Intro to Nursing- Exam 2

Evidence-based care emphasizes decision making based on the best available evidence and:

use of outcome studies to guide decisions

Socialization into the nursing profession may have the most significant effect on:

values

The nurse is providing education to a client who sometimes has difficulty remembering information. Which form of communication will be most helpful for this client?

written communication

The physician ordered heparin 1200 units/hour. Heparin is available as 40,000 units in 1000 mL D5W. What is the correct IV flow rate in milliliters per hour?

30

The physician ordered 80 units of regular insulin in 250 mL of NS. It is to infuse at 10 units/hour per infusion pump. What is the correct IV rate in milliliters per hour. Round to the nearest whole number.

31

The physician ordered furosemide 2.5 mg/kg q8h for a child who weighs 28 lb. The safe dosage range is 3 to 6 mg/kg q8h, How many milligrams of furosemide should the nurse administer for each dose? Round to the nearest whole number.

32

A child weighs 35 lb and has an order for cephalexin 150 mg po every 6 hours. The literature states that the usual children's dose is 25 to 50 mg/kg a day in four divided doses. The drug label reads 125 mg/5 mL. What is the safe dosage range per day for this medication?

397.75 to 795.5

A child weighs 95 lb and has an order for IV tobramycin. The order is for 3mg/kg/day in three divided doses. How many milligrams of medication should be administered per dose?

43.18

The physician ordered 1000 mL of D5 1/2 NS with KCL 10 mEq IV over 8 hours. The nurse located a vial of potassium chloride 40 mEq/20mL. How many milliliters of KCL should the nurse add to the IV bag?

5

A client weighs 200 lb. Available is 25,000 units of heparin in 1000 mL D5W. The physician orders heparin sodium IV bolus of 80 units/kg and starts the drip at 14 units/kg/hour. What is the correct IV rate in milliliters per hour. Round to the nearest whole number.

51

The physician ordered 5mg/kg of a medication for a toddler who weighed 26 lb. How many milligrams of the medication would the nurse prepare?

59.1

An infant weights 98 oz. How many pounds does the infant weigh?

6.125

The faculty member tells the nursing student to obtain an IV microdrip tubing set. What is the drop factor on an IV microdrip?

60 gtt/mL

A child weighs 50 lb and has an order for diazepam 2 mg po tid. The safe dosage for children is 1 to 2.5 tid or qid. What is the total daily dosage for this child? Is it safe?

6; safe

A nurse fails to administer a medication that prevents seizures, and the client has a seizure. The nurse is in violation of the Nurse Practice Act. What type of law is the nurse in violation of?

Civil

What are standards for decision making that endure for a significant time in one's life?

Values

Care provided to a client following surgery and until discharge represents which phase of the helping relationship?

Working phase

A Catholic priest baptizes a stillborn baby of a Catholic family. What type of practice is this considered?

a ritual

A conceptual framework is defined as:

a set of concepts and propositions

A nurse is caring for a client who is a practicing Jehovah's Witness. The physician orders two units of packed cells based on his low hemoglobin and hematocrit levels. The nurse states to the surgeon that it is unethical to go against the client's beliefs even though his blood counts are very low. What is the best description of the nurse's intentions?

acting in the client's best interest

A legal document that states a client's health-related wishes---such as a preference for pain management if the client becomes terminally ill--and also allows the client's daughter to direct his or her care, is a(an):

advance directive

In the provision of care and the establishment of the therapeutic relationship , the nurse must first:

be aware of one's own personality

A student nurse is preparing a presentation regarding different cultures. Which definition of culture is most accurate?

belief system that guides behavior

When caring for a client, nursing care will be most effective when the nurse-client communication is based upon:

common understanding

A nurse communicating with a client states, "I will be changing your dressing." She is wearing sterile gloves and a mask. She is conveying a(an)"

congruent relationship

When documenting client care, the nurse understands that the most important reason for correct and accurate documentation is:

conveying information

A nursing student's attitude is defined as:

disposition toward situations

When a client states, "I only want an American doctor," the client is expressing cultural:

ethnocentrism

The purpose of a values inquiry discussion with a group of nursing students is to:

examine social issues

Which area is typically included in a cultural assessment?

