NURS 404 Exam 1 questions well
answered already passed
Lactated Ringers (LR) - correct answer ✔✔A pt is admitted to the ED with hypovolemia. Which
IV solution should the RN anticipate administering?
1, 3, and 5mL syringes will exert too much pressure - correct answer ✔✔Why use a 10mL
syringe to flush a PICC line?
Note the findings in the patients medical record (normal for pericarditis) - correct answer
✔✔The RN notes a grating heart sound when auscultating the apical pulse of a patient with
pericarditis. What should the RN do with this assessment data?
Keep an accurate record of activity during the day - correct answer ✔✔A client with an
increasing number of PVCs is scheduled for 24 hr Holter monitoring. The nurse instructs the
client to
Pacemaker spikes are noted, but no P waves or QRS complex follows - correct answer ✔✔The
RN receives in report that the patient with a pacemaker has experienced loss of capture. Which
situation is consistent with this?
Pacemaker insertion - correct answer ✔✔A nurse on a cardiac unit is caring for a patient who is
on telemetry. The nurse recognizes the patient's HR is 44/min and notifies the healthcare
provider. The nurse should anticipate which of the following management strategies will be
used by this patient?
22-25 gauge IM injection - correct answer ✔✔Influenza vaccination
,-isotonic in bag, hypotonic when infused with - correct answer ✔✔D5W
-more serious
-elevated BNP
-can be seen during or directly after transfusion
-pulmonary edema
-treat with diuretics - correct answer ✔✔TACO
-NO DIURETICS
-within 6 hours of transfusion - correct answer ✔✔TRALI
15-30 minutes - correct answer ✔✔Rate to give platelets
-made in the ventricles
-<100 pg/mL
-used for diagnosing heart failure - correct answer ✔✔BNP
-120mL/hr for 1st 15 minutes and can increase to 15-250 mL/hr after
-must be done within 4 hours - correct answer ✔✔Blood Transfusions
"I don't need to manually calculate IV infusion rates with smart pumps." - correct answer ✔✔A
new RN is caring for a client receiving drug therapy via a smart pump. What statement by the
new nurse demonstrates the need for more instruction on this technology?
-3-8 inches long
-in upper arm
-hydration and drug therapy for 6-14 days
, -DO NOT USE VESICANT DRUGS or to draw blood - correct answer ✔✔PICC Lines
-calcium
-potassium - correct answer ✔✔Which electrolytes are affected by low magnesium levels?
Hematocrit is 52% - correct answer ✔✔Which condition or manifestation in the client with a
serum sodium level of 149 indicates to the nurse that this electrolyte imbalance may be caused
by excessive fluid loss?
15 mEq - correct answer ✔✔A client is receiving an intravenous infusion of 100 KCl in 1000 mL
of normal saline. How many mEq of potassium per hour does the nurse calculate the client will
receive if the IV is infused at 150 mL/hour?
Determine what drugs are taken daily - correct answer ✔✔Which assessment data is the most
relevant for the nurse to obtain from a client who has a serum potassium level of 2.9?
Stop the infusion of the drug - correct answer ✔✔A client is receving gentamycin intravenously
reports that the peripheral IV insertion site has become painful and reddened. What is the
priority nursing action?
Place the client on O2 - correct answer ✔✔An older adult client receiving an infusion of 5%
dextrose in 0.9% normal saline at 150mL/hour has developed shortness of breathe with a
decrease in O2 saturation to 86%. What is the priority nursing intervention?
-if you tend to get angry easily, then your risk for heart disease is higher
-do not eat more calories on a daily basis that you are able to burn
-secondhand smoke creates a significant risk to others
-exercise moderately at least 2 days per week for a total of 150 minutes - correct answer
✔✔The nurse is teaching a class regarding reduction of risk factors for cardiovascular disease.
Which teaching statement will the nurse include?
answered already passed
Lactated Ringers (LR) - correct answer ✔✔A pt is admitted to the ED with hypovolemia. Which
IV solution should the RN anticipate administering?
1, 3, and 5mL syringes will exert too much pressure - correct answer ✔✔Why use a 10mL
syringe to flush a PICC line?
Note the findings in the patients medical record (normal for pericarditis) - correct answer
✔✔The RN notes a grating heart sound when auscultating the apical pulse of a patient with
pericarditis. What should the RN do with this assessment data?
Keep an accurate record of activity during the day - correct answer ✔✔A client with an
increasing number of PVCs is scheduled for 24 hr Holter monitoring. The nurse instructs the
client to
Pacemaker spikes are noted, but no P waves or QRS complex follows - correct answer ✔✔The
RN receives in report that the patient with a pacemaker has experienced loss of capture. Which
situation is consistent with this?
Pacemaker insertion - correct answer ✔✔A nurse on a cardiac unit is caring for a patient who is
on telemetry. The nurse recognizes the patient's HR is 44/min and notifies the healthcare
provider. The nurse should anticipate which of the following management strategies will be
used by this patient?
22-25 gauge IM injection - correct answer ✔✔Influenza vaccination
,-isotonic in bag, hypotonic when infused with - correct answer ✔✔D5W
-more serious
-elevated BNP
-can be seen during or directly after transfusion
-pulmonary edema
-treat with diuretics - correct answer ✔✔TACO
-NO DIURETICS
-within 6 hours of transfusion - correct answer ✔✔TRALI
15-30 minutes - correct answer ✔✔Rate to give platelets
-made in the ventricles
-<100 pg/mL
-used for diagnosing heart failure - correct answer ✔✔BNP
-120mL/hr for 1st 15 minutes and can increase to 15-250 mL/hr after
-must be done within 4 hours - correct answer ✔✔Blood Transfusions
"I don't need to manually calculate IV infusion rates with smart pumps." - correct answer ✔✔A
new RN is caring for a client receiving drug therapy via a smart pump. What statement by the
new nurse demonstrates the need for more instruction on this technology?
-3-8 inches long
-in upper arm
-hydration and drug therapy for 6-14 days
, -DO NOT USE VESICANT DRUGS or to draw blood - correct answer ✔✔PICC Lines
-calcium
-potassium - correct answer ✔✔Which electrolytes are affected by low magnesium levels?
Hematocrit is 52% - correct answer ✔✔Which condition or manifestation in the client with a
serum sodium level of 149 indicates to the nurse that this electrolyte imbalance may be caused
by excessive fluid loss?
15 mEq - correct answer ✔✔A client is receiving an intravenous infusion of 100 KCl in 1000 mL
of normal saline. How many mEq of potassium per hour does the nurse calculate the client will
receive if the IV is infused at 150 mL/hour?
Determine what drugs are taken daily - correct answer ✔✔Which assessment data is the most
relevant for the nurse to obtain from a client who has a serum potassium level of 2.9?
Stop the infusion of the drug - correct answer ✔✔A client is receving gentamycin intravenously
reports that the peripheral IV insertion site has become painful and reddened. What is the
priority nursing action?
Place the client on O2 - correct answer ✔✔An older adult client receiving an infusion of 5%
dextrose in 0.9% normal saline at 150mL/hour has developed shortness of breathe with a
decrease in O2 saturation to 86%. What is the priority nursing intervention?
-if you tend to get angry easily, then your risk for heart disease is higher
-do not eat more calories on a daily basis that you are able to burn
-secondhand smoke creates a significant risk to others
-exercise moderately at least 2 days per week for a total of 150 minutes - correct answer
✔✔The nurse is teaching a class regarding reduction of risk factors for cardiovascular disease.
Which teaching statement will the nurse include?
