Questions and all Questions Accurately Answered Latest
2025/2026
A nurse is assessing a client who is postoperative. Which of the following findings
should the nurse identify as an indication that the client is experiencing pain?
A. Diarrhea
B. Pupillary constriction
C. Flushing
D. Grimacing - correct answer D (Grimacing)
A nurse is caring for a client who has a deficiency of vitamin D. Which of the following
foods should the nurse recommend the client include in his diet?
A. Whole milk
B. Chicken
C. Oranges
D. Dried peas - correct answer A (Whole milk)
A nurse is preparing to administer 700 mL of 0.9% sodium chloride IV to a child to infuse
over 24 hr. The drop factor of the manual IV tubing is 60 gtt/mL. The nurse should set
the manual IV infusion to deliver how many gtt/min? (Fill in the blank with the numeric
value only, round the answer to the nearest whole number, and use a leading zero if
applicable. Do not use a trailing zero.) - correct answer 29
(To solve using ratio and proportion and "desired over have" methods:
Step 1: What is the unit of measurement the nurse should calculate? gtt/min
Step 2: What is the volume the nurse should infuse? 700 mL
Step 3: What is the total infusion time? 24 hr
,Step 4: Should the nurse convert the units of measurement? Yes (hours are not equal to
minutes)
1 hr/ 60 min = 24 hr/ X min
X = 1,440 min
Step 5: Set up the equation and solve for X.
Volume (mL)/Time (min) x Drop factor (gtt/mL) = X
700 mL/1440 min x 60 gtt/mL = X gtt/min
29.1666 = X
Step 6: Round if necessary. 29.1666 = 29
Step 7: Determine whether the amount to administer makes sense.
If the prescription is for 0.9% sodium chloride 700 mL IV infused over 24 hr, the nurse
should set the manual IV infusion to deliver 0.9% sodium chloride IV at 29 gtt/min.
To solve using dimensional analysis:
Step 1: What is the unit of measurement the nurse should calculate? gtt/min
Step 2: What is the quantity of the drop factor that is available? 60 gtt/min
Step 3: What is the total infusion time? 24 hr
Step 4: What is the volume the nurse should infuse? 700 mL
Step 5: Should the nurse convert the units of measurement? Yes (hours are not equal to
minutes)
1 hr/60 min = 24 hr/X min
Step 6: Set up the equation and solve for X.
X = Quantity/1 mL x Conversion (hr)/Conversion (min) x Volume (mL)/Time (hr)
X gtt/min = 60 gtt/1 mL x 1 hr/60 min x 70 mL/24 hr
X = 29.1666
Step 7: Round if necessary. 29.1666 = 29
Step 8: Determine whether the amount to administer makes sense.)
A nurse is preparing to administer an intramuscular injection to a young adult client.
Which of the following injection sites is the safest for this client?
, A. Vastus lateralis
B. Dorsogluteal
C. Deltoid
D. Ventrogluteal - correct answer D (Ventrogluteal)
A newly licensed nurse is preparing to administer medications to a client. The nurse
notes that the provider has prescribed a medication that is unfamiliar to him. Which of
the following actions should the nurse take?
A. Consult the medication reference book available on the unit
B. Ask a more experienced nurse for information about the medication
C. Call the client's provider and verify the prescription
D. Ask the client if she takes this medication at home - correct answer A (Consult the
medication reference book available on the unit)
A nurse is administering medication to a client who asks the nurse to leave the
medication at the bedside to be taken at a later time. Which of the following responses
should the nurse make?
A. "Call me when you are ready, and I will return with the medication."
B. "Since you were taking this medication at home, I will leave it for you to take."
C. "I will come back in 30 minutes to check that you took the medication so I can chart
the time."
D. "If you refuse to take the medication now, I can't give it again until your next
scheduled time." - correct answer A ("Call me when you are ready, and I will return with
the medication.")
A nurse is preparing to administer a medication to a client. Which of the following
administration schedules should the nurse identify as a prescription to administer the
medication once and as soon as possible?
A. Stat prescription