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MS CONVEYOR SYSTEMS EXAM LATEST
VERSION WITH 300 QUESTIONS AND CORRECT
DETAILED SOLUTIONS JUST RELEASED THIS
YEAR
QUESTION 1
A client with heart failure is prescribed furosemide (Lasix) 40 mg IV push. Which laboratory
value requires the nurse to notify the healthcare provider before administration?
A) Serum potassium 3.0 mEq/L
B) Serum sodium 140 mEq/L
C) Serum calcium 9.5 mg/dL
D) Serum magnesium 2.0 mEq/L
Answer: A
Furosemide is a loop diuretic that causes potassium wasting; administering it when potassium is
already low (normal 3.5-5.0 mEq/L) can precipitate dangerous hypokalemia, which increases the
risk of cardiac arrhythmias, particularly in clients with heart failure who may also be taking
digoxin.
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QUESTION 2
A newborn whose mother is HIV positive is admitted to the nursery. Which action should the
nurse implement first?
A) Bathe the newborn thoroughly with soap and water
B) Administer prescribed antiretroviral medication
C) Obtain blood for baseline HIV testing
D) Initiate standard precautions and wear gloves
Answer: D
Standard precautions are the priority to prevent transmission of HIV through blood and body
fluids; while antiretroviral prophylaxis and bathing are important, the immediate safety
measure is preventing exposure through appropriate barrier precautions.
QUESTION 3
A client with chronic obstructive pulmonary disease (COPD) has an arterial blood gas result
showing pH 7.32, PaCO2 58 mmHg, and HCO3 30 mEq/L. Which interpretation is correct?
A) Uncompensated respiratory acidosis
B) Partially compensated respiratory acidosis
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C) Fully compensated respiratory acidosis
D) Mixed metabolic and respiratory acidosis
Answer: B
The pH is low (acidosis) with elevated PaCO2 indicating respiratory acidosis; the HCO3 is
elevated above normal (22-26 mEq/L) showing metabolic compensation, but the pH remains
below 7.35, indicating compensation is only partial.
QUESTION 4
A nurse is caring for a client with major depressive disorder who suddenly appears cheerful and
energetic after weeks of depression. Which action should the nurse take?
A) Document the improvement in mood
B) Increase the client's activity privileges
C) Assess the client for risk of suicide
D) Notify the healthcare provider of the improvement
Answer: C
A sudden, unexpected improvement in mood in a depressed client may indicate that the client
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has made a decision to attempt suicide and feels relieved; this is a critical warning sign that
requires immediate suicide risk assessment.
QUESTION 5
A client with diabetes mellitus type 1 reports feeling shaky, diaphoretic, and confused. The
nurse obtains a blood glucose reading of 52 mg/dL. Which intervention should the nurse
implement first?
A) Administer 50% dextrose IV push
B) Give 15 grams of fast-acting carbohydrate orally
C) Administer glucagon 1 mg subcutaneously
D) Recheck blood glucose in 15 minutes
Answer: B
For a conscious client with hypoglycemia, the priority is to administer 15 grams of fast-acting
carbohydrate orally (such as 4 oz juice or 3 glucose tablets); IV dextrose and glucagon are
reserved for unconscious clients or those unable to swallow.
4
SUCCESS!
MS CONVEYOR SYSTEMS EXAM LATEST
VERSION WITH 300 QUESTIONS AND CORRECT
DETAILED SOLUTIONS JUST RELEASED THIS
YEAR
QUESTION 1
A client with heart failure is prescribed furosemide (Lasix) 40 mg IV push. Which laboratory
value requires the nurse to notify the healthcare provider before administration?
A) Serum potassium 3.0 mEq/L
B) Serum sodium 140 mEq/L
C) Serum calcium 9.5 mg/dL
D) Serum magnesium 2.0 mEq/L
Answer: A
Furosemide is a loop diuretic that causes potassium wasting; administering it when potassium is
already low (normal 3.5-5.0 mEq/L) can precipitate dangerous hypokalemia, which increases the
risk of cardiac arrhythmias, particularly in clients with heart failure who may also be taking
digoxin.
1
SUCCESS!
,Page 2 of 216
QUESTION 2
A newborn whose mother is HIV positive is admitted to the nursery. Which action should the
nurse implement first?
A) Bathe the newborn thoroughly with soap and water
B) Administer prescribed antiretroviral medication
C) Obtain blood for baseline HIV testing
D) Initiate standard precautions and wear gloves
Answer: D
Standard precautions are the priority to prevent transmission of HIV through blood and body
fluids; while antiretroviral prophylaxis and bathing are important, the immediate safety
measure is preventing exposure through appropriate barrier precautions.
QUESTION 3
A client with chronic obstructive pulmonary disease (COPD) has an arterial blood gas result
showing pH 7.32, PaCO2 58 mmHg, and HCO3 30 mEq/L. Which interpretation is correct?
A) Uncompensated respiratory acidosis
B) Partially compensated respiratory acidosis
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C) Fully compensated respiratory acidosis
D) Mixed metabolic and respiratory acidosis
Answer: B
The pH is low (acidosis) with elevated PaCO2 indicating respiratory acidosis; the HCO3 is
elevated above normal (22-26 mEq/L) showing metabolic compensation, but the pH remains
below 7.35, indicating compensation is only partial.
QUESTION 4
A nurse is caring for a client with major depressive disorder who suddenly appears cheerful and
energetic after weeks of depression. Which action should the nurse take?
A) Document the improvement in mood
B) Increase the client's activity privileges
C) Assess the client for risk of suicide
D) Notify the healthcare provider of the improvement
Answer: C
A sudden, unexpected improvement in mood in a depressed client may indicate that the client
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has made a decision to attempt suicide and feels relieved; this is a critical warning sign that
requires immediate suicide risk assessment.
QUESTION 5
A client with diabetes mellitus type 1 reports feeling shaky, diaphoretic, and confused. The
nurse obtains a blood glucose reading of 52 mg/dL. Which intervention should the nurse
implement first?
A) Administer 50% dextrose IV push
B) Give 15 grams of fast-acting carbohydrate orally
C) Administer glucagon 1 mg subcutaneously
D) Recheck blood glucose in 15 minutes
Answer: B
For a conscious client with hypoglycemia, the priority is to administer 15 grams of fast-acting
carbohydrate orally (such as 4 oz juice or 3 glucose tablets); IV dextrose and glucagon are
reserved for unconscious clients or those unable to swallow.
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SUCCESS!
