Multiple Choice
Which of the following principles is affected by a nurse’s cultural or ethnic background?
A. Veracity
B. Code of conduct
C. Ethics
D. Morals
D. Morals
Order: Xylocaine 1 g IV in 500 mL D5W at 3 mg/min.
Set the infusion pump at ____ mL/hr
90 mL/hr
What 4 findings need immediate follow-up?
A. Oxygen saturation
B. Skin turgor
C. Temperature
D. Incontinence
E. Foul smelling urine
F. Serum sodium
G. Creatinine
H. WBC
I. Serum potassium
J. Serum lactate
B. Skin turgor
C. Temperature
E. Foul smelling urine
H. WBC
The medical/surgical nurse cares for a middle-aged patient with a wound infected with MRSA (Methicillin-resistant Staphylococcus aureus). Which of the following protective safety items, if worn by the nurse, would be considered appropriate?
A. A mask, gown, and gloves
B. Shoes covers, a gown, and gloves
C. Gloves only
D. A gown and gloves
D. A gown and gloves
Order: Aminophylline 1 g IV 500 mL D5W to infuse at 20 mg/hr
Set the infusion pump at ____ mL/hr
10 mL/hr
At 1800, the client is mostly displaying symptoms of ____, as evidenced by (AEB) _____.
A. Chronic renal failure, AEB urinary color/character.
B. End stage Alzheimer's, AEB disorientation.
C. Delirium, AEB disorientation.
D. Respiratory distress syndrome, AEB respiratory status.
C. Delirium, AEB disorientation.
A nurse cares for a patient with a head injury after a boating accident. The nurse knows that which of the following is an early sign of increased ICP?
A. The patient has a seizure
B. The patient has a severe headache
C. The patient vomits twice in an hour
D. The patient does not recognize a close family member
D. The patient does not recognize a close family member
Order: Pronestyl 250 mg IV in 500 mL D5W at 4 mg/hr
What is the flow rate in mL/hr?
8 mL/hr
Which problem should the nurse address first?
A. Confusion
B. Dehydration
C. Urinary tract infection
D. Incontinence
C. Urinary tract infection
When evaluating the arterial blood gases (ABGs) of a patient with a 20-year history of chronic bronchitis, which of these would the healthcare provider expect?
A. Respiratory acidosis, compensated
B. Metabolic alkalosis, compensated
C. Metabolic acidosis, uncompensated
D. Respiratory alkalosis, uncompensated
A. Respiratory acidosis, compensated
Order: 100 units regular insulin IV in 250 mL 0.9%NS to infuse @ 12 U/hr
Flow rate: ____ mL/hr
30 mL/hr
Which of the following interventions should the nurse also include in the plan of care? Select all that apply.
A. Strict bedrest
B. Encourage PO fluids
C. Document intake & output
D. Monitory urinary color, character, and odor
E. Request order for foley catheter if incontinent
F. Apply prn oxygen at 2 L/min nasal cannula
B. Encourage PO fluids
C. Document intake & output
D. Monitory urinary color, character, and odor
A 28-year old female patient signs into the ED complaining of palpitations. You immediately bring her to a room, lie her down, apply supplemental O2, and get a baseline ECG. The ECG shows a narrow complex tachyarrhythmia at a rate of 160 beats/minute. Vital signs are within normal limits. What should you do first?
A. Start a peripheral IV and draw labs
B. Vagal maneuver
C. Defibrillate the pt
D. Cardiovert the pt
B. Vagal maneuver
Order: Dopamine 500 mg IV in 0.5 L NS at 6 mcg/kg/min.
Patient weight is 150 lb
What is the flow rate in mL/hr?
24.6 mL/hr
What action should the nurse take before administering the prescribed antibiotic?
A. Document BP after sitting and standing
B. Check pulse oximetry
C. Review medication allergies
D. Monitor hourly urine output
C. Review medication allergies