Practice Quiz

CRNE Exam Prep - Question List

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131. An adult client is diagnosed with chronic renal failure. Which of the following nursing interventions is most appropriate?
  1. Instruct the client to drink at least 1500 ml per day
  2. Weigh daily before breakfast
  3. Advise client to increase his intake of foods rich in calcium and phosphorus and decrease his intake of potassium
  4. Encourage the client to eat 3 large meals a day, avoiding between-meal snacks.
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132. A nurse is assessing a six-month-old child. On assessment, noting of which of the following findings should alert the nurse to a possible problem?
  1. The posterior fontanel is not completely ossified.
  2. The anterior fontanel is not completely ossified.
  3. The tonic neck reflex is not demonstrated.
  4. The infant’s birth weight doubled.
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133. At 9:00 a.m. a nurse finds a client, being infused with 5% dextrose in 0.9% sodium chloride, is having difficulty breathing. On assessment, the nurse notes increased blood pressure, distended jugular veins, and crackles on auscultation. A 1,000-ml infusion bag of solution was hung at 8:00 a.m. The remaining solution is measured at 600 ml. The nurse’s most immediate action is to:
  1. Notify the physician
  2. Place the client on semi-Fowler’s
  3. Slow down the rate of infusion
  4. Stop the infusion and remove the IV catheter
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134. A nurse finds that the site of a client’s intravenous catheter is reddened, warm, and slightly edematous. The client complains of pain. The immediate action of the nurse is to:
  1. Notify the physician
  2. Apply warm and moist compresses
  3. Irrigate the catheter
  4. Remove the IV immediately and restart in the opposite extremity
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135. A nurse notes that the site of the client’s intravenous catheter is slightly edematous and cool. Blood return is not observed upon lowering the IV fluid below the IV site. Which of the following nursing actions is not appropriate for this client?
  1. Removing the intravenous device immediately
  2. Rubbing or massaging the infiltrated area
  3. Elevating the affected extremity
  4. Application of warm or cool compresses over the site
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