Tüm alıştırma soruları

An adult client recovering from a traumatic brain injury is experiencing severe psychomotor agitation and repeatedly attempts to remove their nasogastric feeding tube. The nurse is implementing measures to protect the medical device while adhering to safety guidelines. Arrange the following interventions in the correct sequence from least restrictive to most restrictive.

A nurse manager on an acute care unit is conducting a clinical documentation audit to evaluate the staff's application of foundational ethical principles. Match each documented nursing action to the ethical principle it most directly demonstrates.

A registered nurse is developing a safety care plan for a client admitted with acute alcohol withdrawal who is experiencing severe agitation and is at high risk for seizures. Which of the following interventions should the nurse include to prevent injury? Select all that apply.

A medical-surgical nurse is preparing several clients for transport to various diagnostic departments. Which of the following infection control interventions are appropriate to implement during the transport process? Select all that apply.

A nurse is preparing to draw up a prescribed intravenous medication from a glass ampule. Arrange the following steps in the correct chronological order to ensure safe preparation.

An off-duty nurse is the first responder at the site of a massive natural gas explosion in a multi-story hotel. Applying the adult START (Simple Triage and Rapid Treatment) algorithm, which victim MUST the nurse classify as Immediate (Red tag)?

The unit manager is conducting leadership rounds on a busy medical-surgical floor and observing staff adherence to infection control protocols. Which observed action necessitates immediate correction by the manager?

During a morning assessment, a nurse evaluates a client who has been suffering from frequent, severe vomiting for the past 48 hours. Which of the following acid-base imbalances is the client at greatest risk for developing as a direct result of this fluid loss?

A client who recently completed a four-week course of broad-spectrum antibiotics reports having six to eight watery bowel movements daily, accompanied by abdominal cramping. The healthcare provider suspects a Clostridioides difficile infection. Which action by the healthcare team demonstrates adherence to appropriate transmission-based precautions?

A nurse is caring for a client with a hypertensive crisis. The provider prescribes a continuous intravenous (IV) infusion of sodium nitroprusside at $3 \text{ mcg/kg/min}$. The client weighs $176 \text{ lbs}$. The medication is supplied as $50 \text{ mg}$ of sodium nitroprusside in $250 \text{ mL}$ of $5\% \text{ Dextrose}$ in water ($D_5W$). At what rate should the nurse set the IV infusion pump in $\text{mL/hr}$? (Round the answer to the nearest whole number.)

An acutely agitated adult client is continuously attempting to pull out a life-saving central venous catheter. The nurse determines that all less restrictive measures have failed and emergency bilateral soft wrist restraints are necessary to prevent immediate injury. Arrange the following nursing actions in the correct chronological sequence.

A nurse is caring for a client with cardiogenic shock who weighs $176 \text{ lbs}$. The healthcare provider prescribes a continuous intravenous (IV) infusion of dopamine at $5 \text{ mcg/kg/min}$. The pharmacy dispenses a premixed dopamine solution of $400 \text{ mg}$ in $250 \text{ mL}$ of $5\% \text{ dextrose in water}$ (D5W). What rate should the nurse program the IV infusion pump to deliver the prescribed dose? Record your answer as a whole number.

A registered nurse is preparing to safely move a client who has right-sided hemiparesis from the hospital bed into a wheelchair. In what sequence should the nurse perform the following interventions?

A client is recovering on the surgical unit 24 hours after a right-sided modified radical mastectomy with axillary lymph node dissection. The client reports mild incisional pain and a feeling of "heaviness" in the right arm. Which nursing intervention is most appropriate to promote comfort and minimize postoperative complications?

Following a major abdominal surgery, a client is being monitored closely for potential hemorrhagic complications. Which of the following vital sign trends should the nurse identify as the most reliable early indicator of developing hypovolemic shock?

A nurse is evaluating a newborn at $1$ minute after birth. The nurse notes the following findings: heart rate is $114$ beats/min; the newborn has a weak, irregular cry; arms and legs are flaccid; the newborn grimaces when the nares are suctioned; and the trunk is pink with cyanotic hands and feet.

Calculate the newborn's $1$-minute Apgar score.

A nurse is preparing to remove a non-tunneled central venous catheter (CVC) from the subclavian vein of an alert, cooperative adult client. Arrange the following actions in the correct chronological order to minimize the risk of a venous air embolism and bleeding. (First action to last action)

Match each healthcare worker or visitor scenario with the most appropriate infection control directive based on Standard and Transmission-Based Precautions.

A critical care nurse is planning care for a client admitted with suspected meningococcal meningitis and a heavily draining sacral wound infected with vancomycin-resistant Enterococcus (VRE). The client exhibits a persistent, productive cough. Which of the following infection control interventions should the nurse implement? Select all that apply.

A nurse is preparing to administer an intramuscular (IM) injection of iron dextran using the Z-track method to an adult client. Arrange the following steps of the procedure in the correct chronological order.