Tüm alıştırma soruları

After performing open tracheostomy suctioning on a client diagnosed with pulmonary tuberculosis and methicillin-resistant Staphylococcus aureus (MRSA) of the sputum, a registered nurse prepares to leave the negative-pressure isolation room. Arrange the following steps for removing personal protective equipment (PPE) in the proper chronological sequence.

Upon arriving for the evening shift on a neuromedical unit, a float nurse listens to the recorded handoff report. Which of the following clients must the nurse assess first?

An oncology nurse is preparing to admit a newly diagnosed client who speaks a language different from the nurse. The client's adult child accompanies them and insists on acting as the sole interpreter. The child privately asks the nurse not to reveal the terminal nature of the illness to the client, stating, "In our culture, knowing you are dying destroys hope and brings death faster." Which of the following actions by the nurse demonstrate appropriate ethical practice? (Select all that apply)

A nurse is preparing to assist a client with a bed bath and a complete linen change. The client is currently receiving continuous enteral nutrition via a nasogastric tube. Which action is the most important for the nurse to take to prevent a severe injury or adverse event during this care?

A float nurse is assigned to care for several clients with infectious conditions on a medical-surgical unit. Which actions by the float nurse demonstrate adherence to appropriate infection control protocols? (Select all that apply)

A nurse is coordinating the discharge plan for a client who is recovering from a total laryngectomy with a new permanent tracheostomy and a percutaneous endoscopic gastrostomy (PEG) tube. Which actions should the nurse include in the interdisciplinary care plan? Select all that apply.

A local weather station issues a severe tornado warning, and the hospital's internal emergency response plan is immediately activated. A nurse is working on a medical-surgical unit with exterior-facing windows. Which of the following actions should the nurse take to protect clients? Select all that apply.

A pediatric emergency nurse is assigned to care for four newly admitted clients. Arrange the order in which the nurse should evaluate these clients, from highest priority (first) to lowest priority (last).

While conducting hourly rounds, a nurse enters a client's room and observes smoke and small flames coming from an electrical outlet behind the bed. The client is bedbound and receiving supplemental oxygen. Arrange the following emergency actions in the order the nurse should perform them.

A school nurse assesses an 8-year-old student who arrives at the clinic during winter wearing unseasonably thin, torn clothing. While being evaluated, the student tearfully states, 'My parents make me sleep on the cold basement floor as a punishment, but please do not tell anyone.' The nurse suspects child neglect and abuse. Which of the following actions should the nurse take regarding the student's request for privacy?

A registered nurse (RN) is supervising an unlicensed assistive personnel (UAP) on a medical-surgical unit. The RN walks into a client's room and observes the UAP using an unsafe technique to transfer a client with right-sided hemiparesis from the bed to a wheelchair. In what order should the RN take the following actions? Arrange the actions in the correct sequence from first to last.

The charge nurse is reviewing transmission-based precautions for four newly admitted clients. Match each client's clinical presentation to the appropriate isolation protocol required for their care.

An adult client is admitted to the psychiatric emergency service exhibiting severe, unprovoked physical aggression. After multiple de-escalation techniques prove ineffective, four-point physical restraints are applied to protect the client and staff. Which action by the nursing team aligns with national standards for the use of behavioral restraints?

During a shift on a specialized orthopedic trauma unit, a nurse evaluates the clinical status of several clients. Which client presentation dictates the need for the most immediate clinical intervention?

A client presents to the emergency department triage desk reporting a 3-day history of low-grade fever, malaise, and a newly erupted, itchy vesicular rash starting on the trunk and spreading to the extremities. The client states they have never had chickenpox or received the varicella vaccine. All airborne infection isolation rooms (AIIRs) in the department are currently occupied. What is the most appropriate immediate infection control intervention by the nurse?

A registered nurse is caring for a client with active pulmonary tuberculosis who is experiencing acute delirium. The client is confused and repeatedly attempts to leave the negative-pressure isolation room to wander in the hallway. Which nursing action is most appropriate to prevent injury and maintain unit safety?

An older adult client admitted with severe pneumonia is exhibiting acute confusion and repeatedly pulling at their peripheral intravenous (IV) line. Arrange the following nursing interventions in the correct order of escalation, from the least restrictive measure to the most restrictive.

An occupational health nurse is instructing clinic staff on proper isolation procedures for a client who has been diagnosed with rubella. Which transmission-based precaution interventions should the staff implement? Select all that apply.

Match each ethical principle to the nursing action that best demonstrates its clinical application.

A nursing team consisting of a registered nurse (RN) and a licensed practical/vocational nurse (LPN/VN) is preparing to begin their shift on a busy urology and general surgery floor. After receiving the handoff report, the RN must coordinate the client assignments.

Which client is most appropriate for the RN to assign to the LPN/VN?