Predictor Exam
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?
a. "Forcefully cough and take deep breaths every two hours to keep your airway clear."
b. "Perform the prescribed eye exercises each day to strengthen your eye muscles."
c. "Rinse your eyes with saline each morning to prevent postoperative infection."
d. "Take the prescribed stool softener to avoid increasing intraocular pressure." - ANSd
A client vomits during a continuous nasogastric tube feeding. A nurse should stop the feeding
and take which of these actions?
a. Suction the nasogastric tube.
b. Flush the tube with 30 mL of sterile water.
c. Remove the nasogastric tube.
d. Check the residual volume. - ANSD
Which of these actions best demonstrates cultural sensitivity by a nurse?
a. The nurse talks in a slow-paced speech.
b. The nurse asks clients about their beliefs and practices toward pregnancy.
c. The nurse uses charts and diagrams when teaching pregnant clients.
d. The nurse can speak several different languages. - ANSB
Which of these manifestations should a nurse expect to observe in a 3-month-old infant who is
diagnosed with dehydration?
a. Hyperreflexia.
b. Tachycardia.
c. Bradypnea.
d. Agitation. - ANSB
When assessing a client's risk of developing nosocomial infection, a nurse plans to determine
potential entry portals, which include:
a. the urinary meatus.
b. vomitus.
c. contaminated water.
d. sexual intercourse. - ANSA
,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?
a. Encourage the client to verbalize feelings.
b. Lock the client in a secluded room.
c. Ask the other clients to give feedback regarding the client's behavior.
d. Ignore the client's inappropriate behavior. - ANSA
Which of these measures should a nurse include when planning care for a school-aged child
during a sickle cell crisis episode?
a. Monitoring for signs of bleeding.
b. Providing pain relief.
c. Administering cool sponge baths to reduce fevers.
d. Offering a high calorie diet. - ANSB
Which of these instructions should a nurse include in the plan of care for a 32-week gestation
client who had an amniocentesis today?
a. "Drink at least six glasses of fluids during the next six hours after the test."
b. "Call the clinic if you experience any abdominal cramps."
c. "Don't be concerned if you have some vaginal spotting in the next 12 hours."
d. "When you get home, stay on bed-rest for the next 48 hours." - ANSB
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?
a. Peanut butter and jam sandwich.
b. Chicken nuggets with rice.
c. Tuna salad sandwich.
d. Beefburger with cheese. - ANSD
A client has been admitted with acute pancreatitis. Which of these laboratory test results
supports this diagnosis?
a. Elevated serum potassium level.
b. Elevated serum amylase level.
c. Elevated serum sodium level.
d. Elevated serum creatinine level. - ANSB
Which of these manifestations, if assessed in a client who is two-hours postoperative after
abdominal surgery, should a nurse report immediately?
, a. Vomiting and a pulse rate of 106/minute.
b. Respiratory rate of 12/minute and urine dribbling.
c. Blood pressure of 100/60 mm Hg and wound discomfort.
d. Urine output of 100 mL/hr and flushed skin. - ANSA
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?
a. The student maintains continuous eye contact with the client.
b. The student places one arm around the client's shoulder?
c. The student sits quietly next to the client.
d. The student leaves the room to provide privacy for the client. - ANSC
Which of these actions should a nurse take initially if a client who is diagnosed with diabetes
mellitus develops tremors and ataxia?
a. Measure the client's blood sugar level.
b. Administer a concentrated form glucose to the client.
c. Administer a prn dose of insulin.
d. Measure the client's urine for ketones. - ANSA
An elderly client is at increased risk of developing drug toxicity to prescribed medications due to
declining hepatic and renal functioning. Which of these strategies should a nurse plan to
decrease this risk?
a. Increasing the time interval between medication doses.
b. Limiting the client's oral fluid intake.
c. Administering the medications with meals.
d. Encouraging the client to void every three to four hours. - ANSA
A client has persistent paranoid delusions that the food on the unit is poisoned. Which of these
measures should a nurse include in the client's care plan?
a. Explaining that staff does not poison clients.
b. Focusing on how the hospital staff helps clients.
c. Allowing the client to eat food from sealed containers.
d. Telling the client that not eating the food that is served will result in privilege restrictions. -
ANSC
Thrombophlebitis is a complication that may result due to surgery. Which of these actions
should a nurse take in the operating room to prevent this complication from occurring?
a. Gatch the knee of the bed.
b. Administer anticoagulants preoperatively.