food preferences

One of the primary focuses of nursing research is to:

generate knowledge to guide practice

Communication is the:

heart of nursing

A nurse educator could be considered culturally as a(an):

key informant

A client says to the nurse, "Why don't you wear a white cap like nurses do on the soap operas?" This is an ethnocentric statement based on the:

media

When communicating with clients nurses need to be very careful in their approach. This is particularly true when communicating using:

medical terminology

During adolescence, the process of value formation is profoundly influenced by:

peers

The role of the institutional review boards for research studies is to:

protect the rights of human participants

The nurse correctly differentiates race from ethnicity by noting that race is based on which characteristics?

Biological

A child weights 44 lb and has an order for IV methylprednisolone sodium succinate. The order is for 0.03 mg/kg/day. How many milligrams of medication should be administered?

0.6

While studying about various cultures, the student nurse is aware that a subculture is based on which characteristic? Select all that apply

1. Gender 2. Age 3. Profession 4. Hobbies 5. Sexual preference

The public health nurse is preparing a presentation about disparities in health care in the community. What key concepts will the nurse include? Select all that apply.

1. Information regarding minorities within the community 2. Identifying groups that are disadvantaged within the community 3. Pointing out groups within the community that possess less power

An infant weights 12 lb 6 oz. How many pounds does this infant weigh?

12.375

A child weighs 30 lb. How many kilograms does this child weigh? Round to the nearest hundreth.

13.64

The physician ordered cimetidine 300 mg in 50 mL D5W over 30 minutes with a drop factor of 10 gtt/mL. What is the correct IV flow rate in drops per minute? Round off to the nearest whole number.

17

The physician ordered heparin 850 units/hour. There are 25,000 units of heparin in 500 mL of D5W. Calculate the correct IV flow rate in milliliters per hour.

17

The nurse has administered a parenteral IV piggyback to a child. At the completion of the IV, how many milliliters of flush are added to the Buretrol to clear the tubing of the medication.

20

The nurse working on a medical unit always performs hand hygiene between contact with each client. In addition to being understood as an infection control measure, this practice can be understood as:

A ritual

Select the correct formula to use to identify the amount of drug in 1 mL of solution.

Amount of drug (mL)/ Amount of fluid= Amount of drug in 1 mL

The physician ordered a client to receive 1000 mL D5 1/2 NS to infuse over 24 hours. Which solution should the nurse obtain from the supply cart?

D5% 0.45 NS

What nursing activity forms the bridge between theory and practice?

Evidence-based research

A nurse states to the client that she will keep her free of pain. However, her family wishes to try a treatment to prolong her life that may necessitate withholding pain mediation. This factor will cause an ethical dilemma for the nurse in relation to which ethical principle?

Fidelity

The nurse researcher is aware that the type of variable that can be manipulated in a study is which type of variable?

Independent

A nurse is applying a nursing model in the care of a client. Which is most similar to a nursing model?

Nursing theory

When caring for a psychiatric client, a formal contract is made with the client during which phase of the nurse-client relationship?

Orientation phase

A nursing instructor would like to study the effect peer tutoring has on student success. What is the independent variable?

Peer tutoring

A nurse is of the Catholic faith and votes pro-life. He is considered to have:

Personal values

The nurse researcher would like to gather data about the attitudes of young adults on spirituality and health care. What is the most effective form of research on this topic?

Qualitative Research

The physician ordered 1000 mL D5W, IV, to run at 75 mL/hour. What is the correct volume for infusion and rate for infusion on the infusion pump.

Rate for infusion: 75 mL; Volume for infusion: 1000 mL

Which statement best explains the importance of theoretic frameworks?

Theoretic Frameworks advance nursing knowledge and practice.

In order to provide effective nursing care, the nurse should engage in what type of communication with the client and significant others?

Therapeutic communication