Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
The nurse reviews morning lab results on his patients.
Based on these lab results which patient should the nurse see first?
A. Sodium 130 mEq/L.
B. Potassium 6.4 mmol/K.
A potassium level of 6.4 mmol/K is above the normal range (3.5-5.0 mmol/L) and can be life- threatening. High potassium levels can lead to dangerous heart rhythms.
C. Hgb 8.6 g/dL.
D. Fasting Glucose 145 mg/dL.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Med Surg Nur214 proctored exam. Take the full exam now
Full Explanation
Choice B rationale
A potassium level of 6.4 mmol/K is above the normal range (3.5-5.0 mmol/L) and can be life- threatening. High potassium levels can lead to dangerous heart rhythms.
Similar Questions
The nurse is assessing a patient being cared for at the end of life. Which of the following respiratory patterns would be expected?
A. Bradypnea.
B. Hyperpnea.
C. Kussmal’s Respirations.
D. Cheyne-Stokes Respirations.
Cheyne-Stokes respirations, a pattern of breathing characterized by a gradual increase in depth and sometimes in rate to a maximum depth, followed by a decrease resulting in apnea, are commonly observed in patients nearing the end of life.
Full Explanation
Choice D rationale
Cheyne-Stokes respirations, a pattern of breathing characterized by a gradual increase in depth and sometimes in rate to a maximum depth, followed by a decrease resulting in apnea, are commonly observed in patients nearing the end of life.
The nurse is working at a clinic that assists minority patients.
The nurse notes that the physician refuses to use a translator and gives the patients materials only in English. The nurse notes that the physician is guilty of which of the following?
A. Discrimination.
Discrimination refers to the unjust or prejudicial treatment of different categories of people, especially on the grounds of race, age, or sex. In this case, the physician is refusing to use a translator and only provides materials in English to patients who may not understand the language. This action can be seen as discriminatory because it denies these patients the same level of care that English-speaking patients receive.
B. Ethnocentrism.
Ethnocentrism is the belief in the inherent superiority of one’s own ethnic group or culture. While the physician’s actions may seem ethnocentric, as they are not considering the cultural needs of their patients, the scenario does not provide enough information to definitively label the behavior as such.
C. Stereotyping.
Stereotyping involves generalized and oversimplified beliefs about a particular group. The physician’s actions do not necessarily indicate that they are stereotyping their patients, but rather that they are not providing equitable care.
D. Acculturation.
Acculturation is the process of adopting the cultural traits or social patterns of another group. The physician’s actions do not demonstrate acculturation. Instead, they show a lack of willingness to accommodate the cultural and linguistic needs of their patients.
Full Explanation
Choice A rationale
Discrimination refers to the unjust or prejudicial treatment of different categories of people, especially on the grounds of race, age, or sex. In this case, the physician is refusing to use a translator and only provides materials in English to patients who may not understand the language. This action can be seen as discriminatory because it denies these patients the same level of care that English-speaking patients receive.
Choice B rationale
Ethnocentrism is the belief in the inherent superiority of one’s own ethnic group or culture. While the physician’s actions may seem ethnocentric, as they are not considering the cultural needs of their patients, the scenario does not provide enough information to definitively label the behavior as such.
Choice C rationale
Stereotyping involves generalized and oversimplified beliefs about a particular group. The physician’s actions do not necessarily indicate that they are stereotyping their patients, but rather that they are not providing equitable care.
Choice D rationale
Acculturation is the process of adopting the cultural traits or social patterns of another group. The physician’s actions do not demonstrate acculturation. Instead, they show a lack of willingness to accommodate the cultural and linguistic needs of their patients.
Prescription Order: 1g in 50 mL to infuse over 30 minutes; gtt factor= 15gtts/1mL. How many drops per minute will you infuse?
Full Explanation
Step 1: Convert the total volume to be infused from grams to milliliters. Since 1 gram is equivalent to 1,000 milligrams (mg), then 1 gram is equal to 1,000 mg. Therefore, 1g in 50 mL is equivalent to 1,000 mg in 50 mL.
Step 2: Determine the total infusion time in minutes. Since the order is to infuse over 30 minutes, the total infusion time is 30 minutes.
Step 3: Calculate the rate of infusion in milliliters per minute (mL/min). This is done by dividing the total volume in milliliters by the total time in minutes. So, (50 mL ÷ 30 min) equals approximately 1.67 mL/min.
Step 4: Calculate the number of drops per minute. This is done by multiplying the rate of infusion in mL/min by the drop factor in drops/mL. So, (1.67 mL/min × 15 gtt/mL) equals approximately 25 drops per minute. Therefore, you will infuse approximately 25 drops per minute.