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Question 1 of 5

Which of the following is a correctly stated nursing diagnosis for a client with abruptio placentae?

Correct Answer: D

Rationale: abruptio placenta is premature separation of a normally implanted placenta leading to hemorrhage; fluid volume deficit is a major nursing concern with these clients

Question 2 of 5

The nurse is conducting a physical assessment on a client with anemia. Which of the following clinical manifestations would be most indicative of the anemia?

Correct Answer: B

Rationale: Tachypnea (respirations 28 shallow) is a common sign of anemia due to reduced oxygen-carrying capacity, prompting compensatory increased respiratory rate.

Question 3 of 5

The client is receiving peritoneal dialysis. If the dialysate returns cloudy, the nurse should:

Correct Answer: B

Rationale: Cloudy dialysate suggests peritonitis, requiring lab analysis.

Question 4 of 5

Which of the following are true statements regarding peripherally inserted central catheter (PICC) lines? Select all that apply.

Correct Answer: A,C,E

Rationale: PICC lines require sterile technique, have a lower infection risk than other central lines, and can be inserted at the bedside. Only specially trained RNs (not any LPN/RN) can insert them, and pneumothorax risk is minimal.

Question 5 of 5

The nurse is caring for a client receiving IV vancomycin. The trough level is 14 mcg/mL. The next dose is now due. What is the correct response by the nurse?

Correct Answer: A

Rationale: A vancomycin trough of 14 mcg/mL is within the therapeutic range (10-20 mcg/mL), so the next dose can be given as ordered.

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