ALL QUESTIONS AND CORRECT ANSWERS
| LATEST VERSION | ALREADY GRADED A+
A patient has a parenteral nutrition infusion of 25% dextrose. A student
nurse asks the nurse why a
peripherally inserted central catheter was inserted. Which response by the
nurse is most appropriate? ------CORRECT ANSWER---------------the 25%
dextrose is hypertonic & will be more rapidly diluted when given through a
central line.
The nurse is caring for a patient who has a central venous access device
(CVAD). Which action by the
nurse is appropriate? ------CORRECT ANSWER---------------use the push-
pause method to flush the CVAD after giving medications.
An older patient receiving iso-osmolar continuous tube feedings develops
restlessness, agitation, and
weakness. Which laboratory result should the nurse report to the health
care provider immediately? ------CORRECT ANSWER---------------Na+ 154
mEq/L (154 mmol/L)
The nurse assesses a patient who has been hospitalized for 2 days. The
patient has been receiving normal
saline IV at 100 mL/hr, has a nasogastric tube to low suction, and is NPO.
Which assessment finding would be
apriority for the nurse to report to the health care provider? ------CORRECT
ANSWER---------------gradually decreasing level of consciousness (LOC)
,A nurse is assessing a newly admitted patient with chronic heart failure
who forgot to take prescribed
medications and seems confused. The patient complains of just blowing up
and has peripheral edema and
shortness of breath. Which assessment should the nurse complete first? ---
---CORRECT ANSWER---------------mental status
A patient with renal failure has been taking aluminum
hydroxide/magnesium hydroxide suspension
(Maalox) at home for indigestion. The patient arrives for outpatient
hemodialysis and is unresponsive to
questions and has decreased deep tendon reflexes. Which action should
the dialysis nurse take first? ------CORRECT ANSWER---------------notify the
patients health care provider
A patient who had a transverse colectomy for diverticulosis 18 hours ago
has nasogastric suction and is
complaining of anxiety and incisional pain. The patients respiratory rate is
32 breaths/minute and the arterial
blood gases (ABGs) indicate respiratory alkalosis. Which action should the
nurse take first? ------CORRECT ANSWER---------------give the patient the
PRN IV morphine sulfate 4mg
Which action can the registered nurse (RN) who is caring for a critically ill
patient with multiple IV lines
delegate to an experienced licensed practical/vocational nurse (LPN/LVN)?
------CORRECT ANSWER---------------monitor the IV sites for redness,
swelling, or tenderness
A patient has a serum calcium level of 7.0 mEq/L. Which assessment
finding is most important for the
, nurse to report to the health care provider? ------CORRECT ANSWER-------
--------the patient is experiencing laryngeal stridor
Following a thyroidectomy, a patient complains of a tingling feeling around
my mouth. Which assessment
should the nurse complete immediately? ------CORRECT ANSWER----------
-----presence of the Chvosteks sign
Which question asked by the nurse will give the most information about the
patients metastatic bone cancer
pain? ------CORRECT ANSWER---------------How would you describe your
pain?
A patient who uses a fentanyl (Duragesic) patch for chronic cancer pain
suddenly complains of rapid onset
pain at a level 9 (0 to 10 scale) and requests something for pain that will
work now. How will the nurse
document the type of pain reported by this patient? ------CORRECT
ANSWER---------------breakthrough pain
The nurse teaches a student nurse about the action of ibuprofen. Which
statement, if made by the student, indicates that teaching was effective? ---
---CORRECT ANSWER---------------the drug decreases production of pain-
sensitizing chemicals
A nurse assesses a patient with chronic cancer pain who is receiving
imipramine (Tofranil) in addition to
long-acting morphine. Which statement, if made by the patient, indicates to
the nurse that the patient is