Rn fundamentals 2019 Exam
Total Questions : 65
Showing 25 questions, Sign in for moreA nurse is caring for a client who consumes 3 oz of milk, 2 oz of orange juice, 3 oz of tea, and 4 oz of water over a 4-hr period. The client is also receiving dextrose 5% in 0.45% sodium chloride 30 mL/hr by continuous IV infusion. Calculate the client's intake for that 4-hr period in mL. (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Explanation
1oz= 29.57 mL
Total oral intake= 3+2+3+4= 12oz 12oz x 29.57= 354.84 ml
Total IV 30ml/hr x 4= 120 ml Total= 354.84 +120
= 474.84 ml
= 475 ml (rounded off to the nearest whole number)
A nurse is preparing a sterile field to assist with suturing a client's laceration. Which of the following actions should the nurse plan to take?
A nurse is assessing a client who is receiving continuous IV fluids through a peripheral IV. Which of the following findings indicates to the nurse that the client is experiencing fluid overload?
A visitor reports to a nurse that she slipped and fell in a client's room. The visitor denies any injury, but is walking with a slight limp. Which of the following actions should the nurse take?
A nurse at an assisted living facility is preparing an in-service for residents about electrical safety. Which of the following instructions should the nurse include?
A nurse is preparing to administer several medications to a client. Which of the following data should the nurse plan to use to confirm the client's identity?
A nurse is testing a client for conduction deafness by performing the Weber's test. Which of the following actions should the nurse take when performing this test?
A nurse is providing preoperative teaching to a client over the phone in preparation for outpatient surgery. Which of the following information should the nurse include in the teaching?
A nurse is preparing to insert a peripheral IV catheter into a client's arm. Which of the following actions should the nurse take to help dilate the vein?
A nurse is preparing to bathe a client who has dementia. Which of the following actions should the nurse take?
A nurse is caring for a client who is postoperative and asks the nurse, "When will I get to go home? I'm not sure what happens next." Which of the following actions should the nurse take?
A nurse manager is performing a quality improvement assessment to determine the source of a recurrence of Clostridium difficile on a unit. The nurse manager should identify that which of the following nursing actions is a possible source of the infection?
A nurse is preparing to administer a medication to a client. Which of the following should the nurse use as a client identifier?
A hospice nurse is visiting a client who has terminal cancer. Which of the following statements by the client's partner should the nurse recognize as an indication of anticipatory grief?
A nurse is assessing the visual acuity of a client who wears glasses using a Snellen chart. Which of the following actions should the nurse take?
A nurse is caring for a client who has a new diagnosis of terminal cancer. Which of the following interventions is the priority?
A nurse is monitoring a client who is receiving continuous IV fluid therapy via a peripheral vein in the left forearm. Which of the following findings indicates that the client has developed phlebitis at the IV site?
A nurse is caring for a client who is agitated and threatening to harm others. The nurse places the client in restraints, but does not notify the provider or obtain a prescription for the restraints. This situation represents which of the following torts?
A nurse is caring for a client who has right-sided paralysis following a cerebrovascular accident. Which of the following prescriptions should the nurse anticipate to prevent a plantar flexion contracture of the affected extremity?
A nurse is caring for a client who reports a pain level of 5 on a scale from 0 to 10. The client informs the nurse that pain medications are not an option for managing pain. Which of the following is an appropriate response by the nurse?
A nurse is completing a dressing change on a client who has a surgical wound drain. Which of the following actions should the nurse take?
A nurse is caring for a client who has a chest tube following thoracic surgery. Which of the following tasks should the nurse delegate to an assistive personnel?
A nurse enters a client's room and discovers a smoldering fire in the drapes. After moving clients to a safe location, which of the following actions should the nurse take next?
A nurse is planning care to prevent skin breakdown for a client who is immobile and has urinary incontinence. Which of the following actions should the nurse include in the plan of care?
A nurse is preparing to apply a condom catheter for a client who is uncircumcised. Which of the following actions should the nurse plan to take?
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