NU 301
UNIT 3 EXAM
NCLEX EXAM-STYLE QS
(Fundamentals of Nursing)
University of South Alabama
(Straight to the point. No fluff. Everything you need for exams.)
NU 301 Exam 3 Fundamentals of Nursing
including 50 high-yield NCLEX questions
written to mirror actual course exam.
Covers core Nursing Concepts with clear,
accurate, and student-friendly explanations.
Perfect for mastering high-priority topics and boosting exam
confidence.
,1. A nurse is preparing to administer clindamycin 300 mg by intermittent
IV bolus over 30 min to a client who has staphylococci infection.
Available is clindamycin premixed in 50 mL 0.90% sodium chloride
(NaCl). The nurse should set the IV pump to deliver how many mL/hr?
(Round the answer to the nearest whole number).
MCQ Options
A. 50 mL/hr
B. 75 mL/hr
C. 100 mL/hr
D. 150 mL/hr
Correct Answer: C. 100 mL/hr
Expert Rationale:
The nurse must infuse 50 mL over 30 min (0.5 hr). Rate = 50 mL ÷ 0.5 hr = 100
mL/hr. This ensures the ordered dose over the correct time, promoting
therapeutic effect and preventing rapid infusion complications.
• A (50 mL/hr): Would infuse the 50 mL over 1 hr, doubling the prescribed
infusion time and delaying treatment.
• B (75 mL/hr): Would require 40 minutes to infuse, which is longer than
prescribed and not accurate.
• D (150 mL/hr): Would infuse in ~20 minutes, too fast, increasing risk of
adverse effects, phlebitis, and medication errors—contrary to NCLEX safety
standards.
2. A nurse is preparing to administer 0.9% sodium chloride (NSS) 3000 mL IV to
infuse over 24 hr. The drop factor on the manual IV tubing is 10 gtt/mL. The
nurse should set the manual IV infusion to deliver how many gtt/min? (Round
the answer to the nearest whole number).
MCQ Options
,A. 15 gtt/min
B. 21 gtt/min
C. 30 gtt/min
D. 36 gtt/min
Correct Answer: B. 21 gtt/min
Expert Rationale:
Rate in mL/hr = 3000 mL ÷ 24 hr = 125 mL/hr.
125 mL/hr × 10 gtt/mL = 1250 gtt/hr.
1250 gtt/hr ÷ 60 min = 20.83 ≈ 21 gtt/min.
• A (15): Too low; would under-infuse the ordered volume, risking inadequate
hydration.
• C (30) & D (36): Too high; would deliver excessive fluid, increasing risk of
fluid overload, violating safe infusion practices emphasized in NCLEX and
clinical standards.
3. A nurse in the emergency department is caring for a client who collapsed after
playing football on a hot day. After reviewing the admission laboratory findings,
the nurse recognizes that these findings are consistent with which of the
following conditions?
Sodium 152
Potassium 3.6
Chloride 105
Glucose 102
BUN 18
Creatinine 0.7
MCQ Options
A. Fluid volume overload
B. Dehydration
, C. Acute kidney injury
D. Hypoglycemia
Correct Answer: B. Dehydration
Expert Rationale:
The sodium level of 152 mEq/L indicates hypernatremia, commonly seen in
dehydration and excessive water loss, especially after exertion in heat. Normal K⁺,
BUN, and creatinine indicate kidneys are functioning, but the elevated Na⁺ reflects
water deficit.
• A (Fluid volume overload): Would more likely show hyponatremia, low Hct,
and possibly elevated BP and edema, not hypernatremia.
• C (Acute kidney injury): Typically shows increased BUN and creatinine; this
client’s values are normal.
• D (Hypoglycemia): Glucose is normal (102 mg/dL), not low.
4. A nurse is calculating a client’s intake and output for an 8-hr shift. The client’s
intake included 1,000 mL 0.9% sodium chloride IV, one 6-oz cup of coffee, 6 oz of
water, one 180-mL bowl of soup; 3 oz of flavored gelatin, and 3 oz of ice cream.
How many mL should the nurse document as the client’s total intake for the
shift? (Round the answer to the nearest whole number).
MCQ Options
A. 1,540 mL
B. 1,630 mL
C. 1,720 mL
D. 1,820 mL
Correct Answer: C. 1,720 mL
Expert Rationale:
Convert all to mL (1 oz ≈ 30 mL):
• Coffee: 6 oz × 30 = 180 mL
UNIT 3 EXAM
NCLEX EXAM-STYLE QS
(Fundamentals of Nursing)
University of South Alabama
(Straight to the point. No fluff. Everything you need for exams.)
