NCLEX PN Fundamentals Exam (2023/2024) | Graded A Questions and Verified Answers| Newly Updated
QUESTION
The nurse hangs a 1000-mL intravenous (IV)
... [Show More] bag of 5% dextrose in water (D5W) at 0700. The IV is to infuse at 100 mL/hr, and the nurse places a time tape on the IV bag. At noon the nurse should expect that the infusion line on the IV bag would be at which point? Refer to figure.
Answer:
2
QUESTION
The nurse is reading a client's urinalysis report. The nurse interprets which item found on the report to be considered abnormal?
Answer:
Positive protein
QUESTION
The nurse is assigned to care for a client on contact precautions. On review of the client's record, the nurse notes that the client has a hospital-acquired infection caused by methicillin-resistant Staphylococcus aureus (MRSA). The client has an abdominal wound that requires irrigation and has a tracheostomy attached to a mechanical ventilator and requires frequent suctioning. The nurse gathers supplies before entering the client's room and obtains which necessary protective items?
Answer:
Gloves, mask, gown, and goggles
QUESTION
The skin surrounding a postoperative client's abdominal wound is becoming irritated in the area where the dressing tape is being reapplied with each dressing change. Which is the appropriate nursing action?
Answer:
Apply Montgomery ties.
QUESTION
The nurse monitors the postoperative client frequently, knowing that accumulated secretions can lead to which problem?
Answer:
Pneumonia
QUESTION
The medication prescribed is hydromorphone hydrochloride (Dilaudid), 3 mg intramuscularly, every 4 hours as needed. The medication label reads hydromorphone hydrochloride (Dilaudid), 4 mg/1 mL. The nurse should prepare to administer how many mL to the client? Fill in the blank.
Answer:
0.75
QUESTION
The nurse is reinforcing instructions to a client regarding how to decrease the intake of phosphorus in the diet. The nurse should tell the client that which food item contains the least amount of phosphorus?
Answer:
Oranges
QUESTION
Fentanyl 75 mcg intravenous push (IVP) has been prescribed by the health care provider. The medication ampule reads fentanyl 50 mcg/mL. The nurse should prepare how many milliliters to administer the correct dose? Fill in the blank and record your answer using one decimal place.
Answer:
1.5
QUESTION
A client with a seizure disorder is taking phenytoin (Dilantin). A sample for a serum phenytoin level is drawn, and the nurse determines that the next dose of the medication may be administered if which laboratory result is noted?
Answer:
17 mcg/mL
QUESTION
The nurse is reading the health care provider's (HCP's) progress notes in the client's record and sees that the HCP has documented "insensible fluid loss of approximately 800 mL daily." Which client is at risk for this loss?
Answer:
Client with a fast respiratory rate
QUESTION
The nurse is assigned to care for a client who has just returned to the nursing unit following a renal biopsy. The nurse plans to do which action to properly care for this client for the remainder of the shift?
Answer:
Test the urine for occult blood.
QUESTION
The nurse is caring for a client [Show Less]