NCLEX Challenge 3
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).
100 mL/hr
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).
21 gtt/min
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
Dehydration
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).
1,720 mL
5. A nurse is caring for a client whose arterial blood gas results show a pH
of 7.3 and a PaCO2 of 50 mm Hg. The nurse should identify that the
client is experiencing which of the following acid-base imbalances?
Respiratory acidosis
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, 6. A nurse is planning care for a client who has dehydration and is
receiving a continuous IV infusion of 0.9% sodium chloride. Which of
the following interventions should the nurse include in the plan of
care?
Check the client’s IV infusion every 8 hr.
7. A nurse is teaching a client who will undergo a bronchoscopy
procedure. The provider will use a rigid scope and general anesthesia.
The nurse should explain that the client’s neck will be in which of the
following positions?
A hyperextended position
8. A nurse is assessing a client who has fluid overload. Which of the
following findings should the nurse expect? (Select all that apply.)
Increased heart rate
Increased blood pressure
Increased respiratory rate
9. A nurse is teaching a client who is obese and has obstructive sleep
apnea how to decrease the number of nightly apneic episodes. Which
of the following client statements indicates an understanding of the
teaching?
“If I could lose about 50 pounds, I might stop having so many apneic
episodes.”
10. A nurse is caring for a client who is in the immediate
postoperative period following a partial laryngectomy. Which of the
following parameters should the nurse assess first?
Airway patency
11. A nurse is assessing for cyanosis in a client who has dark skin.
Which of the following sites should the nurse examine to identify
cyanosis in this client?
Conjunctiva
12. A nurse is caring for a client scheduled to receive external
radiation to the neck for cancer of the larynx. During a pre-treatment
exam, the nurse explains to the client that the most likely side effect
would be
This study source was downloaded by 100000819885058 from CourseHero.com on 02-08-2022 05:20:21 GMT -06:00
https://www.coursehero.com/file/38974348/NCLEX-Challenge-3docx/
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).
100 mL/hr
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).
21 gtt/min
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
Dehydration
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).
1,720 mL
5. A nurse is caring for a client whose arterial blood gas results show a pH
of 7.3 and a PaCO2 of 50 mm Hg. The nurse should identify that the
client is experiencing which of the following acid-base imbalances?
Respiratory acidosis
This study source was downloaded by 100000819885058 from CourseHero.com on 02-08-2022 05:20:21 GMT -06:00
https://www.coursehero.com/file/38974348/NCLEX-Challenge-3docx/
, 6. A nurse is planning care for a client who has dehydration and is
receiving a continuous IV infusion of 0.9% sodium chloride. Which of
the following interventions should the nurse include in the plan of
care?
Check the client’s IV infusion every 8 hr.
7. A nurse is teaching a client who will undergo a bronchoscopy
procedure. The provider will use a rigid scope and general anesthesia.
The nurse should explain that the client’s neck will be in which of the
following positions?
A hyperextended position
8. A nurse is assessing a client who has fluid overload. Which of the
following findings should the nurse expect? (Select all that apply.)
Increased heart rate
Increased blood pressure
Increased respiratory rate
9. A nurse is teaching a client who is obese and has obstructive sleep
apnea how to decrease the number of nightly apneic episodes. Which
of the following client statements indicates an understanding of the
teaching?
“If I could lose about 50 pounds, I might stop having so many apneic
episodes.”
10. A nurse is caring for a client who is in the immediate
postoperative period following a partial laryngectomy. Which of the
following parameters should the nurse assess first?
Airway patency
11. A nurse is assessing for cyanosis in a client who has dark skin.
Which of the following sites should the nurse examine to identify
cyanosis in this client?
Conjunctiva
12. A nurse is caring for a client scheduled to receive external
radiation to the neck for cancer of the larynx. During a pre-treatment
exam, the nurse explains to the client that the most likely side effect
would be
This study source was downloaded by 100000819885058 from CourseHero.com on 02-08-2022 05:20:21 GMT -06:00
https://www.coursehero.com/file/38974348/NCLEX-Challenge-3docx/
