Question

A nurse is preparing to administer naproxen 500 mg PO BID for a client who has osteoarthritis. The amount available is naproxen 125 mg/5 mL oral suspension. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer 1

Correct Answers:

20

Rationale :

✍️Ordered dose = 500 mg

✍️Supply = 125 mg/5 mL.

✅Formula: mL needed = (Ordered mg ÷ Supply mg) × Supply mL.

✅500/125=4; 4×5 mL

→20 mL

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Answer 2

Correct Answers:

"What part of the exam makes you most nervous?"

Rationale :

🗨️This response uses therapeutic communication by inviting the client to express her feelings about the exam.

🗨️Open-ended questions build trust and allow the nurse to identify specific anxieties or misconceptions.

🗨️It avoids minimizing her concerns and places emphasis on active listening and client-centered care.

🗨️Exploring the client’s worries promotes a sense of control and autonomy in the decision-making process.

🗨️This aligns with professional nursing practice by addressing emotional readiness before interventions.

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Answer 3

Correct Answers:

100

Rationale :

✍️Total volume = 400 mL

✍️Time = 4 hr.

✅Formula: Rate (mL/hr) = Total volume (mL) ÷ Time (hr).

✅400 mL/4 hr

↦100 mL/hr

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Answer 4

Correct Answers

Abdominal assessment [ Abruptio Placentae ]
Abdominal pain level [ Abruptio Placentae ]
Hemoglobin level [ Placenta Previa ; Abruptio Placentae ]
Description of vaginal bleeding [ Placenta Previa ]
Uterine tone [ Abruptio Placentae ]

Rationale :

Abdominal assessment → Abruptio placentae

🔷 Abruptio placentae typically presents with a tender, board-like abdomen on palpation due to myometrial tetany and concealed or revealed bleeding.

🔷 The uterine surface often feels firm and irritable, reflecting increased uterine tone rather than a relaxed uterus.

🔷 These exam findings arise from placental separation and blood dissecting into the decidua/myometrium, generating notable abdominal rigidity.

🔷 The abdominal exam may also elicit significant maternal discomfort, consistent with painful placental detachment.

🔷 Recognition of this abdominal profile prompts urgent evaluation for maternal hemodynamic status and fetal well-being.

Abdominal pain level → Abruptio placentae

🔷 Abruptio placentae is classically painful, with sudden, constant, or severe abdominal/low-back pain accompanying the event.

🔷 Pain correlates with uterine irritability and tonic contractions, reflecting myometrial involvement by bleeding.

🔷 Clients may describe unremitting pain rather than intermittent cramping, aligning with acute placental separation.

🔷 Pain intensity can be present with or without visible bleeding, particularly when bleeding is concealed.

🔷 Prompt identification of significant pain accelerates resuscitative and obstetric interventions to limit maternal–fetal morbidity.

Hemoglobin level → Both (Placenta previa and Abruptio placentae)

🔷 Both placenta previa and abruptio placentae involve maternal blood loss, so hemoglobin/hematocrit decrease is consistent with either diagnosis.

🔷 In placenta previa, overt bright-red bleeding commonly mirrors the measured drop in hemoglobin.

🔷 In abruption, the hemoglobin decline may be disproportionate to external bleeding because loss can be concealed within the uterus.

🔷 Trending CBC values alongside vitals (e.g., tachycardia, hypotension) helps quantify the degree of hemorrhage.

🔷 Declining hemoglobin in either condition warrants escalation, crossmatch, and hemorrhage bundle preparedness.

Description of vaginal bleeding → Placenta previa

🔷 Placenta previa classically presents with painless, bright-red vaginal bleeding, often after 20 weeks of gestation.

🔷 The bleeding is due to placental implantation over or near the cervical os, which can shear with cervical change.

🔷 The uterus is typically soft and non-tender, distinguishing it from the rigid, painful picture seen with abruption.

