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Skills in Clinical Nursing 6th Edition Berman Snyder Jackson Test Bank

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Skills in Clinical Nursing 6th Edition Berman Snyder Jackson Test Bank

ISBN:

0135128374

ISBN-13:

9780135128374

 

 

 

Description

Skills in Clinical Nursing 6th Edition Berman Snyder Jackson Test Bank

ISBN:

0135128374

ISBN-13:

9780135128374

 

 

 

 

 

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Free Nursing Test Questions:

Exam
Name___________________________________
MULTIPLE CHOICE. Choose the one alternative that best completes the statement or answers the question.
1)
The grain, the minim, and the dram are basic units of which system?
1)
A)
The metric system
B)
The apothecary system
C)
The household system
D)
The North American system
Answer:
B
Explanation:
A)
The apothecary system uses grains, minims, and drams. The metric system uses
liters, meters, and grams. The household system uses pounds, quarts, and feet or
miles. All of these systems are used, in various degrees, in North America.
Cognitive Level: Knowledge
Client Need: Physiological Integrity
Nursing Process: Implementation
B)
The apothecary system uses grains, minims, and drams. The metric system uses
liters, meters, and grams. The household system uses pounds, quarts, and feet or
miles. All of these systems are used, in various degrees, in North America.
Cognitive Level: Knowledge
Client Need: Physiological Integrity
Nursing Process: Implementation
C)
The apothecary system uses grains, minims, and drams. The metric system uses
liters, meters, and grams. The household system uses pounds, quarts, and feet or
miles. All of these systems are used, in various degrees, in North America.
Cognitive Level: Knowledge
Client Need: Physiological Integrity
Nursing Process: Implementation
D)
The apothecary system uses grains, minims, and drams. The metric system uses
liters, meters, and grams. The household system uses pounds, quarts, and feet or
miles. All of these systems are used, in various degrees, in North America.
Cognitive Level: Knowledge
Client Need: Physiological Integrity
Nursing Process: Implementation
Objective:
Learning Outcome 14

1: Define the key terms used in the calculation of drug dosages.
1
2)
The nurse is caring for an infant requiring administration of intravenous solutions. What
2)
equipment would the nurse use to administer the fluid safely?
A)
Macrodrip infusion set
B)
Microdrip infusion set
C)
Macrodrip infusion set and IV pump
D)
Microdrip infusion set and IV pump
Answer:
D
Explanation:
A)
The safest way to infuse IV solution to an infant is using the microdrip infusion set
on an infusion pump to control flow rate and prevent fluid overload. Macrodrip
tubing would not be used on infants.
Cognitive Level: Application
Client Need: Safe, Effective Care Environment
Nursing Process: Planning
B)
The safest way to infuse IV solution to an infant is using the microdrip infusion set
on an infusion pump to control flow rate and prevent fluid overload. Macrodrip
tubing would not be used on infants.
Cognitive Level: Application
Client Need: Safe, Effective Care Environment
Nursing Process: Planning
C)
The safest way to infuse IV solution to an infant is using the microdrip infusion set
on an infusion pump to control flow rate and prevent fluid overload. Macrodrip
tubing would not be used on infants.
Cognitive Level: Application
Client Need: Safe, Effective Care Environment
Nursing Process: Planning
D)
The safest way to infuse IV solution to an infant is using the microdrip infusion set
on an infusion pump to control flow rate and prevent fluid overload. Macrodrip
tubing would not be used on infants.
Cognitive Level: Application
Client Need: Safe, Effective Care Environment
Nursing Process: Planning
Objective:
Learning Outcome 14

