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Kaplan Predictor c
Which of these instructions should a nurse include in the teaching plan for a client who
had removal of a cataract in the left eye? - Answer - "Take the prescribed stool softener
to avoid increasing intraocular pressure."
A client vomits during a continuous nasogastric tube feeding. A nurse should stop the
feeding and take which of these actions? - Answer - Check the residual volume.
Which of these actions best demonstrates cultural sensitivity by a nurse?. - Answer -
The nurse asks clients about their beliefs and practices toward pregnancy.
Which of these manifestations should a nurse expect to observe in a 3-month-old infant
who is diagnosed with dehydration? - Answer - Tachycardia.
When assessing a client's risk of developing nosocomial infection, a nurse plans to
determine potential entry portals, which include: - Answer - the urinary meatus.
A client who is on the inpatient psychiatric unit has a history of violence. Which of these
actions should a nurse take if the client is agitated? - Answer - Encourage the client to
verbalize feelings.
Which of these measures should a nurse include when planning care for a school-aged
child during a sickle cell crisis episode? - Answer - Providing pain relief.
Which of these instructions should a nurse include in the plan of care for a 32-week
gestation client who had an amniocentesis today? - Answer - "Call the clinic if you
experience any abdominal cramps."
An adolescent has a nursing diagnosis of fatigue related to inadequate intake of iron-
rich foods. Selection of which of these lunches by the client indicates a correct
understanding of foods high in iron content? - Answer - Beefburger with cheese.
A client has been admitted with acute pancreatitis. Which of these laboratory test results
supports this diagnosis? - Answer - Elevated serum amylase level.
Which of these manifestations, if assessed in a client who is two-hours postoperative
after abdominal surgery, should a nurse report immediately? - Answer - Vomiting and a
pulse rate of 106/minute.
Which of these observations of a student nurse's behavior while interacting with a client
who is crying indicates a correct understanding of therapeutic communication? - Answer
- The student sits quietly next to the client.
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Which of these assessments is the priority for a client who sustained second-degree
burns of the face and neck? - Answer - Respiratory status.
A nurse should place a child who is two hours post-tonsillectomy and adenoidectomy in
which of these positions? - Answer - Side-lying.
Which of these instructions should a nurse include in the discharge teaching for a client
who has diabetes mellitus? - Answer - "Apply lotion to your feet each day."
A nurse inadvertently administers an incorrect medication to a client. Which of these
actions should the nurse take first? - Answer - Assess the client.
An elderly client who is receiving a blood transfusion develops a rapid bounding pulse
and an elevated blood pressure. Which of these actions should a nurse take? - Answer
- Stop the transfusion.
When caring for a client who has hepatitis B, a nurse should wear: - Answer - gloves
when removing the intravenous cannula.
Which of these outcome criteria is appropriate for a client who has a nursing diagnosis
of ineffective airway clearance? - Answer - Clear lung sounds on auscultation.
A doctor prescribes liquid oral iron medication for a 4-year-old child. Which of these
questions should a nurse ask the child's mother to determine if the medication is being
administered correctly? - Answer - "Are you using a straw to administer the medicine?"
Which of these assessment findings, if present in a 4-month-old infant who has severe
diarrhea, should a nurse recognize as suggestive that the infant is dehydrated? -
Answer - Decreased urine output.
Which of these instructions should be included in the teaching plan for the parents of a
10-month-old infant who is admitted to the hospital for failure to thrive? - Answer -
Encourage the mother to feed the infant slowly in a quiet environment.
When a newborn is 48 hours old, a nurse notes that the child is jaundiced. The nurse
should recognize which of these conditions as a probable cause of the newborn's
jaundice? - Answer - Liver immaturity.
Which of these items should a nurse removed from the food tray of a client who is on a
sodium-restricted diet? - Answer - Ketchup.
Which of these statements, if made by a client who had a total hip replacement, would
indicate a correct understanding of the postoperative instructions? - Answer - "I will use
a raised toilet seat in the bathroom."
