1) 10 gtt/ml 500 ml infuse over 4hrs. 21
2) Which of the following is a primary prevention and used for colon cancer
screening? Occult blood test and colonoscopy
3) A patient suffered a brain injury from a motor vehicle accident and has no
brain activity. The spouse has come up to see the client every day for the
past two months. She asks the nurse “do you think when he moves his hands
he is responding to my voice?” The nurse feels bad because she thinks the
moves are involuntary and the prognosis is grim for the patient. She states,
“He can hear you, and it appears he did respond to your voice.” The nurse is
violating which principle of ethics? Veracity
4) The nurse is completing preoperative teaching for a client, and it becomes
apparent the client does not understand the surgery that will be performed.
What is the best action by the nurse? Notify the surgeon and document
the findings.
5) for nourishment. Where does most digestion take place in the body?
Small intestines
6) The morning after a patient’s lower leg surgery, the nurse notes that the
dressing in wet and has drainage. The surgeon has not yet been in to see the
client. What is the nurses best action? Reinforces the dressing by adding
sterile dressing material on top of the existing dressing.
7) The nurse should instruct the post-operative client that ant embolic
stockings are used for which purpose? Promote venous return
8) In which of the following answers complies with the consolidated
Reconciliation act and Emergency Medical Treatment and Active Labor act of
1956 (EMTALA) information is obtained after the client is stabilize. A client
with chest pain is triaged directly to a room for evaluation.
9) Before the nurse brings the client to the operating room for knee surgery,
the client reports to the nurse that he did not mark the operative knee with
the surgeon. The nurse takes which best action? Call the surgeon to
mark the site with the client before transfer to the OR.
10) Which of the following is false regarding state licensure laws? Licensure
is not necessary if the individual has completed training.
12) The nurse is collecting a 24-hour urine specimen from a client with an
indwelling urinary catheter. How should the nurse collect this specimen?
Place the catheter bag on ice and empty regularly into the collection
bottle, which is also kept on ice.
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, 13) A client is surprised to learn that his acute pain is cause by kidney
stones. The nurse should instruct the client that the most common type of
renal calculi is composed of? Calcium
14) The client who has ulcerative colitis is scheduled for an ileostomy. The
client asks the nurse what to expect related to bowel function and care after
surgery. What response should the nurse make? The stoma will require
you to wear a collection device all the time.
15) Which statements by a female client indicates that the instructions to
prevent a urinary tract infection that was understood. I should avoid tub
baths and take showers instead. I should drink 8-10 glasses of fluid
a day.
16) The provider recommends a fluid intake of at least 2 liters per day. The
clients reported intake over the past 12 hours is 12 oz of coffee…. You should
drink another cup of fluid.n 66 ounces or greater is 2 liters.
17) A patient has asked the nurse to explain her laboratory results. The nurse
informs the client that he must first ambulate the client to the bathroom, and
then will explain the results. What moral principle has the nurse displayed?
Fidelity
18) An older adult male client has a history of an enlarged prostate. The
client is most likely to report which symptoms associated with this condition?
Difficulty starting a stream of urine.
19) An older adult client is being positioned on the operating bed for surgery.
What is the nurses highest priority? Accessing the skin condition for the
need for additional padding
20) Twenty minutes after a client has received a preoperative infection of
atropine and midazolam the client tells the nurse that he must be allergic to
the medication because his mouth is dry, and his heart seems to be beating
faster than normal. What is the nurse’s priority action? Assess the client’s
pulse and blood pressure.
21) A nurse forgets to administer a client’s diuretics and the client
experiences and episode of pulmonary edema. The charge nurse would
consider the medication error to constitute negligence because the situation
contains which element? Unintentional failure to perform a healthcare
procedure.
22) A client is hospitalized with and is getting IV fluids. What intervention
does the nurse add to the care plan to address as the priority risk for this
client. Perform catheter care per policy every shift
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