1: Define the key terms used in the calculation of drug dosages.
2
3)
The nurse administers six grams of medication. This nurse is using which system of measurement?
3)
A)
Metric
B)
Apothecaries’
C)
Household
D)
Metric or apothecaries’
Answer:
A
Explanation:
A)
The metric system uses grams, liters, and meters, while the apothecaries’ system
uses drams, grains, and minims. The household system uses measures such as
teaspoons, cups, ounces, pounds, and inches.
Cognitive Level: Knowledge
Client Need: Physiological Integrity
Nursing Process: Implementation
B)
The metric system uses grams, liters, and meters, while the apothecaries’ system
uses drams, grains, and minims. The household system uses measures such as
teaspoons, cups, ounces, pounds, and inches.
Cognitive Level: Knowledge
Client Need: Physiological Integrity
Nursing Process: Implementation
C)
The metric system uses grams, liters, and meters, while the apothecaries’ system
uses drams, grains, and minims. The household system uses measures such as
teaspoons, cups, ounces, pounds, and inches.
Cognitive Level: Knowledge
Client Need: Physiological Integrity
Nursing Process: Implementation
D)
The metric system uses grams, liters, and meters, while the apothecaries’ system
uses drams, grains, and minims. The household system uses measures such as
teaspoons, cups, ounces, pounds, and inches.
Cognitive Level: Knowledge
Client Need: Physiological Integrity
Nursing Process: Implementation
Objective:
Learning Outcome 14

2: State the basic units of measurement in the following systems:
A.
Metric
B.
Apothecaries’
C.
Household
4)
The physician orders 1 teaspoon of medication. The nurse converts the dosage to 5 milliliters of
4)
medication. The nurse has converted:
A)
From the household system to the metric system.
B)
From apothecaries’ system to the metric system.
C)
From the metric system to the household system.
D)
From the household system to the apothecaries’ system.
Answer:
A
Explanation:
A)
Teaspoons are part of the household system. The nurse converts teaspoons to
milliliters, which is part of the metric system. The metric system uses grams, liters,
and meters, while the apothecaries’ system uses drams, grains, and minims. The
household system uses measures such as teaspoons, cups, ounces, pounds, and
inches.
Cognitive Level: Knowledge
Client Need: Physiological Integrity
Nursing Process: Implementation
3
B)
Teaspoons are part of the household system. The nurse converts teaspoons to
milliliters, which is part of the metric system. The metric system uses grams, liters,
and meters, while the apothecaries’ system uses drams, grains, and minims. The
household system uses measures such as teaspoons, cups, ounces, pounds, and
inches.
Cognitive Level: Knowledge
Client Need: Physiological Integrity
Nursing Process: Implementation
C)
Teaspoons are part of the household system. The nurse converts teaspoons to
milliliters, which is part of the metric system. The metric system uses grams, liters,
and meters, while the apothecaries’ system uses drams, grains, and minims. The
household system uses measures such as teaspoons, cups, ounces, pounds, and
inches.
Cognitive Level: Knowledge
Client Need: Physiological Integrity
Nursing Process: Implementation
D)
Teaspoons are part of the household system. The nurse converts teaspoons to
milliliters, which is part of the metric system. The metric system uses grams, liters,
and meters, while the apothecaries’ system uses drams, grains, and minims. The
household system uses measures such as teaspoons, cups, ounces, pounds, and
inches.
Cognitive Level: Knowledge
Client Need: Physiological Integrity
Nursing Process: Implementation
Objective:
Learning Outcome 14

2: State the basic units of measurement in the following systems:
A.
Metric
B.
Apothecaries’
C.
Household
SHORT ANSWER. Write the word or phrase that best completes each statement or answers the question.
5)
The physician orders 1,500 milligrams of medication. The nurse finds tablets in the client’s
5)
drawer that are 1 gram each. How many tablets would the nurse administer?
________ tablets
Answer:
1 1/2 Tablets
Explanation:
=
1,500 mg
1.5 grams. This conversion is made by moving the decimal point
three places to the left. When converting from a smaller measurement
(milligrams) to a larger measurement (grams), the decimal point moves to the
left; when converting from larger to smaller, the decimal point moves to the
right.
Cognitive Level: Application
Client Need: Physiological Integrity
Nursing Process: Implementation
Objective:
Learning Outcome 14

3: Convert weights within the metric system.
4
6)
The nurse weighs the newborn infant and determines the baby weighs 3.2 kilograms.
6)
Convert this weight into grams.
________ grams
Answer:
3200
Explanation:
When converting from kilograms to grams, the decimal point is moved three
points to the right, or 3,200 grams. When converting from a smaller
measurement (milligrams) to a larger measurement (grams), the decimal point
moves to the left; when converting from larger to smaller, the decimal point
moves to the right.
Cognitive Level: Analysis
Client Need: Physiological Integrity
Nursing Process: Implementation
Objective:
Learning Outcome 14