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Kaplan Predictor c
Which of these instructions should a nurse include in the teaching plan for a client who
had removal of a cataract in the left eye? - Answer - "Take the prescribed stool softener
to avoid increasing intraocular pressure."
A client vomits during a continuous nasogastric tube feeding. A nurse should stop the
feeding and take which of these actions? - Answer - Check the residual volume.
Which of these actions best demonstrates cultural sensitivity by a nurse?. - Answer -
The nurse asks clients about their beliefs and practices toward pregnancy.
Which of these manifestations should a nurse expect to observe in a 3-month-old infant
who is diagnosed with dehydration? - Answer - Tachycardia.
When assessing a client's risk of developing nosocomial infection, a nurse plans to
determine potential entry portals, which include: - Answer - the urinary meatus.
A client who is on the inpatient psychiatric unit has a history of violence. Which of these
actions should a nurse take if the client is agitated? - Answer - Encourage the client to
verbalize feelings.
Which of these measures should a nurse include when planning care for a school-aged
child during a sickle cell crisis episode? - Answer - Providing pain relief.
Which of these instructions should a nurse include in the plan of care for a 32-week
gestation client who had an amniocentesis today? - Answer - "Call the clinic if you
experience any abdominal cramps."
An adolescent has a nursing diagnosis of fatigue related to inadequate intake of iron-
rich foods. Selection of which of these lunches by the client indicates a correct
understanding of foods high in iron content? - Answer - Beefburger with cheese.
A client has been admitted with acute pancreatitis. Which of these laboratory test results
supports this diagnosis? - Answer - Elevated serum amylase level.
Which of these manifestations, if assessed in a client who is two-hours postoperative
after abdominal surgery, should a nurse report immediately? - Answer - Vomiting and a
pulse rate of 106/minute.
Which of these observations of a student nurse's behavior while interacting with a client
who is crying indicates a correct understanding of therapeutic communication? - Answer
- The student sits quietly next to the client.
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Which of these assessments is the priority for a client who sustained second-degree
burns of the face and neck? - Answer - Respiratory status.
A nurse should place a child who is two hours post-tonsillectomy and adenoidectomy in
which of these positions? - Answer - Side-lying.
Which of these instructions should a nurse include in the discharge teaching for a client
who has diabetes mellitus? - Answer - "Apply lotion to your feet each day."
A nurse inadvertently administers an incorrect medication to a client. Which of these
actions should the nurse take first? - Answer - Assess the client.
An elderly client who is receiving a blood transfusion develops a rapid bounding pulse
and an elevated blood pressure. Which of these actions should a nurse take? - Answer
- Stop the transfusion.
When caring for a client who has hepatitis B, a nurse should wear: - Answer - gloves
when removing the intravenous cannula.
Which of these outcome criteria is appropriate for a client who has a nursing diagnosis
of ineffective airway clearance? - Answer - Clear lung sounds on auscultation.
A doctor prescribes liquid oral iron medication for a 4-year-old child. Which of these
questions should a nurse ask the child's mother to determine if the medication is being
administered correctly? - Answer - "Are you using a straw to administer the medicine?"
Which of these assessment findings, if present in a 4-month-old infant who has severe
diarrhea, should a nurse recognize as suggestive that the infant is dehydrated? -
Answer - Decreased urine output.
Which of these instructions should be included in the teaching plan for the parents of a
10-month-old infant who is admitted to the hospital for failure to thrive? - Answer -
Encourage the mother to feed the infant slowly in a quiet environment.
When a newborn is 48 hours old, a nurse notes that the child is jaundiced. The nurse
should recognize which of these conditions as a probable cause of the newborn's
jaundice? - Answer - Liver immaturity.
Which of these items should a nurse removed from the food tray of a client who is on a
sodium-restricted diet? - Answer - Ketchup.
Which of these statements, if made by a client who had a total hip replacement, would
indicate a correct understanding of the postoperative instructions? - Answer - "I will use
a raised toilet seat in the bathroom."
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