A patient is to receive 50mL of fluid in 1/2 hour (30 min). The infusion pump should be set to deliver how many milliters per hour?

A. 25 ml/hr

B. 50 ml/hr

C. 75 ml/hr

D. 100 ml/hr

The best time for the nurse to teach an anxious patient about the patient controlled analgesic (PCA) pump would be during which of the following stages of patient care?

A. Post-operative

B. Pre-operative

C. Intraoperative

D. Post anesthesia

The mother of a child with nephrotic syndrome asks why her child must be weighed each morning. The nurse's response should be based on the fact that this is important to determine the:

A. Nutritional status

B. Water retention

C. Medication doses

D. Blood volume

An 85-year-old man is admitted with dementia. He continuously attempts to remove his nasogastric tube. The nurse applies cloth wrist restraints as ordered. Which of the following actions by the nurse is most appropriate?

A. Evaluate the need to restrain by observing patient's behavior once every 24 hrs

B. Perform circulation checks to the extremities every two hours

C. Remove the restraints when the patient is sleeping

D. Instruct family to limit physical contact with the patient

A nurse prepares to set up a secondary intravenous (IV) cannula. The primary IV infusing is normal saline. In order for the secondary cannula to infuse correctly, the nurse should set up the primary IV to:

A. Hang higher than the secondary IV

B. Hang at the same level as the secondary IV

C. Hang lower than the secondary IV

D. Discontinue before the secondary IV starts

In preparing the patient for electroencephalogram (EEG), the nurse should: A. Withhold breakfast

B. Give sleeping pills the night before

C. Shave the hair

D. Restrict intake of coffee

Which of the following correctly describes wound packing in a wet to dry dressing?

A. Pack gauze into the wound tightly

B. Overlap the wound edges with wet packing

C. Pack the wound with slightly moistened gauze

D. Use gauze well saturated with saline for packing the wound

When preparing to administer a medication the nurse should first:

A. Ensure that the medication is on the medication cart

B. Determine the expiry date of the medication

C. Check the patient's identification armband

D. Verify the physician order for accuracy

The nurse should administer nasogastric tube (NGT) feeding slowly to reduce the hazard of:

A. Distention

B. Abdominal cramps

C. Diarrhea

D. Regurgitation

A patient admitted to the hospital in hypertensive crisis is ordered to receive hydralazine (Apresoline) 20mg IV stat for blood pressure greater than 190/100 mmHg. The best response of the nurse to this order is to:

A. Give the dose immediately and once

B. Give medication if patient's blood pressure is > 190/100 mmHg

C. Call the physician because the order is not clear

D. Administer the dose and repeat as necessary