Nursing Elites

1. The nurse is caring for a patient in metabolic alkalosis. The patient has an NG tube to low intermittent suction for a diagnosis of bowel obstruction. What drug would the nurse expect to find on the medication orders?

• A. Cimetidine
• B. Maalox
• C. Potassium chloride elixir
• D. ) Furosemide

Correct answer: A

Rationale:

2. A patient's most recent laboratory results show a slight decrease in potassium. The physician has opted to forego drug therapy but has suggested increasing the patient's dietary intake of potassium. Which of the following would be a good source of potassium?

• A. Apples
• B. Asparagus
• C. Carrots
• D. Bananas

Correct answer: D

Rationale: Bananas are an excellent source of potassium. They are a popular choice for increasing dietary potassium intake due to their rich potassium content. Apples, asparagus, and carrots do not contain as high levels of potassium as bananas. While these fruits and vegetables are nutritious, they are not as effective in addressing a potassium deficiency as bananas.

3. A nurse is assessing clients who have intravenous therapy prescribed. Which assessment finding for a client with a peripherally inserted central catheter (PICC) requires immediate attention?

• A. The initial site dressing is 3 days old.
• B. The PICC was inserted 4 weeks ago.
• C. A securement device is absent.
• D. Upper extremity swelling is noted.

Correct answer: D

Rationale:

4. . One day after a patient is admitted to the medical unit, you note that the patient is oliguric. You notify the acutecare nurse practitioner who orders a fluid challenge of 200 mL of normal saline solution over 15 minutes. This intervention will achieve which of the following?

• A. Help distinguish hyponatremia from hypernatremia
• B. Help evaluate pituitary gland function
• C. Help distinguish reduced renal blood flow from decreased renal function
• D. Help provide an effective treatment for hypertension-induced oliguria

Correct answer: C

Rationale:

5. The healthcare professional working in the PACU is aware that which of the following procedures may contribute to extracellular losses?

• A. Removal of an ingrown toenail
• B. Tooth extraction
• C. Abdominal surgery
• D. Cataract surgery

Correct answer: C

Rationale: Fluid loss from the extracellular compartment can be caused by abdominal surgery as it involves opening the abdominal cavity, potentially leading to significant fluid losses. Choices A, B, and D do not typically result in substantial extracellular losses compared to abdominal surgery.

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