Tüm alıştırma soruları

An endocrinology unit is staffed by a registered nurse (RN), a licensed practical/vocational nurse (LPN/VN), and an unlicensed assistive personnel (UAP). The RN is reviewing the morning care requirements for four clients. Which client care activity is most safely delegated to the LPN/VN?

A nurse is providing care on a medical-surgical unit and managing protected health information (PHI) throughout the shift. Which of the following actions by the nurse demonstrate appropriate adherence to client confidentiality and electronic information security standards? Select all that apply.

A hospital's rapid response team is summoned to a general medical floor for a client experiencing acute respiratory failure. The client is currently undergoing treatment for crusted (Norwegian) scabies and was diagnosed earlier in the day with Mycoplasma pneumoniae. The responding personnel must immediately initiate bag-valve-mask (BVM) ventilation. Which infection control measures must the team implement during this emergency? Select all that apply.

A client in the intensive care unit is receiving a continuous intravenous (IV) infusion of norepinephrine via a central venous catheter for profound septic shock. The smart infusion pump abruptly alarms with a "Distal Occlusion" alert. The client's mean arterial pressure (MAP) drops from 68 mm Hg to 52 mm Hg. The nurse quickly traces the external tubing and finds no closed clamps or kinks. To prevent severe client injury, which action must the nurse take next?

A client with active pulmonary tuberculosis (TB) and a documented history of severe alcohol use disorder is admitted to an airborne infection isolation room (AIIR). Twenty-four hours after admission, the client becomes profoundly disoriented, experiences visual hallucinations, and repeatedly attempts to leave the room, stating they must "go to work immediately." What is the safest and most appropriate initial nursing action?

A client recovering from Guillain-Barré syndrome is preparing for discharge from a rehabilitation unit. The client has regained lower extremity strength and ambulates with a walker, but continues to experience profound bilateral hand weakness. The client is tearful and states, "I am terrified to go home. I cannot even hold a fork to eat or button my own shirt." Which is the most appropriate action for the nurse to take?

A nurse receives the shift handoff report for four clients on a medical-surgical unit. Which client should the nurse assess first to prevent a potential injury or adverse event?

A nurse in the emergency department is caring for an alert and oriented client who was involved in a motor vehicle collision. A police officer approaches the nurse and requests a copy of the client's blood alcohol laboratory results for an ongoing investigation. The officer does not possess a court order, warrant, or subpoena. Which of the following is the most appropriate action by the nurse?

A registered nurse is assigned to the day shift at an ambulatory care clinic. Upon reviewing the schedule, the nurse notes that a designated client is scheduled for an elective pregnancy termination. The nurse holds deep personal moral objections to this specific procedure. Which of the following is the most appropriate action for the nurse to take in accordance with ethical nursing practice guidelines?

An external mass casualty incident occurs, and the hospital activates its emergency response plan. The nurse is performing disaster triage in the emergency department. Which of the following clients should the nurse assign a "red tag" (immediate priority)?

A nurse is evaluating an adult client admitted with acute pancreatitis who is receiving aggressive intravenous fluid resuscitation. Which of the following clinical findings indicate a developing complication that requires immediate intervention? (Select all that apply)

Match each client clinical scenario to the most appropriate infection control precaution category required for their care.

A nurse enters a client's room and discovers a small fire in the trash can. Arrange the following actions in the correct priority sequence according to standard facility emergency response protocols.

A unit manager is rounding with the infectious disease team to evaluate clients currently on transmission-based precautions. Based on standard infection control guidelines, which client meets the strict clinical criteria for the safe discontinuation of their current isolation precautions?

A nurse working on a postpartum unit has just completed receiving handoff report for four assigned clients. Which client condition necessitates immediate intervention by the nurse?

A nurse is caring for an older adult client with progressive dementia who has recently experienced several falls. The client's adult child is highly anxious and demands that the nurse immediately apply physical restraints to keep the client in bed. The nurse recognizes an ethical conflict between the family's request and the principle of nonmaleficence. Which of the following actions by the nurse demonstrate ethical practice and appropriate client advocacy? Select all that apply.

A multidisciplinary healthcare team is providing care for a client isolated on contact precautions due to an uncontained methicillin-resistant *Staphylococcus aureus* (MRSA) infection of a sacral pressure injury. Which actions by the team members demonstrate correct application of infection control principles? (Select all that apply.)

An older adult client with severe delirium is continuously attempting to pull out a nasogastric tube and intravenous lines. After least restrictive measures have failed, the primary health care provider prescribes bilateral soft limb restraints. In what order should the nurse perform the following actions to ensure client safety?

A client is admitted to the inpatient behavioral health unit with acute mania. The client begins pacing the hallway rapidly, shouting loudly, and kicking empty chairs, but has not physically threatened staff or other clients. An unlicensed assistive personnel (UAP) tells the registered nurse, 'This client is going to hurt someone. We should put them in restraints right now. I will go get the leather straps.' Based on the ethical principle of nonmaleficence and legal client rights, which action is most appropriate for the nurse to take?

A registered nurse (RN) on a medical oncology unit is organizing the shift assignments. The care team consists of the RN, a licensed practical/vocational nurse (LPN/VN), and an unlicensed assistive personnel (UAP). Which of the following task assignments are appropriate for the RN to delegate? Select all that apply.