Fortis College NUR 210 Comp predictor B Exam Questions and Answers latest Update 2022/2023
1.A nurse is preparing to replace a patient's trans- dermal fentanyl patch after 72 hours of use. After opening the packet with the new pouch, the patient refuses to accept it. Which action should the nurse take?
A)Withhold pain medications for 24 hr after the old patch is removed.
B)Ask another nurse to witness the disposal of the new patch.
C)Seal the patches in a plastic bag and place in the client's trash basket.
D)Stick the two patches to each other and place them in the sharps bin.
2.A nurse is caring for a client with a PE. The client is receiving heparin IV at 1,200 units/hr and warfarin 5 mg PO daily. The morning lab values are
aPTT 98 seconds and INR 1.8. Which action should
the nurse take?
A)Prepare to administer vitamin K1.
B)Prepare to administer alteplase.
C)Withhold the heparin infusion.
D)Withhold the next dose of warfarin.
3.A nurse at an urgent care clinic is assessing a patient with impaired vision in 1 eye. Which report from the patient should indicate to the nurse that Fortis College NUR 210 Comp predictor B Exam Questions and Answers latest Update 2022/2023
B)Ask another nurse to witness the disposal of the new patch.
C)Withhold the he- parin infusion.
The expected val- ue for aPTT is 40 seconds. A thera- peutic level of he- parin increases the aPTT by a factor of
1.5 to 2, making the aPTT 60 to 80 sec- onds. An aPTT lev- el of 98 is above the expected refer- ence
range, indicat- ing that the dosage should be reduced or the infusion with- held until the aPTT returns to the thera- peutic range.
B)Floating dark spots Fortis College NUR 210 Comp predictor B Exam Questions and Answers latest Update 2022/2023
the client has a detached retina?
A)Halos around lights
B)Floating dark spots
C)Pain in the affected eye
D)Cloudy vision
4.A nurse is assessing an infant with hydrocephalus
and is 6 hours post-op following placement of a VP
shunt. Which finding should the nurse report to
the provider?
A)Heart rate 122/min
B)Irritability when being held
C)Hypoactive bowel sounds
D)Urine specific gravity 1.018
5.A nurse is assessing a newborn's HR. Which action should the nurse take?
A)Assess the apical pulse while the newborn is crying to detect cardiac problems.
B)Palpate the radial pulse and determine the rate based on number of beats per minute.
C)Listen to the apical pulse while palpating the
radial pulse to detect variance.
D)Auscultate the apical pulse and count beats for at least 1 min.B) Irritability when being held
D) Auscultate the apical pulse and count beats for
at least 1 min.
6.A nurse is caring for a client with a fecal impaction. D) Insert a lubricat-
Which action should the nurse take when digitally evacuating the stool?
A)Place the client in the lithotomy position.
B)Elicit a vagal response by performing gentle rec- tal stimulation.
C)Administer oral bisacodyl 30 min prior to the procedure.
D)Insert a lubricated gloved finger and advance along the rectal wall.
7.A nurse is providing dietary teaching to apatient
taking
phenelzine.
Which food
recommend
ations
should the
nurse
make?
(Select all) Fortis College NUR 210 Comp predictor B Exam Questions and Answers latest Update 2022/2023
ed gloved finger and advance along the rectal wall.
A)Broccoli
B)Yogurt
D)Cream cheese
1.A nurse is preparing to replace a patient's trans- dermal fentanyl patch after 72 hours of use. After opening the packet with the new pouch, the patient refuses to accept it. Which action should the nurse take?
A)Withhold pain medications for 24 hr after the old patch is removed.
B)Ask another nurse to witness the disposal of the new patch.
C)Seal the patches in a plastic bag and place in the client's trash basket.
D)Stick the two patches to each other and place them in the sharps bin.
2.A nurse is caring for a client with a PE. The client is receiving heparin IV at 1,200 units/hr and warfarin 5 mg PO daily. The morning lab values are
aPTT 98 seconds and INR 1.8. Which action should
the nurse take?
A)Prepare to administer vitamin K1.
B)Prepare to administer alteplase.
C)Withhold the heparin infusion.
D)Withhold the next dose of warfarin.
3.A nurse at an urgent care clinic is assessing a patient with impaired vision in 1 eye. Which report from the patient should indicate to the nurse that Fortis College NUR 210 Comp predictor B Exam Questions and Answers latest Update 2022/2023
B)Ask another nurse to witness the disposal of the new patch.
C)Withhold the he- parin infusion.
The expected val- ue for aPTT is 40 seconds. A thera- peutic level of he- parin increases the aPTT by a factor of
1.5 to 2, making the aPTT 60 to 80 sec- onds. An aPTT lev- el of 98 is above the expected refer- ence
range, indicat- ing that the dosage should be reduced or the infusion with- held until the aPTT returns to the thera- peutic range.
B)Floating dark spots Fortis College NUR 210 Comp predictor B Exam Questions and Answers latest Update 2022/2023
the client has a detached retina?
A)Halos around lights
B)Floating dark spots
C)Pain in the affected eye
D)Cloudy vision
4.A nurse is assessing an infant with hydrocephalus
and is 6 hours post-op following placement of a VP
shunt. Which finding should the nurse report to
the provider?
A)Heart rate 122/min
B)Irritability when being held
C)Hypoactive bowel sounds
D)Urine specific gravity 1.018
5.A nurse is assessing a newborn's HR. Which action should the nurse take?
A)Assess the apical pulse while the newborn is crying to detect cardiac problems.
B)Palpate the radial pulse and determine the rate based on number of beats per minute.
C)Listen to the apical pulse while palpating the
radial pulse to detect variance.
D)Auscultate the apical pulse and count beats for at least 1 min.B) Irritability when being held
D) Auscultate the apical pulse and count beats for
at least 1 min.
6.A nurse is caring for a client with a fecal impaction. D) Insert a lubricat-
Which action should the nurse take when digitally evacuating the stool?
A)Place the client in the lithotomy position.
B)Elicit a vagal response by performing gentle rec- tal stimulation.
C)Administer oral bisacodyl 30 min prior to the procedure.
D)Insert a lubricated gloved finger and advance along the rectal wall.
7.A nurse is providing dietary teaching to apatient
taking
phenelzine.
Which food
recommend
ations
should the
nurse
make?
(Select all) Fortis College NUR 210 Comp predictor B Exam Questions and Answers latest Update 2022/2023
ed gloved finger and advance along the rectal wall.
A)Broccoli
B)Yogurt
D)Cream cheese
