Preparation Questions and Answers

Preparation Questions and Answers

Question 1.
What is the pump rate for levofloxacin 250 mg in 100 mL to pass in 15 minutes?
Correct Answer: 400 mL/hr.


Question 2.
Finding requiring communication to provider for MI patient?
Correct Answer: Lab report of troponin level 10 times normal value.


Question 3.
What should the nurse assess first if a client recovering from an endoscopy is drooling and
coughing?
Correct Answer: Gag reflex.


Question 4.
What are common findings in the history of a client with testicular cancer?
Correct Answer: Common findings include a history of undescended testicle and
testicular trauma.


Question 5.
Instructions for client collecting 24-hour urine after spilling?
Correct Answer: The client needs to start collecting a new 24-hour urine.


Question 6.
What is the priority drug in myxedema coma?
Correct Answer: IV sodium levothyroxine.


Question 7.
Which client should the nurse see first on the medical-surgical floor?
Correct Answer: Meningitis with fever 102°F.


Question 8.
What are the options for adjusting morning insulin?
Correct Answer: a) increase the morning insulin, b) decrease the morning
insulin, c) decrease the evening insulin, d) eliminate the bedtime insulin.


Question 9.
Which ordered drug must be questioned for a client with hypertension and a history of
anaphylaxis?
Correct Answer: c) Cephacidal 1 g IV (cross-allergy).


Question 10.
What are risk factors for osteoporosis?
Correct Answer: Menopause, aging, family history, smoking.



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,Question 11.
Which symptom in a client receiving exenatide requires immediate follow-up?
Correct Answer: Abdominal pain indicating acute pancreatitis.


Question 12.
Which clients have a formal indication for screening of hepatitis C carrier status? (Select all
that apply)
Correct Answer: A client who received a blood transfusion before 1992, a client
in long term hemodialysis, a client who injected IV drugs only once many years
ago, a child born to a woman hepatitis C positive.


Question 13.
Match the drug with its indication: ASA.
Correct Answer: TIA.


Question 14.
What should the nurse do with a newborn if the mother develops rubella at the end of
pregnancy?
Correct Answer: The newborn should be isolated from the mother and kept in
the nursery.


Question 15.
What are the complications of thyroidectomy?
Correct Answer: Recurrent laryngeal nerve damage, bleeding, and
laryngospasm.


Question 16.
What past medical history requires clarification when prescribing Piperacillin with
Tazobactam?
Correct Answer: A history of allergy to cephalosporins requires clarification with
the prescriber.


Question 17.
What precaution should a nurse take for a client with a congenital hairy patch?
Correct Answer: Monitor for recurrent urinary infections.


Question 18.
What is the recommended position for a client in the active phase of labor?
Correct Answer: Lateral position.


Question 19.
What to do next for suspected meningitis?
Correct Answer: Wear a particulate respirator and continue the assessment.


Question 20.
Which patients can be delegated to the UAP? (Select all that apply)


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,Correct Answer: a) Assist the patient changing the stoma of an ileostomy bag,
b) Maintain abduction while changing the linens of a patient with skeletal
traction, c) feed the client recovering from aspiration pneumonia, d) apply
permethrin after bathing a client with pediculosis.


Question 21.
What should a nurse do if a client is unsure about their mastectomy surgery after signing
consent?
Correct Answer: Notify the case manager of what is going on.


Question 22.
What is the most important nursing intervention for a confused alcoholic client with
tachycardia?
Correct Answer: Determine capillary blood sugar.


Question 23.
What is the immediate intervention for a client with ventricular tachycardia?
Correct Answer: Call for help (code).


Question 24.
What should the nurse do for a client in active labor receiving epidural?
Correct Answer: Assess if the client is resting flat on a lateral position.


Question 25.
What question should a nurse ask regarding hemolytic uremic syndrome?
Correct Answer: "What has your child eaten in the past 72 hours?"


Question 26.
What medical history could require clarification for a client receiving Timolol for glaucoma?
Correct Answer: Chronic bronchitis.


Question 27.
Pain in right groin
Correct Answer: A symptom that may indicate a variety of conditions, including
musculoskeletal issues or internal organ problems.


Question 28.
What electrolyte alteration should a nurse expect in a client with nasogastric suction?
Correct Answer: Hypokalemia.


Question 29.
What should the nurse do for a client receiving IV potassium chloride who needs an x-ray?
Correct Answer: Turn off the infusion and restart it when the client returns.


Question 30.
What should the nurse do first if a ventilator high-pressure alarm goes off?



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, Correct Answer: Check for endotracheal tube kinking.


Question 31.
What infection precautions should be taken for a client with disseminated herpes zoster?
Correct Answer: Maintain room's door closed and nurse wears particulate
respirator if not immune to varicella zoster virus.


Question 32.
Which patient with ECG should the nurse assign?
Correct Answer: Assign the patient with Torsades de Pointes.


Question 33.
What are findings in a client with pheochromocytoma?
Correct Answer: Hypertension, anxiety, and elevated VMA in 24-hour urine.


Question 34.
Which vitamin can help lower cholesterol levels?
Correct Answer: c) Niacin (vitamin B3).


Question 35.
What findings are expected in a client with head trauma presenting Cushing's triad?
Correct Answer: Systolic blood pressure 150 mmHg, widening of pulse pressure.


Question 36.
What is the decided outcome of taking orlistat?
Correct Answer: The decided outcome is a reduction of weight.


Question 37.
What should the nurse assess in a patient with Guillain Barre? (Select all that apply)
Correct Answer: a) check for forced vital capacity (FVC), b) check for use of
accessory muscles for breathing, d) assess for difficulty breathing, e) blood
pressure and cardiac rhythm.


Question 38.
What parameters should be monitored in a client receiving TPN?
Correct Answer: Glucose, intake and output, skin condition around catheter.


Question 39.
How to prevent lightning strikes during a thunderstorm?
Correct Answer: d) If you feel your hair stand on end, drop to your knees and
hands.


Question 40.
What are the signs and symptoms of right and left heart failure?
Correct Answer: Crackles, dependent edema, hepatomegaly, neck vein
distension, and nocturia.



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