Question

A patient is to receive 1000 mL of IV fluid over 4 hours. The drop factor is 15 gtt/mL. How many drops per minute should the IV be set to deliver?

Answer 1

Correct Answers:

62.5

Rationale :

🔷 Volume to infuse is 1000 mL over 4 hours, and drop factor is 15 gtt/mL.

🔷 Use formula: (Volume x Drop Factor) ÷ (Time in minutes) = (1000 × 15) ÷ 240 = 62.5 gtt/min.

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Answer 2

Correct Answers:

Assess for pulse
Ventricular fibrillation

Rationale :

🔷 First action in any arrest rhythm is to assess for a pulse to confirm cardiac arrest.

🔷 The rhythm described is chaotic with no identifiable QRS, indicating ventricular fibrillation (VF).

🔷 VF requires immediate defibrillation for survival—no pulse and no coordinated electrical activity.

🔷 Medications like epinephrine follow defibrillation if rhythm persists.

🔷 CPR should be initiated immediately after pulse confirmation if none is found.

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Answer 3

Correct Answers:

Elevating the site to limit the accumulation of fluid in the interstitial spaces
Applying a clean dressing to protect the wound
Inserting an indwelling catheter
Splinting the wound in a position of rest to prevent motion

Rationale :

🔷 Elevating the limb reduces swelling and compartment pressure.

🔷 Clean dressings protect from infection and contaminants.

🔷 Indwelling catheter is often necessary for strict I&O and renal monitoring, especially in trauma.

🔷 Splinting the limb minimizes further tissue damage and promotes vascular stability.

🔷 A fasciotomy is a provider-only intervention and done only if compartment syndrome develops.

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Answer 4

Correct Answers:

Nonsteroidal anti-inflammatory drugs (NSAIDs) and opioids

Rationale :

🔷 NSAIDs reduce inflammation and pain by inhibiting prostaglandins.

🔷 Opioids act centrally to block pain perception and transmission.

🔷 Combined therapy offers a synergistic effect and better pain control than either alone.

🔷 Used together, lower doses of opioids may be needed, reducing side effects and dependency risks.

🔷 This combination is common in post-op, trauma, and arthritis pain protocols.

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Answer 5

Correct Answers:

7

Rationale :

🔷 Furosemide available is 10 mg/mL, ordered dose is 70 mg.

🔷 Use formula: Dose ÷ Stock → 70 ÷ 10 = 7 mL..

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Answer 6

Correct Answers:

Ability to meet life's challenges
Hope
Will to survive
Energy

Rationale :

🟣 Psychosocial and spiritual support fosters resilience, enabling patients to better handle life's stresses and uncertainties.

🟣 These interventions provide hope, which is essential for psychological well-being and recovery motivation.

🟣 They can enhance a patient’s will to survive, especially during critical or terminal illness.

🟣 Spirituality and emotional support may promote energy by reducing emotional fatigue and improving mindset.

🟣 While fear is common, interventions aim to reduce it—not promote it

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Answer 7

Correct Answers:

Label all torn or bloody clothes and place each item in a separate brown bag so that any evidence can be given to the police.
Assess and document any bruises and lacerations.
Record a history of the event, using the patient's own words.

Rationale :

🟣 All physical evidence (clothing, undergarments, etc.) must be handled with forensic integrity, using separate brown bags to avoid contamination.

🟣 Nurses should thoroughly assess and document physical injuries for both medical and legal purposes.

🟣 A detailed history in the patient’s own words ensures accuracy and helps protect against misinterpretation in legal settings.

🟣 The police are not required to be present during exams unless requested and approved; this maintains privacy.

🟣 The patient should not wash or shower prior to the exam, to preserve forensic evidence.

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Answer 8

Correct Answers:

2g

Rationale :

🟣 The maximum safe dose of acetaminophen in patients with liver dysfunction is 2 grams per 24 hours due to the risk of hepatotoxicity.

🟣 The liver metabolizes acetaminophen, and impaired function increases risk for liver injury.

🟣 Standard dosing for healthy adults is up to 4g/day, but those with liver conditions must follow a reduced maximum.

🟣 Nurses should assess total daily intake, including combination medications that contain acetaminophen.

🟣 Overdose can result in acute liver failure, which may require liver transplant if untreated.

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Answer 9

Correct Answers:

Amiodarone

Rationale :

🟣 In refractory ventricular fibrillation, Amiodarone is the antiarrhythmic of choice after defibrillation and CPR.

🟣 It helps stabilize ventricular rhythms and can be used if VF or pulseless VT persists despite epinephrine and shocks.

🟣 Epinephrine is usually given before or with Amiodarone, but in this case, the drug of choice after unsuccessful shocks is Amiodarone.

🟣 It prolongs the action potential and slows conduction, making it effective during life-threatening arrhythmias.

🟣 Close monitoring for hypotension and bradycardia is needed after administration.

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Answer 10

Correct Answers:

Foster trust in the interprofessional health care team.