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?
a. "Forcefully cough and take deep breaths every two hours to keep your airway clear."
b. "Perform the prescribed eye exercises each day to strengthen your eye muscles."
c. "Rinse your eyes with saline each morning to prevent postoperative infection."
d. "Take the prescribed stool softener to avoid increasing intraocular pressure." - ANSd
A client vomits during a continuous nasogastric tube feeding. A nurse should stop the feeding
and take which of these actions?
a. Suction the nasogastric tube.
b. Flush the tube with 30 mL of sterile water.
c. Remove the nasogastric tube.
d. Check the residual volume. - ANSD
Which of these actions best demonstrates cultural sensitivity by a nurse?
a. The nurse talks in a slow-paced speech.
b. The nurse asks clients about their beliefs and practices toward pregnancy.
c. The nurse uses charts and diagrams when teaching pregnant clients.
d. The nurse can speak several different languages. - ANSB
Which of these manifestations should a nurse expect to observe in a 3-month-old infant who is
diagnosed with dehydration?
a. Hyperreflexia.
b. Tachycardia.
c. Bradypnea.
d. Agitation. - ANSB
When assessing a client's risk of developing nosocomial infection, a nurse plans to determine
potential entry portals, which include:
a. the urinary meatus.
b. vomitus.
c. contaminated water.
d. sexual intercourse. - ANSA
,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?
a. Encourage the client to verbalize feelings.
b. Lock the client in a secluded room.
c. Ask the other clients to give feedback regarding the client's behavior.
d. Ignore the client's inappropriate behavior. - ANSA
Which of these measures should a nurse include when planning care for a school-aged child
during a sickle cell crisis episode?
a. Monitoring for signs of bleeding.
b. Providing pain relief.
c. Administering cool sponge baths to reduce fevers.
d. Offering a high calorie diet. - ANSB
Which of these instructions should a nurse include in the plan of care for a 32-week gestation
client who had an amniocentesis today?
a. "Drink at least six glasses of fluids during the next six hours after the test."
b. "Call the clinic if you experience any abdominal cramps."
c. "Don't be concerned if you have some vaginal spotting in the next 12 hours."
d. "When you get home, stay on bed-rest for the next 48 hours." - ANSB
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?
a. Peanut butter and jam sandwich.
b. Chicken nuggets with rice.
c. Tuna salad sandwich.
d. Beefburger with cheese. - ANSD
A client has been admitted with acute pancreatitis. Which of these laboratory test results
supports this diagnosis?
a. Elevated serum potassium level.
b. Elevated serum amylase level.
c. Elevated serum sodium level.
d. Elevated serum creatinine level. - ANSB
Which of these manifestations, if assessed in a client who is two-hours postoperative after
abdominal surgery, should a nurse report immediately?
, a. Vomiting and a pulse rate of 106/minute.
b. Respiratory rate of 12/minute and urine dribbling.
c. Blood pressure of 100/60 mm Hg and wound discomfort.
d. Urine output of 100 mL/hr and flushed skin. - ANSA
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?
a. The student maintains continuous eye contact with the client.
b. The student places one arm around the client's shoulder?
c. The student sits quietly next to the client.
d. The student leaves the room to provide privacy for the client. - ANSC
Which of these actions should a nurse take initially if a client who is diagnosed with diabetes
mellitus develops tremors and ataxia?
a. Measure the client's blood sugar level.
b. Administer a concentrated form glucose to the client.
c. Administer a prn dose of insulin.
d. Measure the client's urine for ketones. - ANSA
An elderly client is at increased risk of developing drug toxicity to prescribed medications due to
declining hepatic and renal functioning. Which of these strategies should a nurse plan to
decrease this risk?
a. Increasing the time interval between medication doses.
b. Limiting the client's oral fluid intake.
c. Administering the medications with meals.
d. Encouraging the client to void every three to four hours. - ANSA
A client has persistent paranoid delusions that the food on the unit is poisoned. Which of these
measures should a nurse include in the client's care plan?
a. Explaining that staff does not poison clients.
b. Focusing on how the hospital staff helps clients.
c. Allowing the client to eat food from sealed containers.
d. Telling the client that not eating the food that is served will result in privilege restrictions. -
ANSC
Thrombophlebitis is a complication that may result due to surgery. Which of these actions
should a nurse take in the operating room to prevent this complication from occurring?
a. Gatch the knee of the bed.
b. Administer anticoagulants preoperatively.
