A patient has been admitted to a hospital after the staff in the nursing home noticed a pressure ulcer in the patient’s sacral area. The nurse examines the pressure ulcer and determines that it is a stage II ulcer. Which of these findings are characteristic of a stage II pressure ulcer? (Select all that apply.)

A 4-week-old infant presents with projectile, non-bilious vomiting occurring after every feed. The infant remains hungry and continues to feed eagerly. On examination, you palpate an “olive-shaped” mass in the right upper quadrant of the abdomen. Which of the following is the most likely diagnosis?

When assessing the force, or strength, of a pulse, what would the nurse recall about the pulse?

The nurse would measure rectal temperatures in which of these patients?

A student nurse is studying clinical judgment theories and is working with Tanner’s Model of Clinical Judgment. How can the student nurse best generalize this model?

The nurse is monitoring for risks for injury identified in the health care environment. Which findings would cause greatest concern to the nurse for safety risks in the hospital environment?

The nurse is examining a patient’s lower leg and notices a draining ulceration. Which of these actions is most appropriate in this situation?

The flow rate ordered for 1 L is 65 mL/hr. It was started at 10 a.m. Calculate the infusion time and the completion time.

A volume of 360 mL is to infuse in 2 hours using a 15 gtt/mL set. At the end of 45 minutes, you discover that 225 mL remains. Should the flow rate be adjusted? If so, what is the correct rate to complete the infusion on time?

At 3:15 p.m. there is 175 mL left in an IV infusing at 55 mL/hr. Calculate the infusion time and the completion time.