Tüm alıştırma soruları

An employee health nurse is preparing to administer a Mantoux tuberculin skin test (TST) to a newly hired healthcare worker as part of an occupational health screening protocol. In what order should the nurse perform the following actions? Arrange the steps in the correct chronological sequence.

A critical care nurse is managing a 72-year-old client with septic shock who is mechanically ventilated and receiving continuous vasopressor infusions. As sedation is lightened, the client exhibits acute delirium, becomes highly agitated, and repeatedly grasps at their endotracheal tube. The healthcare provider prescribes bilateral soft wrist restraints to prevent self-extubation. Which of the following nursing plans demonstrates the most accurate synthesis of safety guidelines, delegation, and restraint protocols?

A 32-year-old client admitted to the inpatient behavioral health unit with acute mania becomes severely agitated and physically strikes a staff member. After verbal de-escalation and pharmacological interventions fail to calm the client, the emergency response team applies four-point mechanical restraints. Which nursing action demonstrates strict compliance with safety and regulatory standards for violent restraint use?

A pediatric nurse is evaluating the cognitive development of various clients across the lifespan according to Piaget's theory of cognitive development. Arrange the following clinical observations in the chronological order of their expected developmental emergence, from earliest to latest.

A nurse is implementing care for a client who currently requires physical wrist restraints to prevent interference with a newly inserted percutaneous endoscopic gastrostomy (PEG) tube. Which of the following interventions must the nurse include in the client's plan of care? Select all that apply.

A client presents to the emergency department walk-in entrance following an industrial accident. The client's clothing and exposed skin are heavily covered in an unidentified dry, powdery chemical. The client is highly distressed and reports intense burning on their arms and chest. Which action should the triage nurse take first?

A pediatric nurse is conducting a 24-month well-child visit and developmental screening. The parents express anxiety, stating, 'Our child is not sharing toys with other children at daycare and only speaks in two-word phrases, never three-word sentences.' As the nurse approaches the examination table, the toddler clings to the parent and begins to cry. Which sequence of nursing actions represents the most appropriate approach to this screening assessment?

A newly admitted client who is receiving immunosuppressive therapy for a renal transplant develops fluid-filled blisters across multiple dermatomes on the chest, back, and face. The healthcare provider suspects disseminated herpes zoster. Which infection control protocols should the nurse initiate for this client? Select all that apply.

During a community wellness fair, a nursing team is providing various services across the lifespan. The team leader is evaluating the different stations to ensure a proper balance of health promotion levels. Which of the following activities correctly represent secondary prevention (health screening)? Select all that apply.

A nurse is admitting an 81-year-old client who presents to the emergency department with diffuse abdominal pain, nausea, and recent episodes of sudden confusion. An unlicensed assistive personnel is available to assist with the admission process. Which action by the nurse demonstrates the appropriate approach to this client's physical assessment?

A 7-year-old client is admitted to the pediatric unit for a prolonged course of intravenous antibiotics to treat osteomyelitis. To promote normal psychosocial development based on Erikson's stages, which intervention should the nurse prioritize?

A glass vacutainer tube containing a client's blood has accidentally dropped and shattered on the floor of the clinical unit. The nurse has retrieved the biological spill kit. Arrange the following actions in the correct sequence to safely manage this hazardous materials spill.

A nurse is preparing to send a sputum specimen to the laboratory for a client with suspected active pulmonary tuberculosis (TB). Which action demonstrates the appropriate handling and transport of this highly infectious material?

A nurse in an ambulatory care clinic is reviewing health promotion and disease prevention strategies with a group of nursing students. Which scenario identified by a student demonstrates an accurate understanding and application of secondary prevention?

An older adult client is admitted to an acute care facility with severe, acute gastroenteritis. Laboratory testing confirms a norovirus infection. Which of the following infection control interventions should the registered nurse include in the client's plan of care? Select all that apply.

During a clinical rotation, a nursing student is assigned to change the bed of a client following a large incontinent episode. The registered nurse preceptor observes the student handling the heavily soiled bed linens. Which of the following actions by the student demonstrate correct infection control principles for handling infectious materials? (Select all that apply)

A primary care nurse is reviewing the health records of four clients to determine their need for annual lung cancer screening with low-dose computed tomography (LDCT). Based on current evidence-based screening guidelines, which client should the nurse identify as meeting the criteria for this screening?

A clinic nurse is reviewing the electronic health records of four female clients scheduled for routine annual visits. According to standard preventive health guidelines, which client should the nurse identify as requiring an initial dual-energy x-ray absorptiometry (DEXA) scan for osteoporosis screening?

A registered nurse in a neurorehabilitation unit is caring for a client with a traumatic brain injury who is exhibiting severe psychomotor agitation and is repeatedly attempting to dislodge their percutaneous endoscopic gastrostomy (PEG) tube. Arrange the following nursing actions in the correct chronological sequence, prioritizing from the least restrictive interventions to the most restrictive, while adhering to evidence-based restraint protocols. All options must be used.

A client arrives at a community clinic triage desk exhibiting a high fever, cough, coryza, and a diffuse maculopapular rash. The triage nurse suspects rubeola (measles). Arrange the following nursing interventions in the correct chronological sequence to effectively implement transmission-based precautions.