[NURS 140] ATI FUNDAMENTALS (GRAY BOOK) - FINAL RELATED NCLEX QUESTIONS

A nurse is preparing to administer lactated ringers IV 100 mL over 15 min. The nurse should set the IV infusion pump to deliver how many mL/hr. (Round the answer to the nearest tenth. Do not use a trailing zero.)

400 mL/hr

A nurse is preparing to adminster methlyprednisole 10mg by IV bolus. The amount available is methlyprednisolone injection 40mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Do not use a trailing zero.)

0.3 mL

A nurse is preparing to adminster ketorolac 0.5 mg/kg IV bolus every 6 hr to a school-age child who weighs 66 lb. The amount available is ketorolac injection 30 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Do not use a trailing zero.)

0.5 mL

A nurse is preparing to administer acetaminophen 320 mg PO every 4 hr PRN for pain. The amount available is acetaminophen liquid 160 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Do not use a trailing zero.)

10 mL

A nurse is preparing to administer dextrose 5% in water (DsW) 1,000 mL IV to infuse over 10 hr. The nurse should set the IV infusion pump to deliver how many mL/hr? (Round the answer to the nearest tenth. Do not use a trailing zero.)

100 mL/hr

A nurse is preparing to administer metoprolol 200 mg PO daily. The amount available is metoprolol 100mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest tenth. Do not use a trailing zero.)

2 tablets

A nurse is preparing to administer 0.9% sodium chloride 250 mL IV to infuse over 30 min. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should adjust the manual IV infusion to deliver how many gtt/min. (Round the answer to the nearest tenth. Do not use a trailing zero.)

83 gtt/min

A nurse is beginning a complete bed bath for a client. After removing the client's gown and placing a bath blanket over him, which of the following areas should the nurse wash first? A. Face B. Feet C. Chest D. Arms

A

A nurse is performing mouth care for a client who is unconscious. Which of the following actions should the nurse take? A. Turn the client's head to the side. B. Place two fingers in the client's mouth to open. C. Brush the client's teeth once per day. D. Inject a mouth rinse into the center of the client' mouth.

A

A nurse is planning care for a client who develops dyspnea and feels tired after completing her morning care. Which of the following actions should the nurse include in the client's plan of care? A. Schedule rest periods during morning care. B. Discontinue morning care for 2 day. C. Perform all care as quickly as possible. D. Ask a family member to come in to bathe the client.

A

A nurse is planning care for a client who is on bed rest. Which of the following interventions should the nurse plan to implement? A. Encourage the client to perform antiembolic exercises every two hours. B. Instruct the client to cough and deep breathe every four hours. C. Restrict the client's fluid intake E. Reposition the client every four hours.

A

A nurse is teaching a client how to administer medication through a jejunostomy tube. Which of the following instructions should the nurse include? A. "Flush the tube before and after each medication." B. "Mix your medications with your enteral feeding." C. "Push tablets through the tube slowly." D. "Mix all the crushed medications prior to dissolving them in water."

A

A nurse prepared an injection or morphine to administer to a client who reports pain. Prior to administering the medication, the nurse assists another client onto a bedpan. She asks a second nurse to give the injection. Which of the following actions should the second nurse take? A. Offer to assist the client who needs the bedpan. B. Administer the injection the other nurse prepared. C. Prepare another syringe and administer the injection. D. Tell the client who needs the bedpan she will have to wait for her nurse.

A

A nurse is instructing a client, who has an injury of the left lower extremity, about the use of a cane. Which of the following instructions should the nurse include? (Select all that apply) A. Hold the cane on the right side B. Keep two points of support on the floor. C. Place the cane 38cm (15in) in front of the feet before advancing. D. After advancing the cane, move the weaker leg forward. E. Advance the stronger leg so that it aligns evenly with the cane.

A, B, D

A nurse educator is teaching a module about a safe medication administration to newly licensed nurses. Which of the following statements should the nurse identify as an indication that one of the group understands how to implement medication therapy? (select all that apply) A. "I will observe for side effects." B. "I will monitor for therapeutic effects." C. "I will prescribe the appropriate dose." D. "I will change the dose if adverse effects occur." E. "I will refuse to give a medication if I feel it is unsafe."

