NCSBN QBANK and A+ Guide answers
The nurse is reviewing the laboratory results for several
clients. Which of the laboratory result indicates a client
with partly compensated metabolic acidosis?
Chloride 100 mEq/L (100 mmol/L)
Sodium 130 mEq/L (130 mmol/L)
Hemoglobin 15 g/dL (150 g//L)
PaCO2 30 mm Hg - correct answer ✅✅PaCO2 30 mm
Hg
The client is admitted to an ambulatory surgery center
and undergoes a right inguinal orchiectomy. Which option
is the priority before the client can be discharged to
home?
Able to ambulate in the hallway with assistance
Post-operative pain is managed
Correct response
Able to tolerate a regular diet
,NCSBN QBANK and A+ Guide answers
Psychological counseling is scheduled - correct answer
✅✅Post-operative pain is managed
A child is treated with succimer for lead poisoning. Which
of these assessments should the nurse perform first?
Test deep tendon reflexes
Check blood calcium level
Check complete blood count (CBC) with differential
Check serum potassium level - correct answer
✅✅Check complete blood count (CBC) with differential
Succimer (Chemet) is used in the management of lead or
other heavy metal poisoning. Although it has generally
well tolerated and has a relatively low toxicity, it may
cause neutropenia. Therapy should be withheld or
discontinued if the absolute neutrophil count (ANC) is
below 1200/µ.
The client with a T-2 spinal cord injury reports having a
"pounding" headache. Further assessment by the nurse
, NCSBN QBANK and A+ Guide answers
reveals excessive sweating, rash, pilomotor erection,
facial flushing, congested nasal passages and a heart rate
of 50. What action should the nurse take next?
Place the client into the bed and administer the ordered
PRN analgesic
Measure the client's respirations, blood pressure,
temperature and pupillary responses
Check the client for bladder distention and the urinary
catheter for kinks
Assist client with relaxation techniques - correct answer
✅✅Check the client for bladder distention and the
urinary catheter for kinks
These are findings of autonomic dysreflexia, also called
hyperreflexia. This response occurs in clients with a spinal
cord injury above the T-6 level. It is typically initiated by
any noxious stimulus below the level of injury such as a
full bladder, an enema or bowel movement, fecal
impaction, uterine contractions, changing of the catheter
and vaginal or rectal examinations. The stimulus creates
an exaggerated response of the sympathetic nervous
system and can be a life-threatening event. The BP is
The nurse is reviewing the laboratory results for several
clients. Which of the laboratory result indicates a client
with partly compensated metabolic acidosis?
Chloride 100 mEq/L (100 mmol/L)
Sodium 130 mEq/L (130 mmol/L)
Hemoglobin 15 g/dL (150 g//L)
PaCO2 30 mm Hg - correct answer ✅✅PaCO2 30 mm
Hg
The client is admitted to an ambulatory surgery center
and undergoes a right inguinal orchiectomy. Which option
is the priority before the client can be discharged to
home?
Able to ambulate in the hallway with assistance
Post-operative pain is managed
Correct response
Able to tolerate a regular diet
,NCSBN QBANK and A+ Guide answers
Psychological counseling is scheduled - correct answer
✅✅Post-operative pain is managed
A child is treated with succimer for lead poisoning. Which
of these assessments should the nurse perform first?
Test deep tendon reflexes
Check blood calcium level
Check complete blood count (CBC) with differential
Check serum potassium level - correct answer
✅✅Check complete blood count (CBC) with differential
Succimer (Chemet) is used in the management of lead or
other heavy metal poisoning. Although it has generally
well tolerated and has a relatively low toxicity, it may
cause neutropenia. Therapy should be withheld or
discontinued if the absolute neutrophil count (ANC) is
below 1200/µ.
The client with a T-2 spinal cord injury reports having a
"pounding" headache. Further assessment by the nurse
, NCSBN QBANK and A+ Guide answers
reveals excessive sweating, rash, pilomotor erection,
facial flushing, congested nasal passages and a heart rate
of 50. What action should the nurse take next?
Place the client into the bed and administer the ordered
PRN analgesic
Measure the client's respirations, blood pressure,
temperature and pupillary responses
Check the client for bladder distention and the urinary
catheter for kinks
Assist client with relaxation techniques - correct answer
✅✅Check the client for bladder distention and the
urinary catheter for kinks
These are findings of autonomic dysreflexia, also called
hyperreflexia. This response occurs in clients with a spinal
cord injury above the T-6 level. It is typically initiated by
any noxious stimulus below the level of injury such as a
full bladder, an enema or bowel movement, fecal
impaction, uterine contractions, changing of the catheter
and vaginal or rectal examinations. The stimulus creates
an exaggerated response of the sympathetic nervous
system and can be a life-threatening event. The BP is
