NCLEX PRACTICE EXAM 3 TEST Q&A

A client has a continuously running peripherl infusion. The physician orders an antibiotic as a piggyback infusion four times per day. In order to administer the antibiotic, the nurse should do which of the following? Select all that apply. 1. Avoid compatibility issues by starting an additional IV access. 2. Start a new IV access to eliminate the problem of too much volume for one site. 3. Flush the IV line before and after infusion of an incompatible drug. 4. Check to see if the antibiotic is compatible with the continuous infusion. 5. Change the flow rate to facilitate the administration of the antibiotic. - Answer- Answer: 3,4, 5 The family of a home infusion client calls the home health nurse one night to report that the electronic infusion pump is alarming. What should the nurse anticipate as the cause of the infusion pump alarming? Select all that apply. 1. The client's pulse and blood pressure are falling. 2. The client is experiencing a reaction to the medication. 3. The prescribed infusion is complete. 4. There is an incompatibility with the medications. 5. An occlusion has interrupted the infusion. - Answer- Answer 3, 5 The home health nurse is monitoring a client who performs self- care of a central line. The nurse observes the client doing all of the following activities. Which activity indicates the need for further education? 1. Flushing the central line with a 3 mL syringe 2. Cleaning the needleless injection cap with alcohol before accessing 3. Using sterile gloves to change the central line dressing 4. Wearing a mask while changing the central line dressing - Answer- Answer 1 The client has a tunneled Groshong catheter for intermittent medication administration. After administering the medication, the nurse prepares to do which of the following? 1. Clamp the catheter after medication administration. 2. Flush the catheter with heparin at scheduled times. 3. Flush the catheter with saline after medication administration. 4. Initiate a Valsalva maneuver when disconnecting medication tubing. - Answer- Answer 3 The client has a percutaneous jugular central venous line that is capped and used for intermittent infusions. After administering the medication, the best method to maintain patency is to do which of the following? 1. Flush the line first with 3- 5 mL of normal saline, then with 1- 3 mL of heparinized normal saline. 2. Flush the line with 3- 5 mL of normal saline. 3. Flus