Question 1 See full question
A client is scheduled to have a graded exercise test. The nurse explains to
the client that the test will determine how:
You Selected:
well the body reacts to controlled exercise stress.
Correct response:
well the body reacts to controlled exercise stress.
Explanation:
Graded exercise testing is a diagnostic and prognostic tool used to
determine the physiologic responses to controlled exercise stress.
Information gained from a graded exercise test can achieve diagnostic,
functional, and therapeutic objectives for the client. Graded exercise
tests involve the use of a treadmill, stationary bicycle, or arm
ergometry. The information obtained from this test is not used to set
the incline on the treadmill, and measuring the distance walked and the
duration of the walk are not the purpose of a graded exercise test.
Remediation:
Electrocardiography, exercise
Question 2 See full question
A nurse should include which discharge instruction for clients receiving
tricyclic antidepressants?
You Selected:
Restrict fluid and sodium intake while using this medication.
Correct response:
Don't consume alcohol while using this medication.
Explanation:
Drinking alcohol can potentiate the sedating action of tricyclic
antidepressants. Dry mouth and blurred vision are normal adverse effects
of tricyclic antidepressants.
Fluid and sodium intake must be monitored during lithium treatment,
not during
,treatment with tricyclic antidepressants. Safe use of tricyclic
antidepressants during pregnancy and breast-feeding hasn't been
established.
Remediation:
Amitriptyline hydrochloride
Clomipramine hydrochloride
Question 3 See full question
The nurse prepares to administer promethazine 35 mg IM as prescribed
PRN for a client with cholecystitis who has nausea. The ampule label
reads that the medication is available in 25 mg/mL. How many
milliliters should the nurse administer? Record your answer using one
decimal place.
Your Response:
0.7
Correct response:
1.4
Explanation:
The following formula is used to calculate the correct dosage:
35 mg/X = 25 mg/1
mL X = (35/25) mL
X = 1.4 mL.
Question 4 See full question
Levothyroxine 0.2 mg orally has been prescribed for a client diagnosed
with hypothyroidism. The nurse has available 0.05-mg tablets. How
many tablets should the nurse prepare to give the client?
You Selected:
two tablets
Correct response:
four tablets
,Explanation:
0.2 mg/x tablet = 0.05 mg/1 tablet.
x = 4 tablets.
Remediation:
Levothyroxine sodium
Question 5 See full
question
What is the nurse’s priority intervention for a toddler who has just had a
hip-spica cast applied?
You Selected:
Assess sensation, circulation, and motion of the child’s feet and toes
Correct response:
Assess sensation, circulation, and motion of the child’s feet and toes
Explanation:
Assessing sensation, circulation, and motion is necessary in all children
with a cast. Fluids should be encouraged, and careful diapering and
padding will keep the child’s cast dry. Discharge instructions are not a
priority, but should be shared at a later time. Children experiencing pain
should receive medication as needed.
Remediation:
Cast assessment and management,
pediatric Casting, pediatric
Question 6 See full
question
A child requires IV fluids to infuse at 27 ml/hr. The tubing delivers 60
gtts/ml. How many gtts/min should the nurse count to ensure that the
fluid is safely infusing?
You Selected:
27 gtts/min
Correct response:
, 27 gtts/min
Explanation:
The nurse should count 27 gtts/min. 27 ml/h x 60 gtts/ml ÷ 60 min/h =
27 gtts/min
Remediation:
IV infusion, dose and flow rate calculations
Question 7 See full question
Before placement of a ventriculoperitoneal shunt for hydrocephalus, an
infant is irritable, lethargic, and difficult to feed. To maintain the infant's
nutritional status, which action would be most appropriate?
You Selected:
Give the infant small, frequent feedings.
Correct response:
Give the infant small, frequent feedings.
Explanation:
An infant with hydrocephalus is difficult to feed because of poor sucking,
lethargy, and vomiting, which are associated with increased intracranial
pressure. Small, frequent feedings given at times when the infant is
relaxed and calm are tolerated best. Feeding an infant before any
procedure is inappropriate because the stress of the procedure may lead
to vomiting. Ideally, the infant should be held in a slightly vertical position
when feeding to prevent backflow of formula into the eustachian tubes
and subsequent development of ear infections. Giving large, less
frequently feedings allows for rest, but typically results in more vomiting.
