RN Fund Prac A Questions And Answers Rated A
A nurse is preparing to administer 750 mL of being calculated.)
0.9% sodium chloride IV to infuse over 7 hr. The 750 mLX mL/hr = 7 hr
nurse should set the infusion pump to deliver Step 3: Place any remaining ratios that are
how many mL/hr? (Round to the nearest whole relevant to the item on the right side of the
number.) - - 107 mL/hr equation, along with any needed conversion
Formula: t otal volume/total hours = mL/hr factors, to cancel out unwanted units of
Solution: measurement.
Unit = mL/hr 750 mLX mL/hr = 7 hr
Volume ( mL) = 750 mL Step 4: Solve for X.
Time ( hr) = 7 hr X mL/hr = 107.14 mL/hr
Convert = NO Step 5: Round if necessary. 107.14 mL/hr = 107
* 750 mL/7 hr = 107.1 mL/hr = 107 mL/hr mL/hr
Step 6: Determine if the amount to administer
Follow these steps to calculate the infusion rate makes sense. If the prescription rea
using the Ratio and Proportion or Desired Over
Have method of calculation:
Step 1: What is the unit of measurement the A nurse is preparing to administer an injection of
nurse should calculate? mL/hr an opioid medication to a client. The nurse draws
Step 2: What is the volume the nurse should out 1 mL of the medication from a 2 mL vial.
infuse? 750 mL Which of the following actions should the nurse
Step 3: What is the total infusion time? 7 hr take?
Step 4: Should the nurse convert the units of
measurement? No A. Ask another nurse to observe the medication
Step 5: Set up an equation and solve for X. wastage.
Volume (mL)X mL/hr = Time (hr) B. Notify the pharmacy when wasting the
750 mLX mL/hr = 7 hr medication.
X mL/hr = 107.14 mL/hr C. Lock the remaining medication in the
Step 6: Round if necessary. 107.14 mL/hr = 107 controlled substances cabinet.
mL/hr D. Dispose of the vial with the remaining
Step 7: Determine if the amount to administer medication in a sharps container. - -
makes sense. If the prescription reads 0.9% Answer: Ask another nurse to observe the
sodium chloride 750 mL IV to infuse over 7 hr, it medication wastage.
makes sense to administer 107 mL/hr. The nurse A second nurse must witness the disposal of any
should set the IV pump to deliver 0.9% sodium portion of a dose of a controlled substance.
chloride IV at 107 mL/hr.
Follow these steps to calculate the infusion rate Notify the pharmacy when wasting the
using the Dimensional Analysis method of medication.
calculation: Pharmacies do not require notification of the
Step 1: What is the unit of measurement the disposal of a portion of a dose of a controlled
nurse should calculate? (Place the unit of substance.
measure being calculated on the left side of the
equation.) Lock the remaining medication in the controlled
X mL/hr = substances cabinet.
Step 2: Determine the ratio that contains the The nurse should not lock the remaining
same unit as the unit being calculated. (Place the controlled substance in the cabinet because this
ratio on the right side of the equation, ensuring is a violation of the Controlled Substances Act.
that the unit in the numerator matches the unit
, RN Fund Prac A Questions And Answers Rated A
Dispose of the vial with the remaining medication evaluate your condition."
in a sharps container. Intubation is a resuscitative measure. The staff
The nurse should not dispose of the remaining should not implement this intervention for a client
controlled substance in the sharps container who declines resuscitation in their living will.
because this is a violation of the Controlled
Substances Act.
A nurse is caring for a client who is postoperative
and refuses to use an incentive spirometer
A nurse is educating a client who has a terminal following major abdominal surgery. Which of the
illness about declining resuscitation in a living following actions is the nurse's priority?
will. The client asks, "What would happen if I
arrived at the emergency department and I had A. Request that a respiratory therapist discuss
difficulty breathing?" Which of the following the technique for incentive spirometry with the
responses should the nurse make? client.
