2019 B – Questions with Correct Answers
Question 1
A nurse is performing an abdominal assessment on a client. Identify the sequence
of actions the nurse should take.
Inspection, auscultation, percussion, palpation
Question 2
A 10-year-old child is awaiting surgery for an appendectomy and experienced
sudden relief from pain. Which of the following children should the nurse assess
first on a pediatric unit after change-of-shift report?
The child with sudden relief from abdominal pain (possible rupture)
Question 3
A nurse is preparing to administer lactated Ringer’s 1,500 mL IV to infuse at 50
mL/hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set
the manual IV infusion to deliver how many gtt/min?
12.5 gtt/min (round to 13 gtt/min)
*(Calculation: 50 mL/hr ÷ 60 min × 15 gtt/mL = 12.5)*
Question 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 weighs 198 lb. What is the
amount in grams the nurse should administer?
18 g
*(198 lb ÷ 2.2 = 90 kg; 90 kg × 0.2 g = 18 g)*
Question 5
,A nurse is reviewing the laboratory results of a toddler who has hemophilia A.
Which of the following aPTT values should the nurse expect?
Prolonged aPTT (e.g., >60 seconds)
Question 6
A nurse in a community center is providing an educational session to a group of
clients about ovarian cancer. Which of the following manifestations of ovarian
cancer should the nurse include in the teaching?
Abdominal bloating
Question 7
A charge nurse is providing an educational session about infection control for a
group of staff nurses. Which of the following statements by one of the staff nurses
indicates an understanding of isolation precautions?
"A client who requires airborne precautions should be placed in a negative-
pressure air flow room."
Question 8
A nurse is assessing an older adult client who has pneumonia. Which of the
following findings should the nurse expect?
Acute confusion
Question 9
A nurse is creating a plan of care for a newly admitted child. Which of the
following actions should the nurse include in the plan?
Administer high-dose antibiotic therapy (for certain infections – clarify context;
generally, answer may be "assess pain" but based on image fragment, likely
"Administer prescribed antibiotics")
Question 10
, A nurse manager is preparing an educational session about advocacy to a group of
nurses. The nurse manager should include which of the following information in
the teaching?
"Advocacy is a leadership role that helps others to self-actualize."
Question 11
A nurse is caring for a client with liver cirrhosis. Which of the following actions
should the nurse take?
Monitor for signs of bleeding and administer vitamin K as prescribed
Question 12
A nurse is reviewing laboratory results. Albumin level is 2.8 g/dL. Which of the
following actions should the nurse take?
Assess for edema and notify the provider
Question 13
A nurse is caring for a client who has diabetes mellitus and reports severe ankle
pain after falling off a step stool at home. Which of the following prescriptions
should the nurse clarify with the provider?
Apply a cold pack to the client’s ankle for 30 min every hour (may cause tissue
damage; ice should be applied for 15-20 min)
Question 14
A nurse is caring for a client who has type 1 diabetes mellitus and reports severe
ankle pain after falling off a step stool at home. Which of the following
prescriptions should the nurse clarify with the provider?
Same as above – apply cold pack for 30 minutes every hour
Question 15