practice test 5

The nurse determines that the patient with chronic Syndrome of Inappropriate Antidiuretic Hormone (SIADH) understands the discharge instructions when the patient makes which statement?

• I need to shop for foods low in sodium and avoid adding salt to food.

• I should weigh myself weekly and report any weight loss or gain.

• I need to limit my fluid intake to no more than 1000ml of liquids per day.

• I should eat food low in potassium because diuretics cause potassium loss.

Tags

NGSS.HS-LS1-3

A patient arrives into the Emergency department with complaints of mid-sternal chest pain radiating down the left arm. What would be a priority task to delegate to the unlicensed assistive personnel (UAP)?

• Administer sublingual nitroglycerin

• Apply oxygen at 2L/NC per protocol

• Obtain and electrocardiogram (EKG)

• Ambulate the patient to the bathroom

A severely malnourished patient is not able to absorb nutrition enterally and is started on TPN. The nurse knows the patient is at risk for a metabolic disorder referred to as refeeding syndrome. Refeeding syndrome can cause hypophosphatemia, hypokalemia and hypomagnesium. Which serious manifestation of refeeding syndrome should the nurse be concerned about?

• Dysrhythmias

• Rapid weight loss

• Metallic taste in the mouth

• Proteinuria

A patient's order reads iron dextran 40 mg in 200 mL of 0.9% NS to infuse over 5 hours. At what rate would the nurse program the infusion pump? (Round to the nearest whole number and include unit of measurement)

• 40 mL/hr

• 25 mL/hr

• 50 mL/hr

• 60 mL/hr

A patient with pneumonia is receiving cefazolin (Ancef) 1000mg in 250 mL D5W over 5 hours. At what flow rate will the nurse set the IV pump? (Round to the nearest whole number and include unit of measurement)

• 50 mL/hr

• 25 mL/hr

• 100 mL/hr

• 75 mL/hr

The ICU hospitalist has ordered your patient 180mg of Dilantin orally every 12 hours. The patient weighs 124 lbs. The label reads 250mg/5ml. How many milliliters (mL) will you administer to this patient per dose? (Round answer to the nearest tenth and include unit of measurement)

• 3.6 mL

• 2.5 mL

• 5.0 mL

• 7.2 mL

The Nurse Practitioner orders Solu-Medrol (methylprednisolone) 60 mg IV push every 8 hours. The pharmacy sent Solu-Medrol 125 mg/mL. How many milliliters (mls) will the nurse administer per dose? (Round to the nearest hundredth and include unit of measurement)

• 0.48 mL

• 0.60 mL

• 2.08 mL

• 0.13 mL

The physician orders Vancomycin 2 grams in 250mL D5W over 6 hours. The label on the tubing administration set provides a drop factor of 20 gtts/mL. What would be the flow rate in gtts/min? (Round to the nearest whole number and include unit of measurement)

• 14 gtts/min

• 8 gtts/min

• 21 gtts/min

• 28 gtts/min

A patient has been diagnosed with Diabetes Insipidus (DI) and has been ordered Desmopressin acetate (DDAVP). What is the purpose of this medication?

• This medication will replace the missing antidiuretic hormone.

• This medication will remove the excess antidiuretic hormone.

• This medication will replace the missing thyroid hormone.

• This medication will remove the excess thyroid hormone.

Tags

NGSS.HS-LS1-3

The student nurse is performing a central line dressing change under the supervision of the clinical instructor. Which intervention observed by the instructor would require immediate corrective action?

• Placing a mask on the patient prior to the procedure.

• Performing hand hygiene before applying sterile gloves.

• Raising the bed to waist level.

• Applying a bio patch with blue side next to the patient's skin.