Additionally, the client's perineal pad has been completely saturated with lochia rubra within the last 30 minutes. Current vital signs reveal a heart rate of 112 beats/min and a blood pressure of 100/60 mm Hg. Which actions should the PN take? Select all that apply.

A client of Hindu faith is receiving palliative care and is rapidly declining. Extended family members have gathered in the room to support the client during their final days. Which actions should the licensed practical nurse (LPN) take to provide culturally and spiritually competent care? Select all that apply.

While reviewing morning laboratory data for a client prescribed furosemide, a practical nurse observes a serum potassium level of 2.8 mEq/L (2.8 mmol/L). What is the most appropriate initial action by the nurse?

An older adult client who recently had a percutaneous endoscopic gastrostomy (PEG) tube placed is receiving continuous enteral nutrition. The client has been incontinent of bowel, and the unlicensed assistive personnel (UAP) requests assistance from the practical nurse to clean the client. The UAP states, "I need to lay the bed completely flat so we can roll him safely without injuring our backs." Which instruction should the practical nurse provide to the UAP?

A practical nurse (PN) discovers that a large container of concentrated glutaraldehyde solution has accidentally spilled across the floor of the facility's equipment processing room. The chemical fumes are strong, and an unlicensed assistive personnel (UAP) is inside the room, coughing heavily while attempting to mop up the fluid. Which of the following actions should the PN take? Select all that apply.

The adult child of a resident who is actively dying in a long-term care facility is crying at the bedside. The child states, "I have been here for two days straight. I just want to go home for an hour to shower and change, but I am terrified they will pass away the second I leave." What is the most appropriate response by the licensed practical nurse?

A practical nurse (PN) is providing care for a client who is admitted with heart failure and a respiratory infection. The client's prescriptions include oral furosemide, a weight-based dose of oral amoxicillin, and PRN intravenous (IV) push morphine for severe pain. Which of the following actions should the PN perform to ensure safe medication administration? Select all that apply.

While conducting an afternoon assessment on a client who underwent a partial thyroidectomy six hours ago, a licensed practical nurse observes the client's pulse is 114 beats per minute, respirations are 22 per minute, and blood pressure is 94/62 mm Hg. The client states, 'I feel really jittery right now.' What is the priority action for the nurse to take?

A practical nurse is preparing to perform oral hygiene for a client who is unconscious. To prevent aspiration, which is the most appropriate position for the nurse to place the client?

A client is receiving care on a surgical unit 48 hours after undergoing a right below-the-knee amputation. To prevent postoperative complications and promote optimal long-term mobility, which of the following positioning measures should the practical nurse (PN) implement?

A client with a history of chronic stable angina is scheduled to receive a new transdermal nitroglycerin patch. What is the correct sequence of steps the practical nurse should follow to safely administer this medication? Arrange the actions in the correct chronological order.

A practical nurse (PN) is caring for a client admitted with a severe exacerbation of chronic obstructive pulmonary disease (COPD). The PN observes the client returning from the bathroom smelling strongly of cigarette smoke. The client states, "I only took two puffs because my roommate's television is incredibly loud and stressing me out. It is the only way I can calm my nerves in this place." Recognizing the client is using the defense mechanism of rationalization, which response by the PN is the MOST therapeutic?

A practical nurse (PN) is working on a subacute rehabilitation unit when a client unexpectedly dies. The client's adult child arrives on the unit, learns of the death, and begins to hyperventilate and pace erratically in the busy main corridor. In which order should the PN implement the following interventions? (Arrange from first action to last.)

A community emergency is declared following the release of an unidentified, highly contagious airborne biological agent. A practical nurse (PN) is assigned to assist in the hospital's isolation unit. Which action by the PN demonstrates a safe and appropriate emergency response?