Tüm alıştırma soruları

A practical nurse is preparing to transfer a client who had a right total hip arthroplasty (posterior approach) two days ago from the bed to a chair. In which order should the nurse perform the following actions? Arrange the steps in the correct sequence from first to last.

A licensed practical nurse (LPN) in a pediatric clinic is speaking with the parent of a 5-year-old child whose grandparent recently died. The parent states, "I am worried because my child keeps asking when the grandparent is coming back to visit." Which response by the LPN is most appropriate?

A practical nurse is assigned to a client who recently had a tense telephone conversation with a family member. Shortly after the call, the client throws a book onto the floor and shouts at the nurse, "You never bring me my water when I ask! Everyone in this facility is completely useless!" Which of the following is the most appropriate response by the nurse?

A practical nurse is assisting a client with morning hygiene and lower body dressing on the second postoperative day following a right total hip arthroplasty using a posterior approach. Which action by the nurse demonstrates the correct application of basic care and positioning principles?

An 82-year-old client is hospitalized with a severe urinary tract infection and has been receiving intravenous (IV) hydration and scheduled oral diphenhydramine for a localized rash over the past 48 hours. During morning rounds, the practical nurse (PN) finds the client newly agitated, disoriented to place, and actively pulling at the IV catheter. The next scheduled dose of diphenhydramine is currently due. Which action should the PN take first?

A practical nurse (PN) is completing a routine health assessment for a 77-year-old client at an outpatient community clinic. Which of the following findings should the PN recognize as expected physiological changes of the aging process? (Select all that apply.)

An older adult client is recovering from an ischemic stroke and has right-sided weakness. Following a bedside swallow evaluation, the client is permitted to consume a pureed diet. Which of the following basic care measures should the practical nurse implement during and after mealtime to promote comfort and safety? Select all that apply.

An 80-year-old client with a history of heart failure is prescribed a daily oral dose of digoxin. The morning laboratory results indicate a serum potassium level of 3.1 mEq/L (3.1 mmol/L). Upon assessment, the practical nurse (PN) notes the client is experiencing new-onset acute confusion and nausea. Which action should the PN take?

A practical nurse is caring for a client who recently returned to the unit following a subtotal thyroidectomy. To promote comfort, minimize neck swelling, and support the airway, which of the following positions should the nurse assist the client into?

A practical nurse (PN) is providing in-home care for a client recovering from a recent cerebrovascular accident. While assisting with morning hygiene, the PN discovers several empty liquor bottles concealed in the bathroom linen closet and observes that the client is experiencing mild bilateral hand tremors. Which of the following is the most appropriate initial action for the PN to take?

A home hospice practical nurse visits a client with end-stage heart failure who is receiving comfort measures. The client is semi-comatose, exhibiting audible oral secretions, and has not eaten for two days. The client's adult child is distressed and asks, "Should we force them to drink a nutritional shake? I feel like we are starving them." Which of the following actions should the nurse take? Select all that apply.

A practical nurse (PN) in an outpatient prenatal clinic is collecting data from a client at 34 weeks gestation. The client reports a severe, persistent headache and seeing "dark spots." The PN obtains a blood pressure reading of 168/112 mm Hg and a urine dipstick revealing 3+ proteinuria. Which actions should the PN take? Select all that apply.

A 76-year-old client was recently admitted to a rehabilitation unit. The client's adult child tells the practical nurse, "My parent was completely alert at home, but since yesterday, they are suddenly very disoriented, restless, and seeing things that are not there. I suppose this is a normal part of aging and transitioning to a new facility." Which action should the practical nurse take first?

A practical nurse (PN) enters a long-term care facility's recreation room and observes an older adult client with bilateral hearing loss and mild dementia. The client is highly agitated, pacing rapidly, and shouting that 'people are plotting against me.' The room's radio is playing loudly, and the client is blindly bumping into scattered chairs. Arrange the following PN interventions in the correct order of priority.

A 68-year-old client is recovering on the orthopedic unit 24 hours after a right total hip arthroplasty. The assigned practical nurse enters the room and notes the client is highly restless, reporting severe incisional pain rated as 8 on a 0-to-10 scale. Assessment reveals the following vital signs: blood pressure 88/54 mm Hg, heart rate 118 beats/minute, and respiratory rate 22 breaths/minute. The morning laboratory profile shows a hemoglobin level of 7.8 g/dL, which is a significant decrease from the preoperative baseline of 12.1 g/dL.

The client's current medication administration record includes the following PRN orders for pain management:
* Hydromorphone 0.5 mg intravenous (IV) push every 3 hours
* Ketorolac 15 mg intramuscularly (IM) every 6 hours
* Tramadol 50 mg orally every 4 hours

Based on the clinical assessment and the practical nursing scope of practice, which action is the priority?

A practical nurse is preparing to administer a scheduled dose of potassium chloride oral solution to a client who is receiving diuretic therapy. The provider has prescribed $30\text{ mEq}$ of potassium chloride by mouth daily. The pharmacy provides the medication in a bulk bottle labeled $20\text{ mEq}/15\text{ mL}$.

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

A client is receiving care on a medical unit for fluid volume deficit caused by severe gastroenteritis. During afternoon rounds, the practical nurse notes that the client has voided a total of $55\text{ mL}$ of concentrated urine over the past three hours. The client's current heart rate is $104$ beats per minute and blood pressure is $102/68\text{ mm Hg}$, compared to a baseline of $122/78\text{ mm Hg}$. Which action should the nurse prioritize?

During hourly rounds, a practical nurse evaluates a client who underwent a percutaneous coronary intervention via the right femoral approach 3 hours ago. The client's current vital signs are blood pressure 108/62 mm Hg, heart rate 112 beats/min, and respirations 20 breaths/min. Baseline vital signs obtained immediately post-procedure were blood pressure 135/78 mm Hg, heart rate 78 beats/min, and respirations 16 breaths/min. The client reports a new onset of dull, aching back pain. The right groin dressing appears dry and intact. Which action should the nurse take next?

An older adult resident at a skilled nursing facility experienced an unwitnessed ground-level fall earlier in the shift. During a follow-up evaluation, the licensed practical nurse observes a blood pressure of $94/58\text{ mmHg}$ (baseline $136/82\text{ mmHg}$) and a heart rate of $114\text{ beats/min}$ (baseline $72\text{ beats/min}$). The resident appears pale and reports feeling unusually fatigued. Which action is the priority for the nurse?

A client recovering on a surgical unit following an emergent below-the-knee amputation turns away, refuses to look at the surgical site during a dressing change, and loudly demands that the practical nurse (PN) leave the room immediately. Which actions are appropriate for the PN to take to support the client's coping? Select all that apply.