1 .A nurse is assessing a client who received 2 units of packed RBCs 48 hours

ago. Which of the following findings should indicate to the nurse that the therapy

has been effective?

Hemoglobin 14.9 g/dl

The nurse should identify that packed RBCs are administered to clients who have a

decreased level of hemoglobin or hematocrit. This hemoglobin level is within the

expected reference range of 14 to 18 g/dl for males and 12 to 16 g/dl for females,

indicating the therapy has been effective.

2 .A nurse working in a n emergency department is triaging four clients. Which of

the following clients should the nurse recommend for treatment first?

A middle adult client who has unstable vital signs.

Using the stable versus unstable approach to client care, the nurse should recommend

priority treatment for the client who has unstable vital signs because this client requires

immediate treatment to reduce the risk of further injury or possible death.

3. A nurse is caring for a client who has fluid volume overload. Which of the

following tasks should the nurse delegate to the CNA?

Measure the client’s daily weight

It is within the CNAs range of function to measure a client’s daily weight, so the nurse

should delegate this task to them.

4. A nurse is preparing to administer mannitol 0.2g/kg IV bolus over 5 min as a

test dose to a client who has severe oliguria. The client weighs 198lb. What is 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 images

indicates the adolescent is abducting the hip joint?

In the correct image, the adolescent is abduction the hip joint by moving the leg away

from the midline of the body.

6. A nurse is caring for a client who has hyperthyroidism. Which of the following

findings should the nurse expect?

Tremors