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Nursing 121 Midterm Set questions with correct answers.
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Nursing 121 Midterm Set questions withcorrect answers
A patient who is hospitalized with C. Diff asks you to explain what he should know
about this organism. What is the most appropriate information to include in pt
teaching? (select all that apply)
1. The organism is usually transmitted through the fecal-oral route
2. Hands should always be cleaned with soap and water vs. alcohol based hand
sanitizer.
3. Everyone coming into the room must be wearing a gown and gloves.
4. While pt. is in contact precautions, he cannot leave the room. - ANSWER -1. The
organism is usually transmitted through the fecal-oral route
2. Hands should always be cleaned with soap and water vs. alcohol based hand
sanitizer.
3. Everyone coming into the room must be wearing a gown and gloves.
The nurse is performing an abdominal assessment on a patient. In which order does
she perform the assessment steps? - ANSWER -Inspection, Auscultation, Palpation,
Percussion
During the assessment a nurse notices a lesion on the arm of the pt. The lesion is
irregularly shaped, elevated with edema, and about 3 cm. What type of lesion is
this?
1. Nodule
2. Macule
3. Wheal
4. Pustule - ANSWER -3. Wheal
A toddler is to receive 2.5 mL of an antipyretic by mouth. Which equipment is most
appropriate for for medication administration for this child?
1. A medication cup
2. A teaspoon
Nursing 121 Midterm Set questions with
correct answers
,3. A 5-mL syringe
4. An oral-dosing syringe - ANSWER -4. An oral-dosing syringe
A client with atrial fibrillation who is receiving maintenance therapy of warfarin
sodium has a prothrombin time (PT) of 35 seconds. On the basis of these laboratory
values, the nurse anticipates which prescription?
1. Adding a dose of Heparin sodium
2. Holding the next dose of warfarin
3. Increasing the next dose of warfarin
4. Administering the next dose of warfarin - ANSWER -2. Holding warfarin - normal
PT is 11 - 12.5 seconds, therapeutic PT level is 1.5 -2x that.
A client has been admitted to the hospital for gastroenteritis and dehydration. The
nurse determines that the client has received adequate volume replacement if the
blood urea nitrogen (BUN) level drops to which value?
1. 3 mg/dL
2. 15 mg/dL
3. 29 mg/dL
4. 35 mg/dL - ANSWER -2. 15 mg/dL - normal BUN level is 10-20 mg/dL
Values of 29 & 35 mg/dL reflect continued dehydration
A client is receiving a continuous intravenous infusion of heparin to treat DVT. The
client's aPTT is 65 seconds. The nurse anticipates that which action is needed?
1. Discontinuing the heparin infusion
2. Increasing the rate of the heparin infusion
3. Decreasing the rate of the heparin infusion
4. Leaving the heparin infusion as it is - ANSWER -4. Leaving the heparin infusion as
it is.
Normal aPTT is 30-40 seconds. Therapeutic value for DVT treatment is up to 100
seconds, so the pt is within acceptable limits.
Nursing 121 Midterm Set questions with
correct answers
, A client with a history of heart failure is due for a morning dose of furosemide.
Which serum potassium level, if noted in the client's lab report, should be reported
before administering the furosemide?
A. 3.2 mEq/L (3.2 mmol/L)
B. 3.8 mEq/L (3.8 mmol/L)
C. 2 mEq/L (4.2 mmol/L)
D. 8 mEq/L (4.8 mmol/L) - ANSWER -1. 3.2 mEq/L (3.2 mmol/L)
Normal serum potassium level in adults is 3.5-5.0 mEq/L (3.5 - 5.0 mmol/L)
Several lab tests are prescribed for a client, and the nurse reviews the results of the
test. Which lab tests should the nurse report? (select all that apply)
1. Platelets 35,000 mm3
2. Sodium 150 mEq/L
3. Potassium 5.0 mEq/L
4. Segmented neutrophils 40%
5. Serum creatinine, 1 mg/dL
6. WBC, 3,000 mm3 - ANSWER -1. Platelets - normal range 150,000 - 400,000
2. Sodium - normal range 135 - 145 mEq/L
4. Segmented Neutrophils - normal range 62-68%
6. WBC - normal range 5,000 - 10,000
The nurse is caring for a client with the dx of breast cancer who who
immunosuppressed. The nurse would consider implementing neutropenic
precautions if the client's WBC was which value?
A. 2000 mm3
B. 5800 mm3
C. 8400 mm3
D. 11,500 mm3 - ANSWER -A. 2,000 mm3 - normal range is 5,000 - 10,000 mm3
Nursing 121 Midterm Set questions with
correct answers
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