The patient X is to be given an IV infusion of D5LR 1 liter every 8 hours. Available is 1 liter bottle of D5LR. At how many milliliters per hour will the flow rate be set?

An IV of D5W 1 000 cc at 50 ml per hour is ordered for patient Hayley. Available is a D5W of a macrodrip administration set with a drop factor of 15. What flow rate will you set it?

The doctor orders a 250 ml D5 W at 30 ml per hour. Available is a microdrip pediatric administration set. What flow rate will you set this?

A transfusion for a patient is needed. Agency policy calls for 2 ml per minute flow rate for the first 30 minutes while the patient is observed for possible adverse reactions. What flow rate in ml per hour will you set on an infusion pump for the first 30 minutes?

Which type of insulin can be administered via IV route?

The insulin bottle label states U-100. Identify the correct meaning of U-100 on the label.

What is the risk associated with an overdose of the high-alert drugs Heparin and Warfarin?

A 56-year-old woman, named Taylor, has felt brief twinges of chest pain while working in her garden and has had frequent episodes of indigestion. She comes to the hospital after experiencing severe anterior chest pain while raking leaves. Her evaluation confirms a diagnosis of stable angina pectoris. The woman says, “I really thought I was having a heart attack. How can you tell the difference?” Which response by the nurse would provide the accurate response?

A 38-year-old man is admitted to the ER after being found unconscious at the wheel of his car in the parking lot. The client is comatose and does not respond to the stimuli. A drug overdose is suspected. Which of the following assessment findings would lead the nurse to suspect that this is a result of a toxic drug overdose?

Blood and urine culture analysis confirm a diagnosis of a salicylate overdose. The client is treated with gastric lavage. Which of the following positions be most appropriate for the client during this procedure?

In anticipation of further emergency treatment for the client, which of the following medications should the nurse have available?

A priority goal for this patient, diagnosed with a salicylate overdose, during the first 24 hours of admission is to:

The patient is placed in a right side-lying position. Which of the following techniques to position the patient is incorrect?

The nurse’s goal for performing passive range-of-motion exercises on an unconscious client would be:

When the nurse performs oral hygiene for the unconscious patient, which of the following actions would be most appropriate?

The nurse is assessing the client's respiratory status. Which of the following symptoms may be an early indicator of hypoxia in the unconscious client?

Intermittent enteral tube feedings are ordered for the client. When administering the feedings, the nurse, Ms. Selena, should implement which of the following actions?

The client is to receive 200 ml of tube feedings every four hours. The nurse checks the client’s gastric residual before administering the feeding and obtains 40 ml of gastric residual. What should the nurse do next?

Of the following actions, the nurse could take when providing catheter care, which should have the highest priority?

A 72-year-old man named, Mr. Yeng, experiences a thrombotic cerebrovascular accident (CVA) and is admitted to the hospital. The diagnosis is a left CVA with flaccid hemiplegia of his right side. When planning the client’s care, which of the following should the nurse keep in mind that rehabilitation begins?

Regular oral hygiene is an essential intervention for this client. Which of the following nursing measures would be inappropriate when providing oral hygiene?

A priority assessment in the first 24 hours of admission for Mr. Yeng, is assessment of:

The nurse changes the patient’s position in bed regularly. Which of the following techniques would most likely cause friction and predispose to pressure ulcer formation?

The nurse is concerned about the possible development of plantar flexion. Which of the following measures has been found to be the most effective means of preventing this in a stroke client?

Because the CVA affected the left side of the client’s brain, the nurse should anticipate that the client will most likely experience:

For the client experiencing aphasia, which of the following nursing actions would be most helpful in promoting communications?

For the client with dysphagia, which of the following measures would be an ineffective in decreasing the risk of aspiration while eating?

The CVA has caused homonymous hemianopia. This would probably manifest itself in which of the following food– related behaviors?

The client is receiving a thrombolytic agent. The expected outcome of this drug therapy is:

A client named Kendall is admitted to the hospital with a diagnosis of cholecystitis from cholelithiasis. Which of the following symptoms would the nurse most likely observe in a client with these conditions?

