Tüm alıştırma soruları

A nurse is admitting a client who has a history of frequent, uncontrolled generalized tonic-clonic seizures. Which of the following interventions should the nurse implement to promote accident and injury prevention? (Select all that apply.)

The hospital bed placement coordinator is assigning rooms for four clients awaiting admission from the emergency department. The facility currently has only one available airborne infection isolation room (AIIR). Based on standard and transmission-based precaution guidelines, which client must be prioritized for assignment to this specific room?

A pediatric nurse is coordinating the discharge plan for an 8-year-old client newly diagnosed with type 1 diabetes mellitus. The client's parents have limited English proficiency and express high levels of anxiety regarding home management. Which of the following actions indicate appropriate interdisciplinary collaboration and delegation? Select all that apply.

Following the morning bedside report on a progressive care unit, the nursing team, which includes a registered nurse (RN) and an unlicensed assistive personnel (UAP), begins organizing the shift tasks. Which of the following client care activities is most appropriate for the RN to assign to the UAP?

A nurse is caring for a client admitted with an exacerbation of myasthenia gravis. During the morning assessment, the client reports increasing generalized muscle fatigue and new-onset difficulty swallowing (dysphagia) when eating breakfast. To promote safe and effective care, which of the following actions by the nurse represents the most appropriate interdisciplinary collaboration?

An infection control nurse is interviewing a client recently diagnosed with active pulmonary tuberculosis. The client is highly distressed and states, "You cannot tell anyone outside this clinic about my illness. I am terrified of the social stigma and could lose my housing." Which response or action by the nurse correctly applies the principles of client confidentiality?

An oncology nurse is caring for a 55-year-old client who underwent a hematopoietic stem cell transplant two weeks ago. During the morning assessment, the nurse discovers a weeping, clustered vesicular rash strictly following the T10 dermatome on the client's right side. Based on these clinical findings, which infection control and care actions are required? Select all that apply.

The charge nurse on an inpatient respiratory unit is coordinating the care assignments for the upcoming shift. The nursing team includes registered nurses (RNs) and one experienced licensed practical/vocational nurse (LPN/VN). Which client is the most appropriate to assign to the LPN/VN?

A competent adult client admitted with an acute exacerbation of heart failure abruptly demands to leave the facility against medical advice (AMA) to care for a pet at home. The client's attending provider is currently unavailable. Which action by the nurse demonstrates appropriate ethical and legal practice?

A client recovering on a step-down cardiac unit becomes acutely delirious and repeatedly attempts to grasp and remove their temporary epicardial pacing wires. Despite frequent verbal redirection, the behavior escalates and poses an immediate threat to the client's life. Arrange the following nursing actions in the correct chronological sequence, progressing from the least restrictive initial interventions to the emergency application and immediate post-application requirements for physical restraints. All options must be used.

A nurse on an infectious disease unit is reviewing the clinical status of four assigned clients. Which client requires immediate intervention by the nurse?

A client with a newly casted right fractured tibia is prescribed non-weight-bearing status for the right leg. The nurse is educating the client on how to safely stand up from a wheelchair using axillary crutches. In which order should the nurse instruct the client to perform the following actions? Arrange the steps from first to last.

A nurse is caring for a client who was admitted 72 hours ago for a severe respiratory infection. The client suddenly becomes extremely agitated, exhibits profuse diaphoresis, and frantically states, "There are spiders crawling all over the walls!" The client's spouse reports that the client usually drinks a pint of vodka daily but abruptly stopped on the day of admission. Arrange the following nursing actions in the correct prioritized sequence from first to last.

A nurse is managing the disposal and handling of various items during a clinical shift. Which of the following actions demonstrate the correct protocol for handling hazardous and infectious materials? (Select all that apply)

A client with end-stage chronic obstructive pulmonary disease (COPD) is admitted to the palliative care unit. The client is experiencing severe dyspnea at rest, anxiety, and reports feeling "like I cannot get enough air." The goal of care has shifted entirely to comfort measures. Which nursing actions are appropriate to include in the plan of care? Select all that apply.

An advanced practice registered nurse conducts a comprehensive wellness examination for a 77-year-old client who lives independently. The client's caregiver provides a list of observed physical and behavioral changes that have occurred over the past year. Which of the following findings should the nurse identify as expected, age-related developmental and physiological transitions rather than pathological concerns? Select all that apply.

A nurse is preparing to administer routine medications via a nasogastric (NG) tube to a clinically stable client. One of the prescribed medications is a solid oral tablet designated by the facility as a hazardous drug. Which action is the safest and most appropriate for the nurse to take?

A client is admitted to the inpatient psychiatric unit with major depressive disorder and active suicidal ideation. After five days of refusing meals, isolating in their room, and avoiding staff interactions, the client suddenly emerges into the dayroom smiling. The client hands a cherished watch to a peer and states, "The heavy cloud has finally lifted. I know exactly what I have to do now, and everything will be at peace." Which of the following is the priority nursing action?

A nurse is caring for a client who is receiving a packed red blood cell (PRBC) transfusion. Fifteen minutes after the infusion begins, the client suddenly reports severe lower back pain, chills, and shortness of breath. What is the priority sequence of nursing actions to minimize the risk of further physiological deterioration? Arrange the steps in the correct chronological order.

A nurse is managing the care of a 78-year-old client who is in balanced suspension skeletal traction following a comminuted right femur fracture. The client, who has a history of osteoarthritis, reports a new onset of dull, aching pain in the right heel and increasing stiffness in the lower back. Which of the following nursing actions is the most appropriate?