Practice 2026 A 2026 Exam
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A nurse is administering 1 L of 0.9% sodium chloride to a client who is
postoperative and has fluid volume deficit. Which of the following
changes should the nurse identify as an indication that the treatment
was successful?
Increase in hematocrit
increase in respiratory rate
,Decrease in heart rate
Decrease in capillary refill time - ANSWER ✔✔Correct Answer:
Decrease in heart rate
Fluid volume deficit causes tachycardia. With correction of the
imbalance, the heart rate should return to the expected range.
Incorrect Answers:
Increase in hematocrit:
Fluid volume deficit causes an increase in hematocrit level due to
depletion of extracellular fluid. With correction of the imbalance, the
hematocrit level should decrease.
increase in respiratory rate
Fluid volume deficit causes an increase in respiratory rate. With
correction of the imbalance, the respiratory rate should return to the
expected range.
Decrease in capillary refill time
,Fluid volume deficit slows capillary refill. With correction of the
imbalance, capillary refill time should return to the expected range.
A nurse is caring for a client who is scheduled to be transferred to a
long-term care facility. The client's family questions the nurse about the
reasons for the transfer. Which of the following responses made by the
nurse is appropriate?
"The transfer of your family member is being done because the provider
knows what's best."
"Would you like it if we discussed the transfer with your family member?"
"Why are you so concerned about this transfer?"
"I know how you feel. My parent had to be transferred to a long-term
care facility." - ANSWER ✔✔Correct Answer:
"Would you like it if we discussed the transfer with your family member?"
This response facilitates therapeutic communication and provides
general leads while maintaining client confidentiality.
Incorrect Answers:
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, "The transfer of your family member is being done because the provider
knows what's best."
This is a defensive response which can hinder further communication.
"Why are you so concerned about this transfer?"
Asking a why question can make the recipient defensive which can
hinder further communication.
"I know how you feel. My parent had to be transferred to a long-term
care facility."
This is a sympathetic response, which can interfere with a therapeutic
relationship.
A nurse is reviewing the laboratory results of a female client who has
hypovolemia. Which of the following laboratory result would be a priority
for the nurse report to the provider?
BUN 21 mg/dL (10 to 20 mg/dL)
Creatinine 1.4 mg/dL (0.5 to 1.1 mg/dL)
Sodium 132 mEq/L (136 to 145 mEq/L)