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Questions 149

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Question 1 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 2 of 5

The nurse arrives at a motorcycle accident and finds the client unresponsive, apneic, and pulseless. After calling for a spectator to help, what would be the nurse's next action?

Correct Answer: B

Rationale: Per ACLS guidelines, for an unresponsive, apneic, pulseless client, start chest compressions immediately after calling for help to restore circulation.

Question 3 of 5

The nurse is caring for an organ donor client with a severe head injury from an MVA. Which of the following is most important when caring for the organ donor client?

Correct Answer: A

Rationale: Maintaining BP at 90 mmHg or greater ensures organ perfusion, critical for organ viability in a donor. Normal temperature and adequate urine output are important, but BP is the priority. Low hematocrit is not a goal.

Question 4 of 5

Which clients can be assigned to share a room in the emergency department during the disaster?

Correct Answer: B

Rationale: The pregnant client and the client with a broken arm have stable conditions, making them suitable to share a room.

Question 5 of 5

A client is scheduled for a colposcopy. The nurse assists the client into which position?

Correct Answer: D

Rationale: Colposcopy requires the lithotomy position to provide access to the cervix for examination.

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