Tüm alıştırma soruları

A clinical team on a nephrology unit consists of a registered nurse (RN), a licensed practical nurse (LPN/VN), and an unlicensed assistive personnel (UAP). As the shift begins, the RN is determining which client care activities can be safely assigned. Which of the following tasks is most appropriate to delegate to the UAP?

The nurse is performing a comprehensive assessment on a client who sustained deep partial-thickness and full-thickness burns to 40% of their total body surface area 12 hours ago. Which of the following clinical findings are priorities that require immediate intervention and provider notification? Select all that apply.

A registered nurse (RN) is providing care on a medical-surgical unit. Which of the following actions by the RN demonstrate appropriate maintenance of client confidentiality and information security? Select all that apply.

While overseeing operations on an acute behavioral health unit, the charge nurse must distribute specific client interactions between the primary registered nurses (RNs) and the mental health technicians (unlicensed assistive personnel or UAPs). Which client care task is safely and appropriately delegated to the mental health technician?

While managing care on a pulmonary step-down unit, the nurse is reviewing recent clinical findings for assigned clients. Which client must the nurse evaluate first?

A registered nurse is managing the care of a client newly diagnosed with amyotrophic lateral sclerosis (ALS). The client has begun to cough frequently while drinking liquids and exhibits progressive dysarthria. The client's spouse expresses significant distress about how to safely feed the client at home. Which intervention demonstrates the most appropriate interprofessional care coordination?

A nurse is coordinating an interdisciplinary discharge plan for a 78-year-old client with advanced primary progressive multiple sclerosis. The client is scheduled to return home tomorrow. During morning rounds, the nurse notes that the client has developed new-onset sudden confusion, profound dysphagia with coughing during sips of water, and an increasing inability to hold eating utensils due to loss of intrinsic hand muscle strength. The client's spouse is crying at the bedside, stating, "I have no idea how we will afford the 24-hour home care the doctor recommended." Which interprofessional action plan represents the most appropriate utilization of team resources and clinical prioritization?

A pregnant client is admitted to the labor and delivery unit for a scheduled elective cesarean birth. The client signed the surgical consent form in the provider's office last week. As the nurse prepares to administer a prescribed preoperative oral antacid, the client states, 'I've changed my mind. I am not having surgery and want to try delivering naturally.' Arrange the following nursing actions in the correct priority sequence. (Place the first action at the top and the last action at the bottom.)

A community health nurse is evaluating an older adult client who has unexplained, thumb-shaped bruises on both upper arms. The client appears fearful and avoids eye contact when the primary caregiver is present. The caregiver insists the client is just clumsy and falls frequently. Which of the following actions demonstrate appropriate ethical practice and client advocacy by the nurse? Select all that apply.

A registered nurse (RN) is caring for a 35-year-old competent adult client admitted to the medical-surgical unit. The client is being treated for injuries sustained during a domestic altercation with a partner and has also been newly diagnosed with active pulmonary tuberculosis. Upon admission, the client signs a facility directory opt-out form and verbally demands that "absolutely no information about my presence or condition be shared with anyone outside this room." Which of the following disclosures or uses of the client's protected health information (PHI) by the nurse are legally permitted or mandated despite the client's explicit request? Select all that apply.

A registered nurse (RN) is caring for a 75-year-old client who was admitted with severe confusion and dehydration. During the assessment, the RN notes multiple unexplained bruises in varying stages of healing on the client's torso and upper arms. The client suddenly becomes highly agitated and repeatedly attempts to climb over the bed rails. Which action by the RN demonstrates adherence to legal rights and responsibilities?

A registered nurse (RN) on a urology and renal medical-surgical unit is coordinating care for a group of clients. Which of the following tasks are appropriate for the RN to delegate to a licensed practical nurse (LPN/VN) or an unlicensed assistive personnel (UAP)? (Select all that apply)

A competent older adult client is admitted with advanced pancreatic cancer. The client's adult children urgently tell the nurse, "In our culture, telling someone they have terminal cancer destroys their spirit. You must not tell our parent the diagnosis." Furthermore, the children request that the unlicensed assistive personnel (UAP) administer the client's oral antineoplastic medications so the client does not ask the nursing staff questions about the pills. Later, the client asks the nurse, "The doctors are speaking in medical jargon. Am I dying?" Which of the following is the most appropriate ethical action by the nurse?

An adolescent client is admitted to the pediatric observation unit following a syncopal episode. During the intake interview, the client tearfully reveals a suspected pregnancy and begs for confidentiality, stating, "My caregiver gets violently angry and left these bruises on my ribs when I failed a class last week." Suddenly, the client becomes severely agitated, grabs their belongings, and threatens to run out of the hospital into a busy intersection if the caregiver is contacted. Which of the following is the most appropriate legal and clinical action for the nurse to take?

A clinical coordinator on a specialized cardiovascular telemetry unit is directing nursing staff resources following a series of sudden client status updates. Based on the most recent clinical data, which client presentation demands the most urgent bedside intervention?

A neonatal intensive care unit (NICU) nurse is providing an interdepartmental SBAR (Situation, Background, Assessment, Recommendation) handoff report to a pediatric rehabilitation nurse. The client is a 6-month-old infant transitioning to the rehabilitation unit for complex care management. Arrange the nurse's communication statements in the correct chronological sequence according to the SBAR protocol.

A 16-year-old client, possessing legal documentation as an emancipated minor, presents to the emergency department with acute appendicitis. The attending surgeon has thoroughly explained the risks, benefits, and alternatives of an appendectomy, and the client has verbalized agreement to undergo the procedure. While the registered nurse is preparing to witness the informed consent signature, the client's parents arrive and demand that all surgical interventions be halted immediately so they can arrange a transfer to another facility. Which action is the priority for the registered nurse?

Following the shift handoff report on a medical-surgical unit, a registered nurse must determine the sequence of client assessments. Arrange the following clients from highest priority (first) to lowest priority (last).

A registered nurse is receiving shift report for four assigned clients on a medical-surgical unit. In what order should the nurse assess these clients? Arrange the clients from highest priority (to be seen first) to lowest priority (to be seen last).

A nurse is caring for a client recovering from an ischemic stroke who develops a wet, gurgling voice and coughing while taking sips of water. The nurse contacts the healthcare provider using the SBAR (Situation, Background, Assessment, Recommendation) communication tool. Arrange the nurse's statements in the correct sequence to structure this interprofessional handoff.