2026/2027 Exam All Answers
and Illustrations Given
A client who has been NPO for 3 days is receiving an infusion of
Dextrose 5% in 0.45% Sodium chloride (D51/2 NS) with potassium
chloride (KCl) 20 mEq at 83 ml/hour. The client's 8-hour urine output is
400 ml, blood urea nitrogen (BUN) is 15 mg/dl (5.355 mmol/L), lungs are
clear bilaterally, serum glucose is 110 mg/dl ( 6.1 mmol/L), and serum
potassium is 3.7 mEq/L (3.7 mmol/L). Which action should the nurse
implement? - ANSWER ✔✔Document in the medical record that
these normal findings are expected outcomes. The results are all within
normal range (BUN 10 to 20 mg/dl or 3.6-7.1 mmol/L (SI units), serum
,glucose 70 to 110 mg/dl or less than 6.1 mmol/L (SI), and serum
potassium 3.5 to 5.0 mEq/L or 3.5-5.0 mmol/L (SI units). The other
actions are not indicated.
The nurse is preparing the change-of-shift report for a client who has a
265 ml secondary infusion that was started 2 hours ago at a rate of 85
ml/hour via an infusion pump. The nurse should report that how many ml
remain to be infused by the on-coming nurse? (Enter numeric value
only.) - ANSWER ✔✔95
A child who is scheduled for a kidney transplant receives a prescription
for basiliximab (Simulect) 20 mg IV 2 hours prior to surgery. The
medication is available in a 20 mg vial that is reconstituted by adding 5
ml sterile water for injection, and administered as a secondary infusion
of normal saline 50 ml to be infused over 30 minutes. The nurse should
program the infusion pump to deliver how many ml/hour? (Enter the
numeric value only as a whole number.) - ANSWER ✔✔110
A client with Mycobacterium avium complex (MAC) is receiving an
infusion of 5 % dextrose in water (D5W)with amikacin (Amikin) 0.572
grams/100 ml every 12 hours. The nurse prepares the dose of amikacin
using a vial labeled, " 250 mg/ml." How many ml should the nurse add to
the infusion? (Enter numeric value only. If rounding is required, round to
the nearest tenth.) - ANSWER ✔✔2.3
,A client with septic shock receives a prescription for dDextrose 5% in
Water (D5W) 250 ml with dopamine (Intropin) 0.6 grams/250 ml at a rate
of 5 mcg/kg/minute. The client's weight is 148 pounds The nurse should
set the infusion pump to deliver how many ml/hour? (Enter numeric
value only. If rounding is required, round to the nearest whole number.) -
ANSWER ✔✔8
The healthcare provider prescribes a secondary infusion of Dextrose 5%
in Water (D5W) 50 mg IV with magnesium sulfate 4 gram/50 mI to be
infused over 30 minutes for a client with preeclampsia. The nurse should
program the infusion pump to deliver how many ml/hour? (Enter numeric
value only. If rounding is required, round to the nearest whole number.) -
ANSWER ✔✔100
A healthcare provider prescribes a continuous infusion of 0.9% sodium
chloride 250 ml with pancuronium (Pavulon) 25 mg at a rate of 0.1
mg/kg/hour for a client with coronary artery bypass grafting. The client
weighs 78 kg. The nurse should program the infusion pump to deliver
how many ml/hour? (Enter numeric value only. If rounding is required,
round to the nearest tenth.) - ANSWER ✔✔78
A client is receiving a cephalosporin antibiotic IV and complains of pain
and irritation at the infusion site. The nurse observes erythema, swelling,
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, and a red streak along the vessel above the IV access site. Which action
should the nurse take? - ANSWER ✔✔Initiate an alternate site for the
IV infusion of the medication.
A client is to receive an IV of Sodium Chloride 0.9% Injection (Normal
Saline) 250 ml with KCl 10 mEq IV over 4 hours. What rate should the
nurse program the client's IV infusion pump? - ANSWER ✔✔63
ml/hour. To calculate the infusion rate, the dose of KCl is not used in the
calculation. Using the total volume of Normal Saline solution, 250 ml/4
hours = 63 ml/hour.
The healthcare provider prescribes acetazolamide (Diamox) 600
mg/m2/day divided into 3 doses. The nurse calculates the child's body
surface area (BSA) as 0.7 m2 . How many mg should the child receive
per dose? (Enter the numeric value, whole number, only.) - ANSWER
✔✔140
The healthcare provider prescribes trimethoprim-sulfamethoxazole
(Bactrim-DS Oral Suspension) 120 mg BID for a child with bronchitis.
The Bactrim bottle is labeled "200 mg/5ml." How many ml should the
nurse administer at each dose? (Enter the numeric value, whole number,
only. ) - ANSWER ✔✔3