Fundamentals Of Nursing NCLEX Quiz 47
All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.
- 1.A client is receiving nutrition via parenteral nutrition (PN). A nurse assess the client for complications of the therapy and assesses the client for which of the following signs of hyperglycemia?
- A.
High-grade fever. chills. and decreased urination.
- B.
Fatigue. increased sweating. and heat intolerance.
- C.
Coarse dry hair. weakness. and fatigue.
- D.
Thirst. blurred vision. and diuresis.
- 2.A nurse is caring 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?
- A.
On the right side. with head higher than the feet.
- B.
On the right side. with head lower than the feet.
- C.
On the left side. with the head higher than the feet.
- D.
On the left side. with head lower than the feet.
- 3.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?
- A.
Decrease the PN rate to 60ml/hr.
- B.
Start 0.9% normal saline at 30 ml/hr.
- C.
Maintain the present infusion rate.
- D.
Discontinue the PN.
- 4.A client is 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?
- A.
Hypotension.
- B.
Crackles upon auscultation of the lungs.
- C.
Thirst.
- D.
Polyuria.
- 5.A nurse is making initial rounds at the beginning of the shift and notice 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?
- A.
10% dextrose in water.
- B.
5% dextrose in water.
- C.
5% dextrose in normal saline.
- D.
5% dextrose in lactated Ringer solution.
- 6.A nurse is caring for a group of clients on a medical-surgical nursing unit. The nurse recognizes that which of the following clients would be the least likely candidate for parenteral nutrition?
- A.
A 55-year-old with persistent nausea and vomiting from chemotherapy.
- B.
A 44-year old client with ulcerative colitis.
- C.
A 59-year old client who had an appendectomy.
- D.
A 25-year old client with a Hirschprung’s Disease.
- 7.A client is receiving parenteral nutrition (PN) suddenly is 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?
- A.
Send them to the laboratory for culture.
- B.
Save them for a return to the manufacturer.
- C.
Return them to the hospital pharmacy.
- D.
Discard them in the unit trash.
- 8.A nurse is changing the central line dressing of a client receiving parenteral nutrition (PN) and notes that there are redness and drainage at the insertion site. The nurse next assesses which of the following?
- A.
Time of last dressing change.
- B.
Allergy.
- C.
Client’s temperature.
- D.
Expiration date.
- 9.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?
- A.
Air embolism.
- B.
Hypervolemia.
- C.
Hyperglycemia.
- D.
Sepsis.
- 10.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 ask the client to take which essential action during the tube change?
- A.
Turn the head to the right.
- B.
Inhale deeply. hold it. and bear down.
- C.
Breathe normally.
- D.
Exhale slowly and evenly.
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