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1.A nurse is caring for a client who has been taking diuretics on a long-term basis. A fluid volume shortage is
suspected. Which assessment finding would be noted in a client with this condition?
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2. A nurse is assigned to care for a group of clients. After a review of the clients’ medical records, the nurse
determines that one of the clients is at risk for a fluid volume excess. Which client is at risk for this condition?
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3. A nurse prepares to administer IV potassium chloride as prescribed to a client with hypokalemia. Of the
following, which would not be part of the nurse’s plan in regard to potassium preparation and administration?
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4. A nurse reviews electrolyte results of an assigned client and notes that the potassium level is 5.4 mEq/L.
Which of the following would the nurse note on the ECG as a result of the laboratory values?
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5. A nurse caring for a client with hypocalcemia would expect to note which of the following changes on the
electrocardiogram (ECG)?
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6. As a nurse plans care for a client with chronic obstructive pulmonary disease (COPD), which of the following
acid-base imbalance should the nurse expect?
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7. A client with a nasogastric tube is attached to low suction. A nurse monitors the client, knowing that the client
is at risk for which acid-base disorder?
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8. A client is suspected of having a myocardial infarction. A nurse looks for elevations in which of the following
isoenzyme values reported with the creatinine phosphokinase (CPK) level?
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9. While caring for a client immediately after extraction of the endotracheal tube following radical neck
dissection, a nurse would plan to report which of the following signs right away if experienced by the client?
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10. When a physician orders 3000 mL of D5W to infuse over a 24-hour period with a drop factor of 10 drops per
1 mL a nurse must set the flow rate at how many drops per minute?
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11. When a physician orders an intravenous (IV) dose of 400,000 units of penicillin G benzathine (Bicillin) and
the label on the 10-mL ampule sent from the pharmacy reads penicillin G benzathine (Bicillin), 300,000 units
per mL – a nurse must prepare how much medication to administer the correct dose?
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12. An infant with congestive heart failure (CHF) is administered diuretic therapy and a nurse closely screens
the infant’s intake and output (I & O). The nurse uses which most appropriate method to assess the urine
output?
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13. A burn client is given treatments of topical mafenide (Sulfamylon) to the site of injury. A nurse watches the
client, understanding that which of the following suggests that a systemic effect has occurred?
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14. A nurse sets up care of a burn client in protective isolation, understanding that which of the following is
not a part of protective isolation techniques?
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15. When looking over the laboratory results of the client with bladder cancer and bone metastasis, a nurse
observes a calcium level of 12 mg/dL. The nurse acknowledges that this is consistent with which
oncological emergency?
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16. Which evaluation finding would indicate to the nurse that a client is experiencing a problem related to a
modified radical mastectomy procedure?
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17. A client admitted to a hospital with a diagnosis of diabetic ketoacidosis (DKA) has an initial blood
glucose level of 950 mg/dL. A continuous IV infusion of Regular insulin is started along with rehydration with
IV normal saline. The serum glucose level is now 240 mg/dL. The nurse would next arrange to give which of
the following?
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18. A nurse would give ondansetron (Zofran) to a postoperative client for relief of:
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19. A nurse would give loperamide (Imodium) to a client PRN if the client has:
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20. When suctioning a client using a tracheostomy tube, a nurse must restrict the suctioning to a maximum
of:
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