🔷 Bleeding can be recurrent and unpredictable, particularly with activity or cervical manipulation.

🔷 Immediate priorities include no digital exams, ultrasound confirmation, and hemorrhage surveillance.

Uterine tone → Abruptio placentae

🔷 Increased uterine tone (a firm, “board-like” uterus) is a hallmark of abruptio placentae.

🔷 The tone elevation reflects intrauterine bleeding with myometrial irritability and sustained contractions.

🔷 Clinically, tone changes may coincide with fetal distress from compromised uteroplacental perfusion.

🔷 This contrasts with conditions where the uterus remains soft/relaxed, which is not typical of abruption.

🔷 Persistent hypertonus directs urgent stabilization, imaging, and delivery planning as indicated.

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Answer 5

Correct Answers:

Urinary output 40 mL in 2 hr

Rationale :

🧪Magnesium sulfate is excreted renally; low urine output signals accumulation and risk of magnesium toxicity.

🧪Safe urine output is ≥ 30 mL/hr; 40 mL in 2 hr (20 mL/hr) is below the safety threshold and must be reported immediately.

🧪Toxicity can cause loss of deep tendon reflexes, respiratory depression, and cardiac conduction blocks, making early recognition essential.

🧪Reporting prompts interventions such as holding/reducing the infusion, serum magnesium levels, and antidote (calcium gluconate) availability.

🧪Close monitoring of I&O, reflexes, respiratory rate, and level of consciousness is standard while on magnesium therapy.

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Answer 6

Correct Answers:

Secondary infertility

Rationale :

👶Secondary infertility is defined as the inability to conceive after a previous successful pregnancy.

👶The distinction from primary infertility (no prior conception) guides workup and counseling pathways.

👶Common contributors include tubal damage (e.g., prior PID or surgery), endometriosis, ovulatory dysfunction, and male factor changes over time.

👶Evaluation typically involves ovulation assessment, semen analysis, and tubal/uterine imaging to pinpoint remediable causes.

👶Nursing priorities are education, emotional support, and timely referrals to reproductive specialists to optimize outcomes.

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Answer 7

Correct Answers:

2

Rationale :

✍️Ordered dose = 250 mg

✍️Tablet strength = 125 mg/tab

☑️Formula: Number of tablets = Ordered mg ÷ mg per tablet.

☑️250 mg/125 mg/tab

→2 tabs

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Answer 8

Correct Answers:

0.5

Rationale :

✍️Ordered dose = 1 mg

✍️Concentration = 1 mg/0.5 mL

➡️ Formula: mL needed = Ordered mg × (mL per mg).

➡️1 mg×0.5 mL/1mg

↦0.5 mL

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Answer 9

Correct Answers:

21

Rationale :

📅Ovulation typically occurs ~14 days before the next period, because the luteal phase is relatively constant at ~14 days.

📅With a 35-day cycle, apply the formula Cycle length − 14, yielding 35 − 14 = day 21 for ovulation.

📅The follicular phase (pre-ovulation) is the portion that varies, explaining why longer cycles shift ovulation later.

📅Knowing this helps target the fertile window (about 5 days before through 1 day after ovulation), with the peak near day 21.

📅Clients can corroborate timing with LH surge kits, cervical mucus changes, or basal body temperature rises for precision.

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Answer 10

Correct Answers:

Syphilis stage II

Rationale :

🦠 A diffuse maculopapular rash that involves the palms and soles is classic for secondary syphilis.

🦠This stage occurs weeks to months after untreated infection and reflects systemic spread of Treponema pallidum.

🦠Associated findings can include mucous patches, condylomata lata, generalized lymphadenopathy, and flu-like symptoms.

🦠Prompt identification allows definitive therapy with benzathine penicillin G IM, which prevents progression to tertiary disease.

🦠Nursing actions include serologic testing (e.g., RPR/VDRL with treponemal confirmation), partner notification, and education on follow-up titers.

