EXAM REAL EXAM QUESTIONS AND CORRECT
ANSWERS A GRADE
A client is receiving a 200ml . 25 ml of full strength feeding mixed with 25ml
continuous half strength of water provided 50ml of half strength. 25ml × 8
tube feeding at 50ml/hour. hours= 200ml
To prepare enough of the
solution for eight hours,
how many ml of full
strength feeding will the
nurse need? (Enter
numeric value only.)
An elderly male client is Apply an external condom catheter
experiencing urinary
incontinence. What is the
best initial nursing action?
3. A male Muslim client Reschedule administration of the antibiotic until after
with pneumonia is he completes his prayers
scheduled to receive a
dose of an intravenous
antibiotic but refuses to
allow the nurse to begin
the medication, stating he
cannot allow fluids to
enter his body once he is
cleansed for prayer. What
action should the nurse
implement?
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,UAP using a hand tell that hand sanitizer use is less > 2min
sanitzers that is alcohol for
2 minutes
5.A child is to receive Answer: 800 Rationale: First, convert the child's weight
vancomycin (Vancocin) 40 to kg: 44 pounds divided by
mg/kg IV one hour before 2.2pound/kg = 20 kg. Next calculate the mg/kg/dose,
a scheduled procedure. 40 mg x 20 kg = 800mg
The child weighs 44
pounds. How many mg of
the medication should the
nurse administer
6. While assisting a Compare current vital signs with previous vital signs
postpartum client with
perineal care, the nurse
notes that her vaginal
bleeding spurts rather
than trickles from the
vagina. The uterine fundus
is firm and the client's vital
signs are pulse 88
beats/minute; respiratory
rate, 21 breaths/minute;
and blood pressure,
104/68 mmHg. What
action should the nurse
take next?
A 6-year old boy was hit Have the parent take the child for emergency help
with a bat while playing at
school. He has a splinter
of wood imbedded in his
eye. Which action should
the school nurse take?
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, 8:57 AM
Within four weeks of Postpartum psychosis
childbirth, a client is
admitted to the hospital
for disorganized speech
bizarre behavior, and
strange thoughts about
her infant being
possessed by demons.
The nurse identifies a
nursing diagnosis of
"Altered thought
processes, secondary to"
what condition?
The nurse identifies a Regular aerobic exercise.
priority diagnosis of,
"Altered comfort related
to menstrual cramps" for a
25-year-old female client.
Which self-care activity
should the nurse
emphasize in the client's
teaching plan?
Psych/Alcohol/Tylenol Give Mucomyst
overdose antidote
Medical Surgical/Laxative Patient -taking Milk of Magnesium
abuses
Spiritual/Documentation Native American - Allow pt's family to stay in the room
Leadership- Interpreter Pt should sign the consent
informed consent
Geriatrics/Emergency Rib Pulmonary embolism
fractures fall
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