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Question 1 of 30
1. Question
The nurse caring for a client with a serum calcium of 6.8 mg/dL. What would the nurse expect the change on the electrocardiogram (ECG)?
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Question 2 of 30
2. Question
When providing care for a female client with Addison disease, the nurse should be alert for which of the following laboratory values?
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Question 3 of 30
3. Question
A client has been undergoing radiotherapy for the treatment of mandibular cancer. After a few sessions, the client is diagnosed with Tumor Lysis Syndrome (TLS). Which of the following findings correlates with TLS?
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Question 4 of 30
4. Question
A female client went to the clinic with a creatinine clearance of 200 mL/min. Which of the following conditions of the client can cause the increased level of this test?
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Question 5 of 30
5. Question
A nurse is reviewing the complete blood count (CBC) of a child who has been diagnosed with idiopathic thrombocytopenic purpura. Which of the following laboratory results should the nurse report immediately to the physician?
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Question 6 of 30
6. Question
A patient receiving parenteral nutrition is administered via the following routes except:
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Question 7 of 30
7. Question
A nurse is monitoring the status of a client’s fat emulsion (lipid) infusion and notes that the infusion is 2 hours delay. The nurse should do which of the following actions?
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Question 8 of 30
8. Question
A nurse is preparing to hang the initial bag of the parenteral nutrition (PN) solution via the central line of a malnourished client. The nurse ensures the availability of which medical equipment before hanging the solution?
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Question 9 of 30
9. Question
A nurse is conducting a follow-up home visit to a client who has been discharged with parenteral nutrition(PN). Which of the following should the nurse most closely monitor in this kind of therapy?
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Question 10 of 30
10. Question
A nurse is preparing to hang a fat emulsion (lipids) and observes some visible fat globules at the top of the solution. The nurse ensures to do which of the following actions?
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Question 11 of 30
11. Question
A client is receiving nutrition via parenteral nutrition (PN). A nurse assesses the client for complications of the therapy and assesses the client for which of the following signs of hyperglycemia?
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Question 12 of 30
12. Question
A nurse is caring for a client who disconnected the tubing of the parenteral nutrition from the central line catheter. A nurse suspects an occurrence of an air embolism. Which of the following is an appropriate position for the client in this kind of situation?
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Question 13 of 30
13. Question
A client is being weaned off from parenteral nutrition (PN) and is given a go-signal to take a regular diet. The ongoing solution rate has been 120ml/hr. A nurse expects that which of the following prescriptions regarding the PN solution will accompany the diet order?
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Question 14 of 30
14. Question
A client receiving parenteral nutrition (PN) in the home setting has a weight gain of 5 lb in 1 week. The nurse next assesses the client to identify the presence of which of the following?
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Question 15 of 30
15. Question
A nurse is making initial rounds at the beginning of the shift and notices that the parenteral nutrition (PN) bag of an assigned client is empty. Which of the following solutions readily available on the nursing unit should the nurse hang until another PN solution is mixed and delivered to the nursing unit?
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Question 16 of 30
16. Question
A nurse is caring for a group of clients in a medical-surgical nursing unit. The nurse recognizes that which of the following clients would be the least likely candidate for parenteral nutrition?
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Question 17 of 30
17. Question
A client is receiving parenteral nutrition (PN) and is suddenly having a fever. A nurse notifies the physician and the physician initially prescribes that the solution and tubing be changed. The nurse should do which of the following with the discontinued materials?
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Question 18 of 30
18. Question
A nurse is changing the central line dressing of a client receiving parenteral nutrition (PN) and notes that there is redness and drainage at the insertion site. The nurse next assesses which of the following?
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Question 19 of 30
19. Question
A client receiving parenteral nutrition (PN) complains of a headache. A nurse notes that the client has a bounding pulse, jugular distension, and weight gain greater than desired. The nurse determines that the client is experiencing which complication of PN therapy?
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Question 20 of 30
20. Question
A nurse is preparing to change the parenteral nutrition (PN) solution bag and tubing. The client’s central venous line is located in the right subclavian vein. The nurse asks the client to take which essential action during the tube change?
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Question 21 of 30
21. Question
A nurse observes the client receiving fat emulsions is having hives. A nurse reviews the client’s history and notes which of the following may be caused by the complaint of the client?
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Question 22 of 30
22. Question
A client receiving parenteral nutrition (PN) complains of shortness of breath and shoulder pain. A nurse notes that the client has an increased pulse rate. The nurse determines that the client is experiencing which complication of PN therapy?
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Question 23 of 30
23. Question
A nurse is caring for a combative client who is ordered to have a nutritional therapy using parenteral nutrition (PN). The nurse should plan which of the following measures to prevent the client from injury?
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Question 24 of 30
24. Question
Nurse Spencer is caring for an anorexic client who is having a total parenteral nutrition solution for the first time. Which of the following assessments requires the most immediate attention?
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Question 25 of 30
25. Question
Nurse Russell is preparing to give total parenteral nutrition using a central line. Place the following steps for administration in the correct order?
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Connect the tubing to the central line.
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Select and flush the correct tubing and filter.
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Check the solution for cloudiness, particles, or a change in color.
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Prime the IV tubing through an infusion pump.
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Maintain an aseptic technique when handling the injection cap.
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Regulate the electric infusion pump at the ordered rate.
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Question 26 of 30
26. Question
Nurse Aaron is inserting a nasogastric tube to a stroke client. He understands that the best position for the insertion is?
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Question 27 of 30
27. Question
Nurse Monica is handling a female client who had undergone a mastectomy. Which is the best position in which she should place the client?
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Question 28 of 30
28. Question
A nurse is caring for a client with severe burns of the face and head. The nurse will place the client in which position?
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Question 29 of 30
29. Question
Which of the following does not match with the appropriate position?
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Question 30 of 30
30. Question
Nurse Ian is handling a client with gastroesophageal reflux disease. Which of the following positions will best help the client in this case?
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