COMPREHENSIVE PREDICTOR EXAM 2019 LATEST UPDATE 2023/2024 (180 Q & A)

COMPREHENSIVE PREDICTOR EXAM 2019 LATEST UPDATE 2023/2024 (180 Q & A) 1. A nurse is reviewing the laboratory results fora client who is at 32 gestation. For which of the following results should the nurse notify the provider? a. Hgb 12 g/dL b. Platelet count 90,000/mm2 c. Hematocrit 37% d. Creatinine 0.7 mg/dL 2. After receiving change-of-shift report, which of the following clients should the nurse collect data from first? a. A client who has a history of pancreatitis and reports severe abdominal pain b. A client who has heart failure and reports severe dyspnea c. A client who is scheduled for abdominal surgery in 1 hrs d. A postoperative client who has diabetes mellitus and a blood glucose of 280 mg/dK 3. A nurse is preparing a client for surgery. The client tells the nurse that he is concerned about the safety of a large sum of money in his wallet. Which of the following actions is appropriate for the nurse to take? a. Place the money in an envelope and lock it in the client’s medication drawer b. Contact security personnel to place the money in the facility safe c. Hold the money for the client until he returns from surgery d. Label the money and leave it with the unit secretary. 4. A nurse is preparing to instill an otic suspension into an adult client’ ear. Which of the following methods should the nurse plan to use? a. Pull the auricle upward and outward. b. Pull the auricle downward and backward. c. Pull the auricle upward and backward. d. Pull the auricle downward an outward. 5. A nurse is caring for an older adult client who has pneumonia. When reinforcing teaching aboutthe diagnosis age- related changes with the client’s family, which of the following alterations should the nurse include? a. Increased inflation of the basilar lungs b. Increased elasticity of the thoracic cage c. Hypertrophy of the bronchial mucous gland d. Hyperactive cough reflex 6. A client is participating in an anger management session explain that his recent behavior are related to his job loss. Which of the following mechanism is the client using? a. Projection b. Rationalism c. Repression d. Sublimation 7. A nurse is reinforcing teaching with the client who is about to undergo a thoracentesis. Which ifthe following statements by the client indicates an understanding of the information? a. “I will have general anesthesia during the procedure.” b. “I will lie flat for 6 hours before the procedure.” c. “I will have the chest x-ray following the procedure.” d. “I will breathe deeply through my nose during the procedure.” 8. A nurse is reviewing the medical record of a client who is requesting an oral contraceptive. Which of the following findings should the nurse identify as a contraindication to the use of oral contraceptive? a. History of renal calculi b. Migraines with aura c. BMI of 26 d. History of cholecystectomy 9. A nurse is reinforcing discharge teaching about transmission precautions with a client who has Hepatitis C. Which of the following information should the nurse include? a. Avoid sharing razors with other family members. b. Clean toilet surfaces with bleach after each use c. Advice family members to receive a hepatitis c immunization d. Do not prepare food for other family member s while infectious. 10. A nurse is preparing to administer an IM injection to a client. To reduce the risk of a needle stick injury, the nurse should take which of the following actions? a. Place a cap hold securely on the used needle a before disposal. b. Recap the needle using a one-handed scoop approach before proper disposal. c. Dispose of the used needle immediately in a puncture proof sharps container. d. Detach and dispose of the use needle promptly following injection. 11. A nurse is reinforcing teaching with a client who has new prescription for levothyroxine. Which of the following statements indicates understanding of the instructions? a. “I should take this medication with meals.” b. This medication will take 2 weeks to reach full effectiveness.” c. “I need to take this medication for the rest of my life.” d. “If I forget to take the medication, I can double the next dose.” 12. A nurse is caring for a client who is receiving prazosin. The client’s blood pressure is 100/60 mm Hg. which of the following actions should the nurse take? a. Administer a reversal agent b. Initiate cardiac monitoring c. Instruct the client to stand up slowly d. Inform the client to report urinary retention 13. A nurse is reinforcing teaching about colostomy care with a client. Which of the following client statements indicate an understanding of how to care for the colostomy? a. I will cleanse the stoma site gently with an antiseptic solution. b. I will contact my doctor right away if my stoma is red c. I will cut the water opening 1 inch bigger than my stoma. d. I will empty the colostomy bag when is I one half full. 14. A nurse is reinforcing teaching with a client who has a permanent pacemaker in place. Whichof the following statements by the client indicates an understanding of the teaching? a. “I should have my doctor replace the battery in the pacemaker in a year.” b. “I need to record my pulse rate daily.” c. “I should avoid taking tub baths.” d. “I will remove my microwave oven from my house.” 15. A nurse is collecting data from a parent of a preschooler at a well-child visit. Which of the following findings is a contraindication to a