3: Convert weights within the metric system.
7)
The nurse working in a pediatrician’s office admits a child who weighs 14 pounds, 8
7)
ounces. The physician orders medications based on kilograms. Convert this child’s weight
to kilograms.
________ kg
Answer:
6.6
Explanation:
There are 2.2 kilograms per pound. If 2.2 kg
=
1 pound, the child’s weight in
pounds will be divided by 2.2. A general rule of thumb when converting
pounds to kilograms is the result will be slightly less than half of the pound
=
weight. 8 ounces
0.5 pounds. 14.5 divided by 2.2
=
6.59 or 6.6 kilograms.
Cognitive Level: Analysis
Client Need: Physiological Integrity
Nursing Process: Implementation
Objective:
Learning Outcome 14

4: Convert weights and measures between systems.
8)
The physician orders 10 milliliters of medication to be administered to the child every
8)
eight hours. The mother calls the doctor’s office later in the day and asks how to measure 5
milliliters. The nurse would instruct the mother to administer how many teaspoons of the
medication?
________ teaspoons
Answer:
2
Explanation:
=
1 teaspoon
5 milliliters 10 milliliters divided by 5
=
2 teaspoons. This problem
can be set up with what you have on one side and what you need on the other
side of the equation. What you have is 1 tsp:5 milliliters, what you want to know
is x teaspoons:10 mL. The equation would be 1:5
=
x:10. Multiply the two
numbers on either end of the equation (1 X 10) and then make that equal to the
multiplication of the 2 inside figures (5 X x), resulting in the equation 10
=
5x.
Divide both sides by 5 to leave only the x on one side of the equation (10 ÷ 5
=
5x
=
÷ 5) resulting in 2
x.
Cognitive Level: Analysis
Client Need: Physiological Integrity
Nursing Process: Implementation
Objective:
Learning Outcome 14

4: Convert weights and measures between systems.
5
9)
The nurse is assisting with collecting dinner trays from the client’s room. The client is on
9)
intake and output, recorded in milliliters. The client drank 8 ounces of milk, 6 ounces of
coffee, and 4 ounces of juice. How many milliliters will the nurse record for input?
________ mL
Answer:
540
Explanation:
There are 30 milliliters in each ounce. The client drank 8
+
+
=
6
4 ounces
18
=
ounces. 18 X 30
540 milliliters.
Cognitive Level: Analysis
Client Need: Physiological Integrity
Nursing Process: Implementation
Objective:
Learning Outcome 14

5: Convert units of volume.
10)
The nurse is administering medications, and has an order to give 2 tablespoons of
10)
medication. The med cups used by the nurse have measurements in milliliters. How many
milliliters of medication would the nurse administer to equal 2 tablespoons?
________ tablespoons
Answer:
30
Explanation:
There are 15 milliliters in 1 tablespoon. If the nurse needs to give 2 tablespoons,
=
15 X 2
30 milliliters.
Cognitive Level: Analysis
Client Need: Physiological Integrity
Nursing Process: Implementation
Objective:
Learning Outcome 14

5: Convert units of volume.
11)
The doctor orders 10 grains of medication. If the medication is calculated in milligrams,
11)
how many milligrams would the nurse administer to equal 10 grains?
________ mg
Answer:
600
Explanation:
There are 60 mg in 1 grain. To administer 10 grains, the nurse calculates 60 mg X
=
10 grains
600 mg.
Cognitive Level: Analysis
Client Need: Physiological Integrity
Nursing Process: Implementation
Objective:
Learning Outcome 14

6: Convert units of weight.
12)
The nurse is weighing a pediatric client while the mother looks on. The child weighs 8.3
12)
kilograms. The mother asks what that is in pounds and ounces. The nurse would tell the
mother the child’s weight in pound is: ________ pounds.
Answer:
18 pounds, 4.16 ounces, or 18.26 pounds or 18.3
Explanation:
In order to calculate the child’s weight in pounds, the nurse must know that
there are 2.2 kg in 1 pound. 8.3 X 2.2
=
18.26 lb. 0.26 lb can be converted to
ounces by multiplying 0.26 by 16
=
4.16 ounces.
Cognitive Level: Analysis
Client Need: Physiological Integrity
Nursing Process: Implementation
Objective:
Learning Outcome 14

