EXAM// UPDATED WITH DETAILED QUESTIONS AND
VERIFIED ACCURATE ANSWERS
A nurse is assisting in developing the plan of care for an older adult client who is to
receive a unit of packed red blood cells (RBCs). Which of the following actions should
the nurse recommend? - CORRECT ANSWER Verify the information on the packed
RBCs with another nurse.
A nurse is checking laboratory values for an adult client who has sickle cell anemia and
is in crisis. For which of the following complications should the nurse monitor? -
CORRECT ANSWER Elevated bilirubin
A nurse is caring for a client who is postoperative following vein ligation and stripping for
varicose veins. Which of the following actions should the nurse take? - CORRECT
ANSWER Position the client supine with his legs elevated when in bed
A nurse is assisting in the care of a client who had an abdominal aortic aneurysm and is
scheduled for surgery. The client’s vital signs are blood pressure 160/98 mm Hg, heart
rate 102/min, respirations 22/min, and SpO2 95%. Which of the following actions should
the nurse take? - CORRECT ANSWER Administer antihypertensive medication for the
blood pressure
A nurse is assisting in the care of a client who is in hypovolemic shock. While waiting for
a unit of blood, the nurse should plan to administer which of the following IV solutions? -
CORRECT ANSWER0.9% sodium chloride
A nurse is collecting data from a client who has fluid volume overload resulting from a
cardiovascular disorder. Which of the following manifestations should the nurse expect?
(select all that apply) - CORRECT ANSWER Jugular vein distension
Moist crackles
Increased heart rate
A nurse is assisting in collecting data from a client who has a history of unstable angina.
Which of the following findings should the nurse expect? - CORRECT ANSWER The
client reports chest pain when at rest
A nurse is preparing to transfuse 250 mL of packed red blood cells (RBCs) to a client
over 4 hr. Available is a blood administration set that delivers 10 gtt/mL. The nurse
should set the manual blood transfusion to deliver how many gtt/min? - CORRECT
ANSWER10 gtt/min
A nurse is collecting data from a client who has pericarditis. Which of the following
manifestations should the nurse expect? - CORRECT ANSWER Dyspnea