Tüm alıştırma soruları

A practical nurse (PN) is collecting data during a wellness visit for a 30-month-old toddler. The caregiver shares several observations about the child's recent behavior at home. Which finding reported by the caregiver indicates a developmental delay that the PN must report to the registered nurse for further evaluation?

A client with bilateral cataracts and a history of mild cognitive impairment is 48 hours post-operative following a right hip arthroplasty. At 0300, the client becomes extremely agitated, attempting to climb out of bed and shouting, "The spiders are crawling out of that blinking box!" while pointing at the intravenous infusion pump. The room is dark except for the pump's lights, and hallway alarms are echoing loudly. Which action should the licensed practical nurse (PN) take first?

The adult child of a client who is actively dying expresses anger and yells at the nursing staff, stating, "You aren't doing enough to save my parent! Someone needs to do something right now!" Which actions should the practical nurse take? (Select all that apply.)

An older adult client in an inpatient rehabilitation facility is recovering from a cerebrovascular accident that caused left-sided hemiparesis. During morning care, the client throws a washcloth on the floor and states, "I built houses for forty years with these hands. Now I cannot even wash my own face without dropping things." Which response by the practical nurse is the most therapeutic?

A licensed practical nurse (LPN) is caring for a client who recently received a terminal prognosis. As the nurse enters the room, the client suddenly becomes verbally aggressive, throws a plastic water pitcher against the wall, and yells, "Get out of here!" Which action should the nurse take first?

A practical nurse is assisting a postoperative client who is still drowsy from anesthesia. The client suddenly experiences nausea and begins to actively vomit. To prevent aspiration and protect the airway, which position should the nurse immediately assist the client into?

During orientation at an occupational health clinic, a nurse reviews the facility's standardized protocol for conducting brief lifestyle interventions regarding employee nicotine use. Arrange the following clinical actions in the correct chronological order according to the evidence-based behavior change framework for cessation.

A client diagnosed with bipolar disorder is experiencing an acute manic episode on an inpatient psychiatric unit. The client is hyperactive, easily distractible, and repeatedly interrupts other clients' conversations. Which interventions should the practical nurse (PN) implement? (Select all that apply.)

An older adult client with a history of dysphagia and seizures receives scheduled medications via a percutaneous endoscopic gastrostomy (PEG) tube. The healthcare provider prescribes valproic acid syrup at a dosage of $15\text{ mg/kg/day}$ divided into two equal doses. The client's current weight is $143\text{ lb}$. The pharmacy supplies valproic acid syrup with a concentration of $250\text{ mg}/5\text{ mL}$.

How many $\text{mL}$ should the practical nurse administer for one single dose? (Record the answer to the nearest tenth. Do not include units in your answer.)

A client with end-stage chronic obstructive pulmonary disease (COPD) is in the final days of life and has completely stopped eating and drinking. The client's spouse is visibly distressed and attempts to force the client to consume a nutritional supplement, stating, "If you do not drink this, you are going to starve to death." Which action is most appropriate for the practical nurse to take?

A practical nurse (PN) enters the room of an elderly client to administer a scheduled dose of oral morphine for chronic back pain. The PN notes that the client, who is typically alert and oriented, is now acutely confused, lethargic, and struggling to stay awake. Which of the following is the most appropriate action for the PN to take?

Match each client clinical presentation with the most appropriate therapeutic communication response that the practical nurse should utilize in that specific situation.

A client on bed rest requires the use of a standard bedpan for elimination. The client is awake, alert, and able to assist by lifting their hips. In what order should the nurse perform the following actions to place the bedpan safely? Arrange the steps in the correct sequence.

A practical nurse (PN) is preparing to provide a bed bath and linen change for a client on the second post-operative day following a right-sided pneumonectomy. The client is currently resting in a semi-Fowler's position and reports mild incisional stiffness. Which action is the most appropriate for the PN to implement to safely complete these basic care tasks?

An older adult client who recently suffered a mild stroke is having difficulty swallowing solid foods. The medication administration record includes a scheduled dose of enteric-coated pantoprazole. When the client requests that the pill be crushed, what is the best response by the practical nurse?

A 72-year-old resident in an assisted living facility reports persistent fatigue and difficulty maintaining sleep throughout the night. While discussing daily routines, the resident mentions consuming a glass of fortified wine right before bed to "settle the nerves" and eating a heavy, culturally specific meal at 9:00 PM with visiting family members. Which action by the practical nurse (PN) is the most appropriate?

An occupational health clinic is conducting pre-employment medical screenings for newly hired healthcare personnel. A practical nurse is reviewing a client's health history prior to administering the first dose of the hepatitis B recombinant vaccine. Which finding is an absolute contraindication that requires the nurse to withhold the immunization?

A terminally ill client residing in a skilled nursing facility tells the practical nurse, "I have decided to stop all treatments. I am so tired, but I haven't told my son yet because I know he will be furious." Which of the following responses by the nurse is the most therapeutic?

A practical nurse (PN) is preparing to administer a scheduled dose of an oral antibiotic to a newly admitted client. Which of the following actions must the PN take to ensure safe medication administration? Select all that apply.

A client in an inpatient palliative care unit has just been pronounced deceased. The healthcare provider has documented the death, and the family has confirmed they do not wish to request an autopsy. The family members are waiting in the nearby lounge to view the body. Arrange the following post-mortem care actions performed by the practical nurse in the correct chronological order.