2023 STUDY GUIDE QUESTIONS AND
ANSWERS
A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago.
Which of the following findings should indicate to the nurse that the therapy has
been effective?
hemoglobin 14.9 g/dL
a nurse working in an 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
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?
measure the client's daily weight
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
a nurse is conducting a physical examination for an adolescent and is assessing the
rang of motion of the legs, which of the following images indicates the adolescent
is abducting the hip joint?
Moving the leg away from the midline of the body (off to the side, not to the front)
a nurse is caring for a client who has hyperthyroidism. which of the following
findings should the nurse expect?
tremors
tachycardia, diaphoresis, weight loss, insomnia, exopthalmia
,hypothyroidism has dry corase hair, bradycardia, and periorbital edema
a nurse is assessing a school age child who has bacterial meningitis. which of the
following findings should the nurse expect?
nuchal rigidity
also weight loss
a nurse is assessing a newborn's heart rate. which of the following actions should
the nurse take?
auscultate the apical pulse at least 1 min
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
a nurse is the emergency department is assessing a preschooler who has a facial
laceration. the nurse should identify which of the following findings as a potential
indication of child sexual abuse?
the child exhibits discomfort while walking
a nurse is preparing to teach about dietary management to a client who has crohn's
disease and an enteroenteric fistula. which of the following nutrients should the
nurse instruct the client to decrease in their diet?
fiber - reduce diarrhea and inflammation
a nurse is caring for a client who has a prescription for a continuous passive motion
CPM machine following a total knee arthroplasty. which of the following actions
should the nurse take?
Turn off the CPM machine during mealtime
promote client comfort and dietary intake
a nurse is preparing to initiate IV access for an older adult client. Which of the
following sites should the nurse select when initiating the IV for this client?
radial vein of the inner arm
, a nurse is developing a client education program about osteoporosis for older adult
clients. the nurse should include which of the following variables as a risk factor
for osteoporosis?
sedentary lifestyle
also, small framed body with a thin build, estrogen deficiency
a nurse in an emergency department is caring for a child who has a fever and fluid
filled vesicles on the trunk and extremities. which of the following interventions
should the nurse identify as the priority?
initiate transmission based precautions
a nurse is caring for a client who has a clogged percutaneous gastrostomy feeding
tube. which of the following actions should the nurse take first?
change the position of the client
a home health care nurse is developing a teaching plan for a client who has a new
ileostomy. which of the following instructions should the nurse include?
empty the appliance when it is one third to one half full
a nurse is reviewing the laboratory report of a client who has end stage kidney
disease and received hemodialysis 24 hr ago. Which of the following laboratory
values should the nurse report to the provider?
sodium 148 mEq/L
a nurse is caring for four clients. which of the following tasks should the nurse
delegate to an assistive personnel?
Arrange the lunch tray for a client who has a hip fracture
a nurse is preparing a client for a paracentesis. which of the following actions
should the nurse take?
instruct the client to void
a nurse has received change of shift report on four assigned clients. for which of
the following clients should the nurse intervene to prevent a potential food and
medication interaction?
a client who is receiving an MAOI and is requesting a cheeseburger for dinner