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    Exam Review

    1. The physician orders atropine sulfate 300 mcg IM for preoperative medication. Looking at the label, how many milliliters will you administer?
      Correct Answer:3 mL
    2. A patient had abdominal surgery for gastrostomy tube placement and has enteral feedings in fusing at 75ml/hr. She is stating that she is" nauseated and has vomited twice". After completing your assessment, you note that her abdomen is distended, and she has had 5-7 loose and runny stools over the last 24 hours. What is the next action for the nurse to take?
      A)
      Discontinue the feedings and notify the physician of your assessment findings
      B)
      Continue feedings as ordered
      C)
      Administer prn pain medication
      D)
      This is a normal response, continue feedings as ordered
    3. Which of the following is an appropriate nursing action for skin irritation around the Gastrostomy tube site?
      A)
      Providing a skin barrier for any drainage at the site
      B)
      Turn the client to the side
      C)
      Apply adhesive bandage directly to the skin
      D)
      Keep the head of bed 25 degrees
    4. The health care provider is concerned that the client has hypokalemia. During the physical examination, which question should the nurse ask the client?
      A)
      "Have you been having diarrhea?"
      B)
      "Have you been experiencing difficulty breathing?"
      C)
      "Have you been experiencing chest pain?"
      D)
      "Have you been experiencing muscle weakness or leg cramps?
    Page 1 of 12

    Exam Review

    1. The physician orders 3000 mL of total parenteral nutrition (TPN) to be infused from 1900 to 0700 hours. How many milliliters per hour should the IV pump be programmed for?
      Correct Answer:250 mL/hr
    2. The nurse practitioner orders Novolin insulin 45 units subcutaneously every morning for the patient. You have on hand Novolin 100 units/mL. How many units of insulin will you administer?
      Correct Answer:0.45 mL
    3. The nurse knows that which indwelling catheter procedure places the patient at greatest risk of acquiring a urinary tract infection?
      A)
      Kinking the catheter tubing to obtain a urine specimen
      B)
      Emptying the drainage bag every 8 hours or when half full
      C)
      Failing to secure the catheter tubing to the patient's thigh
      D)
      Placing the drainage bag on the side rail of the patient's bed
    4. A nurse is caring for a patient who is receiving enteral feeding. Which of the following interventions is the highest priority when the nurse suspects aspiration of the feeding?
      A)
      Auscultate breath sounds
      B)
      Stop the feedings
      C)
      Obtain a chest x-ray
      D)
      Initiate antibiotic therapy
    Page 2 of 12

    Exam Review

    1. Arterial blood gases (ABGs) have been drawn on the client. The nurse reviews the results. pH is 7.31 PaCO2 50 mm Hg (6.65 kPa) HCO3 26 mEq/L (26 mmol/L) How will the nurse interpret these ABG results.
      A)
      Respiratory Decompression
      B)
      Respiratory Alkalosis
      C)
      Respiratory PH
      D)
      Respiratory Acidosis
    2. A nurse is caring for a client in the hospital setting who is receiving enteral feeding via NG tube, which action should the nurse complete prior to administering feeding?
      A)
      Lay the client flat in the bed
      B)
      Administer oral pain medication
      C)
      Allow the feeding to flow by gravity
      D)
      Verify the placement
    3. The patient has Ampicillin 100mg IV every 6 hours ordered for infection. The Ampicillin is diluted in 125 mL of 0.9% NS and is to be infused over 30 minutes. What rate do you set the pump? Whole number.
    4. A patient began to have hand and face tremors after being brought into the Emergency Department. Labs were immediately drawn on this patient. Which labs would most likely concern the nurse at this time?
      A)
      Chloride 100 mEq/L
      B)
      Sodium 138 mEq/L
      C)
      Oc) Potassium 4.1 mEq/L
      D)
      Magnesium 1.0 mEq/L
    Page 3 of 12

    Exam Review

    1. A nurse is caring for a client with a history of cardiac and vascular disease. Which fats should the nurse allow in the client's diet for their condition?
      A)
      saturated fats
      B)
      unsaturated fats
      C)
      hydrogenated fats
      D)
      trans fats
    2. What is occult blood?
      A)
      dark black visible blood
      B)
      bright red visible blood
      C)
      blood that contains mucus
      D)
      blood that cannot be seen
    3. A nurse is feeding a client. Which statement would help a person maintain dignity while being fed?
      A)
      "I am going to feed you your cereal first, and then your eggs."
      B)
      "I wish I had more time so I could feed you all of your meal."
      C)
      "I know you don't like me to feed you, but you need to eat."
      D)
      "What part of your dinner would you like to eat first?"
    4. A male client who has had outpatient surgery is unable to void while lying supine. What can the nurse do to facilitate his voiding?
      A)
      Assist him to a standing position.
      B)
      Ask his wife to assist with the urinal.
      C)
      Pour cold water over his genitalia.
      D)
      Tell him he has to void to be discharged.
    Page 4 of 12

    Exam Review

    1. This problem will have 4 answers. The physician orders Ancef 400mg IV every 8 hours for a child weighing 44 lbs. You have on hand Ancef 330 mg/mL. The recommended daily IV dosage for a child is 75 mg/kg/day. 1. What is the child's weight in kg?
    2. The physician orders Ancef 400mg IV every 8 hours for a child weighing 44 lbs. You have on hand Ancef 330 mg/mL. The recommended daily IV dosage for a child is 75 mg/kg/day. What is the safe and single dose for this child?
    3. The physician orders Ancef 400mg IV every 8 hours for a child weighing 44 lbs. You have on hand Ancef 330 mg/mL. The recommended daily IV dosage for a child is 75 mg/kg/day.Is the order safe to give?
      A)
      no
      B)
      yes
    4. The physician orders Ancef 400mg IV every 8 hours for a child weighing 44 lbs. You have on hand Ancef 330 mg/mL. The recommended daily IV dosage for a child is 75 mg/kg/day. How many mL will you administer? Round to tenths.
    Page 5 of 12

    Exam Review

    1. What type of diet is composed of clear liquid foods that become fluid at body temperature and requires minimal digestion and leaves minimal residue?
      A)
      Clear Liquid Diet
      B)
      Renal Diet
      C)
      Mechanically Altered Diet
      D)
      Pureed Diet
    2. A nurse is delegating the collection of urinary output to an assistive personnel (AP). What should the nurse tell the AP to do while measuring the urine?
      A)
      Tell the client to wash the urethra before voiding.
      B)
      Wear gloves when handling a client's urine.
      C)
      Use a clean measuring cup for each voiding
      D)
      Compare the amount of output with intake
    3. The patient has an order for Ofirmev 1000 mg in 75 mL of normal saline to be infused over 30 minutes for pain. How many milliliters per hour should you set the pump? Whole number.
    4. Which laboratory result indicates the presence of malnutrition?
      A)
      Hemoglobin (Hgb) 11.3 g/dL
      B)
      Pre-albumin 10 mg/dL
      C)
      Creatinine 1.9 mg/dL
      D)
      Hematocrit (Hct) 56%
    Page 6 of 12