6: Convert units of weight.
6
13)
The physician orders Ampicillin 850 mg p.o. The medication is supplied as 1,000 mg per 5
13)
mL. How many mL of medication would the nurse administer using the basic formula?
________ mL
Answer:
4.25
Explanation:
The desired dose is 850 mg. The dose on hand is 1,000 mg, and the vehicle is 5
mL. The formula is D X V ÷ H, or 850 X 5 ÷ 1,000. 850 X 5
=
=
4250 ÷ 1,000
4.25
Cognitive Level: Analysis
Client Need: Physiological Integrity
Nursing Process: Implementation
Objective:
Learning Outcome 14

7: Calculate drug dosage using the following formulas:
A.
Basic
B.
Ratio and proportion
C.
Fractional equation
D.
Dimensional analysis
14)
The physician orders Solu

Medrol 100 mg. The medication is supplied as 125 mg in 2 mL.
14)
The nurse calculates the dosage using the ratio and proportion method. How many mL of
medication would the nurse administer to equal 100 mg?
________ mL
Answer:
1.6
Explanation:
Using the ratio and proportion method, the amount on hand is placed on one
side of the equation while the dosage desired is placed on the other side of the
equation. The dose on hand is 125 mg in 5 mL. In ratio format, this would be
125:5. The dosage desired is 100 mg, but the amount of medication required for
this dosage is unknownRemember, it would be put in ratio format as 100:x. It is essential
when setting up the ratio that weight is on the same side of the ratio on both
sides of the equation and the volume is on the same side as well. The equation
=
would be 125:5
100:x. The values on the outsides of the equation are
multiplied (125 X x) and the values on the inside are multiplied (5 X 100),
resulting in the following equation: 125 X x
=
=
5 X 100. 125 x
500. Dividing both
sides by 125 to leave the x standing alone on one side results in x
=
500 ÷ 125, or
=
x
1.6 mL.
Cognitive Level: Analysis
Client Need: Physiological Integrity
Nursing Process: Implementation
Objective:
Learning Outcome 14

7: Calculate drug dosage using the following formulas:
A.
Basic
B.
Ratio and proportion
C.
Fractional equation
D.
Dimensional analysis
7
15)
The physician orders Digoxin 0.25 mg to be administered. When the nurse takes the
15)
medication from the client’s supply, each tablet is 125 mcg. Using the fractional equation
method, how many tablets would the nurse administer?
________ tablets
Answer:
2
=
Explanation:
=
=
H
125 mcg V
1 D
0.25 mg. The first action should be to either convert
micrograms into milligrams or convert milligrams into micrograms. It is
essential that both sides of the equation use the same unit of measurement in
order to get an accurate result. 125 mcg
=
=
0.125 mg or 0.25 mg
250 mcg. The
equation would be set up:
125 mcg
250 mcg
=
1 tab
X

Cross
=
multiply 125 X x
250 X 1, which results in 125x
=
250. Divide both sides
by 125 in order to allow x to stand alone, resulting in x
=
=
250 ÷ 125Remember, x
2
tablets.
Cognitive Level: Analysis
Client Need: Physiological Integrity
Nursing Process: Implementation
Objective:
Learning Outcome 14

7: Calculate drug dosage using the following formulas:
A.
Basic
B.
Ratio and proportion
C.
Fractional equation
D.
Dimensional analysis
16)
The physician orders Keflex 1 gram. The nurse finds Keflex is available in 250 mg per
16)
capsule. Using the dimensional analysis system, calculate the number of capsules the nurse
would administer.
________ capsules
Answer:
4
Explanation:
The conversion factor for grams to milligrams is 1,000 so the formula would be:
1 capsule X 1,000 mg X 1
=
4
1 mg X 250 mg
Cognitive Level: Analysis
Client Need: Physiological Integrity
Nursing Process: Implementation
Objective:
Learning Outcome 14

