Mr. Anderson is a 50-year-old male client who presented to t... | NCLEX PN-Practice Exam-1

Practice Question

Mr. Anderson is a 50-year-old male client who presented to the emergency department (ED) at 0615 with intermittent cramping abdominal pain, abdominal bloating, and nausea and vomiting for the past 3 days. He denies constipation or diarrhea. He completed his second cycle of chemotherapy infusion last week for a newly diagnosed stage III gastric cancer. Mr. Anderson's maintenance intravenous fluid was started at 0930. The practical nurse checks the fluid level at 1100. How much IV fluid did Mr. Anderson receive during that time?

Answer Choices:

A. 200 mL

B. 225 mL ✓ Correct Answer

C. 250 mL

D. 275 mL

Correct Answer:

225 mL

Rationale:

💧An adult’s typical maintenance IV fluid rate is about 150 mL/hr.

⏰From 0930 to 1100 is 1.5 hours, so at 150 mL/hr the infusion delivers 225 mL.

🧮Clinical calculations for maintenance fluids often round to the nearest available infusion rate, confirming 225 mL fits the timeframe.

🩺This distinguishes it from smaller or larger volumes, confirming the correct choice is 225 mL, not 200, 250, or 275 mL.

📌Core Message

An adult maintenance infusion at 150 mL/hr over 1.5 hours delivers 225 mL.

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Mr. Anderson is a 50-year-old male client who presented to the emergency department (ED) at 0615 with intermittent cramping abdominal pain, abdominal bloating, and nausea and vomiting for the past 3 days. He denies constipation or diarrhea. He completed his second cycle of chemotherapy infusion last week for a newly diagnosed stage III gastric cancer. Which of the following interventions does the nurse anticipate performing? Select all that apply.

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Mr. Anderson is a 50-year-old male client who presented to the emergency department (ED) at 0615 with intermittent cramping abdominal pain, abdominal bloating, and nausea and vomiting for the past 3 days. He denies constipation or diarrhea. He completed his second cycle of chemotherapy infusion last week for a newly diagnosed stage III gastric cancer. The nurse notifies the physician of Mr. Anderson's oliguria, and new orders are placed. At 1530, Mr. Anderson still has no further urine output. A bladder scan shows approximately 50 mL of urine in the bladder. Based on Mr. Anderson's updated profile, which medications does the nurse anticipate administering? Select all that apply.

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Mr. Anderson is a 50-year-old male client who presented to the emergency department (ED) at 0615 with intermittent cramping abdominal pain, abdominal bloating, and nausea and vomiting for the past 3 days. He denies constipation or diarrhea. He completed his second cycle of chemotherapy infusion last week for a newly diagnosed stage III gastric cancer. Due to Mr. Anderson's acute kidney injury (AKI), he received an additional bolus of 1 liter intravenous 0.9% sodium chloride over 1 hour. Upon completion of the infusion, he complains of shortness of breath and an intermittent productive cough. Based on Mr. Anderson's recent vital signs, which of the following interventions does the nurse expect to see in his care plan? Select all that apply.

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Mr. Anderson is a 50-year-old male client who presented to the emergency department (ED) at 0615 with intermittent cramping abdominal pain, abdominal bloating, and nausea and vomiting for the past 3 days. He denies constipation or diarrhea. He completed his second cycle of chemotherapy infusion last week for a newly diagnosed stage III gastric cancer.

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NCLEX PN-Practice Exam-1

130 Questions

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Category: NCLEX PN
Subcategory: NCLEX-PN Practice Exams
Domain: NCLEX-PN (Practice Exams)
Answer Choices: 4

Rhenis Nursing

Practice Question

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Rationale:

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A nurse is collecting data on a client who is admitted to the inpatient mental health unit. The client is complaining of sleep disturbances, feelings of helplessness, and a loss of appetite. The nurse recognizes these symptoms to be indicative of

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NCLEX PN-Practice Exam-1

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