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Exam Review

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Total Questions : 41

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Question 1:

A 27-year-old female client has a new prescription for captopril. What will the nurse be sure to include in the patient teaching?

Answer and Explanation

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Question 2:

Which of the following clients would the nurse question an order for labetalol 50 mg PO?

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Question 3:

When teaching a client how to self-administer their new prescription for 10 units of NPH insulin and 3 units of regular insulin, what should the nurse include?

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Question 4:

A client is to receive radioactive iodine for treatment of hyperthyroidism. What should the client be educated to prepare for following this procedure?

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Question 5:

A client is being treated for heart failure. Labs: Sodium 146, Potassium 2.9, Hemoglobin 10.5, White Blood Cells 12.2 VS: BP 118/66, apical heart rate 68, O2 96% on 2L nasal cannula, temperature 98.4F
What will the nurse do with the digoxin order?

Answer and Explanation

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Question 6:

What is the priority assessment for a 54-year-old patient with heart failure who is receiving digoxin?

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Question 7:

A diabetic client has an order for a CT of the abdomen with contrast. The nurse should assess the client's medications for which drug prior to sending the client to radiology?

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Question 8:

Order: 250 mL. Normal saline bolus IV over 30 minutes

On hand: 1L normal saline bags

W/hat rate will the nurse set the pump to deliver the fluid?

Answer and Explanation
Correct Answer: "500 mL\/hr"

Explanation

To find the rate in mL/hr, we need to convert the time from minutes to hours and then divide the volume by the time. Here are the steps:

1. Convert 30 minutes to hours:

30 minutes/ (60 minutes/hour)= 0.5 hours

2. Calculate the rate in mL/hr:

250 mL/ 0.5 hours = 500 mL

So, the nurse will set the pump to deliver the fluid at a rate of 500 mL/hr.


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Question 9:

Question 9

The nurse is preparing medications for a client with a history of hypertension that is post-op day 3 following hip replacement.

Meds: Atenolol 25 mg PO, Captopril 10 mg PO, Glipizide 5 mg PO, Atorvastatin 20 mg PO, and Enoxaparin 40 mg SQ.

Vital signs: blood pressure 138/90, heart rate 82, respiratory rate 18, temperature 99.7, O2 saturation 96% on room air.

Today's labs: sodium- 143 meq/L, potassium 6.2 mmol/L, hemoglobin 11.1 gm/dL, platelets 104,000, white blood count 10.8, blood glucose 130.

Which medication would be a priority for the nurse to hold?

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Question 10:

The nurse is giving the vasodilator medication hydralazine IV push to a client with a systolic blood pressure of 210. What nursing education would be most important to include for this client?

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