NRS,.3015:,.Exam,.#3,.Practice,.Questions
, NRS,.3015:,.Exam,.#3,.Practice,.Questions
A, . nurse, . is, . admitting, . a, . client, . who, . reports,, . nausea,, . vomiting,, . and, . weak-
ness.,.The,.client,.has,.dry,.oral,.mucous,.membranes,.and,.blood,.pressure,.102/64,.m
mHg., . Which, . of, . the, . following, . findings, . should, . the, . nurse, . identify, . as, . manifes-
tations,.of,.fluid,.volume,.deficit?,.(Select,.all,.that,.apply.)
a. Decreased, . skin, . turgor
b. Concentrated,.urine
c. Bradycardia
d. Low-grade,.fever
e. Tachypnea:,.a,,.b,,.d,,.e
2. A,.nurse,.is,.admitting,.an,.older,.adult,.client,.who,.reports,.a,.weight,.gain,.of,.2.3,.k
g, . (5, . lb), . in, . 48, . hr., . Which, . of, . the, . following, . manifestations, . of, . fluid, . volume, . exce
ss,.should, . the, . nurse, . expect?, . (Select, . all, . that, . apply.)
a. Dyspnea
b. Edema
c. Bradycardia
d. Hypertension
e. Weakness:,.a,,.b,,.d,,.e
3. A, . nurse, . is, . assessing, . a, . client, . who, . is, . dehydrated., . Which, . of, . the, . followi
ng,.findings,.should,.the,.nurse,.expect?
a. Moist,.skin
b. Distended,.neck,.veins
c. Increased, . urinary, . output
d. Tachycardia:,.d
4. A,.nurse,.is,.caring,.for,.a,.client,.in,.a,.long-
term,.care,.facility,.who,.has,.become,.weak,,.confused,,.and,.experienced,.dizzines
s,.when,.standing.,.The,.client's,.tem-
perature,.is,.38.3º,.C,.(100.9º,.F),,.pulse,.92/min,,.respirations,.20/min,,.and,.blood,.p
ressure,.108/60,.mmHg.,.Which,.of,.the,.following,.actions,.should,.the,.nurse,.take?
, NRS,.3015:,.Exam,.#3,.Practice,.Questions
a. Initiate,.fluid,.restrictions,.to,.limit,.intake
b. Check, . for, . peripheral, . edema
c. Encourage, . the, . client, . to, . ambulate, . to, . promote, . oxygenation
d. Monitor, . for, . orthostatic, . hypotension:, . d
5. A, . nurse, . is, . assessing, . a, . client, . who, . has, . dehydration., . Which, . of, . the, . followi
ng,.assessments,.is,.the,.priority?
a. Skin,.turgor
b. Urine,.output
c. Weight
d. Mental, . status:, . d
6. A,.nurse,.is,.caring,.for,.a,.client,.who,.has,.dehydration,.and,.is,.receiving,.IV,.fluids.,.
When,.assessing,.for,.complications,,.the,.nurse,.should,.recognize,.which,.of,.the,.fo
llowing,.manifestations,.of,.fluid,.overload?
a. Increased,.urine,.specific,.gravity
b. Hypoactive,.bowel,.sounds
c. Bounding, . peripheral, . pulses
d. Decreased, . respiratory, . rate:, . c
7. A, . nurse, . is, . providing, . teaching, . to, . a, . client, . who, . has, . venous, . insufficiency, . of, .
the,.lower,.extremities.,.Which,.of,.the,.following,.statements,.by,.the,.client,.indicat
es,.an,.understanding,.of,.teaching?
a. "If,.my,.stockings,.feel,.tight,,.I'll,.roll,.them,.down,.for,.a,.while."
b. "I'll,.put,.on,.my,.elastic,.stockings,.at,.the,.first,.sign,.of,.swelling."
c. "When,.I,.sit,.down,.to,.watch,.television,,.I'll,.be,.sure,.to,.put,.my,.feet,.up."
d. "It's,.okay,.to,.cross,.my,.legs,.as,.long,.as,.it's,.for,.less,.than,.one,.hour.":,.c
8. A,.nurse,.is,.assessing,.a,.client,.who,.has,.fluid,.volume,.overload,.from,.a,.client,.fro
m,.a,.cardiovascular,.disorder.,.Which,.of,.the,.following,.manifestations,.should,.the,.
