Tüm alıştırma soruları

A registered nurse is preparing to administer a unit of packed red blood cells (PRBCs) to a client with symptomatic anemia. To prevent errors and ensure client safety, which of the following actions should the nurse take? (Select all that apply.)

A glass laboratory tube shatters in a high-traffic clinical hallway, resulting in a significant blood spill. Arrange the following infection control actions in the correct chronological sequence. All options must be used.

An older adult client with moderate Alzheimer's disease is admitted to the medical unit for treatment of bacterial pneumonia. The client is receiving continuous intravenous (IV) fluids. Throughout the morning, the client becomes repeatedly incontinent of urine, appears increasingly restless, and continuously picks at the IV dressing. Which action by the nurse is most appropriate?

A nurse is performing an assessment on a newborn $1$ minute after birth. The nurse notes the following findings:
- Heart rate: $114$ beats/min
- Respiratory effort: Loud, vigorous cry
- Muscle tone: Active, spontaneous movement of all extremities
- Reflex irritability: Vigorous cry and pulls away during bulb syringe suctioning
- Color: Pink trunk with bluish hands and feet

Calculate the newborn's $1$-minute APGAR score. (Enter only the final numeric value)

An older adult client with severe metabolic encephalopathy is persistently disrupting a continuous central venous infusion despite multiple documented less restrictive interventions. The healthcare provider has just prescribed bilateral soft wrist restraints. Arrange the nurse's subsequent actions in the correct chronological sequence of implementation.

A nurse is preparing to administer an intermittent bolus enteral feeding via a percutaneous endoscopic gastrostomy (PEG) tube to a client. In what order should the nurse perform the following actions? Arrange the steps in the correct sequence.

Following a diagnostic lumbar puncture, a client is transferred back to the acute care unit. The client reports mild tenderness at the lower back puncture site but is currently alert with stable vital signs. Which of the following actions is the most appropriate for the registered nurse to implement?

Following an emergency endotracheal intubation, a client requires bilateral soft wrist restraints to prevent unplanned extubation. Which nursing action demonstrates the correct management of these safety devices?

While coordinating care in a bustling perinatal triage center, the nurse evaluates the preliminary assessment data for four individuals. Which client requires the most immediate intervention?

A registered nurse is developing a plan of care for an 80-year-old client admitted with a severe urinary tract infection (UTI). The client has developed acute delirium, is highly agitated, and repeatedly attempts to climb over the bed rails unassisted. Which of the following interventions should the nurse implement to prevent injury and mitigate clinical errors? (Select all that apply.)

A multidisciplinary committee at a regional hospital is conducting an audit of clinical practices. Which of the following documented actions by a registered nurse demonstrate correct adherence to confidentiality laws and information security standards? Select all that apply.

A nurse is caring for an older adult client who is experiencing acute postoperative confusion following a total hip arthroplasty. The client repeatedly attempts to climb out of bed unassisted, risking a severe fall and joint dislocation. Arrange the following nursing interventions in the correct order from the least restrictive to the most restrictive measure.

While conducting hourly rounding on a medical-surgical unit, a nurse discovers that a client's central venous catheter (CVC) tubing has become disconnected at the hub. The client is suddenly grasping their chest, gasping for air, and exhibiting circumoral cyanosis. To prevent further catastrophic injury from a suspected air embolism, arrange the following immediate nursing actions in the correct priority sequence.

A client with mild cognitive impairment returned to the medical-surgical unit following a diagnostic lumbar puncture. The client is visibly restless, continuously attempts to sit up on the edge of the bed, and grasps at the bed linens. Which intervention is most appropriate to manage this client's care and comfort?

A client in the first stage of labor is connected to continuous external electronic fetal monitoring. The nurse observes that the fetal heart rate gradually decreases at the exact onset of each uterine contraction, reaches its lowest point precisely at the peak of the contraction, and returns to baseline just as the contraction ends. Which of the following is the most appropriate action for the nurse to take?

A client admitted with acute respiratory distress and severe delirium is persistently attempting to remove their high-flow nasal cannula and peripheral intravenous line. Environmental modifications and having a family member at the bedside have been ineffective in redirecting the client's behavior. The healthcare provider issues a prescription for bilateral soft wrist restraints. Which action by the nurse demonstrates safe and appropriate management of this client?

A nurse is planning care for an immunocompromised adult client who has just been admitted with disseminated herpes zoster. Which of the following actions should the nurse include in the plan of care? Select all that apply.

A nurse is preparing to administer a prescribed dose of intravenous (IV) ondansetron to a client who is recovering from a laparoscopic cholecystectomy and reporting nausea. The client has a peripheral saline lock in place on the right forearm. Arrange the following steps for administering the IV push medication in the correct sequence.

During morning rounds, the nurse notes that a client with severe malnutrition has total parenteral nutrition (TPN) infusing through a single-lumen peripherally inserted central catheter (PICC). A new prescription for intermittent intravenous (IV) ceftriaxone is ordered for a suspected infection. Which action is the most appropriate method to deliver the antibiotic?

A registered nurse is preparing to exit the negative-pressure isolation room of a client diagnosed with disseminated varicella-zoster. The nurse is currently wearing a gown, an N95 respirator, a face shield, and gloves. Arrange the following steps for safely removing the personal protective equipment (PPE) and exiting the room in the correct chronological sequence.