Fundamentals of Nursing Exams

Funda(Pharma) Part X

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1. A 2 year-old child is receiving temporary total parental nutrition (TPN) through a central venous line. This is the first day of TPN therapy. Although all of the following nursing actions must be included in the plan of care of this child, which one would be a priority at this time?

a. Use aseptic technique during dressing changes

b. Maintain central line catheter integrity

c. Monitor serum glucose levels

d. Check results of liver function tests

2. Nurse Jamie is administering the initial total parenteral nutrition solution to a client. Which of the following assessments requires the nurse’s immediate attention?

a. Temperature of 37.5 degrees Celsius

b. Urine output of 300 cc in 4 hours

c. Poor skin turgor

d. Blood glucose of 350 mg/dl

3. Nurse Susan administered intravenous gamma globulin to an 18 month-old child with AIDS. The parent asks why this medication is being given. What is the nurse’s best response?

a. “It will slow down the replication of the virus.”

b. “This medication will improve your child’s overall health status.”

c. “This medication is used to prevent bacterial infections.”

d. “It will increase the effectiveness of the other medications your child receives.”

4. When caring for a client with total parenteral nutrition (TPN), what is the most important action on the part of the nurse?

a. Record the number of stools per day

b. Maintain strict intake and output records

c. Sterile technique for dressing change at IV site

d. Monitor for cardiac arrhythmias

5. The nurse is administering an intravenous vesicant chemotherapeutic agent to a client. Which assessment would require the nurse’s immediate action?

a. Stomatitis lesion in the mouth

b. Severe nausea and vomiting

c. Complaints of pain at site of infusion

d. A rash on the client’s extremities

6. Nurse Celine is caring for a client with clinical depression who is receiving a MAO inhibitor. When providing instructions about precautions with this medication, the nurse should instruct the client to:

a. Avoid chocolate and cheese

b. Take frequent naps

c. Take the medication with milk

d. Avoid walking without assistance

7. While providing home care to a client with congestive heart failure, the nurse is asked how long diuretics must be taken. The BEST response to this client should be:

a. “As you urinate more, you will need less medication to control fluid.”

b. “You will have to take this medication for about a year.”

c. “The medication must be continued so the fluid problem is controlled.”

d. “Please talk to your physician about medications and treatments.”