A nurse is reviewing a client’s laboratory results at the start of the shift. Based on the blood and urine laboratory results, the nurse would anticipate which of the following physical assessment findings?  Lab Test Result Reference Range Hemoglobin 8.3 g/dL Female 11.7-16.0 g/dLMale 13.2-17.3 g/dL Hematocrit 25% Female 35-47%Male 39-50% Platelet 200,000/mcL 150,000-400,000/mcL White Blood Cell Count 7600/mm3 5000-10,000/mm3 Mean corpuscularvolume (MCV) 120 fL 80-95 fL Mean corpuscularhemoglobin (MCH) 50 pg 27-32 pg MCH concentration(MCHC) 34% 32-36% Folate 20 ng/mL 5-25 ng/mL Iron, Total 120 mgc/dL 60-160 mcg/dL Cobalamin 100 pg/mL 160-950 pg/mL

The nurse is teaching a group of nursing students about different types of immunity and immune impairments. Which of the following statements made by the students indicates a need for further teaching?

L.M. is diagnosed with diabetes mellitus and is experiencing the Somogyi effect. Which blood glucose results and treatment would the nurse expect? Reference Range- Random Blood Glucose: 70-125 mg/dL. 

The nurse is instructing a client with iron-deficiency anemia about their prescribed oral liquid iron supplement. Which instruction would the nurse tell the client?

A 26-year-old client comes to the clinic for an HIV test after a potential exposure 10 days ago. The client’s Nucleic Acid Test (NAT) is negative. Which of the following is the best response by the nurse?

(WCSP25) School nurses often provide “ice packs” to injured students.  These packs do not contain ice!  Instead, the pack is squeezed or cracked to break an internal package allowing two chemicals to mix: water and ammonium chloride (NH4Cl).  The temperature of the pack becomes quite cold! Complete the following statements to be true: a. The system [drop1] heat. b.  The chemical reaction taking place is [drop2].  c. The sign of ΔH is [drop3] with respect to the system. [drop3]

(WCSP25) A neutral atom in an excited state has the following electron configuration: 1s2 2s2 2p5 3s2 3p6 4s2 3d4   a.  What is the identity of the atom?  (enter symbol) [blank1] b. If the excited electron relaxes to its ground state:             i. Energy will be (  absorbed  / released  /  it depends  ):  [blank2]            ii.  The sign of ΔE will be (positive  / negative  /  neither):  [blank3]   c.  What is the ground state electron configuration (use core notation with no spaces, e.g. ()? [blank4] d.   How many unpaired electrons are there in the ground state atom? [blank5] e.   Give one set of possible quantum numbers for an electron in a 3d orbital.           n = [blank6], l = [blank7], ml = [blank8], ms = [blank9]   Periodic Table

(WCSP25) Select all of the following that are true about the orbital with the following quantum numbers: n = 2,   

13. There are two isotopes of helium: helium-3 and helium-4.  3He is proposed to be a safer nuclear fuel compared to uranium and plutonium.   It has been suggested that the moon could be mined for helium-3. (WCSP[x], 9 points)  Table 1: Isotopes of helium and abundance on the moon. Isotope Mass abundance 3He 3.016 amu ? 4He 4.003 amu 3.66% a.  What is the percent abundance of helium-3 on the moon? b.  What is the average atomic mass of helium on the moon?  (show all work for full credit) c.  Given the atomic mass of helium on the periodic table, what isotope is more abundant here on earth?  Explain in a few words (no calculation).   Periodic Table Data Sheet Enter the value for part b in the box below.   

(WCSP25) Complete the table below ranking the examples according to the criteria given: smallest largest Atomic radius: C, O, S [blank1] [blank2] [blank3] Ion Size: K+, Ca2+, Cl- [blank5] [blank6] [blank7] Ionization energy: Na, Mg, K [blank9] [blank10] [blank11] Energy:  UV light, green light, microwaves [blank13] [blank14] [blank15]   Periodic Table