Clinical Nursing Examination: Comprehensive Assessment and Management of
Adult and Geriatric Patients Including IV Therapy Calculations, Electrolyte and
Fluid Balance, Postoperative Care, Nasogastric Tube Management, Medication
Administration and Safety, Nutritional Interventions, Wound and Ostomy Care,
Pharmacology and Drug Dosing, Respiratory and Airway Management, Renal
and Hepatic Function, Pain and Anxiety Management, Patient Education,
Cultural Competence, Ethical and Legal Standards, Complementary Therapy
Integration, Infection Control, Mobility and Rehabilitation, Crisis and Risk
Assessment, Cognitive and Mental Health Evaluation, Cardiovascular and
Hemodynamic Monitoring, Diagnostic Interpretation, and Evidence-Based
Nursing Decision-Making in Acute and Chronic Care Settings Exam Questions
Verified and Provided with Complete A+ Graded Rationales Latest Updated 2026
A client who has been NPO for 3 days is receiving an infusion of D5W normal saline (NS) with
potassium chloride (KCl) 20 mEq at 83 mL/hr. The client's eight hour urine output is 400 mL,
BUN is 15 mg/dl, lungs are clear bilaterally, serum glucose is 120 mg/dl, and the serum
potassium is 3.7 mEq/L. Which action is most important for the nurse to implement?
Document in the medical record that these normal findings are expected outcomes.
The nurse is evaluating client learning about a low-sodium diet. Selection of which meal would
indicate to the nurse that this client understands dietary restrictions?
Skim milk, turkey salad, roll, and vanilla ice cream
The nurse is teaching a client with numerous allergies how to avoid allergens. Which instruction
should be included in this teaching plan?
Avoid any types of sprays, powders, and perfumes.
, (Client should be encouraged to wear a mask when working around dust or pollen; clients w/
allergies should avoid any clothing that causes itching-- washing clothes will NOT prevent an
allergic reaction to some fabrics; pollen count IS related to allergens and the client should be
instructed to stay indoors when the pollen count is high.)
The nurse notices that the hispanic parents of a toddler who returns from surgery offer the child
only the broth that comes on the clear liquid tray. Other liquids, including gelatin, popsicles, and
juices, remain untouched. What explanation is most appropriate for this behavior?
"Hot" remedies restoration balance after surgery, which is considered a COLD condition.
Heparin 20,000 units in 500 ml D5W at 50 mL/hr has been infusing for 5.5 hrs. How much
heparin has the client received?
11,000 units
An IV infusion terbutaline sulfate 5 mg in 500 mL of D5W, infusing at a rate of 30 mcg/min, is
prescribed for a client in premature labor. How many mL/hr should the nurse set the infusion
pump?
180
A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube and a
continuous pump infusion. He reports that he has a bad bout of sever coughing a few minutes
ago, but feels fine now. What action is best for the nurse to take?
After cleaning the tube w/ 30 mL of air, check the pH of fluid withdrawn from the tube.
(Coughing, vomiting, and suctioning can precipitate displacement of the tip into the esophagus,
placing the client at increased risk for aspiration)
Adult and Geriatric Patients Including IV Therapy Calculations, Electrolyte and
Fluid Balance, Postoperative Care, Nasogastric Tube Management, Medication
Administration and Safety, Nutritional Interventions, Wound and Ostomy Care,
Pharmacology and Drug Dosing, Respiratory and Airway Management, Renal
and Hepatic Function, Pain and Anxiety Management, Patient Education,
Cultural Competence, Ethical and Legal Standards, Complementary Therapy
Integration, Infection Control, Mobility and Rehabilitation, Crisis and Risk
Assessment, Cognitive and Mental Health Evaluation, Cardiovascular and
Hemodynamic Monitoring, Diagnostic Interpretation, and Evidence-Based
Nursing Decision-Making in Acute and Chronic Care Settings Exam Questions
Verified and Provided with Complete A+ Graded Rationales Latest Updated 2026
A client who has been NPO for 3 days is receiving an infusion of D5W normal saline (NS) with
potassium chloride (KCl) 20 mEq at 83 mL/hr. The client's eight hour urine output is 400 mL,
BUN is 15 mg/dl, lungs are clear bilaterally, serum glucose is 120 mg/dl, and the serum
potassium is 3.7 mEq/L. Which action is most important for the nurse to implement?
Document in the medical record that these normal findings are expected outcomes.
The nurse is evaluating client learning about a low-sodium diet. Selection of which meal would
indicate to the nurse that this client understands dietary restrictions?
Skim milk, turkey salad, roll, and vanilla ice cream
The nurse is teaching a client with numerous allergies how to avoid allergens. Which instruction
should be included in this teaching plan?
Avoid any types of sprays, powders, and perfumes.
, (Client should be encouraged to wear a mask when working around dust or pollen; clients w/
allergies should avoid any clothing that causes itching-- washing clothes will NOT prevent an
allergic reaction to some fabrics; pollen count IS related to allergens and the client should be
instructed to stay indoors when the pollen count is high.)
The nurse notices that the hispanic parents of a toddler who returns from surgery offer the child
only the broth that comes on the clear liquid tray. Other liquids, including gelatin, popsicles, and
juices, remain untouched. What explanation is most appropriate for this behavior?
"Hot" remedies restoration balance after surgery, which is considered a COLD condition.
Heparin 20,000 units in 500 ml D5W at 50 mL/hr has been infusing for 5.5 hrs. How much
heparin has the client received?
11,000 units
An IV infusion terbutaline sulfate 5 mg in 500 mL of D5W, infusing at a rate of 30 mcg/min, is
prescribed for a client in premature labor. How many mL/hr should the nurse set the infusion
pump?
180
A hospitalized male client is receiving nasogastric tube feedings via a small-bore tube and a
continuous pump infusion. He reports that he has a bad bout of sever coughing a few minutes
ago, but feels fine now. What action is best for the nurse to take?
After cleaning the tube w/ 30 mL of air, check the pH of fluid withdrawn from the tube.
(Coughing, vomiting, and suctioning can precipitate displacement of the tip into the esophagus,
placing the client at increased risk for aspiration)
