RASMUSSEN PN2 EXAM 1 QUESTIONS
WITH COMPLETE ANSWERS
A client with a calcium level of 14 mg/dL is being cared for on the medical unit. Nursing
actions included in the care plan will include which of the following?
A. Auscultating lung sounds every 4 hours
B. Maintaining the client on bed rest
C. Monitoring for bounding pulses
D. Provide continuous IV fluid infusion as ordered - Answer-Provide continuous IV fluid
infusion as ordered.
A client with renal failure who has been taking aluminium hydroxide/magnesium
hydroxide suspension at home for indigestion is somnolent and has decreased deep
tendon reflexes. Which action should the nurse take first?
A. Notify the client's health care provider
B. Check the chart for the most recent (blood urea nitrogen) BUN and creatinine levels
C. Administer magnesium IV replacement as ordered
D. Review the magnesium level on the client's chart - Answer-Check the chart for the
most recent (blood urea nitrogen) BUN and creatinine levels
A client has the following arterial blood gas (ABG) results: pH 7.30, HC03: 22 mEq/L,
PaCO2: 67 mmHG, PaO2: 66 mmHg. Which intervention by the nurse takes priority?
A. Administer mucolytic
B. Provide oxygen via nasal cannula
C. Administer bronchodilator
D. Assess the client's airway - Answer-D. Assess the client's airway
The nurse is assessing an elderly client receiving IV fluids. Which of th following would
not indicate fluid volume overload?
A. Distended neck veins when positioned at 45 degrees
B. Pitting edema of the lower extremities
C. Dry mucous membranes
D. Course crackles in the lung field - Answer-Dry mucous membranes
A nurse is preparing to infuse a 400mL unit of packed red blood cells (PRBCs) over 4
hours. The drop factor of the manual IV tubing is 50 gtts/mL. What is the infusion rate in
gtts/min? (Round the answer to the nearest whole number) - Answer-83
A nurse is preparing to administer intravenous ibuprofen in 400mg IV to her client
diagnosed with a urinary tract infection. The medication is available as 400mg/100mL
, normal saline solution. The order is to infuse the 50mL bag in 30 min. What is the rate in
mL/hr the nurse must infuse the medication? (Round to the nearest whole number) -
Answer-200
Immediately after having surgery to create an ileostomy, which goal has the highest
priority?
A. Maintain fluid and electrolyte balance
B. Providing relief from constipation
C. Minimizing odor formation
D. Assisting the client with self-care activities - Answer-Maintain fluid and electrolyte
balance
A nurse is caring for a client who's arterial blood gas (ABG) results show a pH of 7.36,
HCO3: 30 mEq/L, PaCO2: 50 mmHg. The nurse correctly interprets these results as
which of the following?
A. Fully compensated metabolic acidosis
B. Fully compensated respiratory acidosis
C. Uncompensated respiratory acidosis
D. Normal ABG results - Answer-Fully compensated respiratory acidosis
A new nurse is working with a preceptor on an inpatient medical-surgical unit. The
preceptor advises the student that which the priority when working as a professional
nurse?
A. Not making medication errors
B. Providing client-focused care
C. Attending to holistic client needs
D. Ensuing client safety - Answer-Ensuring client safety
Before the nurse administers IV replacement of 5% dextrose in water with potassium
chloride, what action is appropriate for the nurse to take?
A. Evaluating laboratory results for electrolytes
B. Adding potassium chloride to the bag at the bedside
C. Checking the rate for IV push administration
D. Priming tubing using sterile technique - Answer-Evaluating laboratory results for
electrolytes
A nurse is caring for an older adult client who experiences an exacerbation of ulcerative
colitis with severe diarrhea that has last and a week. For which complication will the
nurse assess? (SATA)
A. Deep vein thrombosis (DVT)
B. Fluid overload
WITH COMPLETE ANSWERS
A client with a calcium level of 14 mg/dL is being cared for on the medical unit. Nursing
actions included in the care plan will include which of the following?
A. Auscultating lung sounds every 4 hours
B. Maintaining the client on bed rest
C. Monitoring for bounding pulses
D. Provide continuous IV fluid infusion as ordered - Answer-Provide continuous IV fluid
infusion as ordered.
A client with renal failure who has been taking aluminium hydroxide/magnesium
hydroxide suspension at home for indigestion is somnolent and has decreased deep
tendon reflexes. Which action should the nurse take first?
A. Notify the client's health care provider
B. Check the chart for the most recent (blood urea nitrogen) BUN and creatinine levels
C. Administer magnesium IV replacement as ordered
D. Review the magnesium level on the client's chart - Answer-Check the chart for the
most recent (blood urea nitrogen) BUN and creatinine levels
A client has the following arterial blood gas (ABG) results: pH 7.30, HC03: 22 mEq/L,
PaCO2: 67 mmHG, PaO2: 66 mmHg. Which intervention by the nurse takes priority?
A. Administer mucolytic
B. Provide oxygen via nasal cannula
C. Administer bronchodilator
D. Assess the client's airway - Answer-D. Assess the client's airway
The nurse is assessing an elderly client receiving IV fluids. Which of th following would
not indicate fluid volume overload?
A. Distended neck veins when positioned at 45 degrees
B. Pitting edema of the lower extremities
C. Dry mucous membranes
D. Course crackles in the lung field - Answer-Dry mucous membranes
A nurse is preparing to infuse a 400mL unit of packed red blood cells (PRBCs) over 4
hours. The drop factor of the manual IV tubing is 50 gtts/mL. What is the infusion rate in
gtts/min? (Round the answer to the nearest whole number) - Answer-83
A nurse is preparing to administer intravenous ibuprofen in 400mg IV to her client
diagnosed with a urinary tract infection. The medication is available as 400mg/100mL
, normal saline solution. The order is to infuse the 50mL bag in 30 min. What is the rate in
mL/hr the nurse must infuse the medication? (Round to the nearest whole number) -
Answer-200
Immediately after having surgery to create an ileostomy, which goal has the highest
priority?
A. Maintain fluid and electrolyte balance
B. Providing relief from constipation
C. Minimizing odor formation
D. Assisting the client with self-care activities - Answer-Maintain fluid and electrolyte
balance
A nurse is caring for a client who's arterial blood gas (ABG) results show a pH of 7.36,
HCO3: 30 mEq/L, PaCO2: 50 mmHg. The nurse correctly interprets these results as
which of the following?
A. Fully compensated metabolic acidosis
B. Fully compensated respiratory acidosis
C. Uncompensated respiratory acidosis
D. Normal ABG results - Answer-Fully compensated respiratory acidosis
A new nurse is working with a preceptor on an inpatient medical-surgical unit. The
preceptor advises the student that which the priority when working as a professional
nurse?
A. Not making medication errors
B. Providing client-focused care
C. Attending to holistic client needs
D. Ensuing client safety - Answer-Ensuring client safety
Before the nurse administers IV replacement of 5% dextrose in water with potassium
chloride, what action is appropriate for the nurse to take?
A. Evaluating laboratory results for electrolytes
B. Adding potassium chloride to the bag at the bedside
C. Checking the rate for IV push administration
D. Priming tubing using sterile technique - Answer-Evaluating laboratory results for
electrolytes
A nurse is caring for an older adult client who experiences an exacerbation of ulcerative
colitis with severe diarrhea that has last and a week. For which complication will the
nurse assess? (SATA)
A. Deep vein thrombosis (DVT)
B. Fluid overload
