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

hrago. Which of the following findings should indicate to the nurse that

the therapy has been effective?: Hemoglobin 14.9 g/dL

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

Which of the following clients should the nurse recommend for

treatmentfirst?: 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)?: Measure the client's daily weight.

4. 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 198 lb.

Whatis the amount in grams the nurse should administer?: 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

imagesindicates the adolescent is abducting the hip joint?: D

6. A nurse is caring for a client who has hyperthyroidism. Which of

thefollowing findings should the nurse expect?: Tremors

7. A nurse is assessing a school-age child who has bacterial

meningitis.Which of the following findings should the nurse expect?:

Nuchal rigidity

8. A nurse is assessing a newborn's heart rate.Which of the following

actionsshould the nurse take?: Auscultate the apical pulse at least 1 min.

9. 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.

10. A nurse in the emergency department is assessing a

preschooler whohas a facial laceration. The nurse should identify which

of the following findings as a potential indication of child sexual

abuse?: The child exhibitsdiscomfort while walking.

11. A nurse is preparing to teach about dietary management to a

client whohas Crohn's disease and an enteroenteric fistula. Which of the

following nutrients should the nurse instruct the client to decrease in their

diet?: Fiber