7: Calculate drug dosage using the following formulas:
A.
Basic
B.
Ratio and proportion
C.
Fractional equation
D.
Dimensional analysis
8
17)
The pediatrician orders 0.2 mg/Kg every four hours for the pediatric client who weighs 35
17)
pounds. The medication is mixed 10 mg per 1 mL. How many mL of medication would
the nurse administer for each dose?
________ mL
Answer:
0.32
Explanation:
This is a multistep problem. First, the nurse calculates the child’s weight in
kilograms by dividing 35 pounds by 2.2 because 2.2 Kg
=
1 pound. The child’s
weight in K is 15.91. 0.2 mg is to be given for every Kg of body weightRemember, to
determine the proper dosage, multiply 0.2 X 15.91
=
3.182 mg or 3.2 mg. The
medication is supplied with 10 mg in every 1 mL. Using the ratio method 10
=
mg:1 mL.
=
3.2 mg: x. 10 X x
1 X 3.2. Divide both sides by 10: 10 x ÷ 10
=
3.2 ÷
=
10 or x
0.32.
Cognitive Level: Analysis
Client Need: Physiological Integrity
Nursing Process: Implementation
Objective:
Learning Outcome 14

8: Calculate individualized drug dosages using the following
methods:
A.
Body weight
B.
Body surface area
18)
Calculate the proper dosage based on body surface area for the pediatric child if the child’s
18)
2
body surface area is 1.1 m
and the normal dosage of the medication is 80 mg for a body
2
surface area of 1.7 m
.
________ mg
Answer:
51.8
Explanation:
Divide the child’s body surface area by 1.7 m
2
(the average surface area for the
normal adult) and multiply by the normal adult dosage. The formula would be:
2
1.1 m
=
X 80
51.8 mg
2
1.7 m
Cognitive Level: Analysis
Client Need: Physiological Integrity
Nursing Process: Implementation
Objective:
Learning Outcome 14

8: Calculate individualized drug dosages using the following
methods:
A.
Body weight
B.
Body surface area
9
19)
The physician orders 3,000 mL of fluid to infuse daily. How many milliliters per hour
19)
would the nurse infuse for this client?
________ mL per hour
Answer:
125
Explanation:
3,000 mL is to infuse over 24 hours. Calculate mL/hr by dividing 3,000 by 24
resulting in the answer of 125 mL/hour.
Cognitive Level: Analysis
Client Need: Physiological Integrity
Nursing Process: Implementation
Objective:
Learning Outcome 14

9: Calculate IV flow rates by:
A.
Calculating milliliters per hour.
B.
Calculating drops per minute.
C.
Calculating flow rates based on time or on body weight and time.
20)
The nurse is using a 20



drop
per
mL IV solution set. In order to deliver 1,280 mL over 16
20)
hours, how many drops per minute would the nurse set the IV to run?
________ drops per minute
Answer:
27
Explanation:
Set up the formula as:
total infusion volume X drop factor
=
drops per minute
Number of hours X 60 minutes
Plugging in the numbers from the problem given:
1,280 X 20
=
drops per minute
16 X 60 minutes
=
25,600 ÷ 960
26.66 rounded to 27 drops per minute
Cognitive Level: Analysis
Client Need: Physiological Integrity
Nursing Process: Implementation
Objective:
Learning Outcome 14

9: Calculate IV flow rates by:
A.
Calculating milliliters per hour.
B.
Calculating drops per minute.
C.
Calculating flow rates based on time or on body weight and time.
10
21)
The doctor orders dopamine 5 micrograms per kilogram per minute. Dopamine is
21)
supplied as an IV solution of 400 mg in 500 mL of 5% dextrose. The client weighs 130
pounds. How fast would the nurse infuse the Dopamine solution per hour to administer
the proper dosage?
________ mL per hour
Answer:
22.2
Explanation:
Calculate the client’s weight in kilograms by dividing 130 by 2.2 because there
are 2.2 kg per pound. The client’s weight is 59.1 kg. Next, set up the formula as:
Ordered mcg/kg/min. X client’s weight in kg X 60 min/hr
=
mL/hr
Medication concentration (mcg/mL)
Ordered 5 mcg/kg/min. X 59.1. X 60 min/hr
=
mL/hr.
Medication concentration (400,000 mcg/500 mL)
5 X 59.1 X 60
17,730
=
=
22.1625 mL/hr or 22.2 mL/hr
800 mcg/mL
800
Because of the complexity of the calculation, the nurse should always have
another nurse double

check the calculation prior to beginning a dopamine
infusion.
Cognitive Level: Analysis
Client Need: Physiological Integrity
Nursing Process: Implementation
Objective:
Learning Outcome 14

9: Calculate IV flow rates by:
A.
Calculating milliliters per hour.
B.
Calculating drops per minute.
C.
Calculating flow rates based on time or on body weight and time.
11

 

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