NU 301 NCLEX Challenge 3
I I I I
1. A Inurse Iis Ipreparing Ito Iadminister Iclindamycin I300 Img Iby IintermittentIIV
Ibolus Iover I30 Imin Ito Ia Iclient Iwho Ihas Istaphylococci Iinfection.
IAvailable Iis Iclindamycin Ipremixed Iin I50 ImL I0.90% Isodium Ichloride
I(NaCl). IThe Inurse Ishould Iset Ithe IIV Ipump Ito Ideliver Ihow Im any ImL/hr?
I(Round Ithe Ianswer Ito Ithe Inearest Iwhole Inumber).
100 ImL/hr
2. A I nurse I is I preparing I to I administer I 0.9% I sodium I chloride I (NSS) I 3000
ImL IIV I to I infuse Iover I24 Ihr. I The Idrop I factor Ion Ithe I manual IIV I tubing Iis
I10 Igtt/mL. I The I nurse Ishould I set Ithe Imanual IIV I infusion Ito I deliver I how
Im any Igtt/min? I(Round Ithe Ianswer Ito Ithe Inearest Iwhole I number).
21 Igtt/min
3. A Inurse Iin Ithe Iemergency Idepartment Iis Icaring I for Ia Iclient I who Icollapsed
Iafter Iplaying Ifootball Ion Ia Ihot Iday. IAfter Ireviewing Ithe Iadmission
I laboratory I findings, I the I nurse I recognizes I that I these I findingsIare
Iconsistent Iwith Iwhich Iof Ithe Ifollowing Iconditions?
Sodium I152
Potassium I3.6
Chloride I105
Glucose I102
BUN I18
Creatinine I0.7
Dehydration
I
4. A Inurse Iis Icalculating Ia Iclient’s Iintake Iand Ioutput Ifor Ian I8-hr Ishift. IThe
Iclient’s I intake I included I 1,000 I mL I0.9% I sodium I chloride I IV, I one I6-oz Icup
Iof Icoffee, I6 Ioz Iof Iwater, Ione I180-mL Ibowl I of Isoup; I3 Ioz Iof Iflavored
Ig elatin, I and I3 Ioz I of Iice Icream. I How Imany ImL Ishould I the Inurse
Idocument Ias Ithe Iclient’s Itotal Iintake Ifor Ithe Ishift? I(Round Ithe Ianswer Ito
Ithe Inearest Iwhole Inumber).
1,720 ImL
5. A I nurse I is I caring I for I a I client I whose I arterial I blood I gas I results I show I a I pH
Io f I7.3 Iand Ia IPaCO2 I of I50 I mm I Hg. IThe I nurse Ishould I identify I that I the Iclient
I is I experiencing I which Iof I the I following I acid-base Iimbalances?
Respiratory Iacidosis
This Istudy Isource Iwas Idownloaded Iby I100000839604613 Ifrom ICourseHero.com Ion I02-02-2022 I05:30:45 IGMT I-
06:00
https://www.coursehero.com/file/38974348/NCLEX-Challenge-3docx/
, 6. A I nurse Iis I planning I care I for I a Iclient Iwho Ihas I dehydration I and I is
Ireceiving I a I continuous I IV I infusion I of I 0.9% I sodium I chloride. I Which I of
Ithe Ifollowing Iinterventions Ishould Ithe Inurse Iinclude Iin Ithe Iplan Iof
Icare?
Check Ithe Iclient’s IIV Iinfusion Ievery I8 Ihr.
7. A Inurse Iis Iteaching Ia Iclient Iwho Iwill Iundergo Ia Ibronchoscopy
Iprocedure. I The I provider I will I use I a I rigid I scope I and I general I anesthesia.
IThe Inurse Ishould Iexplain Ithat Ithe Iclient’s Ineck Iwill Ibe Iin Iwhich Iof Ithe
Ifollowing Ipositions?
