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Question 1 of 5

The nurse is assessing a client with a history of diabetes mellitus who is admitted with diabetic ketoacidosis (DKA). Which of the following findings would the nurse expect?

Correct Answer: B

Rationale: fruity breath odor is a classic sign of DKA due to the presence of acetone

Question 2 of 5

The client is admitted following cast application for a fractured ulna. Which finding should be reported to the doctor?

Correct Answer: D

Rationale: Paresthesia of the fingers suggests possible nerve compression or compartment syndrome, which requires immediate reporting to the doctor.

Question 3 of 5

A client with psychotic depression is receiving haloperidol (Haldol). Which of the following adverse effects is associated with haloperidol?

Correct Answer: A

Rationale: Akathisia, a movement disorder characterized by restlessness, is a common extrapyramidal side effect of haloperidol.

Question 4 of 5

The nurse receives an order to administer 1,500 mL D5W IV over 12 hours. The drop factor is 15 drops/1 mL. The IV flow rate should be set at how many drops per minute? Round to the nearest whole number.

Correct Answer: 31

Rationale: Flow rate (drops/min) = (volume × drop factor) ÷ time. Calculation: (1,500 mL × 15 drops/mL) ÷ (12 × 60) = 22,500 ÷ 720 ≈ 31 drops/min.

Question 5 of 5

A client recently started on hemodialysis wants to know how the dialysis will take the place of his kidneys. The nurse's response is based on the knowledge that hemodialysis works by:

Correct Answer: D

Rationale: Hemodialysis filters waste products and excess fluids through a dialyzing membrane, mimicking kidney function.

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