A new graduate nurse is about to go on their first job interview. Which of the following is a good recommendation for the new graduate nurse?

When asked about your strengths and weaknesses, focus primarily on your strengths.

Ask questions about the salary.

Place your portfolio containing your resume on the interviewer's desk.

Ask questions about the position and the facility.

Answer and Explanation

The Correct Answer is D

A. When asked about your strengths and weaknesses, focus primarily on your strengths. While highlighting strengths is important, interviewers also value self-awareness and the ability to recognize areas for improvement. Providing a well-balanced answer that includes a genuine weakness and how you are working to improve it demonstrates professionalism and a growth mindset.
B. Ask questions about the salary. While salary is an important consideration, bringing it up too early in the interview may give the impression that financial compensation is the primary concern. It is generally best to wait until the employer brings up salary or discuss it once a job offer has been extended.
C. Place your portfolio containing your resume on the interviewer's desk. Offering a resume or portfolio when asked is appropriate, but placing it on the interviewer’s desk without being invited to do so may come across as overly assertive. A more professional approach is to hand over documents when requested or when relevant to the discussion.
D. Ask questions about the position and the facility. Asking thoughtful questions about the role, work environment, team structure, and opportunities for growth shows genuine interest in the position. It also helps the candidate assess whether the job aligns with their professional goals. Engaging in meaningful dialogue makes a positive impression on the interviewer.

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Correct Answer is B

Explanation

A. pH 7.55, PaCO2 30 mm Hg, PaO2 80 mm Hg, HCO3 24 mEq/L: This ABG finding indicates respiratory alkalosis, as evidenced by the elevated pH and decreased PaCO2. In progressive COPD, clients typically retain carbon dioxide rather than blow it off, so this finding would not be expected in a patient with chronic respiratory issues.
B. pH 7.30, PaCO2 60 mm Hg, PaO2 70 mm Hg, HCO3 30 mEq/L: This is the most consistent finding for a client with progressive COPD. The low pH indicates acidosis, and the elevated PaCO2 suggests respiratory acidosis due to carbon dioxide retention, a common problem in COPD. The elevated HCO3 indicates a compensatory metabolic response, as the body attempts to retain bicarbonate to buffer the acidosis.
C. pH 7.40, PaCO2 40 mm Hg, PaO2 94 mm Hg, HCO3 22 mEq/L: These values indicate a normal ABG, which would not be expected in a client with progressive COPD. Patients with chronic lung disease typically present with acid-base imbalances due to respiratory failure, so this finding suggests the client is not exhibiting the expected complications of COPD.
D. pH 7.38, PaCO2 45 mm Hg, PaO2 88 mm Hg, HCO3 26 mEq/L: Although these findings show mild acidosis, the PaCO2 is within normal limits, indicating that this patient may not be experiencing significant respiratory failure. In advanced COPD, one would expect to see a higher PaCO2 and more pronounced acidosis, making this option less characteristic of a patient with progressive COPD compared to option B.

Correct Answer is ["15"]

Explanation

Formula:

Volume to administer (mL) = (Desired dose (mEq) / Available concentration (mEq/mL))

Desired dose = (40 mEq / 2 doses)

=20mEq

Available concentration = 6.7 mEq / 5 mL

Calculate the concentration per mL:

6.7 mEq / 5 mL = 1.34 mEq/mL

Volume to administer = 20 mEq / 1.34 mEq/mL

= 14.925... mL

Round to the nearest whole number:

Volume to administer = 15 mL

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A new graduate nurse is about to go on their first job interview. Which of the following is a good recommendation for the new graduate nurse?

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing the arterial blood gas (ABG) result for a client diagnosed with progressive chronic obstructive pulmonary disease (COPD). The nurse should expect which of the following ABG findings for a client diagnosed with progressive COPD?

Correct Answer is B

Explanation

A nurse is preparing to administer potassium chloride elixir 40 mEq divided into 2 equal doses every 12 hr. Available is 6.7 mEq/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["15"]

Explanation

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