Remediation:
Ventriculoperitoneal shunt
placement Hydrocephalus,
pediartic
Question 8 See full question
A client is scheduled to have a graded exercise test. The nurse explains to
the client that the test will determine how:
You Selected:
well the body reacts to controlled exercise stress.
Correct response:
well the body reacts to controlled exercise stress.
Explanation:
Graded exercise testing is a diagnostic and prognostic tool used to
determine the physiologic responses to controlled exercise stress.
Information gained from a graded exercise test can achieve diagnostic,
functional, and therapeutic objectives for the client. Graded exercise
tests involve the use of a treadmill, stationary bicycle, or arm
ergometry. The information obtained from this test is not used to set
the incline on the treadmill, and measuring the distance walked and the
duration of the walk are not the purpose of a graded exercise test.
Remediation:
Electrocardiography, exercise
Question 2 See full question
A nurse should include which discharge instruction for clients receiving
tricyclic antidepressants?
You Selected:
Restrict fluid and sodium intake while using this medication.
Correct response:
Don't consume alcohol while using this medication.
Explanation:
Drinking alcohol can potentiate the sedating action of tricyclic
antidepressants. Dry mouth and blurred vision are normal adverse effects
of tricyclic antidepressants.
Fluid and sodium intake must be monitored during lithium treatment,
not during
,treatment with tricyclic antidepressants. Safe use of tricyclic
antidepressants during pregnancy and breast-feeding hasn't been
established.
Remediation:
Amitriptyline hydrochloride
Clomipramine hydrochloride
Question 3 See full question
The nurse prepares to administer promethazine 35 mg IM as prescribed
PRN for a client with cholecystitis who has nausea. The ampule label
reads that the medication is available in 25 mg/mL. How many
milliliters should the nurse administer? Record your answer using one
decimal place.
Your Response:
0.7
Correct response:
1.4
Explanation:
The following formula is used to calculate the correct dosage:
35 mg/X = 25 mg/1
mL X = (35/25) mL
X = 1.4 mL.
Question 4 See full question
Levothyroxine 0.2 mg orally has been prescribed for a client diagnosed
with hypothyroidism. The nurse has available 0.05-mg tablets. How
many tablets should the nurse prepare to give the client?
You Selected:
two tablets
Correct response:
four tablets
,Explanation:
0.2 mg/x tablet = 0.05 mg/1 tablet.
x = 4 tablets.
Remediation:
Levothyroxine sodium
Question 5 See full
question
What is the nurse’s priority intervention for a toddler who has just had a
hip-spica cast applied?
You Selected:
Assess sensation, circulation, and motion of the child’s feet and toes
Correct response:
Assess sensation, circulation, and motion of the child’s feet and toes
Explanation:
Assessing sensation, circulation, and motion is necessary in all children
with a cast. Fluids should be encouraged, and careful diapering and
padding will keep the child’s cast dry. Discharge instructions are not a
priority, but should be shared at a later time. Children experiencing pain
should receive medication as needed.
Remediation:
Cast assessment and management,
pediatric Casting, pediatric
Question 6 See full
question
A child requires IV fluids to infuse at 27 ml/hr. The tubing delivers 60
gtts/ml. How many gtts/min should the nurse count to ensure that the
fluid is safely infusing?
You Selected:
27 gtts/min
Correct response:
, 27 gtts/min
Explanation:
The nurse should count 27 gtts/min. 27 ml/h x 60 gtts/ml ÷ 60 min/h =
27 gtts/min
Remediation:
IV infusion, dose and flow rate calculations
Question 7 See full question
Before placement of a ventriculoperitoneal shunt for hydrocephalus, an
infant is irritable, lethargic, and difficult to feed. To maintain the infant's
nutritional status, which action would be most appropriate?
You Selected:
Give the infant small, frequent feedings.
Correct response:
Give the infant small, frequent feedings.
Explanation:
An infant with hydrocephalus is difficult to feed because of poor sucking,
lethargy, and vomiting, which are associated with increased intracranial
pressure. Small, frequent feedings given at times when the infant is
relaxed and calm are tolerated best. Feeding an infant before any
procedure is inappropriate because the stress of the procedure may lead
to vomiting. Ideally, the infant should be held in a slightly vertical position
when feeding to prevent backflow of formula into the eustachian tubes
and subsequent development of ear infections. Giving large, less
frequently feedings allows for rest, but typically results in more vomiting.
Remediation:
Ventriculoperitoneal shunt
placement Hydrocephalus,
pediartic
Question 8 See full question
