Tüm alıştırma soruları

A nurse is preparing to transfer a client who has right-sided weakness from the bed to a wheelchair. To ensure the safety of the client and prevent injury, arrange the following steps in the correct chronological order.

A care team comprising a registered nurse (RN) and an unlicensed assistive personnel (UAP) is managing a group of postpartum clients. When determining task distribution, which specific activity is most appropriate to assign to the UAP?

While coordinating care on a busy neurology step-down unit, a registered nurse observes several activities occurring simultaneously. To prevent client injury, which situation requires the most immediate intervention by the nurse?

A client is transferred to the medical-surgical unit with active group A streptococcal pneumonia and a heavily draining sacral pressure injury that is positive for methicillin-resistant Staphylococcus aureus (MRSA). Which of the following infection control interventions should the nurse implement? Select all that apply.

A 78-year-old client with Parkinson's disease is hospitalized for pneumonia and is now stable, preparing for discharge. During breakfast, the nurse observes the client struggling to grasp utensils and repeatedly dropping food due to severe resting tremors. The spouse appears frustrated and states, "It takes so long for them to eat now, but I suppose losing coordination is just part of getting old." The nurse notes that the client's swallowing reflex remains intact, and there is no coughing or choking during the meal. Which action is most appropriate for the nurse to take?

An adult arrives at the emergency department triage desk reporting a severe headache, neck stiffness, and extreme sensitivity to light. Upon assessment, the triage nurse notes a core temperature of 103.4°F (39.7°C) and a petechial rash. Suspecting meningococcal disease, arrange the following nursing interventions in the correct chronological order to establish proper infection control and initiate life-saving care.

A registered nurse (RN) is preparing to delegate the tasks of obtaining morning vital signs and assisting with ambulation for a postoperative client to an unlicensed assistive personnel (UAP). Arrange the nurse's actions in the correct sequential order according to the National Council of State Boards of Nursing (NCSBN) guidelines for safe delegation.

Following a mass casualty incident, a triage nurse assigns a black tag (expectant) to a victim with an open head injury and agonal respirations. The victim's spouse demands to know why immediate life-saving care is not being provided. Which of the following is the most appropriate response by the nurse to explain the ethical rationale for this decision?

A nurse is developing a safety care plan for an older adult client with advanced dementia who is at a high risk for falls. To strictly adhere to the ethical and legal principle of utilizing the least restrictive environment, arrange the following fall prevention interventions in order of implementation, from the LEAST restrictive (baseline measure) to the MOST restrictive (last resort).

The primary nurse on an acute stroke unit is determining appropriate task assignments for an unlicensed assistive personnel (UAP). Which of the following tasks are safe and appropriate to delegate to the UAP? Select all that apply.

An occupational health nurse is evaluating exposure risks in a crowded clinic waiting area. Several individuals are waiting for triage. Which individual's clinical presentation strictly necessitates immediate placement into a negative-airflow isolation room?

A nurse is contacting the on-call surgical provider regarding a client who developed sudden facial twitching and hand spasms following a neck surgery. Arrange the nurse's statements in the correct sequence to reflect the standard SBAR (Situation, Background, Assessment, Recommendation) interdisciplinary communication framework.

A client with an uncontained, heavily draining abdominal wound infected with Vancomycin-resistant Enterococcus (VRE) has just tested positive for Bordetella pertussis. The client is experiencing worsening respiratory distress and requires immediate transfer to the intensive care unit (ICU) for closer monitoring. Which infection control interventions are necessary for this client's care and transport? Select all that apply.

During an initial evaluation at a community health clinic, a nurse assesses a 28-year-old client who has a profound intellectual disability. The nurse observes several distinct, parallel linear bruises across the client's upper back. The client appears frightened and whispers, 'Please do not tell anyone from my group home, or I will be punished.' Which action by the nurse represents the appropriate application of confidentiality regulations in this scenario?

During a midday team huddle on a medical-surgical unit, the nursing staff receives updates on several assigned clients. Based on the provided clinical information, which individual requires immediate evaluation by the nurse?

A nurse enters the room of a client receiving internal radiation therapy (brachytherapy) for cervical cancer and discovers the radioactive implant has dislodged and is resting on the bed linens. Place the following nursing actions in the correct priority sequence to safely manage this hazard and minimize radiation exposure.

A nurse is providing care for a hospitalized client who is incontinent of stool and has just been diagnosed with a *Clostridioides difficile* infection. Which of the following infection control interventions should the nurse implement? (Select all that apply.)

A clinical leader is evaluating current client statuses on a medical step-down unit following recent assessments. Which of the following client situations represent an unstable condition requiring immediate nursing intervention? Select all that apply.

Clinical nursing practice often involves navigating complex ethical dilemmas where fundamental duties compete. Match each of the following clinical scenarios to the two core ethical principles that are primarily in conflict.

The nurse is planning care for a client diagnosed with acquired immunodeficiency syndrome (AIDS) who presents with a newly erupted, weeping, localized herpes zoster (shingles) rash on the right thorax. Which infection control and safety measures should the nurse implement? Select all that apply.