A I hyperextended I position
8. A I nurse I is I assessing I a I client I who I has I fluid I overload. I Which I of I the
Ifollowing Ifindings Ishould I the Inurse Iexpect? I (Select Iall Ithat Iapply.)
Increased Iheart Irate
IIncreased I blood I pressure
IIncreased I respiratory I rate
9. A Inurse Iis Iteaching Ia Iclient Iwho Iis Iobese Iand Ihas Iobstructive Isleep
Iapnea Ihow Ito Idecrease Ithe Inumber Iof Inightly Iapneic Iepisodes. IWhichIo f
Ithe Ifollowing I client I statements Iindicates Ian Iunderstanding I of Ithe
Iteaching?
“If I I I could I lose I about I 50 I pounds, I I I might I stop I having I so I many I apneic
Iepisodes.”
10. A Inurse Iis Icaring Ifor Ia Iclient Iwho Iis Iin Ithe Iimmediate Ipostoperative
Iperiod Ifollowing Ia Ipartial Ilaryngectomy. IWhich Iof ItheIfollowing
I parameters Ishould I the Inurse Iassess I first?
Airway I patency
11. A I nurse I is I assessing I for I cyanosis I in I a I client I who I has I dark I skin.IWhich
Iof Ithe Ifollowing Isites Ishould Ithe Inurse Iexamine Ito Iidentify Icyanosis Iin
Ithis Iclient?
Conjunctiva
12. A Inurse Iis I caring Ifor Ia Iclient Ischeduled Ito Ireceive Iexternal Iradiation Ito
Ithe Ineck Ifor Icancer Iof Ithe Ilarynx. IDuring Ia Ipre-treatmentIexam, I the
Inurse Iexplains Ito Ithe Iclient Ithat Ithe Imost Ilikely Iside Ieffect Iwould Ibe
This Istudy Isource Iwas Idownloaded Iby I100000839604613 Ifrom ICourseHero.com Ion I02-02-2022 I05:30:45 IGMT I-
06:00
https://www.coursehero.com/file/38974348/NCLEX-Challenge-3docx/
I I I I
1. A Inurse Iis Ipreparing Ito Iadminister Iclindamycin I300 Img Iby IintermittentIIV
Ibolus Iover I30 Imin Ito Ia Iclient Iwho Ihas Istaphylococci Iinfection.
IAvailable Iis Iclindamycin Ipremixed Iin I50 ImL I0.90% Isodium Ichloride
I(NaCl). IThe Inurse Ishould Iset Ithe IIV Ipump Ito Ideliver Ihow Im any ImL/hr?
I(Round Ithe Ianswer Ito Ithe Inearest Iwhole Inumber).
100 ImL/hr
2. A I nurse I is I preparing I to I administer I 0.9% I sodium I chloride I (NSS) I 3000
ImL IIV I to I infuse Iover I24 Ihr. I The Idrop I factor Ion Ithe I manual IIV I tubing Iis
I10 Igtt/mL. I The I nurse Ishould I set Ithe Imanual IIV I infusion Ito I deliver I how
Im any Igtt/min? I(Round Ithe Ianswer Ito Ithe Inearest Iwhole I number).
21 Igtt/min
3. A Inurse Iin Ithe Iemergency Idepartment Iis Icaring I for Ia Iclient I who Icollapsed
Iafter Iplaying Ifootball Ion Ia Ihot Iday. IAfter Ireviewing Ithe Iadmission
I laboratory I findings, I the I nurse I recognizes I that I these I findingsIare
Iconsistent Iwith Iwhich Iof Ithe Ifollowing Iconditions?
Sodium I152
Potassium I3.6
Chloride I105
Glucose I102
BUN I18
Creatinine I0.7
Dehydration
I
4. A Inurse Iis Icalculating Ia Iclient’s Iintake Iand Ioutput Ifor Ian I8-hr Ishift. IThe
Iclient’s I intake I included I 1,000 I mL I0.9% I sodium I chloride I IV, I one I6-oz Icup
Iof Icoffee, I6 Ioz Iof Iwater, Ione I180-mL Ibowl I of Isoup; I3 Ioz Iof Iflavored
Ig elatin, I and I3 Ioz I of Iice Icream. I How Imany ImL Ishould I the Inurse
Idocument Ias Ithe Iclient’s Itotal Iintake Ifor Ithe Ishift? I(Round Ithe Ianswer Ito
Ithe Inearest Iwhole Inumber).
