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Question 1 of 5

The nurse recognizes all of the following as part of the Cushing reflex triad EXCEPT

Correct Answer: A

Rationale: Cushing reflex (response to increased intracranial pressure) includes hypertension, bradycardia, and irregular respirations. Cardiac arrhythmia is not part of the triad.

Question 2 of 5

The physician has ordered atropine sulfate 0.4 mg IM before surgery. The medication is supplied in 0.8 mg per milliliter. The nurse should administer how many milliliters of the medication?

Correct Answer: B

Rationale:
To calculate: 0.4 mg ÷ 0.8 mg/mL = 0.5 mL, the correct dose to administer.

Question 3 of 5

A client is in acute postoperative pain, and the physician orders 85 mg of meperidine (Demerol®) stat. The vial contains 100 mg in 2 mL. How many milliliters should the nurse administer? Record your answer using a decimal number.

Correct Answer: 1.7

Rationale: Dose = 85 mg, concentration = 100 mg/2 mL = 50 mg/mL. Volume = 85 m/50 mg/mL = 1.7 mL.

Question 4 of 5

A client on a mechanical ventilator begins to fight the ventilator. Which medication will be ordered for the client?

Correct Answer: B

Rationale: Pavulon, a neuromuscular blocker, is used to paralyze respiratory muscles in clients fighting the ventilator, ensuring effective ventilation.

Question 5 of 5

The nurse is caring for a client who is receiving mechanical ventilation. The ventilator alarms are sounding, and the nurse notes high-pressure alarms. Which of the following actions should the nurse take FIRST?

Correct Answer: C

Rationale: checking for kinks in the tubing is the first step, as it is a common cause of high-pressure alarms

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