A nurse is collecting a client's intake and output for the last 4 hours. The client consumed
480 mL of water and 240 mL of coffee. The client has also received IV fluids for 4 hours infus-
ing at 100 mL/hour. Which of the following statements represents the client's intake over
the last 4 hours? - ANSWER 1,120 ml (100 x 4 = 400 --> 400 + 240 + 480 = 1,120)
A nurse is participating in a blood drive and is taking a donation form a client who has type
A-blood, The client asks the nurse what blood type can receive their blood donation. Which
of the following responses should the nurse make? (select all that apply) - ANSWER A+,
A-, AB+, AB-
A nurse is caring for a client who is experiencing respiratory alkalosis. Which of the following
actions should be the goal of treatment for the client? - ANSWER Increase the carbon di-
oxide level (needs to be back in WNL = 35-45 mm Hg)
A nurse is caring for a client who is experiencing hypovolemia. Which of the following find-
ings should the nurse identify as the priority to report to the provider? - ANSWER De-
crease in level of consciousness
A charge nurse is observing a newly licensed nurse who is preparing to administer a blood
transfusion to a client. For which of the following actions by the newly licensed nurse should
the charge nurse intervene? - ANSWER The nurse selects 0.45% sodium chloride to use to
prime the tubing (0.9% sodium chloride should be used!)
A nurse is caring for an older adult client who is experiencing dehydration. The nurse should
identify that which of the following factors increases the risk for dehydration in older adult
clients? (select all that apply) - ANSWER Decreased kidney function, decreased thirst re-
sponse, decreased total volume
1
, A nurse is caring for a client who has a peripherally inserted central catheter (PICC). For
which of the following complications should the nurse monitor? - ANSWER Infection at
the access site
A nurse has completed assessing and analyzing data for a client who has an acid-base imbal-
ance. Which of the following steps should the nursing process should the nurse take next? -
ANSWER Planning (and establish goals and outcomes for the patient)
A nurse is reviewing a client's latest arterial blood gas (ABG) report. Which of the following
values should the nurse identify as the priority to report to the provider? - ANSWER PaO2
76 mm Hg (below 80-100 is concerning)
A nurse is preparing to administer 4.200 mL of intravenous fluids to a client to infuse over 24
hours. The nurse should set up the IV mump to deliver how many mL/hr? (round the answer
to the nearest whole number) - ANSWER 175 mL/hr --> (volume/time = 4200/24)
A nurse on a pediatric floor is teaching a newly licensed nurse about IV therapy. Which of
the following information should the nurse include? - ANSWER perform range of motion
exercises on the extremity containing the IV site (also note that is should be monitored every
6 hours for a pediatric client!)
A nurse is caring for a client who required a replacement peripheral IV> The client is dehy-
drated and requires a smaller gauge catheter than the #20-gauge being replaced. Which of
the following gauge catheters should the nurse plan to use? - ANSWER #22-gauge (bigger
the number, smaller the gauge*)
A nurse is assessing a client who has been receiving IV therapy for several days and notes
that the client's daily weigh has increases. The nurse should identify that the client is at in-
creased risk for developing which of the following IV-related complications? - ANSWER
Circulatory overload (includes tachycardia, increased BP, edema, cough, tachypnea)
A nurse is reviewing laboratory results for a client and notes the following arterial blood gas
(ABG) values: H 7.31, PaCO2 49 mm Hg, and HCO3- 25 mEq/L. The nurse should interpret
2
480 mL of water and 240 mL of coffee. The client has also received IV fluids for 4 hours infus-
ing at 100 mL/hour. Which of the following statements represents the client's intake over
the last 4 hours? - ANSWER 1,120 ml (100 x 4 = 400 --> 400 + 240 + 480 = 1,120)
A nurse is participating in a blood drive and is taking a donation form a client who has type
A-blood, The client asks the nurse what blood type can receive their blood donation. Which
of the following responses should the nurse make? (select all that apply) - ANSWER A+,
A-, AB+, AB-
A nurse is caring for a client who is experiencing respiratory alkalosis. Which of the following
actions should be the goal of treatment for the client? - ANSWER Increase the carbon di-
oxide level (needs to be back in WNL = 35-45 mm Hg)
A nurse is caring for a client who is experiencing hypovolemia. Which of the following find-
ings should the nurse identify as the priority to report to the provider? - ANSWER De-
crease in level of consciousness
A charge nurse is observing a newly licensed nurse who is preparing to administer a blood
transfusion to a client. For which of the following actions by the newly licensed nurse should
the charge nurse intervene? - ANSWER The nurse selects 0.45% sodium chloride to use to
prime the tubing (0.9% sodium chloride should be used!)
A nurse is caring for an older adult client who is experiencing dehydration. The nurse should
identify that which of the following factors increases the risk for dehydration in older adult
clients? (select all that apply) - ANSWER Decreased kidney function, decreased thirst re-
sponse, decreased total volume
1
, A nurse is caring for a client who has a peripherally inserted central catheter (PICC). For
which of the following complications should the nurse monitor? - ANSWER Infection at
the access site
A nurse has completed assessing and analyzing data for a client who has an acid-base imbal-
ance. Which of the following steps should the nursing process should the nurse take next? -
ANSWER Planning (and establish goals and outcomes for the patient)
A nurse is reviewing a client's latest arterial blood gas (ABG) report. Which of the following
values should the nurse identify as the priority to report to the provider? - ANSWER PaO2
76 mm Hg (below 80-100 is concerning)
A nurse is preparing to administer 4.200 mL of intravenous fluids to a client to infuse over 24
hours. The nurse should set up the IV mump to deliver how many mL/hr? (round the answer
to the nearest whole number) - ANSWER 175 mL/hr --> (volume/time = 4200/24)
A nurse on a pediatric floor is teaching a newly licensed nurse about IV therapy. Which of
the following information should the nurse include? - ANSWER perform range of motion
exercises on the extremity containing the IV site (also note that is should be monitored every
6 hours for a pediatric client!)
A nurse is caring for a client who required a replacement peripheral IV> The client is dehy-
drated and requires a smaller gauge catheter than the #20-gauge being replaced. Which of
the following gauge catheters should the nurse plan to use? - ANSWER #22-gauge (bigger
the number, smaller the gauge*)
A nurse is assessing a client who has been receiving IV therapy for several days and notes
that the client's daily weigh has increases. The nurse should identify that the client is at in-
creased risk for developing which of the following IV-related complications? - ANSWER
Circulatory overload (includes tachycardia, increased BP, edema, cough, tachypnea)
A nurse is reviewing laboratory results for a client and notes the following arterial blood gas
(ABG) values: H 7.31, PaCO2 49 mm Hg, and HCO3- 25 mEq/L. The nurse should interpret
2
