PN Fundamentals 2023

Extract:

Question 1 of 5

A nurse is preparing to administer ampicillin to a school-age child who weighs 55 lb. The provider prescribes 50 mg/kg/day in 4 equal doses. Available is ampicillin oral suspension 125 mg/5 mL. How many mL should the nurse administer with each dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Your Answer:

Correct Answer: 12.5 mL

Rationale: 55 lb = 25 kg; 50 mg/kg/day = 1250 mg/day; 1250 mg / 4 doses = 312.5 mg/dose; 312.5 mg / (125 mg/5 mL) = 12.5 mL/dose.

Question 2 of 5

A nurse in a provider's office is reviewing data from a client's medical record. Which of the following findings should the nurse identify as a risk factor for cardiovascular disease?

A. Orthostatic hypotension B. Type 1 diabetes mellitus C. Family history of osteoporosis D. BMI of 24

Correct Answer: B

Rationale: Type 1 diabetes increases cardiovascular risk due to chronic hyperglycemia damaging blood vessels.

Question 3 of 5

A nurse is caring for a client who has a terminal illness. The client asks what type of care will be provided as death approaches. Which of the following statements should the nurse make first?

A. Tell me your expectations about activities related to the end-of-life. B. You can provide the name of a spiritual support person we can contact for you. C. You can allow your family to visit as often as you wish. D. We can talk to the provider about incorporating nonpharmacological pain management in your care.

Correct Answer: A

Rationale: Asking about expectations establishes a foundation for personalized end-of-life care planning.

Question 4 of 5

A nurse is reinforcing teaching with a client about using guided imagery to manage chronic pain. Which of the following statements by the client indicates an understanding of this technique?

A. I'll use focused breathing to control my pain. B. I'll learn to notice the sensation of muscle tension. C. I think about my grandfather's farm to reduce pain. D. I listen to my favorite music to take my mind off the pain.

Correct Answer: C

Rationale: Guided imagery involves visualizing a calming scene like a farm to distract from pain.

Question 5 of 5

A nurse is caring for a client who requires a sterile dressing change. The nurse should recognize that the surgical field has been contaminated if which of the following actions occur?

A. The sterile solution is poured with the bottle held over the field. B. Unnecessary sterile items are placed on the field. C. A pair of sterile forceps is allowed to rest in a container of sterile water on the field. D. The handle of a pair of sterile scissors is resting 5 cm (2 in) from the field's edge.

Correct Answer: A

Rationale: Pouring solution with the bottle over the field risks contamination from touch or splash.

PN Fundamentals 2023 | Nurselytic

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ATI LPN

ATI LPN