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WorksheetsReview 2
Total questions: 20
Worksheet time: 11mins
Aldosterone secretion in response to fluid loss will result in which one of the following electrolyte imbalance?
a) hypokalemia
b) hyperkalemia
c) hyponatremia
d) hypernatremia
The physician has ordered IV replacement of potassium for a patient with severe hypokalemia. The nurse would administer this:
a) by rapid bolus
b) diluted in 100cc and administered over 1 hour
c) diluted in 50cc and administered over 10 minutes
d) IV push
A patient is suffering from fluid volume deficit. Which of the following symptoms would the nurse expect to assess in the patient?
a) rales
b) bounding pulse
c) tachycardia
d) bulging neck veins
A client is taking NPH insulin daily every morning. The nurse instructs the client that the most likely time for a hypoglycemic reaction to occur is:
a) 2-4 hour after administration
b) 6-14 hours after administration
c) 16-18 hours after administration
d) 18-24 hours after administration
A nurse is caring for a client admitted to the ER with DKA. In the acute phase, the priority nursing action is to prepare to:
a) Administer regular insulin intravenously
b) Administer 5% dextrose intravenously
c) Correct the acidosis
d) Apply an ECG monitor
The nurse is admitting a client with hypoglycemia. Identify the signs and symptoms the nurse should expect. Select all that apply.
a) Thirst
b) palpitations
c) diaphoresis
d) slurred speech
e) Hyperventilation
A client has a continuously running peripheral infusion. The physician orders an antibiotic as a piggyback infusion four times per day. In order to administer the antibiotic, the nurse should do which of the following? Select all that apply.
a) Avoid compatibility issues by starting an additional IV access
b) Start a new IV access to eliminate the problem of too much volume for one site
c) Flush the IV line before and after infusion of the incompatible drug
d) Check to see if the antibiotic is compatible with the continuous infusion
e) Change the flow rate to facilitate the administration of the antibiotic
The client is receiving 5% dextrose in 0.45% sodium chloride. The physician has ordered the client receive one unit of packed cells. Prior to hanging the blood, the nurse will prime the blood tubing with which solution?
a) 5% dextrose
b) Lactated ringer’s
c) 0.9% sodium chloride
d) 5% dextrose in 0.45% sodium chloride
While assessing a client’s IV line, the nurse notes that the area is swollen, cool, pale, and causes the client discomfort. What complication should the nurse document?
a) infiltration
b) phlebitis
c) infection
d) air embolism
Once a prescribed unit of packed cells has been obtained from the blood bank and is out of refrigeration, the transfusion should commence within what period of time before it starts to deteriorate?
a) 20 minutes
b) 30 minutes
c) 45 minutes
d) 10 minutes
Which of the following are indicative signs and symptoms of circulatory overload:
a) Hypothermia, hypotension, and bradycardia
b) Hypotension, oliguria, and urticaria
c) Shivering, pyrexia, and thirst
d) Dyspnea, tachycardia, and distended neck veins
A client is to receive a unit of packed red blood cells (PRBCs). The nurse and another nurse have confirmed that the correct blood for the client has been obtained from the blood bank. Immediately prior to starting the blood transfusion, what client assessment should the nurse make?
a) vital signs
b) skin colour
c) hemoglobin level
d) creatinine clearance
A client with a low hemoglobin and hematocrit is to receive a unit of PRBCs. Prior to initiating the transfusion, the nurse determines that the client’s temperature is 38 degrees Celsius. Based on this finding, what is the most appropriate action for the nurse to take?
a) Delay hanging the blood and notify the physician
b) Begin the transfusion as prescribed
c) Administer 650mg of acetaminophen (Tylenol) and begin the transfusion
d) Administer the antihistamine and begin the transfusion
A client presents to the ER presenting in hypovolemic shock. The healthcare provider has ordered plasma expansion. What blood product should the nurse anticipate that the client will receive?
a) PRBCs
b) cryoprecipitate
c) platelets
d) albumin
A client has experienced an adverse reaction to a blood transfusion manifested by the development of pruritic rash and urticaria. What treatment should the nurse anticipate will be ordered for the client?
a) Diphenhydramine (Benadryl)
b) Acetaminophen (Tylenol)
c) Hydrocortisone cream
d) Acetylsalicylic acid (Aspirin)
The doctor has ordered Solu-Medrol, 40mg IVP q*h for a patient with a COPD exacerbation. The vial comes as 125mg/2ml. How many ml will you give?
a) 1.25ml
b) 0.65ml
c) 0.64ml
d) 1.65ml
Solumedrol 1.5mg/kg is ordered for a child weighing 74.8lbs. Solumedrol is available as 125mg/2ml. How many mls will the nurse administer?
a) 51mg
b) 51g
c) 510mcg
d) 510mg
The nurse plans care for a client requiring intravenous (IV) fluids and electrolytes understanding that which are findings that correlate with the need for this type of therapy?
a) Bounding pulse rate
b) Chronic kidney disease
c) Rapid, weak, and thready pulse
d) Serum electrolyte abnormalities
e) Abnormal serum and urine osmolality levels
A physician orders TPN at 50ml/hr, NS at 100ml/hr for 12 hours then 50ml/hr for 12 more hours. The patient is also receiving a Fentanyl drip (1mg/100ml) at 100mcg/hr and Versed (100mg/100ml) drip at 5mg/hr for sedation. What is the total amount, in liters, of fluid this patient will receive in 24 hours?
a) 3.36L
b) 33.6L
c) 0.36L
d) 336L
The nurse is preparing to make rounds. Which client should be seen first?
a) a 1 year old with hand and foot syndrome
b) a 69 year old with congestive heart failure (CHF)
c) a 40 year old with resolving pancreatitis
d) a 56 year old with Cushing’s disease
