Tüm alıştırma soruları

During an art therapy session at an intensive outpatient clinic, a client suddenly stands up, throws a chair against the wall, and begins aggressively advancing toward the group facilitator with clenched fists. Which action should the practical nurse (PN) take first?

A young adult client admitted to the behavioral health unit for severe depression stays in their room and states to the practical nurse, "I just do not see the point of trying anymore. Nobody would even notice if I were gone." Which of the following responses by the practical nurse demonstrate effective therapeutic communication? (Select all that apply.)

During a local family wellness event, a practical nurse observes multiple young children interacting with their caregivers. Which observed behavior is a significant deviation from expected developmental transitions and requires escalation to the registered nurse for further assessment?

While completing evening rounds in a mental health facility, a practical nurse (PN) encounters an individual pacing rapidly near the locked exit doors. The individual is hyperventilating, wringing their hands, and repeatedly stating, "I cannot breathe in here, I have to get out before the walls crush me." Which action should the PN take first?

A practical nurse is assisting in a community health clinic. A client, who was just informed by the healthcare provider about a suspicious mass found on a routine screening, is pacing the examination room, wringing their hands, and speaking rapidly. The client states, 'I cannot believe this is happening. What if it is cancer? Who will take care of my children if I am gone?' Which response by the practical nurse is the most therapeutic?

The family of a 91-year-old resident in an assisted living community is distressed because the resident, who normally enjoys reading and independent socialization, abruptly became restless, combative, and disoriented over the last 12 hours. The family insists the resident needs immediate admission to a psychiatric facility for advanced dementia. Which action should the practical nurse prioritize?

Following a percutaneous liver biopsy, a client complains of back stiffness and requests a change in body position. To minimize the risk of internal hemorrhage while addressing the client's comfort needs, how should the practical nurse position this individual?

A client on the surgical unit requires a routine change of a two-piece colostomy pouching system. The licensed practical/vocational nurse is preparing to perform the procedure. In what order should the nurse perform the following actions? Arrange the steps in the correct chronological sequence from first to last.

A client who underwent a subtotal thyroidectomy earlier today reports experiencing severe upper back tension. The client asks the nurse to lay the bed completely flat to facilitate sleep. Which action is most appropriate for the nurse to take?

A practical nurse is providing basic care for a client who is 24 hours post-operative and experiencing temporary dysphagia. The nurse is preparing to assist the client with their first oral meal. Which of the following actions should the nurse take to promote safety? (Select all that apply)

A 5-year-old client is brought to a pediatric outpatient clinic for a follow-up appointment. The child is currently receiving high-dose oral prednisone therapy for a severe asthma exacerbation that began one week ago. The healthcare provider prescribes an intramuscular inactivated influenza vaccine (IIV), a subcutaneous measles, mumps, and rubella (MMR) vaccine, and an oral amoxicillin suspension for a newly diagnosed otitis media. Which intended actions by the practical nurse (PN) demonstrate safe pharmacological practice? Select all that apply.

A client is receiving treatment for a deep vein thrombosis and is transitioning to oral warfarin therapy. The practical nurse (PN) reviews the morning laboratory results and notes that the client's International Normalized Ratio (INR) is $4.5$. The client's next scheduled dose of oral warfarin is due in $30\text{ minutes}$. Which of the following actions should the PN take?

A client admitted for intravenous antibiotic therapy has a documented history of bipolar disorder. Staff observe the client rapidly pacing the unit hallway, singing at a disruptive volume, and actively attempting to remove their hospital gown. Which intervention should the practical nurse implement immediately?

A caregiver brings a 4-year-old child to the primary care clinic for a routine well-child examination. While the practical nurse gathers preliminary data, the caregiver expresses concern about several of the child's recent behaviors. Which observation reported by the caregiver represents an expected developmental stage for this client?

An older adult client recovering from a hip fracture in a subacute unit suddenly exhibits severe restlessness. The client begins forcefully pulling at their indwelling urinary catheter and attempts to climb over the bed rails. Recognizing that older adults often display atypical presentations of physical discomfort, in which order should the practical nurse prioritize the following actions? Arrange the actions from first to last.

A practical nurse (PN) is caring for a newly admitted client diagnosed with anorexia nervosa. The PN is assisting with the client's first scheduled dinner on the inpatient eating disorders unit. Arrange the following nursing actions in the correct chronological order of implementation.

Following a visit from family members, a client diagnosed with paranoid schizophrenia begins pacing the perimeter of the dayroom, breathing heavily, and aggressively pointing at the ceiling security cameras. Which actions should the practical nurse take to manage this behavior? Select all that apply.

A practical nurse is caring for a client who underwent a traumatic below-the-knee amputation two days ago. While the nurse is preparing to change the surgical dressing, the client turns away and states, "I cannot even bear to look at my leg. Everything I planned for my life is completely ruined." Which response by the practical nurse is most therapeutic?

A client with hypokalemia is prescribed potassium chloride $40\text{ mEq}$ by mouth daily. The pharmacy supplies an oral liquid labeled $20\text{ mEq}/15\text{ mL}$. How many mL should the nurse administer per dose? (Record your answer as a whole number. Do not include units in your answer.)

A female client with a neurogenic bladder secondary to a T12 spinal cord injury is preparing to return home and must perform clean intermittent self-catheterization. The practical nurse is reinforcing the sequence of steps to ensure the client can safely and independently perform this elimination self-care task. In what order should the client be instructed to perform the following actions? Arrange the steps in the correct chronological sequence.