NU 231 Practice TEST Questions and Answers-Rasmussen College

NU 231 Practice TEST Questions and AnswersRasmussen College
1. A 10-month-old infant is admitted to the emergency department
with a 1.2°F1.2°F (38.9°C38.9°C) rectal temperature and a
history of vomiting and diarrhea for 48 hours. For which signs
should the nurse assess?
1. Bulging fontanels, tearless cry, and low urine output
2. Sunken eyes, lethargy, and dry, furrowed tongue
3. Weight loss, dilute urine, and peripheral edema
4. Dry skin, thready pulse, and neck vein distention
2. Which assessment of an adult client is a reliable indicator that
therapy for fluid overload is achieving the desired outcome?
Select all that apply.
1. Full, bounding peripheral pulses
2. Flat neck veins with the head of the bed elevated
3. Hand veins emptying longer than 20 seconds
4. S3S3 heart sound clearly audible on auscultation
5. Lung sounds are clear
3. The nurse concludes that which sign reliably indicates that
ascites fluid is being effectively mobilized in response to
therapy? Select all that apply.
1. Weight gain of 0.45 kg (1 lb) in 24 hours
2. Increase in urine output
3. Drop in blood pressure
4. Hand veins fill slowly
5. Abdominal girth has decreased by 2.5 cm (1 in.) in 24
hours
4. What instruction should the nurse include in an education
program to prevent dehydration for a high school hiking club that
is planning a 12-mile hike in early summer?
1. Take water and commercial sports drinks to sip often along
the way.
2. Drink large amounts of water, at least 0.47 L (16 oz) every
hour, while hiking.
3. Take salt tablets every 3 to 4 hours, and drink plenty of
water while in the heat.
4. Stop every 4 hours along the way, and drink a few ounces
of water while resting.
5. Which postoperative client would be at risk for developing a
sodium imbalance?
1. A client who has just had a tonsillectomy
2. A client who has a primary cesarean delivery for failure to
progress in labor

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