NCLEX PN FUNDAMENTALS

NCLEX PN FUNDAMENTALS

The intravenous prescription is 1000 mL of 0.9% NaCl (normal saline) to run over 12 hours. The drop factor is 15 gtts/1 mL. The nurse plans to adjust the flow rate to how many gtts/minute? Fill in the blank and record the answer to the nearest whole number. - ANSWER 21 The nurse is encouraging a client who is incontinent to participate in recreational therapy. Which nursing intervention should the nurse consider performing first? - ANSWER Change the client's soiled disposable brief.The nursing instructor asks the student to describe isotonic dehydration. The student correctly responds by stating which pathophysiological process? - ANSWER "Water and electrolytes are lost in approximately the same proportion as they exist in the body." A health care provider's prescription reads "cyanocobalamin (vitamin B12) 100 mcg intramuscular." The medication label reads "cyanocobalamin (vitamin B12), 0.5 mg/mL." The nurse administers how many milliliters to the client? Fill in the 1 / 3

blank. Record the answer to one decimal place. - ANSWER 0.2 The nurse is assisting to admit a client with a diagnosis of Guillain-Barré syndrome. The nurse knows that if the disease is severe enough, the client will be at risk for which acid-base imbalance? - ANSWER Respiratory acidosis The nurse is assisting in the care of a group of clients on the nursing unit. The nurse determines that a client with which diagnosis is the one who has the least likely risk for developing third-spacing of body fluid? - ANSWER Ischemic stroke A client is to have an upper gastrointestinal (GI) series. Which nursing action should be done concerning the procedure? - ANSWER Administer a laxative after the procedure because barium was administered.The nurse is preparing to change the neck ties on a tracheostomy tube. Which action should the nurse take? - ANSWER Obtain a second health care team member to assist. 2 / 3

A client who has undergone a barium enema is being readied for discharge from the ambulatory care unit. Which statement by the client indicates understanding of the discharge instructions? - ANSWER "I should take a laxative and my stool should return to normal color." A client has been diagnosed with metabolic alkalosis. Which laboratory value(s) is most important for the nurse to monitor for this client? - ANSWER Arterial blood gases (ABGs) A child has been diagnosed with meningococcal meningitis. Which precautionary technique is appropriate to prevent transmission of the disease? - ANSWER Isolation precautions for at least 24 hours after the initiation of antibiotics A health care provider has prescribed phytonadione 2.5 mg intramuscularly. The nurse reads the label on the medication vial and administers how many mL to the client? Refer to the figure and fill in the blank. Record your answer to two decimal places. - ANSWER 0.25 A lethargic, pale child is brought to the health care provider's office with symptoms of periorbital edema and reduced quantity of urine output. The urine is cloudy and smoky in color. The nurse asks the mother if the child has had any recent infections, to which the mother responds that the child had a very sore throat a few weeks ago. The health care provider suspects that the child might have acute

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