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Assessment Findings	Placenta Previa	Abruptio Placentae
Abdominal assessment
Abdominal pain level
Hemoglobin level
Description of vaginal bleeding
Uterine tone

QLexNursing

2 :
A nurse in a family planning clinic is caring for a 17-year-old female client who is requesting oral contraceptives. The client states that she is nervous because she has never had a pelvic examination. Which of the following responses should the nurse make?

3 :
Run 400mIs in 4hours. How many ml's per hour Will you set your pump? (Write answer in this format #ml/hr) Example 10ml/hr (no spaces between # and ml/hr)

4 :
A nurse is caring for a client who is at 32 weeks of gestation.

Correct Answers

5 :
A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia. Which of the following findings should the nurse report to the provider?

6 :
The nurse knows that if a woman is unable to get pregnant after she has already had a previous child, this is called what?

7 :
A nurse is preparing to administer amoxicillin 250 mg PO every 8 hr. The amount available is amoxicillin 125 mg tablets. How many tablets should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

8 :
A nurse is preparing to administer 1 mg vitamin K to a newborn. The medication is available in 1 mg/0.5 mL. How much should the nurse administer? (Round to the nearest tenth. Use a leading zero when applicable. Do not use a trailing zero.)

9 :
Menstrual Cycle was 35 days when did she ovulate

10 :
The nurse is assessing the client for an STL. The client is complaining of a rash on the palms of her hands and the soles of her feet. What STI is this?

QLexNursing

2 : A nurse in a family planning clinic is caring for a 17-year-old female client who is requesting oral contraceptives. The client states that she is nervous because she has never had a pelvic examination. Which of the following responses should the nurse make?

3 : Run 400mIs in 4hours. How many ml's per hour Will you set your pump? (Write answer in this format #ml/hr) Example 10ml/hr (no spaces between # and ml/hr)

4 : A nurse is caring for a client who is at 32 weeks of gestation.

Correct Answers

5 : A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia. Which of the following findings should the nurse report to the provider?

6 : The nurse knows that if a woman is unable to get pregnant after she has already had a previous child, this is called what?

7 : A nurse is preparing to administer amoxicillin 250 mg PO every 8 hr. The amount available is amoxicillin 125 mg tablets. How many tablets should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

8 : A nurse is preparing to administer 1 mg vitamin K to a newborn. The medication is available in 1 mg/0.5 mL. How much should the nurse administer? (Round to the nearest tenth. Use a leading zero when applicable. Do not use a trailing zero.)

9 : Menstrual Cycle was 35 days when did she ovulate

10 : The nurse is assessing the client for an STL. The client is complaining of a rash on the palms of her hands and the soles of her feet. What STI is this?

2 :
A nurse in a family planning clinic is caring for a 17-year-old female client who is requesting oral contraceptives. The client states that she is nervous because she has never had a pelvic examination. Which of the following responses should the nurse make?

3 :
Run 400mIs in 4hours. How many ml's per hour Will you set your pump? (Write answer in this format #ml/hr) Example 10ml/hr (no spaces between # and ml/hr)

4 :
A nurse is caring for a client who is at 32 weeks of gestation.

5 :
A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia. Which of the following findings should the nurse report to the provider?

6 :
The nurse knows that if a woman is unable to get pregnant after she has already had a previous child, this is called what?

7 :
A nurse is preparing to administer amoxicillin 250 mg PO every 8 hr. The amount available is amoxicillin 125 mg tablets. How many tablets should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

8 :
A nurse is preparing to administer 1 mg vitamin K to a newborn. The medication is available in 1 mg/0.5 mL. How much should the nurse administer? (Round to the nearest tenth. Use a leading zero when applicable. Do not use a trailing zero.)

9 :
Menstrual Cycle was 35 days when did she ovulate

10 :
The nurse is assessing the client for an STL. The client is complaining of a rash on the palms of her hands and the soles of her feet. What STI is this?