STUDY GUIDE WITH CORRECT ANSWERS
ACTUAL EXAM 100% 2023\2024
,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? - CORRECT ANSWERS-hemoglobin 14.9 g/dL
a nurse working in an emergency department is triaging four clients. which of the
following clients should the nurse recommend for treatment first? - CORRECT
ANSWERS-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? -
CORRECT ANSWERS-measure the client's daily weight
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 weighs 198 lb. what is the
amount in grams the nurse should administer? - CORRECT ANSWERS-18 g
a nurse is conducting a physical examination for an adolescent and is assessing
the rang of motion of the legs, which of the following images indicates the
adolescent is abducting the hip joint? - CORRECT ANSWERS-Moving the leg
away from the midline of the body (off to the side, not to the front)
a nurse is caring for a client who has hyperthyroidism. which of the following
findings should the nurse expect? - CORRECT ANSWERS-tremors
tachycardia, diaphoresis, weight loss, insomnia, exopthalmia
hypothyroidism has dry corase hair, bradycardia, and periorbital edema
, a nurse is assessing a school age child who has bacterial meningitis. which of
the following findings should the nurse expect? - CORRECT ANSWERS-nuchal
rigidity
also weight loss
a nurse is assessing a newborn's heart rate. which of the following actions
should the nurse take? - CORRECT ANSWERS-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? - CORRECT
ANSWERS-instruct the client to avoid coughing during the procedure
a nurse is 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? - CORRECT ANSWERS-the child
exhibits discomfort while walking
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? - CORRECT
ANSWERS-fiber - reduce diarrhea and inflammation
a nurse is caring for a client who has a prescription for a continuous passive
motion CPM machine following a total knee arthroplasty. which of the following
actions should the nurse take? - CORRECT ANSWERS-Turn off the CPM
machine during mealtime
promote client comfort and dietary intake
a nurse is preparing to initiate IV access for an older adult client. Which of the
following sites should the nurse select when initiating the IV for this client? -
CORRECT ANSWERS-radial vein of the inner arm