PRACTICE TEST 2

Welcome to your PRACTICE TEST 2

QUESTION 1: A pregnant client admitted for induction of labor is receiving an oxytocin infusion. The baseline fetal heart rate is 140/min and the strip is shown in the exhibit. What is the nurse's best course of action?

1. Apply oxygen 10 L/min face mask

2. Continue to monitor the client

3. Discontinue oxytocin infusion

4. Notify the health care provider (HCP)

QUESTION 2: The nurse is caring for a client with the following tracing on the electrocardiogram (ECG). The nurse identifies this tracing as See the image below.

A. sinus tachycardia.

B. supraventicular tachycardia.

C. ventricular tachycardia.

D. atrial flutter.

QUESTION 3: The nurse is caring for a client with the following clinical data. The nurse should expect the primary healthcare provider (PHCP) to prescribe what medication? See the exhibit.

A. Enalapril

B. Labetalol

C. Amiodarone

D. Nitroglycerin

QUESTION 4: The nurse is reviewing laboratory data for a client with suspected diabetes mellitus (DM). Which of the following actions should the nurse take? See the exhibit.

A. Assess the patient for an infection.

B. Instruct the patient that the results are within normal limits.

C. Assess the patient’s urine for glycosuria.

D. Educate the patient on a diet with low glycemic foods.

QUESTION 5: The nurse is caring for a client with a fibula fracture. The primary healthcare provider makes rounds and writes prescriptions. What is the nurse's best action? See exhibit below.

1. Check the prescription prior to sending it to the pharmacy.

2. Clarify the prescription with the primary healthcare provider.

3. Notify the pharmacy that the prescription is needed immediately.

4. Gather the supplies needed for an injection.

QUESTION 6: An Orthodox Jewish client receives the following lunch tray. What is the nurse’s priority action?

1. Nothing, since this is a healthy and acceptable lunch.

2. Ask the client to eat the acceptable food and leave the remaining food on the tray.

3. Remove the tossed salad so the client can eat the rest.

4. Call dietary to provide an acceptable meal for the client.

QUESTION 7: An elderly client with a history of CAD has just been admitted to the telemetry unit following a syncopal episode at home. The admitting nurse places EKG leads on the client and notes the following rhythm on the monitor. When the client indicates the need to void, the nurse knows that what would be the safest action? See exhibit below:

1. Request prescription for a foley catheter.

2. Assist client with the use of a bedpan.

3. Provided incontinent pads to the client.

4. Have UAP ambulate client to the bathroom.

QUESTION 8: The nurse is preparing to give a client’s prescribed levothyroxine dose. How many tablets will the nurse give to the client? Answer with numbers only. ▪️Exhibit Levothyroxine 0.05 mg by mouth every morning. Enter the answer for the question below.

QUESTION 9: A three year old weighing 13.6 kg is scheduled to receive a dose of digoxin elixir. The prescribed dose is 25 micrograms/kg How many mL will the nurse administer to the child? Round to 1 decimal place. Use numbers and decimals only.

QUESTION 10: The nurse cares for a client who gave birth an hour ago to a 9-lb (4.1-kg) newborn. The client's lochia is heavy with large clots, and the fundus remains boggy after fundal massage and an oxytocin bolus. Which prescription from the health care provider should the nurse question? Click on the exhibit button for additional information.

1. Administer 0.2-mg methylergonovine IM

2. Administer 800-mcg misoprostol rectally

3. Collect a hemoglobin and hematocrit STAT

4. Initiate second IV line with 18-gauge needle

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