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1. A nurse is assessing a client who has a traumatic brain Elevated Blood Pressure
injury following a motor vehicle crash. Which of the
following findings should indicate to the nurse the
client is experiencing Cushing's triad?
2. A nurse is providing teaching to a client who is sched- "You will receive IV sedation
uled for a colonoscopy. Which of the following instruc- during this procedure"
tions should the nurse include?
3. A nurse is reviewing the laboratory results of a client Dependent edema
who has heart failure and notes a B-type natriuretic
peptide (BNP) level of 800 pg/ml. Which of the follow-
ing findings should the nurse expect?
4. A nurse is reviewing the laboratory values of a client Potassium 6.2 mEq/L
who has Addison's disease. Which of the following
values should the nurse expect?
5. A nurse is caring for a client following a bronchoscopy Check for gag reflex
with tissue biopsy. Which of the following actions
should the nurse take first?
6. A nurse in the emergency department is caring for a Place the clients feet in an
client who is experiencing hypovolemic shock. Which elevated position
of the following actions should the nurse take first?
7. A nurse is caring for a client who has neutropenia. Monitor the clients WBC
Which of the following actions should the nurse take? count daily
8. A nurse is performing a respiratory assessment for a Ask the client to repeat
client. Which of the following actions should the nurse words while palpitating the
take? chest
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