| Latest Version | 2025/2026 | Correct &
Verified
A client is receiving chemotherapy and develops a fever of 38.9°C (102°F). Which of the
following actions should the nurse take first?
✔✔ A. Notify the provider immediately
B. Administer acetaminophen
C. Encourage fluid intake
D. Place the client in a warm room
Which symptom in a client with anemia most directly results from decreased oxygen-carrying
capacity of the blood?
✔✔ A. Fatigue
B. Fever
C. Nausea
D. Night sweats
A client with a hemoglobin level of 7.5 g/dL is scheduled to receive packed red blood cells. What
is the minimum gauge IV catheter required?
1
,✔✔ A. 20-gauge
B. 24-gauge
C. 25-gauge
D. 18-gauge butterfly
A client receiving a blood transfusion reports itching and hives. What should the nurse do first?
✔✔ A. Stop the transfusion
B. Increase the infusion rate
C. Recheck the blood bag label
D. Notify the housekeeping staff
Which of the following findings in a client with leukemia should the nurse report immediately?
✔✔ A. Temperature of 100.4°F (38°C)
B. Fatigue after activity
C. Occasional bruising
D. Loss of appetite
Which statement made by a client taking iron supplements indicates a need for further teaching?
2
,✔✔ A. "I will take this with milk every morning."
B. "I may experience dark stools."
C. "I will use a straw with liquid iron."
D. "I should store this away from children."
Which is a priority nursing intervention when administering a unit of blood to a client?
✔✔ A. Stay with the client for the first 15 minutes
B. Administer the blood over 6 hours
C. Infuse with dextrose 5%
D. Give IV potassium before transfusion
Which lab result would the nurse expect in a client with folic acid deficiency anemia?
A. Increased white blood cells
✔✔ B. Low folate level
C. Elevated sodium
D. High reticulocyte count
3
, A client is newly diagnosed with idiopathic thrombocytopenic purpura (ITP). What is the nurse’s
priority concern?
✔✔ A. Risk for bleeding
B. Risk for infection
C. Risk for malnutrition
D. Risk for fluid overload
Which symptom is most concerning in a client taking warfarin?
✔✔ A. Black, tarry stools
B. Mild headache
C. Sore throat
D. Increased appetite
Which medication should be available at the bedside during a blood transfusion?
✔✔ A. Normal saline
B. Heparin
C. Acetaminophen
D. Calcium gluconate
4