NS 309 Final Exam Practice Questions With Complete
Solutions
*A client diagnosed with DM is on an insulin infusion drip. The
insulin bag indicates there are 100 units of insulin in 1,000mL of
normal saline. Based on the client's blood glucose readings, the
client should receive 1.5 units per hour. To ensure that the client
receives 1.5 units/hour, the nurse should set the pump at how
many mL per hour? Correct Answers
*A client is admitted with severe back pain and is requesting
pain medication. During the assessment, the nurse notes that the
client has been taking acetaminophen 650mg q4h at home with
minimal relief. Based on this information, which of the
following PRN ordered drugs should the nurse consider
administering? Correct Answers Ibuprofen
*A home health nurse is planning the first home visit for a 60
year old client newly diagnosed with type 2 diabetes. The client
has been instructed to take NPH in the morning and at supper
time. Which interventions should be included in the client's care
plan?
A. Instruct the client to inspect the hands daily
B. Ensure that the client eats a bedtime snack
C. Assess the client's ability to read small print
D. Teach the client how to perform an A1C
E. Instruct the client on storing pre-filled syringes in the
refrigerator Correct Answers A. Instruct the client to inspect
the hands daily
B. Ensure that the client eats a bedtime snack
,D. Teach the client how to perform an A1C
*A person should not take amaryl, a sulfonylurea, if they are
allergic to:
A. penicillin
B. sulfa
C. insulin
D. caffeine Correct Answers B. sulfa
*Infuse meropenem 1g/100mL D5W over 20 minutes. What
flow rate should be set on the pump? Correct Answers
100mL/20min= 5ml/1min
*The client is complaining of incisional pain. Which
intervention should the nurse implement first? Correct Answers
Assess the client's pulse and blood pressure
*The client is receiving atropine. Which intervention will help
the client tolerate this medication? Correct Answers Encourage
the client to chew sugarless gum
*The client is receiving enalapril. When would the nurse
question administering this medication?
A. The client is not receiving a potassium supplement
B. The blood pressure for 2 consecutive readings is 110/70
C. The client complains of a persistent irritating cough
D. The client's urinary output is 400 mL for the last 8 hours
Correct Answers C. The client complains of a persistent
irritating cough
, *The client received a continuous IV infusion of heparin. Based
on the most recent lab data, what should the nurse implement?
PT 13.2 (control 12.1)
INR 1.3
PTT 72 (control 39) Correct Answers Continue to monitor the
infusion
*The client w/ osteoarthritis is prescribed an NSAID. Which
interventions should the nurse implement? Correct Answers
Time the medication to be given with meals.
*The client was given nitroglycerin for chest pain. On
assessment for the BP, the client states "I have a headache". The
client's BP is 100.65. What action should the nurse take.
Correct Answers Document the blood pressure
*The client with arthritis is self-medicating with aspirin, an
NSAID. Which complication should the nurse discuss with the
client? Correct Answers Tinnitus
*The nurse received the morning report and has the following
medications due or being requested. In which order should the
nurse administer the medication? List in order of priority.
Correct Answers Administer morphine, laxis, lidocaine
*The schizophrenia client has been started on Haldol. What
assessment data would be of primary concern for the nurse?
Correct Answers Drooling
Solutions
*A client diagnosed with DM is on an insulin infusion drip. The
insulin bag indicates there are 100 units of insulin in 1,000mL of
normal saline. Based on the client's blood glucose readings, the
client should receive 1.5 units per hour. To ensure that the client
receives 1.5 units/hour, the nurse should set the pump at how
many mL per hour? Correct Answers
*A client is admitted with severe back pain and is requesting
pain medication. During the assessment, the nurse notes that the
client has been taking acetaminophen 650mg q4h at home with
minimal relief. Based on this information, which of the
following PRN ordered drugs should the nurse consider
administering? Correct Answers Ibuprofen
*A home health nurse is planning the first home visit for a 60
year old client newly diagnosed with type 2 diabetes. The client
has been instructed to take NPH in the morning and at supper
time. Which interventions should be included in the client's care
plan?
A. Instruct the client to inspect the hands daily
B. Ensure that the client eats a bedtime snack
C. Assess the client's ability to read small print
D. Teach the client how to perform an A1C
E. Instruct the client on storing pre-filled syringes in the
refrigerator Correct Answers A. Instruct the client to inspect
the hands daily
B. Ensure that the client eats a bedtime snack
,D. Teach the client how to perform an A1C
*A person should not take amaryl, a sulfonylurea, if they are
allergic to:
A. penicillin
B. sulfa
C. insulin
D. caffeine Correct Answers B. sulfa
*Infuse meropenem 1g/100mL D5W over 20 minutes. What
flow rate should be set on the pump? Correct Answers
100mL/20min= 5ml/1min
*The client is complaining of incisional pain. Which
intervention should the nurse implement first? Correct Answers
Assess the client's pulse and blood pressure
*The client is receiving atropine. Which intervention will help
the client tolerate this medication? Correct Answers Encourage
the client to chew sugarless gum
*The client is receiving enalapril. When would the nurse
question administering this medication?
A. The client is not receiving a potassium supplement
B. The blood pressure for 2 consecutive readings is 110/70
C. The client complains of a persistent irritating cough
D. The client's urinary output is 400 mL for the last 8 hours
Correct Answers C. The client complains of a persistent
irritating cough
, *The client received a continuous IV infusion of heparin. Based
on the most recent lab data, what should the nurse implement?
PT 13.2 (control 12.1)
INR 1.3
PTT 72 (control 39) Correct Answers Continue to monitor the
infusion
*The client w/ osteoarthritis is prescribed an NSAID. Which
interventions should the nurse implement? Correct Answers
Time the medication to be given with meals.
*The client was given nitroglycerin for chest pain. On
assessment for the BP, the client states "I have a headache". The
client's BP is 100.65. What action should the nurse take.
Correct Answers Document the blood pressure
*The client with arthritis is self-medicating with aspirin, an
NSAID. Which complication should the nurse discuss with the
client? Correct Answers Tinnitus
*The nurse received the morning report and has the following
medications due or being requested. In which order should the
nurse administer the medication? List in order of priority.
Correct Answers Administer morphine, laxis, lidocaine
*The schizophrenia client has been started on Haldol. What
assessment data would be of primary concern for the nurse?
Correct Answers Drooling