B. Determine the reasons why the client is
A. "We would consult the person appointed by refusing to use the incentive spirometer.
your health care proxy to make decisions." C. Document the client's refusal to participate in
B. "We would give you oxygen through a tube in health restorative activities.
your nose." D. Administer a pain medication to the client. -
C. "You would be unable to change your - Request that a respiratory therapist
previous wishes about your care." discuss the technique for incentive spirometry
D. "We would insert a breathing tube while we with the client.
evaluate your condition." - - "We would The nurse can request that another team
consult the person appointed by your health care member discuss the use of the incentive
proxy to make decisions." spirometer with the client to encourage the client
The staff must honor the client's wishes as stated to use it; however, this is not the priority action for
in their living will; therefore, it would not be the nurse to take.
necessary to consult the person appointed by the
client's health care proxy to make decisions Answer: Determine the reasons why the client is
about the client's care. refusing to use the incentive spirometer.
The first action the nurse should take when using
Answer: "We would give you oxygen through a the nursing process is to assess the client;
tube in your nose." therefore, the priority action for the nurse to take
Oxygen can provide comfort and is not is to determine why the client is refusing the
considered a resuscitative measure when the treatment.
nurse delivers it via nasal cannula.
Document the client's refusal to participate in
"You would be unable to change your previous health restorative activities.
wishes about your care." If other interventions to promote the client's use
Clients determine advance directives ahead of of the incentive spirometer are unsuccessful, the
time to guide decision-making at the time of an nurse must document the client's refusal;
emergency event. If the client initiates a change, however, this is not the priority action for the
the staff must honor it. Otherwise, staff must nurse to take.
honor the decisions the client has documented in
the advance directives. Administer a pain medication to the client.
Pain or incisional complications might make the
"We would insert a breathing tube while we client refuse spirometry; however, administering
, RN Fund Prac A Questions And Answers Rated A
medication is not the priority action for the nurse B. "You should consider getting a part-time job or
to take. doing volunteer work."
C. "Let's talk about how the change in your job
status will affect you."
A nurse on a medical-surgical unit is caring for a D. "Why wouldn't you want to retire and relax?" -
client who has a new prescription for wrist - "You would have so much more time to
restraints. Which of the following actions should spend with your family."
the nurse take? This response is nontherapeutic because the
nurse is minimizing the client's feelings and
A. Pad the client's wrist before applying the making assumptions about the client's
restraints. relationships.
B. Evaluate the client's circulation every 8 hr
after application. "You should consider getting a part-time job or
C. Remove the restraints every 4 hr to evaluate doing volunteer work."
the client's status. This response is nontherapeutic because the
D. Secure the restraint ties to the bed's side rails. nurse is minimizing the client's feelings and
- - Answer: Pad the client's wrist before offering personal advice.
applying the restraints.
The use of restraints without padding can abrade Answer: "Let's talk about how the change in your
the client's skin, resulting in client injury. job status will affect you."
This response is therapeutic because the nurse
Evaluate the client's circulation every 8 hr after is encouraging the client to verbalize feelings
application. about the life transition of retirement.
The nurse should evaluate the client's circulation,
range of motion, vital signs, and overall status "Why wouldn't you want to retire and relax?"
every 15 min after initial application of restraints. This response is nontherapeutic because the
nurse is asking a "why" question, which can
Remove the restraints every 4 hr to evaluate the provoke a defensive response from the client.
client's status.
The nurse should remove the restraints at least
every 2 hr to reposition the client and assess A nurse is caring for a client who has pharyngeal
needs for hygiene and toileting. diphtheria. Which of the following types of
transmission precautions should the nurse
Secure the restraint ties to the bed's side rails. initiate?
The nurse should secure the restraint ties to a
part of the bed frame that moves with the client A. Contact
to reduce the risk of injury. B. Droplet
C. Airborne
D. Protective - - Contact
A nurse is talking with an older adult client who is Contact precautions are a requirement for clients
contemplating retirement. The client states, "I who have infections that spread via direct contact
keep thinking about how much I enjoy my job. I'm or from environmental contact. Examples are
not sure I want to retire." Which of the following vancomycin-resistant enterococci and herpes
responses should the nurse make? simplex infections.
A. "You would have so much more time to spend Answer: Droplet
with your family."
