PN 3006 PATIENT CARE MANAGEMENT
2026 ASSESSMENT PAPER ANSWERS
VERIFIED SUMMARY SHEET
◉ A sample is obtained from the client for a routine urinalysis. On
reviewing the results of the test, the nurse notes that which one of
the following is an expected finding of the urinalysis?
Select one:
a. pH, 9.0
b. Specific gravity, 1.018
c. Protein amounts to 12 mg per 100 mL
d. White blood cell count of 5 to 8 per low-power field
Answer: Specific gravity, 1.018
◉ The client has an indwelling catheter. How should the nurse
obtain a sterile urine specimen?
Select one:
a. Disconnect the catheter from the drainage tubing.
b. Withdraw urine from a urinometer.
c. Open the drainage bag and remove urine.
,d. Use a needle to withdraw urine from the catheter port.
Answer: Use a needle to withdraw urine from the catheter port.
◉ When a deficit of body fluid exists in the intravascular
compartment, which of the following signs can be expected?
Select one:
a .Crackles
b. Hypertension
c. Neck vein distension
d. An elevated hematocrit level
Answer: An elevated hematocrit level
◉ The nurse recognizes that the client, based on the imbalance that
is present, will require fluid replacement with isotonic solution.
Which of the following is one of the isotonic solutions that may be
ordered by the physician?
Select one:
a. 0.45% saline
b. Lactated Ringer's
c. 5% dextrose in normal saline
d. 5% dextrose in lactated Ringer's
,Answer: Lactated Ringer's
◉ he single best indicator of a client's fluid status is the nurse's
assessment of which one of the following?
Select one:
a. The client's skin turgor
b. The client's intake and output
c. The client's serum electrolyte levels
d. The client's daily body weight
Answer: The client's daily body weight
◉ Out of all of the following clients, the nurse recognizes that which
one is most at risk for a fluid volume deficit?
Select one:
a .A 6-month-old learning to drink from a cup
b. A 12-year-old who is moderately active in 27°C weather
c. A 42-year-old with severe diarrhea
d. A 90-year-old with frequent headaches
Answer: A 42-year-old with severe diarrhea
, ◉ Which of the following is an unexpected value that the nurse, in
reviewing the results of the client's blood work, should report to the
physician?
Select one:
a. Calcium, 1.9 mmol/L
b. Sodium, 140 mmol/L
c. Potassium, 3.5 mmol/L
d. Magnesium, 1.8 mmol/L
Answer: Calcium, 1.9 mmol/L
◉ When a client's serum sodium level is 120 mmol/L, the priority
nursing assessment is to monitor the status of which of the following
body systems?
Select one:
a. Neurological
b. Gastrointestinal
c. Pulmonary
d. Hepatic
Answer: Neurological
2026 ASSESSMENT PAPER ANSWERS
VERIFIED SUMMARY SHEET
◉ A sample is obtained from the client for a routine urinalysis. On
reviewing the results of the test, the nurse notes that which one of
the following is an expected finding of the urinalysis?
Select one:
a. pH, 9.0
b. Specific gravity, 1.018
c. Protein amounts to 12 mg per 100 mL
d. White blood cell count of 5 to 8 per low-power field
Answer: Specific gravity, 1.018
◉ The client has an indwelling catheter. How should the nurse
obtain a sterile urine specimen?
Select one:
a. Disconnect the catheter from the drainage tubing.
b. Withdraw urine from a urinometer.
c. Open the drainage bag and remove urine.
,d. Use a needle to withdraw urine from the catheter port.
Answer: Use a needle to withdraw urine from the catheter port.
◉ When a deficit of body fluid exists in the intravascular
compartment, which of the following signs can be expected?
Select one:
a .Crackles
b. Hypertension
c. Neck vein distension
d. An elevated hematocrit level
Answer: An elevated hematocrit level
◉ The nurse recognizes that the client, based on the imbalance that
is present, will require fluid replacement with isotonic solution.
Which of the following is one of the isotonic solutions that may be
ordered by the physician?
Select one:
a. 0.45% saline
b. Lactated Ringer's
c. 5% dextrose in normal saline
d. 5% dextrose in lactated Ringer's
,Answer: Lactated Ringer's
◉ he single best indicator of a client's fluid status is the nurse's
assessment of which one of the following?
Select one:
a. The client's skin turgor
b. The client's intake and output
c. The client's serum electrolyte levels
d. The client's daily body weight
Answer: The client's daily body weight
◉ Out of all of the following clients, the nurse recognizes that which
one is most at risk for a fluid volume deficit?
Select one:
a .A 6-month-old learning to drink from a cup
b. A 12-year-old who is moderately active in 27°C weather
c. A 42-year-old with severe diarrhea
d. A 90-year-old with frequent headaches
Answer: A 42-year-old with severe diarrhea
, ◉ Which of the following is an unexpected value that the nurse, in
reviewing the results of the client's blood work, should report to the
physician?
Select one:
a. Calcium, 1.9 mmol/L
b. Sodium, 140 mmol/L
c. Potassium, 3.5 mmol/L
d. Magnesium, 1.8 mmol/L
Answer: Calcium, 1.9 mmol/L
◉ When a client's serum sodium level is 120 mmol/L, the priority
nursing assessment is to monitor the status of which of the following
body systems?
Select one:
a. Neurological
b. Gastrointestinal
c. Pulmonary
d. Hepatic
Answer: Neurological
