QUESTIONS AND ANSWERS| REAL EXAM QNA | 2025 LATEST UPDATED
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1. A nurse is assessing a client who has hypokalemia as a result of nausea, vomiting, and
diarrhea. Which of the following findings should the nurse expect?: Weak, irregular pulse
2. A nurse is caring for four clients who have drainage tubes. Which of the following clients
should the nurse recognize as being at risk for hypokalemia? The client who has a tracheostomy
tube attached to humidified oxygenThe client who has an indwelling urinary catheter to gravity
drainageThe client who has a chest tube to water sealThe client who has a nasogastric (NG) tube
to suction: The client who has a nasogastric (NG) tube to suction.
3. A nurse is working with a licensed practical nurse (LPN) to care for a client who is
receiving a continuous IV infusion. Which of the following findings reported by the LPN indicates
to the nurse the client has phlebitis at the IV insertion site?: "The area surrounding the insertion site
feels warm to the touch" 4. A nurse is caring for a client who has a prescription for potassium
chloride (KCl) 20mEq PO daily. The nurse reviews the client's most recent laboratory results and
finds the client's potassium level is 5.2 mEq/L. Which of the following actions should the nurse
take?: Call the prescribing physician and inform her of the client's serum potassium level results.
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, 5. A nurse is preparing to administer 40 mEq of potassium chloride in 45% sodium chloride
(NaCl) 500 mL IV to infuse 10 mEq/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.): 125 ml/hr
6. A nurse is caring for a client who will have blood sampling for a serum creatinine level and
asks what this test shows. Which of the following responses should the nurse make?
-"This test will tell your doctor how your kidneys are functioning."
-"You'll have to ask your doctor."
-"This test will tell if you have severe renal impairment or a disease."
-"We'll find out if any medications, such as steroids, are interfering with your kidney function.":
"This test will tell your doctor how your kidneys are functioning." 7. A nurse is caring for a male client
who reports nausea and vomiting and is receiving IV fluid therapy. His blood urea nitrogen (BUN)
is 32 mg/dL, creatinine 1.1 mg/dL, and hematocrit 50%. Which of the following nursing
interventions is appropriate?Collect a urine specimen for culture and sensitivity.Continue routine
care because the results are within the expected reference range.Decrease the IV fluid infusion rate
and limit oral fluid intake.Evaluate urine for amount and for specific gravity.: Evaluate urine for
amount and for specific gravity.
8. A nurse is planning care for a client who has dehydration and is receiving a continuous IV
infusion of 0.9% sodium chloride. Which of the following interventions should the nurse include
in the plan of care? A. Monitor the client's intake and output every 6 hr.
B. Offer the client 240 mL (8 oz) of oral fluids every 4 hr.
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