A, B, E

A nurse is instructing a client who has diabetes mellitus about foot care. Which of the following guidelines should the nurse include? (Select all that apply) A. Inspect the feet daily. B. Use moisturizing lotion on the feet. C. Wash the feet with warm water and let them air dry. D. Use over-the-counter products to treat abrasions. E. Wear cotton socks.

A, B, E

A nurse is preparing to administer a 0900 medication to a client. Which of the following are acceptable administration times for medication. (select all that apply) A. 0905 B. 0825 C. 1000 D. 0840 E. 0935

A, D

A nurse if preparing to inject heparin subcutaneously for a client who is postoperative. Which of the following actions should the nurse take? A. Use a 22-gauge needle. B. Select a size on the client's abdomen. C. Spread the skin with the thumb and index finger. D. Observe for bleb formation to confirm proper placement.

B

A nurse is evaluating teaching on a client who has a new prescription for a sequential compression device. Which of the following client statements should indicate to the nurse the client understands the teaching? A. "This device will keep me from getting scores in my skin" B. "This thing will keep the blood pumping through my leg" C. "With this thing on, my leg muscles won't get weak" D. "The device is going to keep my joints in good shape"

B

A nurse is preparing to perform denture care for a client. Which of the following actions should the nurse plan to take? A. Pull down and out at the back of the upper denture to remove. B. Brush the dentures with a toothbrush and denture cleaner. C. Rinse the dentures with hot water after cleaning them. D. Place the dentures in a clean, dry storage container after cleaning them.

B

A nurse is teaching an adult client how to administer ear drops. Which of the following statements should the nurse identify as an indication that the client understands the proper techniques? A. "I will straighten my ear canal by pulling my ear down and back." B. "I will gently apply pressure with my finger to the front part of my ear after putting in the drops." C. "I will insert the nozzle of the ear drop bottle snug into my ear before squeezing the drops in." D. "After the drops are in, I will place a cotton ball all the way into my ear canal."

B

A nurse is working with a newly licensed nurse who is administering medications to clients. Which of the following actions should the nurse identify as an indication that the newly hired nurse understands medication error prevention? A. Taking all medications out of the unit-dose wrappers before entering the client's room B. Checking with the provider when a single dose required administration of multiple tablets C. Administering a medication, then looking up the usual dosage range D. Relying on another nurse to clarify a medication prescription

B

A nurse is caring for a client who is postoperative. Which of the following interventions should the nurse take to reduce the risk of thrombus development? (Select all that apply) A. Instruct the client not to perform the Valsalva maneuver. B. Apply elastic stockings. C. Review laboratory values for total protein level. D. Place pillows under the client's knees and lower extremities. E. Assist the client to change position often.

B, E

A nurse is caring for a client who is one day postoperative following a total knee arthroplasty. The client states his pain level is a ten on a scale from zero to ten. After reviewing the client's medication administration record, which of the following medications should the nurse administer? A. Meperidine 75mg IM B. Fentanyl 50 mcg/hr transdermal patch C. Morphine 2mg IV D. Oxycodone 10 mg PO

C

A nurse is caring for a client who has been sitting in a chair for one hour. Which id the following complications is the greatest risk to the client? A. Decreased subcutaneous fat B. Muscle atrophy C. Pressure ulcer D. Fecal impaction

C

A nurse is preparing to administer digoxin to a client who states, "I don't want to take that medications. i do not want to take one more pill." Which of the following responses should the nurse make? A. "Your physician prescribed it for you, so you really should take it." B. "Well, let's just get it over quickly then." C. "Okay, I'll just give you another medication." D. "Tell me your concerns about taking this medication."

D

A nurse is teaching a client about taking multiple oral medications at home to include time-release capsules, liquid medications, enteric-coated pills, and opioids. Which of the following statements should the nurse identify as an indication that the client understands the instructions? A. "I can open the capsule with the beads in it and sprinkle them on my oatmeal." B. "If I am having difficulty swallowing, I will add the liquid medication to a batch of pudding." C. "I can crush the pills with the coating on them." D. "I will eat two crackers with the pain pills."

D