Tüm alıştırma soruları

A nurse is preparing to admit a client with suspected *Neisseria meningitidis* meningitis who also has a heavily draining, uncontained leg ulcer infected with Vancomycin-resistant *Enterococcus* (VRE). Which infection control interventions should the nurse implement? Select all that apply.

Correlate the following foundational ethical principles with the nursing action that best demonstrates their application in clinical practice.

A nurse on a postpartum maternity unit is prioritizing care for four assigned clients after receiving the morning shift report. Which client should the nurse evaluate first?

A home health nurse is evaluating an older adult client who has multiple unexplained bruises in various stages of healing. During the assessment, the client tearfully confides that their primary caregiver caused the injuries but begs the nurse not to tell anyone, expressing intense fear of being moved to a care facility. Which action by the nurse represents the most appropriate ethical and legal response?

Match each client's clinical presentation to the specific infection control intervention required for their care.

An adult client is evaluated in an outpatient clinic and tests positive for a sexually transmitted infection (STI). Later that day, the client's spouse, who is officially listed as the emergency contact in the electronic health record (EHR), calls the clinic. The spouse states, "I know my partner was tested today. As their spouse and emergency contact, I have a right to know the results so I can protect my own health." There is no signed authorization form on file permitting disclosure to the spouse. Which of the following is the most appropriate response by the nurse?

A nurse is preparing a client for discharge. While reviewing the printed discharge packet with the client in their room, the nurse realizes that another client's sensitive laboratory results were mistakenly stapled into the packet. Arrange the actions the nurse should take in the correct priority order.

A behavioral response team nurse is called to assist with a 28-year-old client who is experiencing acute amphetamine-induced psychosis. The client is physically attacking staff members and throwing equipment. De-escalation techniques are ineffective, and the client is placed in four-point physical restraints at 1000. The healthcare provider completes the required face-to-face evaluation and enters the restraint prescription. Which nursing intervention is mandatory for this specific category of restraint?

A triage nurse in the emergency department is reviewing clinical reports for incoming clients. Match each client's clinical presentation with the correct primary isolation precautions required upon their immediate arrival.

A nurse on a medical-surgical unit realizes they have just administered a full dose of an immediate-release antihypertensive medication to the wrong client. Arrange the following actions in the priority order the nurse should perform them. (Place the first and most urgent action at the top, and the final administrative action at the bottom.)

A clinical leader on a medical-surgical telemetry unit is evaluating the electronic health records of several clients during morning rounds. Which of the following client findings warrant immediate clinical intervention by the nurse? (Select all that apply.)

An intensive care registered nurse (RN) is prioritizing care for four clients who currently have physical restraints applied. Which client situation presents the most immediate threat to life and requires the RN's instantaneous intervention?

A nurse is performing a health screening for a 72-year-old client at a local community center. Which assessment finding should the nurse identify as an expected physiological change of the aging process?

A community health nurse is providing discharge instructions to several clients and their families regarding infection control practices in the home setting. Which of the following teaching points demonstrate accurate understanding of transmission-based precautions? Select all that apply.

An outpatient orthopedic clinic is experiencing a high volume of walk-in appointments. The clinical coordinator must distribute client care activities between a registered nurse (RN) and an unlicensed assistive personnel (UAP). Which of the following tasks is most appropriate to delegate to the UAP?

A nurse has completed a dressing change for a client who is isolated in a negative-pressure room for active pulmonary tuberculosis. The client also has a heavily draining leg wound infected with vancomycin-resistant enterococcus (VRE). Which sequence of actions by the nurse demonstrates the correct protocol for doffing personal protective equipment (PPE) and exiting the room?

Following afternoon interdisciplinary rounds on a general medical unit, the registered nurse evaluates the most recent clinical data for four assigned clients. Which client requires the most immediate assessment by the nurse?

A nurse in a residential substance use treatment facility is caring for a client in the early stages of alcohol withdrawal. The client suddenly reports crushing chest pressure and severe dyspnea. While the nurse is preparing to assess vital signs, the client tearfully discloses that a facility counselor has been sexually abusing them for the past week. Which actions by the nurse are appropriate? Select all that apply.

A nurse is managing the care of a client recovering from viral encephalitis. The client exhibits severe confusion and is persistently attempting to dislodge a peripheral intravenous (IV) line and an indwelling urinary catheter. Following the documented failure of less restrictive safety measures, the healthcare provider prescribes bilateral soft wrist restraints. Which of the following nursing interventions must be included in the client's plan of care? Select all that apply.

While responding to a pump occlusion alarm, a nurse discovers that a client's continuous enteral nutrition formula has been erroneously connected to the proximal port of a peripherally inserted central catheter (PICC) and is actively infusing. Arrange the following nursing actions in the priority order to mitigate this adverse event and prevent further injury. All options must be used.