CRNE Exam Prep - Question List

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51. A client with total parenteral nutrition complains of chest pain and difficulty breathing. The nurse suspects air embolism. Which of the following is the initial action of the nurse?
  1. Notify the physician.
  2. Clamp the intravenous catheter.
  3. Place the client in left-side lying position.
  4. Administer oxygen.
52. Lipids are ordered to be administered to Gertrude, a client with fatty acid deficiency, through a peripheral vein. Which of the following is the correct way of preparing or administering lipids through a peripheral vein?
  1. The nurse adds additives into the fat emulsion solution.
  2. The nurse uses an intravenous filter.
  3. Lipids are given in a hypotonic solution administered through a peripheral vein.
  4. The nurse refrains from using a bottle of lipids observed to have separation of emulsion into layers.
53. Olson, an alcoholic for almost 30 years, was diagnosed with liver cirrhosis. The client is noted with jaundice, ascites, hepatomegaly, fetor hepaticus, and asterexis. Laboratory tests revealed the client’s ammonia content is significantly higher than the recommended values. Which of the following interventions specifically aims to excrete ammonia?
  1. Fluid restriction.
  2. Administration of lactulose, as ordered.
  3. Administration of diuretics, as ordered.
  4. Prepare the client for parenthesis.
54. A physician orders a hypotonic solution to a client with a fluid volume deficit. The physician is most likely to order which of the following solutions to the client?
  1. 5% dextrose in water
  2. 5% dextrose in 0.9% saline
  3. 5% dextrose in lactated Ringer’s solution
  4. 0.45% saline
55. A client comes to the emergency department complaining of abrupt onset of midepigastric pain with radiation to the back. Cullen’s sign, Turner’s sign, abdominal guarding, decreased bowel sounds, and nausea and vomiting are documented. The client is diagnosed with acute pancreatitis. Which of the following medications is a physician most likely to prescibe to this client in order to relieve pain?
  1. Morphine sulfate
  2. Meperidine hydrochloride
  3. Codeine sulfate
  4. Neomycin

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