RN Comprehensive Predictor 2019 Form C 180 QUESTIONS AND ANSWERS  

NURS FUNDAMENTA Fundamentals Of Nursing A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. The nurse obtained a verbal prescription for restraints. Which of the following should the actions the nurse take? Request a renewal of the prescription every 8 hr. Check the client’s peripheral pulse rate every 30 min Obtain a prescription for restraint within 4 hr. Document the client’s condition every 15 minutes A nursing planning care for a school-age child who is 4 hr postoperative following perforated appendicitis. Which of the following actions should the nurse include in the plan of care? Offer small amounts of clear liquids 6 hr following surgery (assess for gag reflex first) Give cromolyn nebulizer solution every 6 hr (for asthma) Apply a warm compress to the operative site every 4 hr Administer analgesics on a scheduled basis for the first 24 hr A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse plan to assess first? A client who has sinus arrhythmia and is receiving cardiac monitoring A client who has diabetes mellitus and a hemoglobin A1C of 6.8% A client who has epidural analgesia and weakness in the lower extremities A client who has a hip fracture and a new onset of tachypnea A nurse is preparing to apply a transdermal nicotine patch for a client. Which of the following actions should the nurse tak e? Shave hairy areas of skin prior to application (apply to hairless, clean & dry areas to promote absorption; avoid oily or broken skin) Wear gloves to apply the patch to the client’s skin Apply the patch within 1 hr of removing it from the protective pouch (apply immediately) Remove the previous patch and place it in a tissue (fold patch in half with sticky sides pressed together) A nurse has just received change-of-shift report for four clients. Which of the following clients should the nurse assess first? A client who was just given a glass of orange juice for a low blood glucose level A client who is schedule for a procedure in 1 hr (can wait) A client who has 100 mL fluid remaining in his IV bag (can wait) A client who received a pain medication 30 min ago for postoperative pain A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which of the following places the client at risk for aspiration? A history of gastroesophageal reflux disease Receiving a high osmolarity formula Sitting in a high-Fowler’s position during the feeding A residual of 65 mL 1hr postprandial A nurse is reviewing the laboratory results for a client who has Cushing’s disease. The nurse should expect the client to have an increase in which of the following laboratory values? a. Serum glucose level- increased Serum calcium level-decreased Lymphocyte count- decreased immune system. Serum potassium level- decreased . 8. A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate intravenously. The nurse discontinues the magnesium sulfate after the client displaces t