Tüm alıştırma soruları

The healthcare team is reviewing the mobility and comfort orders for a client who underwent a right above-knee amputation two days ago. Which intervention should the nurse implement to prevent long-term musculoskeletal complications?

An 82-year-old client is brought to the emergency department by their adult child. During the triage assessment, the nurse observes bilateral patterned bruising on the client's upper arms and notes signs of severe dehydration. The adult child is agitated, pacing the room, and complaining loudly about the burden of providing care for the client. Arrange the following nursing actions in the priority order they should be performed.

A charge nurse in an ambulatory endoscopy center is conducting a pre-procedure telephone interview with a 68-year-old client scheduled for a routine screening colonoscopy the following morning. The client's electronic health record indicates the client has not received a tetanus booster in 15 years. During the call, the client's spouse takes over the phone and reports that the client has been experiencing sudden, severe disorientation and visual hallucinations over the past 24 hours. Based on this information, which conclusion by the nurse regarding the client's health screening is most appropriate?

A nurse is caring for a client with obsessive-compulsive disorder (OCD) on their first day of inpatient treatment. The client has a complex ritual of tapping the doorframe exactly twelve times before crossing any threshold. As lunchtime approaches, the nurse observes the client beginning this tapping sequence at the entrance to the dining hall. What is the most appropriate nursing action?

A clinical instructor and a nursing student are conducting a life-skills workshop for a small group of clients in the behavioral health dayroom. One participant continuously shifts their chair closer to the student, repeatedly demands to know the student's relationship status, and attempts to stroke the student's arm. Which actions should the clinical instructor take to reinforce milieu boundaries and maintain safety? Select all that apply.

A charge nurse on an inpatient clinical unit observes a staff registered nurse (RN) returning from a scheduled break. The staff RN is exhibiting an unsteady gait, slurred speech, and noticeably constricted pupils. Over the past several weeks, the charge nurse has noted that this specific RN frequently volunteers to administer intravenous pain medications for other nurses' clients. Which of the following is the priority action for the charge nurse to take?

A nurse preceptor and a newly graduated nurse are developing a health maintenance plan for an asymptomatic 65-year-old female client during an annual wellness visit. Which statement by the newly graduated nurse indicates a correct understanding of secondary prevention and appropriate health screening?

A clinic nurse is providing education to a 20-year-old male client regarding the early detection of cancer. The nurse is explaining how to perform a monthly testicular self-examination (TSE). In what order should the nurse instruct the client to perform the following steps? Arrange the instructions in the correct sequential order.

A nurse is implementing the evidence-based "5 A's" model to help a client quit smoking. Arrange the following nursing actions in the correct chronological order from first to last.

A nurse accidentally drops a glass specimen container filled with bronchoalveolar lavage (BAL) fluid from a client with suspected active pulmonary tuberculosis. The container shatters on the clinical unit's hallway floor, splashing the fluid over a wide area. Which of the following is the nurse's priority action?

A public health nurse is preparing to conduct a comprehensive health history for a newly enrolled community member who does not speak the local dominant language. In which order should the nurse perform the following actions to facilitate a culturally competent and legally sound encounter? Arrange the actions in chronological order from first to last.

A client returns to the surgical unit following a right total hip arthroplasty using a posterior approach. When assisting this client in bed, which nursing action promotes safe positioning?

An occupational health nurse is planning a new wellness initiative for factory workers. The nurse wants to implement an intervention specifically focused on the early detection of health issues before clinical symptoms become severe. Which proposed activity best aligns with this goal?

A clinic nurse is initiating a comprehensive smoking cessation intervention for a client newly diagnosed with chronic obstructive pulmonary disease (COPD). According to the evidence-based '5 A's' behavioral change framework, arrange the following nursing actions in the correct sequential order from first to last.

An older adult client with advanced Parkinson's disease and documented oropharyngeal dysphagia requires assistance with feeding to mitigate aspiration risk. In what chronological order should the nurse execute the following mealtime interventions?

A nurse is preparing to clean up a large, visible blood spill on the floor of a trauma room. Arrange the following steps for safely managing and cleaning this biohazard spill in the correct chronological order.

A client requires a combined dose of regular and NPH insulin for morning glycemic control. What is the correct sequence of actions for drawing up these medications into a single syringe? Arrange the steps in chronological order.

While preparing to administer an intravenous antineoplastic agent, a large volume of the medication accidentally splashes onto the linoleum floor of the client's room. To safely manage this biohazardous incident, the nurse must sequence the cleanup actions according to standard oncology protocols. Arrange the following steps in the correct order from first to last.

A pediatric nurse is assessing the neurological development of infants at a pediatric clinic. The nurse knows that primitive reflexes must disappear in a predictable sequence to allow for the development of voluntary motor skills. Arrange the following infant reflexes in the chronological order of their expected disappearance, from earliest to latest.

A registered nurse in a postpartum unit is preparing to perform a mandatory newborn metabolic screening (heel stick) on a 36-hour-old infant. To ensure an accurate health screening sample and prevent complications, in what order should the nurse perform the following actions? Arrange the steps in the correct sequence.