RN Comprehensive Online Practice 2019 B

RN Comprehensive Online Practice 2019 B • A nurse is assessing a client who received 2 units of packed RBCs 48 hr ago. Which of the following findings should indicate to the nurse that the therapy has been effective? • Hemoglobin 14.9 g/dl • WBC count 12000/mm3 • Potassium 4.8 mEq/L • BUN 18 mg/dl • A nurse working in an emergency department is triaging four clients. Which of the following clients should the nurse recommend for treatment first? • An older adult client who reports constipation of 4 days. • A preschooler who has a skin rash. • An adolescent who has a closed fracture • A middle adult client who has unstable vital signs. • A nurse is caring for a client who has fluid volume overload. Which of the following tasks should the nurse delegate to an assistive personnel (AP) • Palpate the degree of edema • Regulate IV pump fluid rate. • Measure the client’s daily weight. • Assess the client’s vital sign. • A nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as a test dose to a client who has severe oliguria. The client weights 198 lb. What is the amount in grams the nurse should administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) • 18 G • A nurse is conducting a physical examination for an adolescent and is assessing the range of motion of the legs. Which of the following images indicates the adolescent is abducting the hip joint? • La foto que está parado de frente y pies separados uno del otro hacia afuera. The image, on the adolescent is abducting the hip joint by moving the leg away from the midline of the body. • A nurse is caring for a client who has hyperthyroidism. Which of the following findings should the nurse expect? • Dry, coarse hair • Bradycardia • Tremors • Periorbital edema • A nurse is assessing a school-age child who has bacterial meningitis. Which of the following findings should the nurse expect? • Nuchal rigidity • Weight gain • Tinnitus • Positive Trendelenburg sign. • A nurse is assessing a newborn’s heart rate. Which of the following actions should the nurse take? • Assess the apical pulse is most accurate when the newborn is in a quiet state. The sound of crying obscures the heart sounds. • Palpate the radial pulse for 30 seconds. • Listen to the apical pulse while palpating the radial pulse. • Auscultate the apical pulse at least 1 min. • A nurse is preparing to assist with a thoracentesis for a client who has pleurisy. The nurse should plan to perform which of the following actions? • Administer a bowel preparation the night before the procedure. • Place the client on bed rest for 24 hr after the procedure. • Perform pulmonary function tests following the procedure. • Instruct the client to avoid coughing during the procedure. • A nurse in the emergency department is assessing a preschooler who has a facial laceration. The nurse should identify which of the following findings as a potential indication of child sexual abuse? • A child exhibits discomfort while walking. • The child has thin extremities. • The child has bruises on the upper back. • The child is wearing a stained shirt. • A nurse is preparing to teach about dietary management to a client who has Crohn’s disease and an enteroenteric fistula. Which of the following nutrients should the nurse instruct the client to decrease in their diet? • Calories • Protein • Potassium • Fiber. • A nurse is caring for a client who has a