A nurse is preparing to administer 750 mL of being calculated.)
0.9% sodium chloride IV to infuse over 7 hr. The 750 mLX mL/hr = 7 hr
nurse should set the infusion pump to deliver Step 3: Place any remaining ratios that are
how many mL/hr? (Round to the nearest whole relevant to the item on the right side of the
number.) - - 107 mL/hr equation, along with any needed conversion
Formula: t otal volume/total hours = mL/hr factors, to cancel out unwanted units of
Solution: measurement.
Unit = mL/hr 750 mLX mL/hr = 7 hr
Volume ( mL) = 750 mL Step 4: Solve for X.
Time ( hr) = 7 hr X mL/hr = 107.14 mL/hr
Convert = NO Step 5: Round if necessary. 107.14 mL/hr = 107
* 750 mL/7 hr = 107.1 mL/hr = 107 mL/hr mL/hr
Step 6: Determine if the amount to administer
Follow these steps to calculate the infusion rate makes sense. If the prescription rea
using the Ratio and Proportion or Desired Over
Have method of calculation:
Step 1: What is the unit of measurement the A nurse is preparing to administer an injection of
nurse should calculate? mL/hr an opioid medication to a client. The nurse draws
Step 2: What is the volume the nurse should out 1 mL of the medication from a 2 mL vial.
infuse? 750 mL Which of the following actions should the nurse
Step 3: What is the total infusion time? 7 hr take?
Step 4: Should the nurse convert the units of
measurement? No A. Ask another nurse to observe the medication
Step 5: Set up an equation and solve for X. wastage.
Volume (mL)X mL/hr = Time (hr) B. Notify the pharmacy when wasting the
750 mLX mL/hr = 7 hr medication.
X mL/hr = 107.14 mL/hr C. Lock the remaining medication in the
Step 6: Round if necessary. 107.14 mL/hr = 107 controlled substances cabinet.
mL/hr D. Dispose of the vial with the remaining
Step 7: Determine if the amount to administer medication in a sharps container. - -
makes sense. If the prescription reads 0.9% Answer: Ask another nurse to observe the
sodium chloride 750 mL IV to infuse over 7 hr, it medication wastage.
makes sense to administer 107 mL/hr. The nurse A second nurse must witness the disposal of any
should set the IV pump to deliver 0.9% sodium portion of a dose of a controlled substance.
chloride IV at 107 mL/hr.
Follow these steps to calculate the infusion rate Notify the pharmacy when wasting the
using the Dimensional Analysis method of medication.
calculation: Pharmacies do not require notification of the
Step 1: What is the unit of measurement the disposal of a portion of a dose of a controlled
nurse should calculate? (Place the unit of substance.
measure being calculated on the left side of the
equation.) Lock the remaining medication in the controlled
X mL/hr = substances cabinet.
Step 2: Determine the ratio that contains the The nurse should not lock the remaining
same unit as the unit being calculated. (Place the controlled substance in the cabinet because this
ratio on the right side of the equation, ensuring is a violation of the Controlled Substances Act.
that the unit in the numerator matches the unit
, RN Fund Prac A Questions And Answers Rated A
Dispose of the vial with the remaining medication evaluate your condition."
in a sharps container. Intubation is a resuscitative measure. The staff
The nurse should not dispose of the remaining should not implement this intervention for a client
controlled substance in the sharps container who declines resuscitation in their living will.
because this is a violation of the Controlled
Substances Act.
A nurse is caring for a client who is postoperative
and refuses to use an incentive spirometer
A nurse is educating a client who has a terminal following major abdominal surgery. Which of the
illness about declining resuscitation in a living following actions is the nurse's priority?
will. The client asks, "What would happen if I
arrived at the emergency department and I had A. Request that a respiratory therapist discuss
difficulty breathing?" Which of the following the technique for incentive spirometry with the
responses should the nurse make? client.
