NCM 116 RLE EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
A client is being weaned off from parenteral nutrition (PN) and
is given a go-signal to take a regular diet. The ongoing solution
rate has been 120ml/hr. A nurse expects that which of the
following prescriptions regarding the PN solution will
accompany the diet order?
A. Decrease the PN rate to 60ml/hr.
B. Start 0.9% normal saline at 30 ml/hr.
C. Maintain the present infusion rate.
D. Discontinue the PN correct answers A. Decrease the PN rate
to 60ml/hr
A client is receiving nutrition via parenteral nutrition (PN). A
nurse assess the client for complications of the therapy and
assesses the client for which of the following signs of
hyperglycemia?
A. High-grade fever, chills, and decreased urination
B. Fatigue, increased sweating and heat intolerance
C. Coarse dry hair, weakness and fatigue
D. Thirst, blurred vision and diuresis correct answers D. Thirst,
blurred vision, and diuresis
A client is receiving parenteral nutrition (PN) in the home
setting has a weight gain of 5 lb in 1 week. The nurse next
assesses the client to identify the presence of which of the
following?
A. Hypotension
, B. Crackles upon auscultation of the lungs
C. Thirst
D. Polyuria correct answers B. Crackles upon auscultation of
the lungs
A client is receiving parenteral nutrition (PN) suddenly is having
a fever. A nurse notifies the physician and the physician initially
prescribes that the solution and tubing be changed. The nurse
should do which of the following with the discontinued
materials?
A. Send them to the laboratory for culture
B. Save them for a return to the manufacturer
C. Return them to the hospital pharmacy
D. Discard them in the unit trash correct answers A. Send them
to the laboratory for culture
A client receiving parenteral nutrition (PN) complains of a
headache. A nurse notes that the client has a bounding pulse,
jugular distension, and weight gain greater than desired. The
nurse determines that the client is experiencing which
complication of PN therapy?
A. Air embolism
B. Hypervolemeia
C. Hyperglycemia
D. Sepsis correct answers B. Hypervolemia
A client receiving parenteral nutrition (PN) complains of
shortness of breath and shoulder pain. A nurse notes that the
SOLUTIONS
A client is being weaned off from parenteral nutrition (PN) and
is given a go-signal to take a regular diet. The ongoing solution
rate has been 120ml/hr. A nurse expects that which of the
following prescriptions regarding the PN solution will
accompany the diet order?
A. Decrease the PN rate to 60ml/hr.
B. Start 0.9% normal saline at 30 ml/hr.
C. Maintain the present infusion rate.
D. Discontinue the PN correct answers A. Decrease the PN rate
to 60ml/hr
A client is receiving nutrition via parenteral nutrition (PN). A
nurse assess the client for complications of the therapy and
assesses the client for which of the following signs of
hyperglycemia?
A. High-grade fever, chills, and decreased urination
B. Fatigue, increased sweating and heat intolerance
C. Coarse dry hair, weakness and fatigue
D. Thirst, blurred vision and diuresis correct answers D. Thirst,
blurred vision, and diuresis
A client is receiving parenteral nutrition (PN) in the home
setting has a weight gain of 5 lb in 1 week. The nurse next
assesses the client to identify the presence of which of the
following?
A. Hypotension
, B. Crackles upon auscultation of the lungs
C. Thirst
D. Polyuria correct answers B. Crackles upon auscultation of
the lungs
A client is receiving parenteral nutrition (PN) suddenly is having
a fever. A nurse notifies the physician and the physician initially
prescribes that the solution and tubing be changed. The nurse
should do which of the following with the discontinued
materials?
A. Send them to the laboratory for culture
B. Save them for a return to the manufacturer
C. Return them to the hospital pharmacy
D. Discard them in the unit trash correct answers A. Send them
to the laboratory for culture
A client receiving parenteral nutrition (PN) complains of a
headache. A nurse notes that the client has a bounding pulse,
jugular distension, and weight gain greater than desired. The
nurse determines that the client is experiencing which
complication of PN therapy?
A. Air embolism
B. Hypervolemeia
C. Hyperglycemia
D. Sepsis correct answers B. Hypervolemia
A client receiving parenteral nutrition (PN) complains of
shortness of breath and shoulder pain. A nurse notes that the
