STUDY SHEET 2026 ACCURATE RESPONSES
FULL SOLUTION
◉ Which client should be treated first in an emergency department?
Answer: A middle adult client who has unstable vital signs.
◉ What task can a nurse delegate to assistive personnel for a client
with fluid volume overload? Answer: Measure the client's daily
weight.
◉ How much mannitol should be administered to a client weighing
198 lb at a dose of 0.2 g/kg? Answer: 18 grams.
◉ What indicates hip abduction in an adolescent during a physical
exam? Answer: The leg is moved away from the midline of the body.
◉ What finding should a nurse expect in a client with
hyperthyroidism? Answer: Tremors.
◉ What is a common finding in a school-age child with bacterial
meningitis? Answer: Nuchal rigidity.
,◉ What is the most accurate way to assess a newborn's heart rate?
Answer: Assess the apical pulse when the newborn is in a quiet
state.
◉ What should a nurse instruct a client to do during a
thoracentesis? Answer: Avoid coughing during the procedure.
◉ What finding may indicate child sexual abuse in a preschooler
with a facial laceration? Answer: A child exhibits discomfort while
walking.
◉ Which nutrient should a client with Crohn's disease and an
entero-enteric fistula decrease in their diet? Answer: Fiber.
◉ What action should a nurse take regarding a continuous passive
motion (CPM) machine after total knee arthroplasty? Answer: Turn
off the CPM machine during mealtime.
◉ What is the normal range for a WBC count? Answer: 4,500 to
11,000/mm3.
◉ What is a common symptom of hyperthyroidism? Answer: Weight
loss despite increased appetite.
,◉ What is an expected finding in a client with fluid volume
overload? Answer: Edema.
◉ What is the purpose of administering mannitol? Answer: To
reduce intracranial pressure.
◉ What should a nurse monitor in a client receiving IV fluids?
Answer: Vital signs and fluid balance.
◉ What is the significance of a positive Trendelenburg sign? Answer:
It may indicate hip joint issues or vascular problems.
◉ What is a common complication of bacterial meningitis? Answer:
Seizures.
◉ What is the primary assessment for a newborn's heart rate?
Answer: Auscultate the apical pulse for at least 1 minute.
◉ What is the role of the nurse in preparing a client for a
thoracentesis? Answer: Ensure the client understands the procedure
and its purpose.
◉ What should a nurse assess for in a child with a facial laceration?
Answer: Signs of potential abuse or neglect.
, ◉ What dietary change is recommended for clients with Crohn's
disease? Answer: Decrease fiber intake to reduce bowel irritation.
◉ What position should the client's affected hip be maintained in
after surgery? Answer: Externally rotated position.
◉ How should a client adjust the CPM setting? Answer: Instruct the
client on how to adjust the CPM setting for comfort.
◉ Where should the CPM machine be stored when not in use?
Answer: Under the client's bed.
◉ Which IV site is appropriate for initiating IV access in an older
adult client? Answer: Basilic vein of the hand.
◉ What is a risk factor for osteoporosis that should be included in
client education? Answer: Sedentary lifestyle.
◉ What is the priority intervention for a child with fever and fluid-
filled vesicles? Answer: Initiate transmission-based precautions.