NU 301 Exam 3 Fundamentals of Nursing
including 50 high-yield NCLEX questions
written to mirror actual course exam.
Covers core Nursing Concepts with clear,
accurate, and student-friendly explanations.
Perfect for mastering high-priority topics and boosting exam
confidence.
,1. A nurse is preparing to administer clindamycin 300 mg by intermittent
IV bolus over 30 min to a client who has staphylococci infection.
Available is clindamycin premixed in 50 mL 0.90% sodium chloride
(NaCl). The nurse should set the IV pump to deliver how many mL/hr?
(Round the answer to the nearest whole number).
MCQ Options
A. 50 mL/hr
B. 75 mL/hr
C. 100 mL/hr
D. 150 mL/hr
Correct Answer: C. 100 mL/hr
Expert Rationale:
The nurse must infuse 50 mL over 30 min (0.5 hr). Rate = 50 mL ÷ 0.5 hr = 100
mL/hr. This ensures the ordered dose over the correct time, promoting
therapeutic effect and preventing rapid infusion complications.
• A (50 mL/hr): Would infuse the 50 mL over 1 hr, doubling the prescribed
infusion time and delaying treatment.
• B (75 mL/hr): Would require 40 minutes to infuse, which is longer than
prescribed and not accurate.
• D (150 mL/hr): Would infuse in ~20 minutes, too fast, increasing risk of
adverse effects, phlebitis, and medication errors—contrary to NCLEX safety
standards.
2. A nurse is preparing to administer 0.9% sodium chloride (NSS) 3000 mL IV to
infuse over 24 hr. The drop factor on the manual IV tubing is 10 gtt/mL. The
nurse should set the manual IV infusion to deliver how many gtt/min? (Round
the answer to the nearest whole number).
MCQ Options
,A. 15 gtt/min
B. 21 gtt/min
C. 30 gtt/min
D. 36 gtt/min
Correct Answer: B. 21 gtt/min
Expert Rationale:
Rate in mL/hr = 3000 mL ÷ 24 hr = 125 mL/hr.
125 mL/hr × 10 gtt/mL = 1250 gtt/hr.
1250 gtt/hr ÷ 60 min = 20.83 ≈ 21 gtt/min.
• A (15): Too low; would under-infuse the ordered volume, risking inadequate
hydration.
• C (30) & D (36): Too high; would deliver excessive fluid, increasing risk of
fluid overload, violating safe infusion practices emphasized in NCLEX and
clinical standards.
3. A nurse in the emergency department is caring for a client who collapsed after
playing football on a hot day. After reviewing the admission laboratory findings,
the nurse recognizes that these findings are consistent with which of the
following conditions?
Sodium 152
Potassium 3.6
Chloride 105
Glucose 102
BUN 18
Creatinine 0.7
MCQ Options
A. Fluid volume overload
B. Dehydration
, C. Acute kidney injury
D. Hypoglycemia
Correct Answer: B. Dehydration
Expert Rationale:
The sodium level of 152 mEq/L indicates hypernatremia, commonly seen in
dehydration and excessive water loss, especially after exertion in heat. Normal K⁺,
BUN, and creatinine indicate kidneys are functioning, but the elevated Na⁺ reflects
water deficit.
• A (Fluid volume overload): Would more likely show hyponatremia, low Hct,
and possibly elevated BP and edema, not hypernatremia.
• C (Acute kidney injury): Typically shows increased BUN and creatinine; this
client’s values are normal.
• D (Hypoglycemia): Glucose is normal (102 mg/dL), not low.
4. A nurse is calculating a client’s intake and output for an 8-hr shift. The client’s
intake included 1,000 mL 0.9% sodium chloride IV, one 6-oz cup of coffee, 6 oz of
water, one 180-mL bowl of soup; 3 oz of flavored gelatin, and 3 oz of ice cream.
How many mL should the nurse document as the client’s total intake for the
shift? (Round the answer to the nearest whole number).
MCQ Options
A. 1,540 mL
B. 1,630 mL
C. 1,720 mL
D. 1,820 mL
Correct Answer: C. 1,720 mL
Expert Rationale:
Convert all to mL (1 oz ≈ 30 mL):
• Coffee: 6 oz × 30 = 180 mL
