Parentral Nutrition Practice Quiz 2
Is your knowledge about the foundation of nursing well and sound? This quiz will question your ability to handle different nursing procedures, and other concepts covered by Fundamentals of Nursing.
Topics
Topics or concepts included in this exam are:
- Administration of Parenteral nutrition.
Guidelines
To make the most out of this exam, follow the guidelines below:
- Read each question carefully and choose the best answer.
- You are given one minute per question. Spend your time wisely!
- Answers and rationales (if any) are given below. Be sure to read them.
- If you need more clarifications, please direct them to the comments section.
Q.1 A nurse is caring for a group of clients on a medical-surgical nursing unit. The nurse recognizes that which of the following clients would be the least likely candidate for parenteral nutrition?
A. A 55-year-old with persistent nausea and vomiting from chemotherapy.
B. A 44-year old client with ulcerative colitis.
C. A 59-year old client who had an appendectomy.
D. A 25-year old client with a Hirschprung’s Disease.
View AnswerQ.2 A client is receiving parenteral nutrition (PN) suddenly is having a fever. A nurse notifies the physician and the physician initially prescribes that the solution and tubing be changed. The nurse should do which of the following with the discontinued materials?
A. Send them to the laboratory for culture.
B. Save them for a return to the manufacturer.
C. Return them to the hospital pharmacy.
D. Discard them in the unit trash.
View AnswerQ.3 A nurse is changing the central line dressing of a client receiving parenteral nutrition (PN) and notes that the catheter insertion site appears reddened. The nurse next assesses which of the following items?
A. Time of last dressing change.
B. Tightness of the tuning connections.
C. Client’s temperature.
D. Expiration date on the bag.
View AnswerQ.4 A client receiving parenteral nutrition (PN) complains of a headache. A nurse notes that the client has an increased blood pressure, bounding pulse, jugular distension, and crackles bilaterally. The nurse determines that the client is experiencing which complication of PN therapy?
A. Air embolism.
B. Hypervolemia.
C. Hyperglycemia.
D. Sepsis.
View AnswerQ.5 A nurse is preparing to change the parenteral nutrition (PN) solution bag and tubing. The client’s central venous line is located in the right subclavian vein. The nurse ask the client to take which essential action during the tube change?
A. Turn the head to the right.
B. Inhale deeply, hold it, and bear down.
C. Breathe normally.
D. Exhale slowly and evenly.
View AnswerQ.6 A nurse observes the client receiving fat emulsions is having hives. A nurse reviews the client’s history and note in which of the following may cause about by the complaint of the client?
A. Allergy to an egg.
B. Allergy to peanut.
C. Allergy to shellfish.
D. Allergy to corn.
View AnswerQ.7 A client receiving parenteral nutrition (PN) complains of shortness of breath and shoulder pain. A nurse notes that the client has an increased pulse rate. The nurse determines that the client is experiencing which complication of PN therapy?
A. Air embolism.
B. Hypervolemia.
C. Hyperglycemia.
D. Pneumothorax.
View AnswerQ.8 A nurse is caring for a combative client who is ordered to have a nutritional therapy using parenteral nutrition (PN). The nurse should plan which of the following measures to prevent the client from injury?
A. Monitor blood glucose twice a day.
B. Instruct the relative to stay with the nurse.
C. Measure 24-hour intake and output.
D. Secure all connections in the parenteral system.
View AnswerQ.9 Nurse Spencer is caring for an anorexic client who is having total parenteral nutrition solution for the first time. Which of the following assessments requires the most immediate attention?
A. Dry sticky mouth.
B. Temperature of 100° Fahrenheit.
C. Blood glucose of 210 mg/dl.
D. Fasting blood sugar of 98 mg/dl.
View AnswerQ.10 Nurse Russell is preparing to give a total parenteral nutrition using a central line. Place the following steps for administration in the correct order? 1. Connect the tubing to the central line. 2. Regulate the electric infusion pump at the ordered rate. 3. Maintain aseptic technique when handling the injection cap. 4. Check the solution for cloudiness, particles, or a change in color. 5. Prime the IV tubing through an infusion pump. 6. Select and flush the correct tubing and filter.
A. 4, 3, 5, 6, 1, and 2.
B. 6, 4, 5, 1, 3, and 2.
C. 4, 6, 5, 3, 1, and 2.
D. 3, 4, 6, 1, 5, and 2.
View Answer