NSG 411 Comprehensive Predictor A Questions With
Complete Solutions
24 hour obs for pt thats been drinking
The client is at risk for
due to
. Correct Answer The client is at risk for
hemorrhage
due to
thrombocytopenia
When analyzing cues, the nurse should recognize that the client
is experiencing thrombocytopenia and is at risk for hemorrhage
due to low platelet count. The client is experiencing bleeding
from their nose that is not resolving with pressure being applied.
Petechiae of the arms is a manifestation of thrombocytopenia.
Chronic alcohol use disorder increases the risk for hemorrhaging
due to the inability of the liver to assist with platelet formation.
A charge nurse assigns a new nurse to a client with a chest tube.
The new nurse expresses concern d/t limited experience with
monitoring drainage. What should the charge do to teach about
chest tubes?
a. Refer the nurse to the procedure manual
b. Use a diagram to explain the procedure to the nurse
c. Demonstrate the procedure to the nurse
,d. Ask the nurse about their knowledge of the procedure Correct
Answer d. Ask the nurse about their knowledge of the
procedure
A charge nurse is planning an educational session for staff
nurses about working with parents whose terminally ill children
are candidates for organ donation. Which information should the
nurse plan to include?
a. Choosing to donate organs can delay the timing of the child's
funeral
b. The family can still have an open casket without fearing that
the organ donation might disfigure the child's body
c. The family should understand that an autopsy is mandatory
prior to organ donation
d. The nurse should introduce the option of organ donation to
the parents when first discussing the child's impending death
Correct Answer b. The family can still have an open casket
without fearing that the organ donation might disfigure the
child's body
A charge nurse is planning care for a client in mechanical
restraints. What interventions?
a. Remove the clients restrains while sleeping
b. Document the client's status every 60 min
c. Check for a new prescription every 6 hr
d. Provide a staff member to stay with the client continuously
Correct Answer d. Provide a staff member to stay with the
client continuously
A charge nurse is speaking with the partner of a client. The
partner states that the client is not receiving adequate care.
,Which of the following actions should the charge nurse take first
to resolve the situation?
a. Evaluate the changes the partner requests
b. Review the client's plan of care
c. Analyze other reports of poor care to look for trends
d. Ask the partner to list specific concerns Correct Answer d.
Ask the partner to list specific concerns
A charge nurse observes a staff nurse document a dressing
change in a client's chart that wasn't performed. First charge
nurse action?
a. Ensure that the staff nurse changes the dressing
b. Notify the nurse manager
c. Complete an incident report
d. Gather more information about the staff nurses actions
Correct Answer d. Gather more information about the staff
nurses actions
A charge nurse overhears 2 staff nurses in the hallway
discussing the nutritional status of a client who has anorexia
nervosa. Which action should the charge nurse take?
a. Apologize to the client for the nurses actions
b. Advise the nurses that they are being insubordinate
c. Tell the nurses to stop the discussion
d. Document the incident in the client's medical record Correct
Answer c. Tell the nurses to stop the discussion
A client is receiving lorazepam IV for panic attacks and
develops a RR of 6/min and a BP of 90/44mm Hg. What med
should the nurse anticipate administering?
a. Naloxone
, b. Flumazenil
c. Acetylcysteine
d, Atropine Correct Answer b. Flumazenil
A client who has high blood pressure is having difficulty
following their treatment plan. Which of the following factors
should the nurse recognize as being the greatest barrier to the
client's ability to be compliant? Quizlet
a. A detailed plan of care
b. Absence of symptoms
c. Dietary salt restriction
d. Addition of a new medication Correct Answer b. Absence of
symptoms
A client who is 24 hours post op following abdominal surgery
refuses to ambulate. First nursing action?
a. Ask the client to rate their pain level
b. Assist the client in changing positions
c. Administer a PRN analgesic medication
d. Explain the importance of early ambulation Correct Answer
a. Ask the client to rate their pain level
A community health nurse is reviewing the medical records of
four newly diagnosed clients. The nurse should identify which
of the following clients as having a nationally notifiable
infectious condition?
a. A client who is pregnant and has cytomegalovirus (CMV)
b. An adolescent client who has foodborne botulism
c. A child who has erythema infectiosum
Complete Solutions
24 hour obs for pt thats been drinking
The client is at risk for
due to
. Correct Answer The client is at risk for
hemorrhage
due to
thrombocytopenia
When analyzing cues, the nurse should recognize that the client
is experiencing thrombocytopenia and is at risk for hemorrhage
due to low platelet count. The client is experiencing bleeding
from their nose that is not resolving with pressure being applied.