B. Determine the reasons why the client is
A. "We would consult the person appointed by refusing to use the incentive spirometer.
your health care proxy to make decisions." C. Document the client's refusal to participate in
B. "We would give you oxygen through a tube in health restorative activities.
your nose." D. Administer a pain medication to the client. -
C. "You would be unable to change your - Request that a respiratory therapist
previous wishes about your care." discuss the technique for incentive spirometry
D. "We would insert a breathing tube while we with the client.
evaluate your condition." - - "We would The nurse can request that another team
consult the person appointed by your health care member discuss the use of the incentive
proxy to make decisions." spirometer with the client to encourage the client
The staff must honor the client's wishes as stated to use it; however, this is not the priority action for
in their living will; therefore, it would not be the nurse to take.
necessary to consult the person appointed by the
client's health care proxy to make decisions Answer: Determine the reasons why the client is
about the client's care. refusing to use the incentive spirometer.
The first action the nurse should take when using
Answer: "We would give you oxygen through a the nursing process is to assess the client;
tube in your nose." therefore, the priority action for the nurse to take
Oxygen can provide comfort and is not is to determine why the client is refusing the
considered a resuscitative measure when the treatment.
nurse delivers it via nasal cannula.
Document the client's refusal to participate in
"You would be unable to change your previous health restorative activities.
wishes about your care." If other interventions to promote the client's use
Clients determine advance directives ahead of of the incentive spirometer are unsuccessful, the
time to guide decision-making at the time of an nurse must document the client's refusal;
emergency event. If the client initiates a change, however, this is not the priority action for the
the staff must honor it. Otherwise, staff must nurse to take.
honor the decisions the client has documented in
the advance directives. Administer a pain medication to the client.
Pain or incisional complications might make the
"We would insert a breathing tube while we client refuse spirometry; however, administering
, RN Fund Prac A Questions And Answers Rated A
medication is not the priority action for the nurse B. "You should consider getting a part-time job or
to take. doing volunteer work."
C. "Let's talk about how the change in your job
status will affect you."
A nurse on a medical-surgical unit is caring for a D. "Why wouldn't you want to retire and relax?" -
client who has a new prescription for wrist - "You would have so much more time to
restraints. Which of the following actions should spend with your family."
the nurse take? This response is nontherapeutic because the
nurse is minimizing the client's feelings and
A. Pad the client's wrist before applying the making assumptions about the client's
restraints. relationships.
B. Evaluate the client's circulation every 8 hr
after application. "You should consider getting a part-time job or
C. Remove the restraints every 4 hr to evaluate doing volunteer work."
the client's status. This response is nontherapeutic because the
D. Secure the restraint ties to the bed's side rails. nurse is minimizing the client's feelings and
- - Answer: Pad the client's wrist before offering personal advice.
applying the restraints.
The use of restraints without padding can abrade Answer: "Let's talk about how the change in your
the client's skin, resulting in client injury. job status will affect you."
This response is therapeutic because the nurse
Evaluate the client's circulation every 8 hr after is encouraging the client to verbalize feelings
application. about the life transition of retirement.
The nurse should evaluate the client's circulation,
range of motion, vital signs, and overall status "Why wouldn't you want to retire and relax?"
every 15 min after initial application of restraints. This response is nontherapeutic because the
nurse is asking a "why" question, which can
Remove the restraints every 4 hr to evaluate the provoke a defensive response from the client.
client's status.
The nurse should remove the restraints at least
every 2 hr to reposition the client and assess A nurse is caring for a client who has pharyngeal
needs for hygiene and toileting. diphtheria. Which of the following types of
transmission precautions should the nurse
Secure the restraint ties to the bed's side rails. initiate?
The nurse should secure the restraint ties to a
part of the bed frame that moves with the client A. Contact
to reduce the risk of injury. B. Droplet
C. Airborne
D. Protective - - Contact
A nurse is talking with an older adult client who is Contact precautions are a requirement for clients
contemplating retirement. The client states, "I who have infections that spread via direct contact
keep thinking about how much I enjoy my job. I'm or from environmental contact. Examples are
not sure I want to retire." Which of the following vancomycin-resistant enterococci and herpes
responses should the nurse make? simplex infections.
A. "You would have so much more time to spend Answer: Droplet
with your family."
