Solo.to

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Sample questions from Solo.to

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift on a medical unit, a 68-year-old client with pneumonia has a new oxygen saturation of 86% on room air, respiratory rate 30/min, and new confusion. Which action should the nurse take first?

   • A.Notify the provider after completing the medication pass
   • B.Apply prescribed oxygen and assess respiratory status
   • C.Call the client's family for baseline cognitive information
   • D.Obtain a sputum culture before intervening

   Rationale: Hypoxemia with acute confusion and tachypnea requires immediate support of oxygenation. A culture and family history may help later but must not delay stabilization; postponing notification until after routine tasks is unsafe.

2. 2.During a home visit, a 76-year-old client with heart failure reports increased dyspnea and a 2.3-kg (5-lb) weight gain in 3 days. The client has bilateral crackles and takes furosemide. Which actions should the nurse take? Select all that apply.

   • A.Notify the health care provider of the weight gain and symptoms
   • B.Assess oxygen saturation and work of breathing
   • C.Recommend doubling the furosemide dose without an order
   • D.Review the client's medication use and access to food and fluids
   • E.Schedule routine follow-up in 1 month without further assessment

   Rationale: Dyspnea, crackles, and rapid weight gain suggest worsening fluid overload, so the nurse assesses respiratory status and promptly reports the change. Reviewing medication use and access barriers supports safe care planning. Independently doubling a prescription is outside nursing authority, and waiting a month risks deterioration.

3. 3.In a pediatric clinic, a 9-year-old with type 1 diabetes is diaphoretic and shaky before lunch; point-of-care glucose is 54 mg/dL, and the child is awake and able to swallow. Which action is the priority?

   • A.Give a high-fat snack and recheck glucose in 1 hour
   • B.Call the provider before treating the low glucose
   • C.Give 15 g of rapid-acting carbohydrate and recheck glucose in 15 minutes
   • D.Administer the scheduled rapid-acting insulin

   Rationale: An alert child with symptomatic hypoglycemia should receive rapid-acting carbohydrate, followed by a glucose recheck in 15 minutes. Insulin would worsen hypoglycemia, and fat delays carbohydrate absorption. Treatment should not be postponed for a provider call in this situation.

4. 4.At 0700 in a long-term care facility, a 72-year-old resident with dementia is newly unable to follow commands and has a blood pressure of 88/54 mm Hg, heart rate 118/min, and temperature 38.7 C. Which client should the charge nurse assess first?

   • A.A resident with stable heart failure asking about a low-sodium menu
   • B.A resident with dementia who needs assistance with morning grooming
   • C.A resident with chronic arthritis requesting a warm pack
   • D.The resident with acute confusion, fever, and hypotension

   Answer and rationale are in the full material.

5. 5.On a medical-surgical unit, a 54-year-old client is prescribed IV potassium chloride for a serum potassium of 2.9 mEq/L. Which action is appropriate?

   • A.Verify the prescribed dilution and infusion rate before using an infusion pump
   • B.Add potassium to a hanging IV bag at the bedside
   • C.Give the medication intramuscularly if venous access is difficult
   • D.Administer the medication by IV push over 5 minutes

   Answer and rationale are in the full material.