Americanacademy ofnursing
2024/2025 Test Bank | Forms A & B | Verified Real Exam Questions
Answers, and Rationales | Graded A+
1. A nurse is assessing a school-aged child who has bacterial meningitis.Which of the
following findings should the nurse expect?: Nuchal rigidity
Correct answer verified by professor
2. A nurse is assessing a client who received 2 units of packed RBCs 48 hrsago. Which o
the following findings should indicate to the nurse that the therapy has been effective?
,Americanacademy ofnursing
Hemoglobin
14.9
Correct answer verified by professor is g/dL
Explanation: A hemoglobin level of 14.9 g/dL indicates that the client has an adequate amount of
oxygen-carrying capacity in the blood, which is the goal of blood transfusion therapy.
3. A nurse working in an emergency department is triaging four clients.Whichof the
following clients should the nurse recommend for treatment first?: A middle adult clien
who has unstable
,Americanacademy ofnursing
vital signs.
Correct Answer verified by professor is (A middle adult client
).who has unstable vital signs The answe is correct because a middle adult client who has unstable
vital signs is an urgent situation that requires immediate attention. The nurse should assess the client's
level of consciousness, airway, breathing, circulation, and possible causes of instability, and initiate
lifesaving interventions.
4. A nurse is caring for a client who has fluid volume overload. Which of thefollowing
tasks should the nurse delegate t o the CNA?: Measure the client'sdaily weight
, Americanacademy ofnursing
Explanation for the answer: Measure the client's daily weight. This is correct because
measuring the client's daily weight is a routine task that can be delegated to an AP, as long
as the nurse provides clear instructions and monitors the results. The client's daily weight is
an indicator of fluid balance and can help evaluate the effectiveness of treatment.
5. A nurse is preparing to administer mannitol 0.2g/kg IV bolus over 5 min asa test dose
to a client who has severe oliguria.The client weighs 198lb.Whatis t he amount in
grams the nurse should administer?: 18g
The Correct Answer is ["18"]
2024/2025 Test Bank | Forms A & B | Verified Real Exam Questions
Answers, and Rationales | Graded A+
1. A nurse is assessing a school-aged child who has bacterial meningitis.Which of the
following findings should the nurse expect?: Nuchal rigidity
Correct answer verified by professor
2. A nurse is assessing a client who received 2 units of packed RBCs 48 hrsago. Which o
the following findings should indicate to the nurse that the therapy has been effective?
,Americanacademy ofnursing
Hemoglobin
14.9
Correct answer verified by professor is g/dL
Explanation: A hemoglobin level of 14.9 g/dL indicates that the client has an adequate amount of
oxygen-carrying capacity in the blood, which is the goal of blood transfusion therapy.
3. A nurse working in an emergency department is triaging four clients.Whichof the
following clients should the nurse recommend for treatment first?: A middle adult clien
who has unstable
,Americanacademy ofnursing
vital signs.
Correct Answer verified by professor is (A middle adult client
).who has unstable vital signs The answe is correct because a middle adult client who has unstable
vital signs is an urgent situation that requires immediate attention. The nurse should assess the client's
level of consciousness, airway, breathing, circulation, and possible causes of instability, and initiate
lifesaving interventions.
4. A nurse is caring for a client who has fluid volume overload. Which of thefollowing
tasks should the nurse delegate t o the CNA?: Measure the client'sdaily weight
, Americanacademy ofnursing
Explanation for the answer: Measure the client's daily weight. This is correct because
measuring the client's daily weight is a routine task that can be delegated to an AP, as long
as the nurse provides clear instructions and monitors the results. The client's daily weight is
an indicator of fluid balance and can help evaluate the effectiveness of treatment.
5. A nurse is preparing to administer mannitol 0.2g/kg IV bolus over 5 min asa test dose
to a client who has severe oliguria.The client weighs 198lb.Whatis t he amount in
grams the nurse should administer?: 18g
The Correct Answer is ["18"]