The client is complaining of severe abdominal pain and extreme nausea and has vomited several times. Based on these data, which nursing diagnosis would have the highest priority for intervention at this time?

When the common bile duct is obstructed, the nurse should evaluate the client for signs of?

Ms. Kendall undergoes a traditional cholecystectomy and choledochotomy and returns from surgery with a T tube in place. To evaluate its effectiveness, the nurse should understand that the primary reason the T tube is to:

How much bile would the nurse expect the T tube to drain during the first 24 hours after a cholecystectomy?

The nurse develops a plan of care for a client with a T tube. Which of the following nursing interventions should be included:

Which of the nursing measure would be most effective in helping the client cough and deep breaths after a cholecystectomy?

The client with inflammatory bowel disease is receiving TPN. The basic component of the TPN is most likely to be?

Which of the following interventions should the nurse include in the client’s care plan to prevent complications related with TPN administration through a central line?

Which of the following would be the best indication that the goals for TPN are being achieved for the client?

The nurse notices that the client's TPN solution is infusing too slowly. The nurse calculates that the client has received 300ml less than was ordered for the day. The nurse should:

A client named, Paul developed shock after a severe myocardial infarction and has now developed acute renal failure. The most significant sign of acute renal failure is:

The rationale why the patient developed acute renal failure is due to:

The client's blood urea nitrogen (BUN) level is elevated. This is resulted from:

The client’s potassium blood level is elevated, and the nurse administers Sodium polystyrene sulfonate. This drug is administered because of its ability to:

A high carbohydrate, low protein diet is prescribed for the client. The rationale of this diet will:

The client is on a fluid restriction of 500 ml /day, plus replacement for urine output. Because the client’s 24-hour urine output yesterday was 150 ml., the total fluid allotment for the next 24 hours is 650 ml. What change of shift information given by the nurse who worked at 7:30 am to 3:30 pm would indicate an understanding of how to distribute this fluid? The fluid allotment for this shift was:

The client has an external cannula inserted in the forearm, for hemodialysis. Which of the following nursing measures appropriate for the care of this client?

Which of the following is a sign of an infection for the hemodialysis client?

Which of the following lab results would be unexpected in a client with chronic renal failure?

During the client’s dialysis, the nurse observes that the solution draining from his abdomen is consistently blood–tinged. Which interpretation of this observation would be correct related to bleeding?

Marco, who was diagnosed with brain tumor, was scheduled for craniotomy. In preventing the development of cerebral edema after surgery, the nurse should expect the use of:

Halfway through the administration of blood, the female client complains of lumbar pain.After stopping the infusion Nurse Hazel should:

Nurse Maureen knows that the positive diagnosis for HIV infection is made based on which of the following:

Nurse Maureen is aware that a client who has been diagnosed with chronic renal failure recognizes an adequate amount of high-biologic-value protein when the food the client selected from the menu was:

Kenneth who has been diagnosed with uremic syndrome has the potential to develop complications. Which among the following complications should the nurse anticipates:

A client is admitted to the hospital with benign prostatic hyperplasia, the nurse most relevant assessment would be:

A 65-year-old female is experiencing a flare up of pruritus. Which of the client's action could aggravate the cause of flare ups?

Nurse Hazel receives emergency laboratory results for a client with chest pain and immediately informs the physician. An increased myoglobin level suggests which of the following?

The client having CVA is brought to the ER. Vital signs indicating increase intracranial pressure would be:

In a patient with unilateral neglect due to right cerebral stroke, which nursing diagnosis is appropriate?

If your patient is being treated for hypertension with a beta-blocker, it is important to know whether the patient smokes because smokers should be treated with?

A diabetic patient who is treated with a nonspecific beta blocker would have to learn:

A client is brought to the emergency department in an unresponsive state, and a diagnosis of hyperglycemic hyperosmolar nonketotic syndrome is made. The nurse would immediately prepare to initiate which of the following anticipated physician's prescriptions?

