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Question 1 of 5

A client is being assessed for neutropenia. The client's total white blood cell count is 5200 with 45% neutrophils and 5% bands. What is the absolute neutrophil count (ANC)? Record your answer using a whole number.

Correct Answer: 2600

Rationale: ANC = WBC X (Neutrophils% + Bands%) = 5200 X (0.45 + 0.05) = 5200 X 0.5 = 2600.

Question 2 of 5

A nurse is planning care for a client with human immunodeficiency virus. The nurse knows to wear gloves under the following circumstance(s). Select all that apply.

Correct Answer: A, C, D

Rationale: Gloves are required for contact with open wounds, starting an IV, or drawing blood due to potential exposure to blood or body fluids, per standard precautions. Gloves are not needed for all contact.

Question 3 of 5

While performing a neurological assessment on a client with a closed head injury, the nurse notes a positive Babinski reflex. The nurse should:

Correct Answer: D

Rationale: A positive Babinski reflex in an adult with a head injury suggests neurological damage, warranting immediate physician notification.

Question 4 of 5

The 6-month-old client with a ventral septal defect is receiving Digitalis for regulation of his heart rate. Which finding should be reported to the doctor?

Correct Answer: C

Rationale: A heart rate of 60 bpm in a 6-month-old is too low (normal is 80-160 bpm), indicating possible digitalis toxicity, which should be reported.

Question 5 of 5

The nurse is caring for a client with a diagnosis of hepatitis who is experiencing pruritis. Which would be the most appropriate nursing intervention?

Correct Answer: B

Rationale: Adding baby oil to bath water moisturizes the skin, reducing pruritis in hepatitis clients, unlike warm showers or powder, which may worsen dryness.

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