A Updated 2025 Questions and Answers
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Terms in this set (60) TESTS VERIFIED ANSWERS
1. A nurse is administering 1 L of 0.9% Correct Answer:
sodium chloride to a client who is Decrease in heart rate
postoperative and has fluid volume deficit. Fluid volume deficit causes tachycardia.
Which of the following changes should the With correction of the imbalance, the heart
nurse identify as an indication that the rate should return to the expected range.
treatment was successful?
InCorrect Answers:
Increase in hematocrit Increase in hematocrit:
increase in respiratory rate Fluid volume deficit causes an increase in
Decrease in heart rate hematocrit level due to depletion of
Decrease in capillary refill time 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.
2. A nurse is caring for a client who is Correct Answer:
scheduled to be transferred to a long-term "Would you like it if we discussed the
care facility. The client's family questions transfer with your family member?"
the nurse about the reasons for the transfer. This response facilitates therapeutic
Which of the following responses made by communication and provides general leads
the nurse is appropriate? while maintaining client confidentiality.
"The transfer of your family member is InCorrect Answers:
being done because the provider knows "The transfer of your family member is
what's best." being done because the provider knows
, "Would you like it if we discussed the what's best."
transfer with your family member?" This is a defensive response which can
"Why are you so concerned about this hinder further communication.
transfer?"
"I know how you feel. My parent had to be "Why are you so concerned about this
transferred to a long-term care facility." 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.
3. A nurse is reviewing the laboratory results Correct Answer:
of a female client who has hypovolemia. Potassium 5.8 mEq/L (3.5 to 5
Which of the following laboratory result mEq/L)
would be a priority for the nurse report to When using the urgent versus
the provider? nonurgent approach to client care,
the nurse should determine that this
BUN 21 mg/dL (10 to 20 mg/dL) potassium level is above the
Creatinine 1.4 mg/dL (0.5 to 1.1 mg/dL) expected reference range and
Sodium 132 mEq/L (136 to 145 mEq/L) should be reported to the provider.
, Potassium 5.8 mEq/L (3.5 to 5 mEq/L) Potassium affects the contractility
of the heart and this client would
be at risk for developing
dysrhythmias.
InCorrect Answers:
BUN 21 mg/dL (10 to 20 mg/dL)
This BUN level is slightly above
the expected reference range and is
an expected non-urgent finding for
a client who has hypovolemia;
therefore, there is another
laboratory result that is a priority
for the nurse to report to the
provider.
Creatinine 1.4 mg/dL (0.5 to 1.1
mg/dL)
This creatinine level is slightly
above the expected reference range
and is an expected non-urgent
finding for a client who has
hypovolemia; therefore, there is