Rationale :

🟣 Building trust is crucial to help patients cope with the stress, fear, and anxiety of the critical care environment.

🟣 It enhances communication, compliance, and emotional safety during complex treatments.

🟣 Patients are more likely to participate in care and express needs when trust is established.

🟣 Providing honest information and encouraging involvement builds collaborative partnerships.

🟣 Denial or giving false reassurance (e.g., "everything will be all right") is not therapeutic and should be avoided.

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Med Surg Exam Regular

No.

1 :
A patient is to receive 1000 mL of IV fluid over 4 hours. The drop factor is 15 gtt/mL. How many drops per minute should the IV be set to deliver?

2 :
A client is complaining of severe chest pain became unresponsive and the cardiac monitor shows the heart rhythm below. What will be the most appropriate action A What is the heart rhythm B

3 :
A patient is brought to the ED by a friend who states that a tree fell on the patient’s leg and crushed it while they were cutting firewood. What priority actions should the nurse perform? (Select all that apply.)

4 :
Which combinations of drugs have been found to be effective in managing the pain associated with musculoskeletal and soft tissue inflammation?

5 :
Furosemide (Lasix) 70 mg IV daily. You retrieved Furosemide 10 mg/ml from the pyxis. How much ml will you administer to the client?

6 :
What outcomes do psychosocial and spiritual interventions have the power to employ in a patient? (Select all that apply, one, some, or all.)

7 :
A female patient was sexually assaulted when leaving work. When assisting with the physical examination, what nursing interventions should be provided? (Select all that apply.)

8 :
The nurse is caring for a patient with liver dysfunction. What is the maximum dose of acetaminophen the patient should receive in 24 hours?

9 :
The nurse and the other members of the team are caring for a client in the ED who converted to ventricular fibrillation (VF). The client was defibrillated unsuccessfully and the client remains in VF. Which medication should the nurse be prepared to administer?

10 :
Which therapeutic technique may be used to enhance coping in the critical care environment?

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Med Surg Exam Regular

No.

1 : A patient is to receive 1000 mL of IV fluid over 4 hours. The drop factor is 15 gtt/mL. How many drops per minute should the IV be set to deliver?

2 : A client is complaining of severe chest pain became unresponsive and the cardiac monitor shows the heart rhythm below. What will be the most appropriate action A What is the heart rhythm B

3 : A patient is brought to the ED by a friend who states that a tree fell on the patient’s leg and crushed it while they were cutting firewood. What priority actions should the nurse perform? (Select all that apply.)

4 : Which combinations of drugs have been found to be effective in managing the pain associated with musculoskeletal and soft tissue inflammation?

5 : Furosemide (Lasix) 70 mg IV daily. You retrieved Furosemide 10 mg/ml from the pyxis. How much ml will you administer to the client?

6 : What outcomes do psychosocial and spiritual interventions have the power to employ in a patient? (Select all that apply, one, some, or all.)

7 : A female patient was sexually assaulted when leaving work. When assisting with the physical examination, what nursing interventions should be provided? (Select all that apply.)

8 : The nurse is caring for a patient with liver dysfunction. What is the maximum dose of acetaminophen the patient should receive in 24 hours?

9 : The nurse and the other members of the team are caring for a client in the ED who converted to ventricular fibrillation (VF). The client was defibrillated unsuccessfully and the client remains in VF. Which medication should the nurse be prepared to administer?

10 : Which therapeutic technique may be used to enhance coping in the critical care environment?

1 :
A patient is to receive 1000 mL of IV fluid over 4 hours. The drop factor is 15 gtt/mL. How many drops per minute should the IV be set to deliver?

2 :
A client is complaining of severe chest pain became unresponsive and the cardiac monitor shows the heart rhythm below. What will be the most appropriate action A What is the heart rhythm B

3 :
A patient is brought to the ED by a friend who states that a tree fell on the patient’s leg and crushed it while they were cutting firewood. What priority actions should the nurse perform? (Select all that apply.)

4 :
Which combinations of drugs have been found to be effective in managing the pain associated with musculoskeletal and soft tissue inflammation?

5 :
Furosemide (Lasix) 70 mg IV daily. You retrieved Furosemide 10 mg/ml from the pyxis. How much ml will you administer to the client?

6 :
What outcomes do psychosocial and spiritual interventions have the power to employ in a patient? (Select all that apply, one, some, or all.)

7 :
A female patient was sexually assaulted when leaving work. When assisting with the physical examination, what nursing interventions should be provided? (Select all that apply.)

8 :
The nurse is caring for a patient with liver dysfunction. What is the maximum dose of acetaminophen the patient should receive in 24 hours?

9 :
The nurse and the other members of the team are caring for a client in the ED who converted to ventricular fibrillation (VF). The client was defibrillated unsuccessfully and the client remains in VF. Which medication should the nurse be prepared to administer?

10 :
Which therapeutic technique may be used to enhance coping in the critical care environment?