RN Fundamentals A exams with answers

1. A nurse is preparing to administer an injection of an opioid medication to a client. The nurse draws out 1 mL of the medication from a 2mL vial. Which of the following actions should the nurse take? A. Ask another nurse to observe the medication wastage B. notify the pharmacy when wasting the medication C. lock the remaining medication in the controlled substances cabinet D. dispose of the vial with the remaining medication in the sharps container - ask another nurse to observe the medication wastage 2. A nurse is preparing to administer 0.9% NaCl 750mL IV to infuse over 7 hours. The nurse should set the infusion pump to deliver how many mL/hr? Round answer to nearest whole number - X mL/hr = (Volume mL) / time (hours) 3. 750/7 = 107.14 = 107 mL/hr 4. A nurse is educating a client who has terminal illness about declining resuscitation in a living will. The client asks, "What would happen if I arrived at the ER and had difficulty breathing?" Which of the following responses should the nurse make? A. we would consult the person appointed by your health care proxy to make decisions B. we would give you O2 through a tube in your nose C. you would be unable to change your previous wishes about your care D. we would insert a breathing tube while we evaluate your condition - B. we would give O2 through a tube in your nose (Oxygen can provide comfort and is not considered a resuscitative measure when the nurse delivers in via nasal cannula) 5. A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. Which of the following actions is the nurse's priority? A. request that the respiratory therapist discuss the technique for incentive spirometry with the clinet B. determine the reasons why the client is refusing to use the incentive spirometer C. document the client's refusal to participate D. administer a pain medication first - B. determine the reasons why the client is refusing to use the incentive spirometer 6. A nurse on a med-surg unit is caring for a client who has a new prescription for wrist restraints. Which of the following actions should the nurse take? A. pad the client's wrist before applying the restraints B. evaluate the client's circulation q8hr after application C. remove the restraints q4hr to evaluate client's status D. secure the restraints ties to the bed's side rails - A. pad the client's wrists before applying the restraints (w/o can cause abrasion of skin resulting in client injury) 7. A nurse is talking with an older adult client who is contemplating retirement. The client states, "I keep thinking about how much I enjoy my job. I'm not sure I want to retire." Which of the following responses should the nurse make? A. you would have so much more time to spend with family B. you should consider getting a part-time job or doing volunteer work C. let's talk about how the change in your job status will affect you D. why wouldn't you want to retire and relax - C. let's talk about how the change in your job status will affect you 8. A nurse is caring for a client who has pharyngeal diphtheria. Which of the following types of transmission precautions should nurse take? A. contact B. droplet C. airborn D. protective - B. droplet (DIPtheria = DRoplet) 9. A nurse is caring for a group of clients. Which of the following actions should the nurse take to prevent the spread of infection? A. carry a client's soiled linens out of the room in a mesh linen bag B. place a client who has tuberculosis in a room with negative-pressure airflow C. provide disposable plates and utensils for a client who is HIV-positive D. dispose of a client's blood-saturated dressing in a trash bag inside a second trashbag - B. place a client who has tuberculosis in a room with negative-pressure airflow