PN 3006 UPDATED EXAMS SCRIPT QUESTIONS AND
ANSWERS FIRM A+
✔✔The client has an indwelling catheter. How should the nurse obtain a sterile urine
specimen?
Select one:
a. Disconnect the catheter from the drainage tubing.
b. Withdraw urine from a urinometer.
c. Open the drainage bag and remove urine.
d. Use a needle to withdraw urine from the catheter port. - ✔✔Use a needle to withdraw
urine from the catheter port.
✔✔When a deficit of body fluid exists in the intravascular compartment, which of the
following signs can be expected?
Select one:
a .Crackles
b. Hypertension
c. Neck vein distension
d. An elevated hematocrit level - ✔✔An elevated hematocrit level
✔✔The nurse recognizes that the client, based on the imbalance that is present, will
require fluid replacement with isotonic solution. Which of the following is one of the
isotonic solutions that may be ordered by the physician?
Select one:
a. 0.45% saline
b. Lactated Ringer's
c. 5% dextrose in normal saline
d. 5% dextrose in lactated Ringer's - ✔✔Lactated Ringer's
✔✔he single best indicator of a client's fluid status is the nurse's assessment of which
one of the following?
Select one:
a. The client's skin turgor
b. The client's intake and output
c. The client's serum electrolyte levels
d. The client's daily body weight - ✔✔The client's daily body weight
✔✔Out of all of the following clients, the nurse recognizes that which one is most at risk
for a fluid volume deficit?
Select one:
, a .A 6-month-old learning to drink from a cup
b. A 12-year-old who is moderately active in 27°C weather
c. A 42-year-old with severe diarrhea
d. A 90-year-old with frequent headaches - ✔✔A 42-year-old with severe diarrhea
✔✔Which of the following is an unexpected value that the nurse, in reviewing the results
of the client's blood work, should report to the physician?
Select one:
a. Calcium, 1.9 mmol/L
b. Sodium, 140 mmol/L
c. Potassium, 3.5 mmol/L
d. Magnesium, 1.8 mmol/L - ✔✔Calcium, 1.9 mmol/L
✔✔When a client's serum sodium level is 120 mmol/L, the priority nursing assessment
is to monitor the status of which of the following body systems?
Select one:
a. Neurological
b. Gastrointestinal
c. Pulmonary
d. Hepatic - ✔✔Neurological
✔✔A client experiences a loss of intracellular fluid. The nurse anticipates that which of
the following IV therapies will be used to replace this type of fluid loss?
Select one:
a. 0.45% normal saline (NS)
b. 10% dextrose
c. 5% dextrose in lactated Ringer's
d. Dextrose 5% in 1/2 NS - ✔✔0.45% normal saline (NS)
✔✔A child having an asthma attack has presented to the emergency department. He is
breathing rapidly and has a blood pH of 7.47, signs and symptoms that the nurse
suspects are consistent with which of the following conditions?
Select one:
a. Metabolic acidosis
b. Metabolic alkalosis
c. Respiratory acidosis
d. Respiratory alkalosis - ✔✔Respiratory alkalosis
✔✔The physician orders 1000 mL of D5RL with 20 mmol KCl to run for eight hours.
With an infusion set with a drop factor of 15 gtt/mL, which of the following will the nurse
calculate the flow rate to be?
ANSWERS FIRM A+
✔✔The client has an indwelling catheter. How should the nurse obtain a sterile urine
specimen?
Select one:
a. Disconnect the catheter from the drainage tubing.
b. Withdraw urine from a urinometer.
c. Open the drainage bag and remove urine.
d. Use a needle to withdraw urine from the catheter port. - ✔✔Use a needle to withdraw
urine from the catheter port.
✔✔When a deficit of body fluid exists in the intravascular compartment, which of the
following signs can be expected?
Select one:
a .Crackles
b. Hypertension
c. Neck vein distension
d. An elevated hematocrit level - ✔✔An elevated hematocrit level
✔✔The nurse recognizes that the client, based on the imbalance that is present, will
require fluid replacement with isotonic solution. Which of the following is one of the
isotonic solutions that may be ordered by the physician?
Select one:
a. 0.45% saline
b. Lactated Ringer's
c. 5% dextrose in normal saline
d. 5% dextrose in lactated Ringer's - ✔✔Lactated Ringer's
✔✔he single best indicator of a client's fluid status is the nurse's assessment of which
one of the following?
Select one:
a. The client's skin turgor
b. The client's intake and output
c. The client's serum electrolyte levels
d. The client's daily body weight - ✔✔The client's daily body weight
✔✔Out of all of the following clients, the nurse recognizes that which one is most at risk
for a fluid volume deficit?
Select one:
, a .A 6-month-old learning to drink from a cup
b. A 12-year-old who is moderately active in 27°C weather
c. A 42-year-old with severe diarrhea
d. A 90-year-old with frequent headaches - ✔✔A 42-year-old with severe diarrhea
✔✔Which of the following is an unexpected value that the nurse, in reviewing the results
of the client's blood work, should report to the physician?
Select one:
a. Calcium, 1.9 mmol/L
b. Sodium, 140 mmol/L
c. Potassium, 3.5 mmol/L
d. Magnesium, 1.8 mmol/L - ✔✔Calcium, 1.9 mmol/L
✔✔When a client's serum sodium level is 120 mmol/L, the priority nursing assessment
is to monitor the status of which of the following body systems?
Select one:
a. Neurological
b. Gastrointestinal
c. Pulmonary
d. Hepatic - ✔✔Neurological
✔✔A client experiences a loss of intracellular fluid. The nurse anticipates that which of
the following IV therapies will be used to replace this type of fluid loss?
Select one:
a. 0.45% normal saline (NS)
b. 10% dextrose
c. 5% dextrose in lactated Ringer's
d. Dextrose 5% in 1/2 NS - ✔✔0.45% normal saline (NS)
✔✔A child having an asthma attack has presented to the emergency department. He is
breathing rapidly and has a blood pH of 7.47, signs and symptoms that the nurse
suspects are consistent with which of the following conditions?
Select one:
a. Metabolic acidosis
b. Metabolic alkalosis
c. Respiratory acidosis
d. Respiratory alkalosis - ✔✔Respiratory alkalosis
✔✔The physician orders 1000 mL of D5RL with 20 mmol KCl to run for eight hours.
With an infusion set with a drop factor of 15 gtt/mL, which of the following will the nurse
calculate the flow rate to be?
