51. A nurse is caring for several patients on the stepdown unit. Which patient is most at risk for developing multiple organ dysfunction syndrome? 

53. A student nurse is helping a registered nurse with a blood transfusion. Which actions by the student are most appropriate? (Select all that apply.)

34. A client with suspected neurogenic shock after a diving accident has arrived in the emergency department with a cervical collar is in place. Which actions should the nurse take? (Select all that apply.)

23. Which assessment information is most important for the nurse to obtain when evaluating whether treatment of a client with anaphylactic shock has been effective?

60. Which interventions should be implemented to prevent a hemolytic transfusion reaction? (Select all that apply)

55. A nurse is preparing to administer a blood transfusion to an older adult. Understanding age-related changes, what alterations in the usual protocol are necessary for the nurse to implement? (Select all that apply.)

3. The nurse assessing a premature newborn infant auscultates a continuous machinery-like murmur. What action by the nurse is most appropriate?

41. What action by a new intensive care unit staff nurse would indicate that the nurse educator’s teaching about arterial pressure monitoring has been effective?

33. Disseminated intravascular coagulation is suspected in a client with pneumonia and sepsis.  What information is most important to report to the health care provider?

12. Which assessment finding would lead the nurse to suspect that a newborn infant has a ventricular septal defect?