nurse,.expect?,.(Select,.all,.that,.apply.)
a. Jugular,.vein,.distention
, NRS,.3015:,.Exam,.#3,.Practice,.Questions
b. Moist, . crackles
c. Postural,.hypotension
d. Increased, . heart, . rate
e. Fever:,.a,,.b,,.d
9. A,.nurse,.is,.caring,.for,.a,.client,.who,.has,.a,.major,.burn,.injury,.and,.is,.experiencing,.t
hird,.spacing.,.Which,.of,.the,.following,.fluid,.or,.electrolyte,.imbalances,.should, . the,
.nurse,.expect?
a. Hypokalemia
b. Hypernatremia
c. Elevated,. Hct
d. Decreased, . Hgb:, . c
10. A, . nurse, . is, . assessing, . a, . client, . who, . has, . isotonic, . dehydration., . Which, . of, . t
he,.following,.findings,.should,.the,.nurse,.expect?
a. Increased, . hematocrit, . level
b. Bradycardia
c. Distended,.neck,.veins
d. Decreased, . urine, . specific, . gravity:, . a
11. A, . nurse, . is, . caring, . for, . a, . client, . with, . dehydration, . who, . has, . developed, . hyp
o-
volemic,.shock.,.Which,.of,.the,.following,.laboratory,.values,.should,.the,.nurse,.e
xpect,.for,.this,.client?
a. BUN,.18,.mg/dL
b. Capillary,.refill,.1.5,.sec
c. Hct, . 55%
d. Urine, . specific, . gravity, . 1.001:, . c
12. A,.nurse,.is,.assessing,.a,.client,.who,.has,.late-stage,.heart,.failure,.and,.is,.expe-
riencing,.fluid,.volume,.overload.,.Which,.of,.the,.following,.findings,.should,.the, . n
urse,.expect?
a. Weight,.gain,.of,.1,.kg,.(2.2,.lb),.in,.1,.day
, NRS,.3015:,.Exam,.#3,.Practice,.Questions
A, . nurse, . is, . admitting, . a, . client, . who, . reports,, . nausea,, . vomiting,, . and, . weak-
ness.,.The,.client,.has,.dry,.oral,.mucous,.membranes,.and,.blood,.pressure,.102/64,.m
mHg., . Which, . of, . the, . following, . findings, . should, . the, . nurse, . identify, . as, . manifes-
tations,.of,.fluid,.volume,.deficit?,.(Select,.all,.that,.apply.)
a. Decreased, . skin, . turgor
b. Concentrated,.urine
c. Bradycardia
d. Low-grade,.fever
e. Tachypnea:,.a,,.b,,.d,,.e
2. A,.nurse,.is,.admitting,.an,.older,.adult,.client,.who,.reports,.a,.weight,.gain,.of,.2.3,.k
g, . (5, . lb), . in, . 48, . hr., . Which, . of, . the, . following, . manifestations, . of, . fluid, . volume, . exce
ss,.should, . the, . nurse, . expect?, . (Select, . all, . that, . apply.)
a. Dyspnea
b. Edema
c. Bradycardia
d. Hypertension
e. Weakness:,.a,,.b,,.d,,.e
3. A, . nurse, . is, . assessing, . a, . client, . who, . is, . dehydrated., . Which, . of, . the, . followi
ng,.findings,.should,.the,.nurse,.expect?
a. Moist,.skin
b. Distended,.neck,.veins
c. Increased, . urinary, . output
d. Tachycardia:,.d
4. A,.nurse,.is,.caring,.for,.a,.client,.in,.a,.long-
term,.care,.facility,.who,.has,.become,.weak,,.confused,,.and,.experienced,.dizzines
s,.when,.standing.,.The,.client's,.tem-
perature,.is,.38.3º,.C,.(100.9º,.F),,.pulse,.92/min,,.respirations,.20/min,,.and,.blood,.p
ressure,.108/60,.mmHg.,.Which,.of,.the,.following,.actions,.should,.the,.nurse,.take?
