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1. Which of these findings would indicate that a patient’s IV has infiltrated and needs to be restarted.
	The flow of the fluid in the drip chamber has come to a halt Redness appears along the vein from the needle site upward Puffiness occurs proximal to the insertion site A back flow of blood is in the tubing
2. A patient has an IV order for 1000ml of 5% dextrose and water q 8h. The IV drop factor is 20gtts/ml. The nurse should regulate the flow of the solution at the rate of about how many drops per minute?
	30 40 50 60
3. Which dietary instruction is essential to give a patient who has insulin-dependent diabetes mellitus (Type I) and is taking NPH insulin?
	When you skip a meal reduce your insulin Substitute 1 ounce of fat for 2 ounces of protein Eat your meals and snacks on schedule Use artificial sweeteners instead of consuming complex sugars
4. When a patient is to receive rapid-acting insulin, the nurse should expect the physician to prescribe which type of insulin?
	Isophane (NPH) insulin Protamine zinc (PZI)insulin Insulin Injection (Regular Insulin) Zinc suspension (Lente) insulin
5. When preparing to administer Isophane (NPH) insulin to a patient, the nurse should take which action?
	Rotate the vial between the hands Warm the vial to body temperature under the hot water tap Invert the vial for a few minutes Aspirate the insulin without injecting air into the vial
6. A patient, age 68, is admitted to the hospital for evaluation and management of insulin dependent diabetes mellitus (TYPE I). Which signs or symptoms indicate diabetes mellitus?
	Oliguria and hyperthemia Diarrhea and clammy skin Tremors and tachycardia Fatigue and hunger
7. A patient admitted for surgery has orders for shaving and washing the surgical site. Skin preparation is ordered prior to surgery primarily to:
	Improve visualization of surgical landmarks Reduce the number of bacteria at the site of surgery Promote adherence of the surgical tape Prevent reaction to the adhesive on the tape
8. A patient who has had surgery is encouraged to move his/her legs. Contraction of the leg muscles will prevent which of these complications?
	Pleurisy Portal hypertension Hypostatic pneumonia Pulmonary
9. A patient is to have surgery for cholelithiasis. Before surgery, the patient receives phytonadione (Vitamin K) I.M. for which purpose?
	To improve the clotting ability of the blood To promote healing of connective tissue To enhance the effect of the preoperative medication To aid dissolving calculi
10. A patient has had abdominal surgery. To prevent the patient from developing hypostatic pneumonia, the nurse should take which action during the immediate postoperative period?
	Splint the patient's incision area while he/ she breathes deeply Have the patient blow into a spirometer four times a day Encourage the patient to exhale through pursed lips Support the patient in an orthopedic position
11. When applying an antibiotic to a patient’s eye prior to surgery, the nurse should apply the ointment:
	Over the entire sclera Over the entire eye socket Along the inner surface of the lower lid Along the eyelashes
12. A patient had abdominal surgery 2 days ago. Which observation indicates that the patient’s peristaltic activity has returned?
	He is belching He is hungry He is passing fluids He is thirsty
13. Which finding would indicate that a patient who has abdominal surgery is ready for removal of a nasogastric (NG) tube?
	The patient does not complain of feeling nauseated The patient burps after taking a sip of clear fluids Drainage from the patient's stomach has diminished in volume The patient has been passing flatus
14. What is the number one therapeutic measure used to prevent a postoperative patient from developing thrombophlebitis in the calves?
	Obtain an order for the use of antiembolytic stockings Maintain the knee gatch of the patient's bed in a slightly elevated position Support the patient's legs so that they are higher than the heart Encourage the patient to dorsiflex the foot three times a day
15. A patient has a transurethral prostatic resection (TURP) for benign prostatic hyperplasia and has an indwelling catheter. During the immediate postoperative period, the nurse should expect the patient to have which of the following?
	Discomfort when urinating A distended bladder A neurogenic bladder Bloody urinary drainage
16. A unit of blood is ordered. Which of the following is the most important safeguard prior to administrating blood?
	Refrigerate until used Agitate the blood so it will mix With another nurse, carefully check the label against the patient wrist ID band. Infuse through a blood warmer to prevent reaction.
17. A patient is to receive Heparin Sodium. The nurse should observe the patient for which side effect of Heparin Sodium?
	Leukoplakia Leukocytosis Thrombophlebitis Thrombocytopenia
18. A patient is diagnosed as having cholelithiasis. Which of these signs is associated with cholelithiasis?
	Projectile vomiting Continuous hiccups Intermittent diarrhea Clay-colore stools
19. Upon assessment of a patient with osteoarthritis in a addition to complaints of joint stiffness, the nurse would expect to observe:
	Enlargement of the joints Swelling of the soft tissue Atrophy of the muscles adjacent to the joints Marked erythema around the joints
20. A patient who is to have an abdominal perineal resection has an order for an intravenous pyelogram (IVP) preoperatively. The IVP is ordered for the patient for what purpose?
	To detect the glomerular filtration rate To detect any infection in the ureters To detect abnormalities in the urinary system To determine his/her bladder capacity