Nursing II Midterm Questions With Complete Solutions
A 19-year-old patient reports flank pain and scanty urination.
The nurse notices periorbital edema, and the urinalysis reveals
white blood cells, red blood cells, albumin, and casts. Which
question will provide important information for the nurse to
include in data collection? Correct Answer "Have you had
any gastrointestinal problems lately?"
A female patient with a history of diabetes mellitus presents at
the health care provider's (HCP) office with chills, a high fever,
and flank pain. The nurse notes that a collected urine specimen
appears cloudy. Which condition does the nurse expect?
Correct Answer Complicated pyelonephritis
A nurse is calculating a client's fluid intake over the past 8 hr.
The client had one 8-oz cup of coffee, 3 oz of juice, and 12 oz of
soda. The client's water pitcher had 800 mL and 200 mL remain.
The client also had IV fluids infusing at 40 mL/hr via an IV
pump. How many mL should the nurse document as the client's
total intake for the shift? Correct Answer 1,610.0
A nurse is preparing to administer amoxicillin 500 mg PO to a
client. The amount available is amoxicillin suspension 250 mg/5
mL. How many mL should the nurse administer? (Round to the
nearest whole number. Use a leading zero if it applies. Do not
use a trailing zero.) Correct Answer 10
A nurse is preparing to administer aspirin 650 mg PO. Available
is aspirin 325 mg tablets. How many tablets should the nurse
administer? (Round to the nearest whole number. Use a leading
,zero if it applies. Do not use a trailing zero.) Correct Answer
2
A nurse is preparing to administer atenolol 50 mg PO. The
amount available is atenolol 100 mg/tablet. How many tablets
should the nurse administer? (Round the answer to the nearest
tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer 0.5
A nurse is preparing to administer morning insulin to a client
who has a prescription for 14 units of regular insulin and 28
units of NPH insulin subcutaneous daily. What is the total
number of units of insulin that the nurse should prepare in the
insulin syringe? Correct Answer 42.0
A nurse is preparing to administer vancomycin 250 mg PO. The
amount available is vancomycin 125 mg/ capsule. How many
capsules should the nurse administer to the client with each
dose? (Round to the nearest tenth. Use a leading zero if it
applies. Do not use a trailing zero.) Correct Answer 2
A patient has a bone marrow aspiration from the posterior iliac
crest. Before the procedure, the patient's vital signs were blood
pressure 132/82 mm Hg and pulse 88 beats/min. One hour after
the procedure, the blood pressure is 108/70 mm Hg and pulse is
96 beats/min. Which assessment is the least important for the
patient at this time? Correct Answer Check the patient's most
recent CBC report.
A patient is being prepared for an upper gastrointestinal (GI)
series involving a barium swallow. Which statement indicates
, that the patient understands the preparation for this test?
Correct Answer "I can't have anything to eat or drink for 6
hours before the procedure."
A patient is being treated for acute cholecystitis. The patient is
instructed on dietary measures to reduce the possibility of
recurrent episodes. Which patient comment indicates a need to
reinforce teaching? Correct Answer "I need to get my extra
weight off as quick as possible."
A patient is stabilized after having an allergic reaction. Which
preventive instructions should the nurse reinforce with the
patient? Correct Answer Wear medical alert identification.
A patient presents at the HCP's office with epigastric pain. The
patient's temperature and pulse and respiration rates are all
elevated. Which additional symptom will the nurse associate as
a possible sign of cholelithiasis? Correct Answer Jaundice
A patient recovering from hepatitis is concerned about liver
damage from the infection. Which instructions does the nurse
provide the patient to prevent long-term liver damage? (Select
all that apply.) Correct Answer -Ingest nutritious foods.
-Get adequate rest
-Abstain from all alcohol.
A patient reports that a family member is diagnosed with
hepatitis and asks the nurse the best way to prevent becoming
infected. Which is the best information for the nurse to provide?
Correct Answer Perform frequent hand washing and do not
share personal items.