1,720 ImL
5. A I nurse I is I caring I for I a I client I whose I arterial I blood I gas I results I show I a I pH
Io f I7.3 Iand Ia IPaCO2 I of I50 I mm I Hg. IThe I nurse Ishould I identify I that I the Iclient
I is I experiencing I which Iof I the I following I acid-base Iimbalances?
Respiratory Iacidosis
This Istudy Isource Iwas Idownloaded Iby I100000839604613 Ifrom ICourseHero.com Ion I02-02-2022 I05:30:45 IGMT I-
06:00
https://www.coursehero.com/file/38974348/NCLEX-Challenge-3docx/
, 6. A I nurse Iis I planning I care I for I a Iclient Iwho Ihas I dehydration I and I is
Ireceiving I a I continuous I IV I infusion I of I 0.9% I sodium I chloride. I Which I of
Ithe Ifollowing Iinterventions Ishould Ithe Inurse Iinclude Iin Ithe Iplan Iof
Icare?
Check Ithe Iclient’s IIV Iinfusion Ievery I8 Ihr.
7. A Inurse Iis Iteaching Ia Iclient Iwho Iwill Iundergo Ia Ibronchoscopy
Iprocedure. I The I provider I will I use I a I rigid I scope I and I general I anesthesia.
IThe Inurse Ishould Iexplain Ithat Ithe Iclient’s Ineck Iwill Ibe Iin Iwhich Iof Ithe
Ifollowing Ipositions?
A I hyperextended I position
8. A I nurse I is I assessing I a I client I who I has I fluid I overload. I Which I of I the
Ifollowing Ifindings Ishould I the Inurse Iexpect? I (Select Iall Ithat Iapply.)
Increased Iheart Irate
IIncreased I blood I pressure
IIncreased I respiratory I rate
9. A Inurse Iis Iteaching Ia Iclient Iwho Iis Iobese Iand Ihas Iobstructive Isleep
Iapnea Ihow Ito Idecrease Ithe Inumber Iof Inightly Iapneic Iepisodes. IWhichIo f
Ithe Ifollowing I client I statements Iindicates Ian Iunderstanding I of Ithe
Iteaching?
“If I I I could I lose I about I 50 I pounds, I I I might I stop I having I so I many I apneic
Iepisodes.”
10. A Inurse Iis Icaring Ifor Ia Iclient Iwho Iis Iin Ithe Iimmediate Ipostoperative
Iperiod Ifollowing Ia Ipartial Ilaryngectomy. IWhich Iof ItheIfollowing
I parameters Ishould I the Inurse Iassess I first?
Airway I patency
11. A I nurse I is I assessing I for I cyanosis I in I a I client I who I has I dark I skin.IWhich
Iof Ithe Ifollowing Isites Ishould Ithe Inurse Iexamine Ito Iidentify Icyanosis Iin
Ithis Iclient?
Conjunctiva
12. A Inurse Iis I caring Ifor Ia Iclient Ischeduled Ito Ireceive Iexternal Iradiation Ito
Ithe Ineck Ifor Icancer Iof Ithe Ilarynx. IDuring Ia Ipre-treatmentIexam, I the
Inurse Iexplains Ito Ithe Iclient Ithat Ithe Imost Ilikely Iside Ieffect Iwould Ibe
This Istudy Isource Iwas Idownloaded Iby I100000839604613 Ifrom ICourseHero.com Ion I02-02-2022 I05:30:45 IGMT I-
06:00
https://www.coursehero.com/file/38974348/NCLEX-Challenge-3docx/
