1. 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?

a. Decrease in heart rate

b. Fluid volume deficit causes tachycardia

2. A nurse working in the emergency department is witnessing the signing of informed consent forms

for the treatment of multiple clients during her shift. Which of the following signatures may the

nurse legally witness?

a. A 16 y/o client who is married b.

A 27 y/o who has schizophrenia

c. An adoptive parent who brings in his 8 yo son d. A

17 year old mother who brings in her toddler.

3. A nurse is caring for a client who has a respiratory infection. Which of the following techniques

should the nurse use when performing nasotracheal suctioning for the client?

a. Appy intermittent suction when withdrawing the catheter

4. A nurse is teaching a client about dietary management of hypercholesterolemia. Which of the

following foods should the nurse suggest that the client add to his diet?

a. Avocados

b. Avocados contain no cholesterol

5. A nurse is preparing to transfer a client who can bear weight on one leg from the bed to a chair.

After securing a safe environment, which of the following actions should the nurse take next?

a. Assess the client for orthostatic hypotension

b. The first action should be to assess the patient and determine if the patient is at risk for

falling or fainting during the transfer.

6. A nurse is caring for a group of clients. Which of the following should the nurse take to prevent

the spread of infection.

a. Place a client who has TB in a room with negative pressure airflow b. A

client who has TB requires airborne precautions