A 19-year-old patient reports flank pain and scanty urination.
The nurse notices periorbital edema, and the urinalysis reveals
white blood cells, red blood cells, albumin, and casts. Which
question will provide important information for the nurse to
include in data collection? Correct Answer "Have you had
any gastrointestinal problems lately?"
A female patient with a history of diabetes mellitus presents at
the health care provider's (HCP) office with chills, a high fever,
and flank pain. The nurse notes that a collected urine specimen
appears cloudy. Which condition does the nurse expect?
Correct Answer Complicated pyelonephritis
A nurse is calculating a client's fluid intake over the past 8 hr.
The client had one 8-oz cup of coffee, 3 oz of juice, and 12 oz of
soda. The client's water pitcher had 800 mL and 200 mL remain.
The client also had IV fluids infusing at 40 mL/hr via an IV
pump. How many mL should the nurse document as the client's
total intake for the shift? Correct Answer 1,610.0
A nurse is preparing to administer amoxicillin 500 mg PO to a
client. The amount available is amoxicillin suspension 250 mg/5
mL. How many mL should the nurse administer? (Round to the
nearest whole number. Use a leading zero if it applies. Do not
use a trailing zero.) Correct Answer 10
A nurse is preparing to administer aspirin 650 mg PO. Available
is aspirin 325 mg tablets. How many tablets should the nurse
administer? (Round to the nearest whole number. Use a leading
,zero if it applies. Do not use a trailing zero.) Correct Answer
2
A nurse is preparing to administer atenolol 50 mg PO. The
amount available is atenolol 100 mg/tablet. How many tablets
should the nurse administer? (Round the answer to the nearest
tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer 0.5
A nurse is preparing to administer morning insulin to a client
who has a prescription for 14 units of regular insulin and 28
units of NPH insulin subcutaneous daily. What is the total
number of units of insulin that the nurse should prepare in the
insulin syringe? Correct Answer 42.0
A nurse is preparing to administer vancomycin 250 mg PO. The
amount available is vancomycin 125 mg/ capsule. How many
capsules should the nurse administer to the client with each
dose? (Round to the nearest tenth. Use a leading zero if it
applies. Do not use a trailing zero.) Correct Answer 2
A patient has a bone marrow aspiration from the posterior iliac
crest. Before the procedure, the patient's vital signs were blood
pressure 132/82 mm Hg and pulse 88 beats/min. One hour after
the procedure, the blood pressure is 108/70 mm Hg and pulse is
96 beats/min. Which assessment is the least important for the
patient at this time? Correct Answer Check the patient's most
recent CBC report.
A patient is being prepared for an upper gastrointestinal (GI)
series involving a barium swallow. Which statement indicates
, that the patient understands the preparation for this test?
Correct Answer "I can't have anything to eat or drink for 6
hours before the procedure."
A patient is being treated for acute cholecystitis. The patient is
instructed on dietary measures to reduce the possibility of
recurrent episodes. Which patient comment indicates a need to
reinforce teaching? Correct Answer "I need to get my extra
weight off as quick as possible."
A patient is stabilized after having an allergic reaction. Which
preventive instructions should the nurse reinforce with the
patient? Correct Answer Wear medical alert identification.
A patient presents at the HCP's office with epigastric pain. The
patient's temperature and pulse and respiration rates are all
elevated. Which additional symptom will the nurse associate as
a possible sign of cholelithiasis? Correct Answer Jaundice
A patient recovering from hepatitis is concerned about liver
damage from the infection. Which instructions does the nurse
provide the patient to prevent long-term liver damage? (Select
all that apply.) Correct Answer -Ingest nutritious foods.
-Get adequate rest
-Abstain from all alcohol.
A patient reports that a family member is diagnosed with
hepatitis and asks the nurse the best way to prevent becoming
infected. Which is the best information for the nurse to provide?
Correct Answer Perform frequent hand washing and do not
share personal items.
