1. A nurse is preparing to transfuse a unit of packed red blood cells (RBCs) for a client who

has anemia. Which of the following actions should the nurse take first?

Witness the informed consent document

2. A nurse is teaching about a low-cholesterol diet to a client who had a myocardial

infarction. Which of the following meal selections by the client indicates an

understanding of the teaching?

Chicken breast and corn on the cob

3. A nurse is caring for a client who has a new diagnosis of pernicious anemia. The nurse

should expect the client's provider to prescribe which of the following medications for this

client?

Vitamin B12

4. A nurse is caring for a client who has a peripherally inserted central catheter (PICC) in

place. Which of the following actions should the nurse take when handling this central

venous access device? (Select all that apply.)

Flush the line with sterile 0.9% sodium chloride before and after medication

administration

Access the PICC for blood sampling

Perform a heparin flush of the line at least daily when not in use

5. A nurse is monitoring a client who has heart failure related to mitral stenosis. The client

reports shortness of breath on exertion. Which of the following conditions should the

nurse expect?

Increased pulmonary congestion

6. A nurse is preparing an automated external defibrillator (AED) for a client receiving CPR

after a cardiac arrest. Which of the following actions should the nurse perform first?

Apply the defibrillator pads to the client's chest

7. A nurse is reviewing the laboratory findings of a client who has protein-calorie

malnutrition. Which of the following findings should the nurse expect?

Decreased albumin

8. A nurse observes tachycardia, dyspnea, a cough, and distended neck veins in a client

who is receiving a transfusion of packed red blood cells (RBCs). Which of the following

interventions should the nurse use to prevent these manifestations with the client's next

transfusion?

Use a transfusion pump to regulate and maintain the transfusion at a slower rate