A patient is admitted to the hospital with CKD. The nurse understands that this condition is characterized by:

A major advantage of peritoneal dialysis is:

Nurse Shelby is preparing to administer sevelamer hydrochloride (Renagel) to the patient with CKF (chronic kidney disease). Which of the following does the nurse know to be true?

Nurse Heather is looking over the patient chart and is preparing to administer erythropoietin to the patient with chronic kidney failure (CKF). Which of the following pieces of information in the chart would cause Nurse Heather to question this order?

The nurse is caring for a male client with cirrhosis. Which assessment findings indicate that the client has deficient vitamin K absorption caused by this hepatic disease?

A client with cirrhosis is at risk for developing complications. Which condition is the most serious and potentially life-threatening?

Jugular vein distention is most prominent in which disorder?

Bipedal edema is also present with heart failure clients that is more prominent on daytime and reduces when he is in recumbent. The rationale for this is:

One of your nursing responsibility/interventions for client with HF and has bipedal edema is to teach about:

A patient, age 58, is brought to the ED complaining of chest pain and light-headedness. He has a history of stable angina pectoris. Blood is drawn for analysis and an electrocardiogram (ECG) is done. A change in which component of the ECG tracing would alert the nurse that the patient is having a myocardial infarction (MI)?

The following are the lipid abnormalities. Which of the following is a risk factor for the development of atherosclerosis, arterial occlusive disorder and PVD?

Which action is the first priority when caring for a patient exhibiting signs and symptoms of coronary artery disease?

In what stage does a patient who has a continuous blood pressure reading of 142/90 mm Hg fall into?

A patient was given morphine for chest pain. After giving it, you assessed him and he is sleeping and has a respiratory rate of 4 breaths/minute. If action is not taken quickly, what reaction might he have?

A client is diagnosed with congestive heart failure. What medication would you expect to administer to strengthen myocardial contractility?

A female client is receiving IV Mannitol. An assessment specific to safe administration of the said drug is:

All of the following can cause tachycardia except:

Palpating the mid-clavicular line is the correct technique for assessing:

The absence of which pulse may not be a significant finding when a patient is admitted to the hospital?

Which of the following patients is at greatest risk for developing pressure ulcers?

The physician orders the administration of high-humidity oxygen by face mask and placement of the patient in a high Fowler’s position. After assessing the patient, the nurse writes the following nursing diagnosis: Impaired gas exchange related to increased secretions. Which of the following nursing interventions has the greatest potential for improving this situation?

Which of the following statements is incorrect about a patient with dysphagia?

The most common deficiency seen in alcoholics is:

To assess the kidney function of a patient with an indwelling urinary (Foley) catheter, the nurse measures his hourly urine output. She should notify the physician if the urine output is:

A male patient who had surgery 2 days ago for head and neck cancer is about to make his first attempt to ambulate outside his room. The nurse notes that he is steady on his feet and that his vision was unaffected by the surgery. Which of the following nursing interventions would be appropriate?

A patient has exacerbation of chronic obstructive pulmonary disease (COPD) manifested by shortness of breath; orthopnea: thick, tenacious secretions; and a dry hacking cough. An appropriate nursing diagnosis would be:

A prescribed amount of oxygen is needed for a patient with COPD to prevent:

After 1 week of hospitalization, the patient develops hypokalemia. Which of the following is the most significant symptom of his disorder?

Which of the following nursing interventions promotes patient safety?

Which of the following is the most important nursing order in a client, with major head trauma, who is about to receive bolus enteral feeding?

Which of the following is the most widely used vaccine for the prevention of poliomyelitis?

Which of the following interventions will help lessen the effect of GERD (acid reflux)?

Which of the following foods should be avoided by clients who are prone to develop heartburn as a result of gastroesophageal reflux disease (GERD)?

The nurse in charge is assessing a patient’s abdomen. Which examination technique should the nurse use first?

The nurse in charge identifies a patient’s responses to actual or potential health problems during which step of the nursing process?

A female patient is receiving furosemide (Lasix), 40 mg P.O. b.i.d. In the plan of care, the nurse should emphasize teaching the patient about the importance of consuming: