Actual Questions and Answers
Expert-Verified Explanation
This Exam contains:
✪ Multiple-choice and True/False Format
✪ Expert-Verified Explanations
✪ Verified with Trusted Textbooks
Question 1:
A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of the following
findings should indicate to the nurse that the therapy has been effective?
A) Hemoglobin 8.4 g/dL
B) Hemoglobin 10.1 g/dL
C) Hemoglobin 12.0 g/dL
D) Hemoglobin 14.9 g/dL
Answer: D
EXPLANATION: An increase in hemoglobin to 14.9 g/dL indicates effective oxygen-carrying capacity
restoration after transfusion.
Question 2:
A nurse in the emergency department is triaging four clients. Which of the following clients should the
nurse recommend for treatment first?
A) A client with a minor burn
B) A client with a sprained ankle
C) A middle adult client who has unstable vital signs
D) A client who has a mild fever
Answer: C
EXPLANATION: Clients with unstable vital signs are a high priority due to potential for rapid
deterioration.
Question 3:
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)?
A) Adjust IV fluids
B) Monitor I&O hourly
C) Measure the client’s daily weight
D) Assess breath sounds
Answer: C
EXPLANATION: Measuring weight is within an AP’s scope and important for evaluating fluid balance.
, Question 4:
A nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min. The client weighs 198 lb. What
is the correct dose in grams?
A) 10 g
B) 15 g
C) 18 g
D) 25 g
Answer: C
EXPLANATION: 198 lb = 90 kg. 0.2 g/kg × 90 = 18 g.
Question 5:
A nurse is conducting a physical examination for an adolescent and is assessing the range of motion of
the legs. Which of the following movements indicates hip abduction?
A) Moving leg across midline
B) Lifting leg straight upward
C) Moving the leg away from the midline
D) Rotating the leg inward
Answer: C
EXPLANATION: Abduction means moving a limb away from the midline of the body.
Question 6:
A nurse is caring for a client who has hyperthyroidism. Which of the following findings should the nurse
expect?
A) Bradycardia and cold intolerance
B) Weight gain and dry skin
C) Tremors and weight loss
D) Fatigue and hoarseness
Answer: C
EXPLANATION: Classic signs of hyperthyroidism include tremors, tachycardia, weight loss, and heat
intolerance.
Question 7:
A school-age child is being assessed for bacterial meningitis. Which finding is expected?
A) Hyperactive reflexes
B) Nuchal rigidity
C) Hypoglycemia
D) Diarrhea
Answer: B
EXPLANATION: Nuchal rigidity (stiff neck) is a hallmark symptom of bacterial meningitis.