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

of the following findings should indicate to the nurse that the therapy has been

effective?

a. Hemoglobin 14.9 g/dl

b. WBC count 12000/mm3

c. Potassium 4.8 mEq/L

d. BUN 18 mg/dl

2. A nurse working in an emergency department is triaging four clients. Which of the

following clients should the nurse recommend for treatment first?

a. An older adult client who reports constipation of 4 days.

b. A preschooler who has a skin rash.

c. An adolescent who has a closed fracture

d. 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)?

a. Palpate the degree of edema

b. Regulate IV pump fluid rate.

c. Measure the client’s daily weight.

d. Assess the client’s vital sign.

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

dose to a client who has severe oliguria. The client weights 198 lb. What is the

amount in grams the nurse should administer? (Round the answer to the nearest

whole number. Use a leading zero if it applies. Do not use a trailing zero.)

a. 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?

d. Abducting the hip joint by moving the leg away from the midline of the body