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Exam Review

Fundamentals exam

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Total Questions : 46

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Question 1:

The physician orders atropine sulfate 300 mcg IM for preoperative medication. Looking at the label, how many milliliters will you administer?

Answer and Explanation
Correct Answer: "3" mL

Explanation

Order: Atropine sulfate 300 mcg IM

Label: 0.5 mg (0.1 mg/mL)

Conversion:

0.5 mg = 500 mcg

Concentration: 0.1 mg/mL = 100 mcg/mL

Desired dose: 300 mcg

Volume to administer: 300 mcg ÷ 100 mcg/mL = 3 mL


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Question 2:

A patient had abdominal surgery for gastrostomy tube placement and has enteral feedings in fusing at 75ml/hr. She is stating that she is" nauseated and has vomited twice". After completing your assessment, you note that her abdomen is distended, and she has had 5-7 loose and runny stools over the last 24 hours. What is the next action for the nurse to take?

Answer and Explanation

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Question 3:

Which of the following is an appropriate nursing action for skin irritation around the Gastrostomy tube site?

Answer and Explanation

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Question 4:

The health care provider is concerned that the client has hypokalemia. During the physical examination, which question should the nurse ask the client?

Answer and Explanation

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Question 5:

The physician orders 3000 mL of total parenteral nutrition (TPN) to be infused from 1900 to 0700 hours. How many milliliters per hour should the IV pump be programmed for?

Answer and Explanation
Correct Answer: "250" mL/hr

Explanation

Order: 3000 mL of TPN to be infused from 1900 to 0700 hours

Total infusion time: 12 hours

Volume to be infused: 3000 mL

Infusion rate: 3000 mL ÷ 12 hours = 250 mL/hr


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Question 6:

The nurse practitioner orders Novolin insulin 45 units subcutaneously every morning for the patient. You have on hand Novolin 100 units/mL. How many units of insulin will you administer?

Answer and Explanation
Correct Answer: "0.45" mL

Explanation

Order: Novolin insulin 45 units subcutaneously every morning

Available: Novolin 100 units/mL

Desired dose: 45 units

Volume to administer: 45 units ÷ 100 units/mL = 0.45 mL

Answer:

0.45 mL


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Question 7:

The nurse knows that which indwelling catheter procedure places the patient at greatest risk of acquiring a urinary tract infection?

Answer and Explanation

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Question 8:

A nurse is caring for a patient who is receiving enteral feeding. Which of the following interventions is the highest priority when the nurse suspects aspiration of the feeding?

Answer and Explanation

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Question 9:

Arterial blood gases (ABGs) have been drawn on the client. The nurse reviews the results. pH is 7.31 PaCO2 50 mm Hg (6.65 kPa) HCO3 26 mEq/L (26 mmol/L) How will the nurse interpret these ABG results.

Answer and Explanation

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Question 10:

A nurse is caring for a client in the hospital setting who is receiving enteral feeding via NG tube, which action should the nurse complete prior to administering feeding?

Answer and Explanation

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