Tüm alıştırma soruları

An emergency department nurse is evaluating a client who arrived 2 hours ago after sustaining blunt anterior chest trauma in a motor vehicle collision. Which of the following assessment findings are critical cues that require immediate notification of the healthcare provider? Select all that apply.

A nurse is caring for a client who is confused, restless, and continuously attempting to get out of bed without assistance. Which intervention should the nurse implement first to promote a safe environment?

A nurse is developing an interdisciplinary care plan for an $82$-year-old client recovering in a rehabilitation unit following a complex cerebrovascular accident (CVA). The client has regained independent ambulation but exhibits new-onset dysphagia and profound fine motor deficits, rendering them unable to grasp standard eating utensils. The client's spouse is visibly distressed regarding the client's poor nutritional intake. Which collaborative action represents the most appropriate interdisciplinary management?

During interdisciplinary rounds, healthcare teams must navigate complex situations involving client rights, professional duties, and moral obligations. Match each clinical scenario described on the left with the foundational ethical principle it most directly illustrates on the right.

A nurse is caring for a client with advanced heart failure who is participating in a clinical research trial. During the morning assessment, the client states, 'I want to stop taking this experimental drug because the nausea is unbearable, but I am afraid my doctor will be angry and refuse to treat my heart condition.' Which of the following actions should the nurse take to demonstrate ethical practice? Select all that apply.

A 14-year-old client presents to a community health clinic seeking testing for a suspected sexually transmitted infection (STI). During the assessment, the client discloses being sexually active with a 23-year-old acquaintance. The client pleads with the nurse, 'Please do not tell my parents; they will disown me.' Which legally and ethically sound actions should the registered nurse implement? Select all that apply.

An older adult client with a new diagnosis of heart failure is being prepared for discharge. The client lives alone on a fixed income, requires eight new daily medications, and does not own a scale for required daily weights. While discussing the transition home, the client begins crying and states, "I cannot afford these pills, and I do not know how I will manage all of this by myself." Which actions demonstrate appropriate interdisciplinary collaboration and care management by the nurse? Select all that apply.

A public health clinic nurse evaluates a client who has just received a confirmed diagnosis of active, multi-drug resistant tuberculosis (MDR-TB). Upon hearing the diagnosis and the requirement for immediate isolation, the client becomes highly agitated, refuses all treatment, and states, 'I am leaving right now. I have a commercial flight in two hours to attend a large indoor convention across the country, and I am not missing it.' The client then explicitly forbids the nurse from sharing their medical information with anyone. In accordance with federal privacy regulations and professional nursing standards, which action should the nurse take regarding the disclosure of the client's protected health information (PHI)?

A 45-year-old client is in the preoperative staging area prior to an elective cervical laminectomy. When the registered nurse (RN) provides the consent form for signature, the client hesitates and states, "I do not think I am ready to sign this. I still have a lot of questions about what my mobility will be like after the surgery." Arrange the following nursing actions in the correct priority order.

During a shift, a client receiving intravenous antibiotics for bacterial endocarditis unplugs their IV pump, gets dressed, and announces they are going home immediately due to frustration with the hospital environment. The client is awake, alert, and fully oriented to person, place, time, and situation. Which of the following is the most appropriate legal and ethical nursing action?

A nurse is assigned to care for a newly admitted client who recently traveled internationally and presents with a severe acute respiratory infection, fever, and a persistent cough. The client has a suspected case of Middle East Respiratory Syndrome (MERS) and requires concurrent airborne and contact precautions. The nurse has gathered all required supplies in the anteroom outside the client's negative-pressure isolation room. Arrange the following actions in the correct sequence for donning personal protective equipment (PPE) before entering the client's room.

A registered nurse begins a shift on a pediatric unit and reviews the current status of assigned clients. Which client requires immediate assessment by the nurse?

A registered nurse is coordinating a home hospice transition plan for a client with late-stage amyotrophic lateral sclerosis (ALS). The client has recently developed episodes of coughing during meals, profound upper extremity weakness, and the spouse reports severe exhaustion from providing continuous care. Which of the following interdisciplinary team actions should the nurse include in the care plan? Select all that apply.

A 42-year-old client in the intensive care unit is mechanically ventilated for acute respiratory failure. The client suddenly develops severe hyperactive delirium, aggressively attempting to self-extubate and physically striking nursing staff. Following unsuccessful pharmacological and environmental de-escalation attempts, the healthcare provider prescribes bilateral wrist and ankle restraints for the management of violent behavior. Which of the following nursing interventions are appropriate for this client? Select all that apply.

The registered nurse (RN) is planning care for a client who sustained an ischemic stroke 48 hours ago and has new-onset right-sided hemiparesis and dysphagia. Which of the following tasks can the RN safely delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)

A nurse enters a client's room and finds the client lying on the floor near the bathroom door. In what order should the nurse perform the following actions? Arrange the steps in the correct sequence from first to last.

A registered nurse receives a telephone call at the nurses' station from an individual claiming to be the spouse of a client who recently returned from surgery. The caller requests an update on the client's clinical condition. In what order should the nurse perform the following actions to ensure compliance with confidentiality and information security protocols? Arrange the steps from first to last.

An emergency department nurse is providing care for a competent adult client who has sustained multiple facial and rib fractures. While the client's partner is temporarily out of the treatment room, the client tearfully discloses, "My partner did this to me. You cannot tell the police, or my partner will kill me." Based on the ethical principles of autonomy and confidentiality, which of the following is the most appropriate action for the nurse to take?

A registered nurse is caring for an adult client with severe gastrointestinal bleeding who has been prescribed an emergency packed red blood cell (PRBC) transfusion. The client states, 'I cannot accept blood products due to my religious beliefs.' Arrange the following nursing actions in the correct legal and procedural sequence.

A client is admitted to the inpatient psychiatric unit with active suicidal ideation. An individual claiming to be the client's employer calls the nursing station, demanding to know if the client is hospitalized so they can arrange for immediate shift coverage. The client has not authorized any release of information. Which of the following is the most appropriate action by the registered nurse?