1. A nurse is assessing a client who received 2 units of packed RBCs 48
hrago. Which of the following findings should indicate to the nurse that
the therapy has been effective?: Hemoglobin 14.9 g/dL
2. A nurse working in an emergency department is triaging four clients.
Which of the following clients should the nurse recommend for
treatmentfirst?: A middle adult client who has unstable vital signs
3. A nurse is caring for a client who has fluid volume overload. Which
of the following tasks should the nurse delegate to an assistive
personnel(AP)?: Measure the client's daily weight.
4. A nurse is preparing to administer mannitol 0.2g/kg IV bolus over 5 min
asa test dose to a client who has severe oliguria.The client weighs 198 lb.
Whatis the amount in grams the nurse should administer?: 18 g
5. A nurse is conducting a physical examination for an adolescent and
is assessing the range of motion of the legs. Which of the following
imagesindicates the adolescent is abducting the hip joint?: D
6. A nurse is caring for a client who has hyperthyroidism. Which of
thefollowing findings should the nurse expect?: Tremors
7. A nurse is assessing a school-age child who has bacterial
meningitis.Which of the following findings should the nurse expect?:
Nuchal rigidity
8. A nurse is assessing a newborn's heart rate.Which of the following
actionsshould the nurse take?: Auscultate the apical pulse at least 1 min.
9. A nurse is preparing to assist with a thoracentesis for a client who has
pleurisy.The nurse should plan to perform which of the following
actions?-
: Instruct the client to avoid coughing during the procedure.
10. A nurse in the emergency department is assessing a
preschooler whohas a facial laceration. The nurse should identify which
of the following findings as a potential indication of child sexual
abuse?: The child exhibitsdiscomfort while walking.
11. A nurse is preparing to teach about dietary management to a
client whohas Crohn's disease and an enteroenteric fistula. Which of the
following nutrients should the nurse instruct the client to decrease in their
diet?: Fiber
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