A nurse on a pediatric floor is teaching a newly licensed nurse about iv therapy. Which of the
following information should the nurse include? - ANSWER Perform range of motion ex-
ercises on the extremity containing the IV site.
A nurse is caring for a client who has a prescription to receive one unit of packed red blood
cells. The clients blood type is AB+, and the nurse receives a unit of A- blood from the blood
bank. Which of the following actions should the nurse take? - ANSWER Verify the unit of
blood with another nurse.
A nurse is caring for an older adult client who is experiencing dehydration. The nurse should
identify that which of the following factors increases the risk for dehydration in older adult
clients? (Select all that apply.)
1) Decreased kidney function
2) Decreased total body fluid
3) Eating watermelon daily
4) Eating cucumbers with each meal
5) Decreased thirst response - ANSWER 1,2,5
A nurse is preparing to administer 4,200 ml of intravenous fluids to a client to infuse over 24
hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the
nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - AN-
SWER 175
A nurse is reviewing a clients laboratory results. Which of the following results should the
nurse report to the provider? - ANSWER Magnesium 3 mEq/L
1
, A nurse is assessing a client who is exhibiting signs of a fluid and electrolyte imbalance.
Which of the following findings should the nurse identify as a potential cause for the client's
fluid and electrolyte imbalance? - ANSWER The client reports that they performed yard
work for 8 hr in 35° C (95° F) temperature earlier that day.
A nurse is preparing to start an iv for a client who has a high risk for bleeding. Which of the
following actions should the nurse take? - ANSWER Apply a blood pressure cuff set to 30
mm Hg.
A nurse is caring for a client who has a peripherally inserted central catheter (PICC). For
which of the following complications should the nurse monitor? - ANSWER Infection at
the access site
A nurse is reviewing prescriptions for a client who needs intravenous fluid replacement ther-
apy due to vomiting and diarrhea. Which of the following fluid prescriptions should the
nurse expect to initiate? - ANSWER 0.9% sodium chloride solution
A nurse is receiving report on four clients. The nurse should identify that which of the follow-
ing clients might be experiencing hypomagnesemia? - ANSWER A client who has vomited
four times during the last 8 hr.
A nurse is participating in a blood drive and is taking a donation from a client who has type
A- blood. The client asks the nurse what blood types can receive their donation. Which of
the following responses should the nurse make? (Select all that apply.)
1) A+
2) B+
3) o+
4) AB-
5) AB+
6) A- - ANSWER 1,4,5,6
2
following information should the nurse include? - ANSWER Perform range of motion ex-
ercises on the extremity containing the IV site.
A nurse is caring for a client who has a prescription to receive one unit of packed red blood
cells. The clients blood type is AB+, and the nurse receives a unit of A- blood from the blood
bank. Which of the following actions should the nurse take? - ANSWER Verify the unit of
blood with another nurse.
A nurse is caring for an older adult client who is experiencing dehydration. The nurse should
identify that which of the following factors increases the risk for dehydration in older adult
clients? (Select all that apply.)
1) Decreased kidney function
2) Decreased total body fluid
3) Eating watermelon daily
4) Eating cucumbers with each meal
5) Decreased thirst response - ANSWER 1,2,5
A nurse is preparing to administer 4,200 ml of intravenous fluids to a client to infuse over 24
hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the
nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - AN-
SWER 175
A nurse is reviewing a clients laboratory results. Which of the following results should the
nurse report to the provider? - ANSWER Magnesium 3 mEq/L
1
, A nurse is assessing a client who is exhibiting signs of a fluid and electrolyte imbalance.
Which of the following findings should the nurse identify as a potential cause for the client's
fluid and electrolyte imbalance? - ANSWER The client reports that they performed yard
work for 8 hr in 35° C (95° F) temperature earlier that day.
A nurse is preparing to start an iv for a client who has a high risk for bleeding. Which of the
following actions should the nurse take? - ANSWER Apply a blood pressure cuff set to 30
mm Hg.
A nurse is caring for a client who has a peripherally inserted central catheter (PICC). For
which of the following complications should the nurse monitor? - ANSWER Infection at
the access site
A nurse is reviewing prescriptions for a client who needs intravenous fluid replacement ther-
apy due to vomiting and diarrhea. Which of the following fluid prescriptions should the
nurse expect to initiate? - ANSWER 0.9% sodium chloride solution
A nurse is receiving report on four clients. The nurse should identify that which of the follow-
ing clients might be experiencing hypomagnesemia? - ANSWER A client who has vomited
four times during the last 8 hr.
A nurse is participating in a blood drive and is taking a donation from a client who has type
A- blood. The client asks the nurse what blood types can receive their donation. Which of
the following responses should the nurse make? (Select all that apply.)
1) A+
2) B+
3) o+
4) AB-
5) AB+
6) A- - ANSWER 1,4,5,6
2
