A nurse is to administer 1 L of 5% dextrose in water (D5W) over 6 hours. The IV set delivers 10 drops per milliliter. What is the drip rate per minute that the nurse should set? Round to the nearest whole number.
28 drops per minute
✓
30 drops per minute
29 drops per minute
27 drops per minute
Correct Answer
28 drops per minute
Convert 1 L to 1000 mL, and then calculate drops needed: . Then divide the total number of drops by the total number of minutes: . Round to 28 drops/minute.
Question 2
Which of the following is a water-soluble vitamin that is important for the synthesis of collagen and wound healing?
Vitamin K
Vitamin C
✓
Vitamin E
Vitamin A
Correct Answer
Vitamin C
Vitamin C is a water-soluble vitamin that is important for the synthesis of collagen and wound healing.
Question 3
The nurse is caring for a client with fluid volume excess. Which of the following interventions would be appropriate for this client?
Administer diuretic drugs
✓
Increase dietary sodium intake
Administer intravenous replacement fluids
Encourage fluid intake
Correct Answer
Administer diuretic drugs
Diuretic drugs are prescribed to help the body eliminate excess fluid.
Question 4
The nurse is caring for a client who is receiving a blood transfusion. During the transfusion, the client develops itching, hives, and shortness of breath. The nurse recognizes that these symptoms are most likely indicative of which of the following?
Circulatory overload
Febrile reaction
Allergic reaction
✓
Hemolytic reaction
Correct Answer
Allergic reaction
Itching, hives, and shortness of breath are common symptoms of an allergic reaction to blood or blood products.
Question 5
The health care provider orders 750 mL of lactated Ringer's solution to be administered over 8 hours. What is the appropriate rate in milliliters per hour to set the IV infusion pump? Round to the nearest whole number.
93
94
✓
91
92
Correct Answer
94
. Round to 94 mL/hour.
Question 6
Which of the following is a fat-soluble vitamin that can accumulate in the body and potentially cause toxicity?
Vitamin B6
Vitamin C
Vitamin B12
Vitamin A
✓
Correct Answer
Vitamin A
Vitamin A is a fat-soluble vitamin that can accumulate in the body and potentially cause toxicity.
Question 7
The nurse is caring for a client with fluid volume deficit. Which of the following findings would the nurse expect to assess in this client?
Edema
Tachycardia
✓
Elevated blood pressure
Crackles in the lungs
Correct Answer
Tachycardia
Symptoms of fluid volume deficit include thirst, dry mouth, and tachycardia.
Question 8
The nurse is caring for a client who has been prescribed calcium supplements for the treatment of osteoporosis. Which of the following should the nurse instruct the client to take 1 hour before or after the administration of calcium supplements?
Zinc
Magnesium
Vitamin D
Iron
✓
Correct Answer
Iron
Iron should be administered 1 to 2 hours before or after calcium because it may alter its effectiveness.
Question 9
A nurse is caring for a client who has been taking echinacea for the treatment of a cold. Which of the following should the nurse monitor the client for while they are taking echinacea?
Coagulation
Renal function
Liver function
✓
Cholesterol
Correct Answer
Liver function
Echinacea is hepatotoxic; therefore, liver function should be monitored.
Question 10
The nurse is caring for a client who has been taking St. John's wort for the management of depression. Which of the following should the nurse instruct the client about regarding the use of St. John's wort?
It may interact with other drugs such as antidepressants.
✓
It should be taken with food.
It is safe to use during pregnancy.
It may cause weight gain and fluid retention.
Correct Answer
It may interact with other drugs such as antidepressants.
St. John's wort may interact with many other drugs, including antidepressants.