QUESTIONS WITH WELL VERIFIED ANSWERS
What finding indicates effective therapy after receiving 2 units of packed RBCs? -
answer☑️✔️..Hemoglobin 14.9 g/dl
Which client should be treated first in an emergency department? - answer☑️✔️..A middle
adult client who has unstable vital signs.
What task can a nurse delegate to assistive personnel for a client with fluid volume overload? -
answer☑️✔️..Measure the client's daily weight.
How much mannitol should be administered to a client weighing 198 lb at a dose of 0.2 g/kg? -
answer☑️✔️..18 grams.
What indicates hip abduction in an adolescent during a physical exam? - answer☑️✔️..The leg
is moved away from the midline of the body.
What finding should a nurse expect in a client with hyperthyroidism? - answer☑️✔️..Tremors.
What is a common finding in a school-age child with bacterial meningitis? -
answer☑️✔️..Nuchal rigidity.
What is the most accurate way to assess a newborn's heart rate? - answer☑️✔️..Assess the
apical pulse when the newborn is in a quiet state.
What should a nurse instruct a client to do during a thoracentesis? - answer☑️✔️..Avoid
coughing during the procedure.
,What finding may indicate child sexual abuse in a preschooler with a facial laceration? -
answer☑️✔️..A child exhibits discomfort while walking.
Which nutrient should a client with Crohn's disease and an entero-enteric fistula decrease in
their diet? - answer☑️✔️..Fiber.
What action should a nurse take regarding a continuous passive motion (CPM) machine after
total knee arthroplasty? - answer☑️✔️..Turn off the CPM machine during mealtime.
What is the normal range for a WBC count? - answer☑️✔️..4,500 to 11,000/mm3.
What is a common symptom of hyperthyroidism? - answer☑️✔️..Weight loss despite
increased appetite.
What is an expected finding in a client with fluid volume overload? - answer☑️✔️..Edema.
What is the purpose of administering mannitol? - answer☑️✔️..To reduce intracranial
pressure.
What should a nurse monitor in a client receiving IV fluids? - answer☑️✔️..Vital signs and fluid
balance.
What is the significance of a positive Trendelenburg sign? - answer☑️✔️..It may indicate hip
joint issues or vascular problems.
What is a common complication of bacterial meningitis? - answer☑️✔️..Seizures.
,What is the primary assessment for a newborn's heart rate? - answer☑️✔️..Auscultate the
apical pulse for at least 1 minute.
What is the role of the nurse in preparing a client for a thoracentesis? - answer☑️✔️..Ensure
the client understands the procedure and its purpose.
What should a nurse assess for in a child with a facial laceration? - answer☑️✔️..Signs of
potential abuse or neglect.
What dietary change is recommended for clients with Crohn's disease? -
answer☑️✔️..Decrease fiber intake to reduce bowel irritation.
What position should the client's affected hip be maintained in after surgery? -
answer☑️✔️..Externally rotated position.
How should a client adjust the CPM setting? - answer☑️✔️..Instruct the client on how to
adjust the CPM setting for comfort.
Where should the CPM machine be stored when not in use? - answer☑️✔️..Under the client's
bed.
Which IV site is appropriate for initiating IV access in an older adult client? -
answer☑️✔️..Basilic vein of the hand.
What is a risk factor for osteoporosis that should be included in client education? -
answer☑️✔️..Sedentary lifestyle.
, What is the priority intervention for a child with fever and fluid-filled vesicles? -
answer☑️✔️..Initiate transmission-based precautions.
What should the nurse do first for a client with a clogged percutaneous gastrostomy feeding
tube? - answer☑️✔️..Flush the client's tube with 30 ml of water.
What instruction should be included in a teaching plan for a client with a new ileostomy? -
answer☑️✔️..Empty the appliance when it is one-third to one-half full.
Which laboratory value should the nurse report for a client with end-stage kidney disease post-
hemodialysis? - answer☑️✔️..Sodium 148 mEq/L.
Which task can be delegated to an assistive personnel (AP)? - answer☑️✔️..Measure the vital
signs of a client who just returned from the PACU.
What action should a nurse take to prepare a client for a paracentesis? - answer☑️✔️..Instruct
the client to void.
For which client should the nurse intervene to prevent a potential food and medication
interaction? - answer☑️✔️..A client who is taking phenytoin and is requesting a milkshake.
What action should a nurse plan for a client with rheumatoid arthritis and severe pain? -
answer☑️✔️..Allow for frequent rest periods throughout the day.
What should a nurse do for a client receiving continuous bladder irrigation who reports bladder
spasms? - answer☑️✔️..Increase tension on the urinary catheter.