Practice Question
A nurse in PACU is assessing a female client who is 30 min postoperative.
Answer Choices:
Correct Answer:
Confusion and increased respiratory rate
Rationale:
💠 Tachycardia (HR 120) and increased RR (28) are compensatory signs of early hypovolemia.
💠 Hypotension (118/100) trending from normotensive pressure indicates fluid volume depletion.
💠 Pallor, diaphoresis, and confusion suggest reduced cerebral and skin perfusion.
💠 ABG pH 7.35 with borderline CO₂ indicates early metabolic compensation.
💠 Nausea and Hgb of 37% reflect possible fluid shift, not anemia—still pointing to volume depletion.
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This question is from RN Concept-Based Assessment Level 4 with NGN-2025 Summer which contains 129 questions.
More Questions from This Exam
A nurse caring for client an emergency department.
Answer Choices:
A. Increase intake of oral fluids.
B. Obtain a serum lactate level
C. Monitor serum glucose level
D. Administer an antibiotic
E. Infuse intravenous IV fluids
F. Administer a dose of aspirin
G. Obtain blood cultures
A nurse is discussing the American Nurses Association’s code of ethics with a newly licensed nurse. Which of the following information should the nurse include in the discussion?
Answer Choices:
A. The code of ethics is determined by the nature of client’s health issues.
B. The code od ethics does not provide moral guidance.
C. The code of ethics is not legally binding
D. The code of ethics is restricted by client’s economic status
A nurse is caring for a client who has acute distress syndrome and is receiving mechanical ventilation. The client is restless and has an oxygen saturation of 90%. Which of the following actions shou" the nurse task
Answer Choices:
A. Perform in- line suctioning for the client.
B. Auscultate the client tor bilateral breath sounds.
C. Obtain arterial wood gases from the client
D. Document the findings in the client medical record.
A nurse working in the role of the staff development t coordinator is developing a training program for a group of nurses about the use of a new IV pump. Which of the steps should the nurse take first?
Answer Choices:
A. Develop learning objectives for use of the new
B. Create resources for the program on the use of pump.
C. Observe the staff to determine correct use of the pump.
D. Implement a teaching about the use of new pump.
A nurse in an intensive care unit is assessing a client who has a localized bacterial infection. The nurse should identify which of the following findings as an early manifestation of sepsis?
Answer Choices:
A. Decreased respiratory rate
B. Decreased heart rate
C. Decreased urine output
D. Decreased WDC count
From Exam
RN Concept-Based Assessment Level 4 with NGN-2025 Summer
129 Questions
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- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN Concept-Based Assessment Level Exam(s)
- Answer Choices: 4