, NRS,.3015:,.Exam,.#3,.Practice,.Questions
a. Initiate,.fluid,.restrictions,.to,.limit,.intake
b. Check, . for, . peripheral, . edema
c. Encourage, . the, . client, . to, . ambulate, . to, . promote, . oxygenation
d. Monitor, . for, . orthostatic, . hypotension:, . d
5. A, . nurse, . is, . assessing, . a, . client, . who, . has, . dehydration., . Which, . of, . the, . followi
ng,.assessments,.is,.the,.priority?
a. Skin,.turgor
b. Urine,.output
c. Weight
d. Mental, . status:, . d
6. A,.nurse,.is,.caring,.for,.a,.client,.who,.has,.dehydration,.and,.is,.receiving,.IV,.fluids.,.
When,.assessing,.for,.complications,,.the,.nurse,.should,.recognize,.which,.of,.the,.fo
llowing,.manifestations,.of,.fluid,.overload?
a. Increased,.urine,.specific,.gravity
b. Hypoactive,.bowel,.sounds
c. Bounding, . peripheral, . pulses
d. Decreased, . respiratory, . rate:, . c
7. A, . nurse, . is, . providing, . teaching, . to, . a, . client, . who, . has, . venous, . insufficiency, . of, .
the,.lower,.extremities.,.Which,.of,.the,.following,.statements,.by,.the,.client,.indicat
es,.an,.understanding,.of,.teaching?
a. "If,.my,.stockings,.feel,.tight,,.I'll,.roll,.them,.down,.for,.a,.while."
b. "I'll,.put,.on,.my,.elastic,.stockings,.at,.the,.first,.sign,.of,.swelling."
c. "When,.I,.sit,.down,.to,.watch,.television,,.I'll,.be,.sure,.to,.put,.my,.feet,.up."
d. "It's,.okay,.to,.cross,.my,.legs,.as,.long,.as,.it's,.for,.less,.than,.one,.hour.":,.c
8. A,.nurse,.is,.assessing,.a,.client,.who,.has,.fluid,.volume,.overload,.from,.a,.client,.fro
m,.a,.cardiovascular,.disorder.,.Which,.of,.the,.following,.manifestations,.should,.the,.
nurse,.expect?,.(Select,.all,.that,.apply.)
a. Jugular,.vein,.distention
, NRS,.3015:,.Exam,.#3,.Practice,.Questions
b. Moist, . crackles
c. Postural,.hypotension
d. Increased, . heart, . rate
e. Fever:,.a,,.b,,.d
9. A,.nurse,.is,.caring,.for,.a,.client,.who,.has,.a,.major,.burn,.injury,.and,.is,.experiencing,.t
hird,.spacing.,.Which,.of,.the,.following,.fluid,.or,.electrolyte,.imbalances,.should, . the,
.nurse,.expect?
a. Hypokalemia
b. Hypernatremia
c. Elevated,. Hct
d. Decreased, . Hgb:, . c
10. A, . nurse, . is, . assessing, . a, . client, . who, . has, . isotonic, . dehydration., . Which, . of, . t
he,.following,.findings,.should,.the,.nurse,.expect?
a. Increased, . hematocrit, . level
b. Bradycardia
c. Distended,.neck,.veins
d. Decreased, . urine, . specific, . gravity:, . a
11. A, . nurse, . is, . caring, . for, . a, . client, . with, . dehydration, . who, . has, . developed, . hyp
o-
volemic,.shock.,.Which,.of,.the,.following,.laboratory,.values,.should,.the,.nurse,.e
xpect,.for,.this,.client?
a. BUN,.18,.mg/dL
b. Capillary,.refill,.1.5,.sec
c. Hct, . 55%
d. Urine, . specific, . gravity, . 1.001:, . c
12. A,.nurse,.is,.assessing,.a,.client,.who,.has,.late-stage,.heart,.failure,.and,.is,.expe-
riencing,.fluid,.volume,.overload.,.Which,.of,.the,.following,.findings,.should,.the, . n
urse,.expect?
a. Weight,.gain,.of,.1,.kg,.(2.2,.lb),.in,.1,.day
