Tüm alıştırma soruları

A practical nurse (PN) is collecting data on a 9-month-old infant during a well-child visit. The infant was born prematurely at 32 weeks of gestation. The caregiver expresses significant anxiety, stating, "My baby is not pulling up to stand or saying 'mama' and 'dada' yet, but my friend's 9-month-old does both." Data collection reveals the infant sits unsupported, smoothly transfers objects from hand to hand, and exhibits a downward parachute reflex. Based on these findings, which action is the most appropriate for the PN to take?

A practical nurse observes a 12-month-old client interacting with a parent in the clinic waiting area. What expected developmental behaviors should the nurse anticipate for a child of this age? Select all that apply.

An older adult client has just passed away peacefully in a skilled nursing facility. The client's children are traveling to the facility to say their final goodbyes. How should the licensed practical nurse (LPN) sequence the preparations? Arrange the nursing actions in the correct chronological order from first to last.

The practical nurse is assisting in data collection for several clients exhibiting various psychological responses to health crises. Match each client's specific clinical behavior or statement to the corresponding ego defense mechanism it best demonstrates.

A 42-year-old client is transferred to the medical-surgical unit 4 hours after a laparoscopic cholecystectomy. The practical nurse (PN) is responsible for gathering postoperative data and monitoring the client's stability. Which of the following actions demonstrate appropriate data collection techniques and safe clinical judgment by the PN? Select all that apply.

During a routine home health visit for a bedbound older adult, a practical nurse observes the client and the living environment. Which of the following findings should alert the nurse to suspect potential neglect? Select all that apply.

A large glass container of highly concentrated chemical sterilant drops and shatters in the central processing area of an outpatient surgical center, rapidly releasing pungent, irritating vapors. A practical nurse (PN) is performing a routine dressing change for a stable client in the directly adjacent procedure room. Which action should the PN take first?

During a home health visit, a client recovering from a recent ischemic stroke with a history of alcohol use disorder discusses their current daily routine. The client informs the practical nurse (PN), 'I have started a strict sunrise-to-sunset religious fast for the coming month. To manage my stress and blood pressure without breaking the fast, I am taking an unprescribed herbal relaxation supplement each night. I also stopped attending my evening sobriety support meetings because the fasting makes me too exhausted.' Which action is the priority for the PN?

During an admission assessment on a medical-surgical unit, a practical nurse gathers data from an older adult of Navajo (Diné) heritage who has type 2 diabetes. Which approaches demonstrate culturally competent communication and care? (Select all that apply.)

A client with a respiratory infection who follows traditional Eastern health beliefs regarding 'hot' and 'cold' energies is admitted to the medical unit. The client pushes away a breakfast tray containing chilled juice, cold milk, and yogurt, stating, 'These cold foods will trap the illness inside me.' Which of the following is the most appropriate action by the practical nurse?

A client who gave birth to a healthy term newborn two days ago is preparing to return home. The client intends to exclusively breastfeed the infant. When reviewing self-care and disease prevention guidelines with the client, which points must the practical nurse emphasize? Select all that apply.

A resident in a long-term care facility is exhibiting escalating psychomotor agitation, shouting at staff members, and forcefully refusing initial redirection. The practical nurse (PN) is planning the care approach to safely manage the client's behavior. Arrange the following interventions in order from the least restrictive to the most restrictive approach.

A practical nurse is reviewing the expected clinical progression of alcohol withdrawal syndrome for a newly admitted client. Arrange the following clinical manifestations in chronological order from the earliest to the latest onset after the client's last drink.

Match each therapeutic communication technique with the most appropriate example of a practical nurse's statement.

While performing a room check on a medical-surgical unit, a licensed practical nurse observes a newly admitted client pointing frantically at a blank wall. The client shouts, 'Get those huge spiders away from me!' Which action should the nurse take first?

Match each client statement or behavior to the corresponding defense mechanism.

A practical nurse (PN) is planning morning self-care activities for an older adult client. The PN's goal is to promote the client's independence with activities of daily living (ADLs). Which action is most appropriate for the PN to implement?

A practical nurse is assisting with a dressing change for an older adult client at an outpatient wound care center. The client has moderate dementia and is accompanied by a family caregiver. During the procedure, the nurse observes multiple fading grip-mark bruises on the client's inner arms and notes that the client appears unusually fearful whenever the caregiver speaks. Which of the following is the priority action for the practical nurse?

A client who underwent a total knee arthroplasty four hours ago is being monitored on the surgical unit. Upon collecting the client's current vital signs, the nurse records a resting heart rate of $118$ beats per minute, a blood pressure of $92/58$ mm Hg, and a respiratory rate of $22$ breaths per minute. The client appears restless and mentions feeling unusually thirsty. Which interpretation of this gathered data should guide the nurse's immediate next action?

A practical nurse (PN) is preparing an older adult client of Native American heritage for transport to the radiology department. The PN notices a small leather pouch (medicine bag) tied to the client's hospital gown. Which of the following actions by the PN provide culturally competent care? (Select all that apply.)