Petechiae of the arms is a manifestation of thrombocytopenia.
Chronic alcohol use disorder increases the risk for hemorrhaging
due to the inability of the liver to assist with platelet formation.
A charge nurse assigns a new nurse to a client with a chest tube.
The new nurse expresses concern d/t limited experience with
monitoring drainage. What should the charge do to teach about
chest tubes?
a. Refer the nurse to the procedure manual
b. Use a diagram to explain the procedure to the nurse
c. Demonstrate the procedure to the nurse
,d. Ask the nurse about their knowledge of the procedure Correct
Answer d. Ask the nurse about their knowledge of the
procedure
A charge nurse is planning an educational session for staff
nurses about working with parents whose terminally ill children
are candidates for organ donation. Which information should the
nurse plan to include?
a. Choosing to donate organs can delay the timing of the child's
funeral
b. The family can still have an open casket without fearing that
the organ donation might disfigure the child's body
c. The family should understand that an autopsy is mandatory
prior to organ donation
d. The nurse should introduce the option of organ donation to
the parents when first discussing the child's impending death
Correct Answer b. The family can still have an open casket
without fearing that the organ donation might disfigure the
child's body
A charge nurse is planning care for a client in mechanical
restraints. What interventions?
a. Remove the clients restrains while sleeping
b. Document the client's status every 60 min
c. Check for a new prescription every 6 hr
d. Provide a staff member to stay with the client continuously
Correct Answer d. Provide a staff member to stay with the
client continuously
A charge nurse is speaking with the partner of a client. The
partner states that the client is not receiving adequate care.
,Which of the following actions should the charge nurse take first
to resolve the situation?
a. Evaluate the changes the partner requests
b. Review the client's plan of care
c. Analyze other reports of poor care to look for trends
d. Ask the partner to list specific concerns Correct Answer d.
Ask the partner to list specific concerns
A charge nurse observes a staff nurse document a dressing
change in a client's chart that wasn't performed. First charge
nurse action?
a. Ensure that the staff nurse changes the dressing
b. Notify the nurse manager
c. Complete an incident report
d. Gather more information about the staff nurses actions
Correct Answer d. Gather more information about the staff
nurses actions
A charge nurse overhears 2 staff nurses in the hallway
discussing the nutritional status of a client who has anorexia
nervosa. Which action should the charge nurse take?
a. Apologize to the client for the nurses actions
b. Advise the nurses that they are being insubordinate
c. Tell the nurses to stop the discussion
d. Document the incident in the client's medical record Correct
Answer c. Tell the nurses to stop the discussion
A client is receiving lorazepam IV for panic attacks and
develops a RR of 6/min and a BP of 90/44mm Hg. What med
should the nurse anticipate administering?
a. Naloxone
, b. Flumazenil
c. Acetylcysteine
d, Atropine Correct Answer b. Flumazenil
A client who has high blood pressure is having difficulty
following their treatment plan. Which of the following factors
should the nurse recognize as being the greatest barrier to the
client's ability to be compliant? Quizlet
a. A detailed plan of care
b. Absence of symptoms
c. Dietary salt restriction
d. Addition of a new medication Correct Answer b. Absence of
symptoms
A client who is 24 hours post op following abdominal surgery
refuses to ambulate. First nursing action?
a. Ask the client to rate their pain level
b. Assist the client in changing positions
c. Administer a PRN analgesic medication
d. Explain the importance of early ambulation Correct Answer
a. Ask the client to rate their pain level
A community health nurse is reviewing the medical records of
four newly diagnosed clients. The nurse should identify which
of the following clients as having a nationally notifiable
infectious condition?
a. A client who is pregnant and has cytomegalovirus (CMV)
b. An adolescent client who has foodborne botulism
c. A child who has erythema infectiosum
