IV calculations: (rate-mL/h and gtt/min)

IV rate calculations will be rounded to nearest whole number.

Adult calculations: the calculation will be rounded to the nearest tenth. Drug Calculation safety considerations:

Examples:

5 must be answered as 0.5

5.0 must be answered as 5

To promote safety, a zero must be placed to the left of the decimal point in answers that are less than one. No zero is allowed to the right of the decimal point in answers that are whole numbers.

Labeling is not necessary

Question

The nurse received report for the client at 1400. The client was given medication through her NG tube at 1800: Ampicillin 20 mL, Pepcid 10 mL, and Reglan 15 mL. After each medication was given, there was a 30 mL flush with water. Her Hemovac drained 320 mL. Her chest tube drained 210 mL. At 2000, she drank 240 mL of water. Her IV was infusing @ 150mL/hour when report was received. She has voided 275 mL. 325 mL and 310 mL.

What is her I&O from 1400- 2200?

(Separate the answers with a comma)

Answer and Explanation

The Correct Answer is ["2070"," 1440"]

The calculation is as follows:

Intake = (20 + 10 + 15) mL x 3 (medication and flushes) + 240 mL (water intake) + 150 mL/h x 6 h (IV infusion) = 2070 mL

Output = 320 mL (Hemovac drainage) + 210 mL (chest tube drainage) + (275 + 325 + 310) mL (urine output) = 1440 mL

Nursing Test Bank

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. A 9-year-old is in the school-age period, which corresponds to Erikson’s stage of industry vs. inferiority. During this stage, children focus on developing skills, gaining competence, and seeking approval for accomplishments. Supporting independence in asthma care (such as learning to use an inhaler) fosters a sense of industry.
B. Initiative vs. guilt is the stage for preschool-aged children (3–6 years), where the focus is on asserting power and control through play and social interactions.

C. Identity vs. role confusion is more applicable to adolescence and focuses on the formation of a stable self-identity.

D. Autonomy vs. shame and doubt is relevant to the toddler age range, emphasizing the development of independence. While independence is important, the immediate concern in the given scenario aligns more with the initiative and responsibility associated with the school-age child.

A. Variable B. Early C. Prolonged D. Late

Correct Answer is B

Explanation

A. The image does not show variable decelerations

B. The tracing shows a decrease in the fetal heart rate that occurs during the peak of the uterine contraction and returns to the baseline after the end of the contraction. This pattern indicates a late deceleration
C. The image does not show prolonged decelerations

D. The image does not show late decelerations

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning home care for a 9-year-old child following an acute exacerbation of asthma. Which of the following of Erikson’s developmental stages should the nurse consider in the planning?

Correct Answer is A

Explanation

The nurse is observing the fetal monitoring tracing pictured below. What type of deceleration will the nurse document?

Correct Answer is B

Explanation

The nurse assesses a laboring client's cervix and states it is 6 cm dilated and 70% effaced. The client asks what it means to be effaced. Which descriptions will the nurse include when responding to the client? Select all that apply.

The nurse is caring for a laboring client with early decelerations and a fetal heart rate baseline of 130 with moderate variability. What will the nurse do for this client?

The nurse is caring for a client in labor receiving oxytocin. The client asks the nurse, "What is this medication for?" What is the best response by the nurse?

The nurse is caring for a client in labor. Which process will the nurse use to determine the duration of contractions?

The nurse is caring for a client during a vaginal exam by the provider. The provider informs the client that he will use the most common mechanical method to ripen her cervix prior to induction of labor. What is the method being used by the provider?

The nurse assesses the postpartum client's fundal height and tone in the first 24 hours. Which action will the nurse take to correctly assess the uterine fundus?