Tüm alıştırma soruları

A $6\text{-year-old}$ client weighing $55\text{ lb}$ is admitted to the pediatric unit with a soft tissue infection. The client's vital signs are temperature $100.8^\circ\text{F}$ ($38.2^\circ\text{C}$), heart rate $110\text{ beats/min}$, and blood pressure $98/64\text{ mm Hg}$. The client has no known drug allergies. The healthcare provider prescribes oral cephalexin $25\text{ mg/kg/day}$ divided into two equal doses every $12\text{ hours}$. The medication available is cephalexin oral suspension $250\text{ mg}/5\text{ mL}$. How many $\text{mL}$ should the practical nurse administer per dose? (Record answer to the nearest tenth. Do not include units in answer.)

A client who underwent a right above-the-knee amputation 36 hours ago is receiving care on the surgical unit. Which actions should the practical nurse include in the client's care plan to promote comfort, maintain skin integrity, and prevent complications? Select all that apply.

During a shift on a medical-surgical unit, a provider prescribes 'Regular insulin 8 units intravenous (IV) push immediately' for a client experiencing severe hyperglycemia. The available medication vial is labeled 'Regular insulin 100 units/mL'. What is the most appropriate action for the practical nurse to take?

A semi-conscious client who underwent a supratentorial craniotomy two days ago receives continuous enteral nutrition via a nasogastric tube. The nurse is preparing to perform a complete bed bath, linen change, and repositioning to maintain skin integrity. Which of the following actions represents the safest approach for providing this care?

An individual receiving care at an occupational health clinic mentions to the practical nurse, "I stopped wearing my fall-protection harness at the construction site. It is just too restrictive and limits my ability to move quickly." Which response by the nurse is the most appropriate?

While providing morning care in a subacute rehabilitation facility, a practical nurse notes that an 84-year-old client recovering from a hip replacement has suddenly become restless, is continuously pulling at their clothing, and is unable to answer simple questions. The client was alert and conversant the day before. Which conclusion is most appropriate for the nurse to make?

A client is admitted to the behavioral health unit for treatment of severe anxiety and obsessive-compulsive behaviors. During the admission data collection, the client repeatedly organizes the items on the bedside table and avoids eye contact. The client abruptly says, "If everything isn't perfectly straight, something terrible is going to happen to my family." Which response by the practical nurse demonstrates the most appropriate therapeutic communication?

A client with a documented history of severe asthma is receiving care on a medical-surgical unit. The practical nurse is preparing to administer scheduled morning medications, which includes a new prescription for oral propranolol to manage a familial tremor. During the pre-administration assessment, the client's vital signs are: blood pressure 132/84 mm Hg, heart rate 86 beats/min, and respiratory rate 18 breaths/min. The nurse notes faint expiratory wheezes upon auscultation. What is the most appropriate action for the practical nurse to take?

While caring for a client who had an open appendectomy 4 hours ago, the practical nurse reviews the client's postoperative status. The client's preoperative heart rate was 76/min and blood pressure was 118/74 mm Hg. Which current finding is the most critical to report to the registered nurse?

An older adult client is receiving daily oral warfarin for atrial fibrillation management. The electronic health record displays a morning International Normalized Ratio (INR) of 5.2. When the practical nurse enters the room, the client complains of a new, severe headache and asks for their prescribed as-needed acetaminophen. Which action is the priority for the practical nurse?

During an outpatient support group for stress management, clients describe their recent reactions to challenging life events. Match each client's statement or behavior with the specific defense mechanism being demonstrated.

A practical nurse is providing care for a client who is 72 hours post-operative following a right above-the-knee amputation. The client reports a dull, aching discomfort in the right hip and requests that the head of the bed be raised to 60 degrees with a thick pillow placed under the residual limb. Which action is most appropriate for the nurse to take?

A practical nurse is assigned to administer prophylactic erythromycin ophthalmic ointment to a neonate who was delivered vaginally 1 hour ago. Arrange the following procedural steps in the correct chronological order from first to last.

A registered nurse (RN) is caring for a client who was recently admitted with severe sepsis. The RN is busy initiating an emergency blood transfusion for another client and asks the practical nurse (PN) to assist with the septic client's medication administration. Which pharmacological task is most appropriate for the PN to accept?

An older adult client with bilateral hearing aids and a history of moderate dementia is hospitalized for pneumonia. At 0200, the client removes the hearing aids, becomes acutely agitated, and reports seeing "strangers crawling on the ceiling." The client is attempting to climb over the bed rails. Which action should the practical nurse (PN) take first?

A practical nurse is assigned to care for a client with a history of heart failure. The client is scheduled to receive oral furosemide and oral digoxin at this time. Upon reviewing the morning laboratory report, the nurse notes a serum potassium level of 2.9 mEq/L (2.9 mmol/L). The client's most recent apical pulse is 62 beats per minute. Based on these findings, which of the following is the most appropriate next action for the practical nurse?

A practical nurse is evaluating an 82-year-old client at a community wellness center. Which observation should the nurse interpret as an expected physiological change related to the aging process?

While conducting a routine check on a client who is 8 hours postpartum following a vacuum-assisted vaginal birth of a 9-pound (4.08 kg) neonate, the practical nurse notes a firm, midline uterine fundus at the level of the umbilicus. The client has scant lochia rubra but reports severe, unrelenting vaginal pressure. The client's resting heart rate is 112 beats per minute. Which action should the practical nurse take first?

A practical nurse is reviewing health questionnaires at a family practice clinic. The parents of an 18-month-old child describe their child's current abilities at home. Which reported activities indicate that the child is demonstrating expected developmental milestones for this age? (Select all that apply)

A practical nurse (PN) at a community health clinic is speaking with a 24-year-old client whose best friend died suddenly in a motor vehicle crash three days ago. The client is pacing, visibly agitated, and states, "This cannot be happening. I just talked to them on Tuesday!" Which of the following statements by the PN are appropriate? Select all that apply.