PN Comprehensive Predictor 2022-2023
A nurse is planning dietary teaching for a client who has diabetes mellitus. Which of the following actions should the
nurse plan to take first?
Ask the client to identify the types of foods she prefers.
A nurse is caring for a client who has type 1 diabetes mellitus and a capillary blood glucose reading of 48 mg/dL.
Which of the following findings should the nurse expect?
Diaphoresis
00:0201:27
A nurse is caring for a client who is 72 hr postoperative following an above-the-knee amputation. Which of the
following actions should the nurse take?
Assist the client to a prone position every 4 hr.
A nurse is providing teaching to a client who has gout and urolithiasis. The client asks how to prevent future uric acid
stones. Which of the following suggestions should the nurse make? (Select all that apply.)
Take allopurinol as prescribed.
Exercise several times a week.
Limit intake of foods high in purine.
A nurse in an emergency department is assessing a client who sustained a fall off of a roof. Which of the following
findings should the nurse identify as an indication of a basilar skull fracture?
Clear fluid coming from the nares
A nurse is teaching a client how to perform a breast self exam (BSE). The nurse should identify which of the following
findings as an indication of breast cancer?
A nontender, hard lump that is palpated in one breast
A nurse is providing discharge teaching about improving gas exchange to a client who has emphysema. Which of the
following instructions should the nurse include in the teaching?
Use pursed-lip breathing during periods of dyspnea.
A nurse is caring for a client who has an upper gastrointestinal bleed and a hematocrit of 24%. Prior to initiating a
transfusion of packed red blood cells (RBCs), which of the following actions should the nurse take? (Select all that
apply.)
,PN Comprehensive Predictor 2022-2023
Assess and document the client's vital signs.
Verify with another nurse the blood type and Rh of the packed RBCs.
Change IV tubing to a set that has a filter.
A nurse is preparing to change the bed linens of a client who has AIDS and is incontinent of stool. Which of the
following personal protective equipment (PPE) should the nurse don prior to providing client care? (Select all that
apply.)
Gown
Gloves
A nurse is caring for a client who begins having a tonic-clonic seizure while sitting in a chair at the bedside. Which of
the following actions should the nurse take first?
Lower the client to the floor.
A nurse is caring for a client following a hip arthroplasty. The nurse places an abduction pillow on the client for which
of the following purposes?
Preventing dislocation of the hip during position changes or movement
A nurse in the emergency department is caring for a client who has fruity breath odor, dry mouth, and extreme thirst.
Which of the following assessments should the nurse make?
Blood glucose level
A nurse is caring for a client who has a stage III pressure ulcer on the heel. When preparing to irrigate the wound,
which of the following actions should the nurse take first?
Check the client's pain level.
A nurse is providing postoperative care for a client who has two chest tubes in place following a lobectomy. The client
asks the nurse the reason for having two chest tubes. The nurse should inform the client that the lower chest tube is
placed for which of the following reasons?
Draining blood and fluid from the pleural space
A nurse is providing teaching to a client who has stomatitis due to chemotherapy and radiation therapy. Which of the
following statements by the client indicates a need for further teaching?
"I will use lemon and glycerine swabs after meals."
A nurse is providing discharge teaching to a client who has a new permanent pacemaker. Which of the following
statements by the client indicates an understanding of the teaching?
"I should check my heart rate at the same time each day."
A nurse is reviewing a client's laboratory report. The client's ABG levels are pH 7.5, PaCO2 32 mm HG, and HCO3-
24 mEq/L. The nurse should determine that the client has which of the following acid-base imbalances?
, PN Comprehensive Predictor 2022-2023
Respiratory alkalosis
A nurse is preparing to care for a group of clients after receiving change-of-shift report. Which of the following clients
should the nurse assess first?
A client who has emphysema and reports dyspnea
A nurse is obtaining a weekly weight for a client who has obesity and osteoarthritis and is on a weight management
program. The nurse determines that the client gained 1.36 kg (3 lb) in the past week. Which of the following
statements should the nurse make?
"Were there any issues last week that kept you from focusing on your diet?"
A nurse is caring for a client who is receiving intermittent peritoneal dialysis. The nurse observes that the peritoneal
fluid is not adequately draining. Which of the following actions should the nurse take?
Turn the client from side to side.
A nurse is providing teaching to a client who has tuberculosis (TB) and a prescription for isoniazid. Which of the
following instructions should the nurse include?
"You should take this medication on an empty stomach."
A nurse is caring for a client who has continuous bladder irrigation following a transurethral resection of the prostate
(TURP). Which of the following findings should the nurse report to the provider?
Viscous urinary output with clots
A nurse is providing discharge teaching to an adult female client who has infective endocarditis about how to prevent
recurrence. Which of the following statements by the client indicates understanding of the teaching?
"I will notify my doctor before I have dental procedures."
A nurse is providing teaching about antiretroviral medication therapy to a client who has a new diagnosis of AIDS.
Which of the following statements should the nurse include in the teaching?
"You should take antiretroviral medications on a routine schedule."
A nurse is planning care for a client during a sickle cell crisis. Which of the following interventions should the nurse
include in the client's plan of care?
Encourage increased fluid intake.
A nurse is providing teaching to a client who has cervical cancer and is scheduled to receive brachytherapy in an
ambulatory care clinic. Which of the following statements by the client indicates an understanding of the teaching?
"I need to lie still in bed during my brachytherapy treatment."
A nurse is providing teaching to a client who has a history of tonic-clonic seizures and is scheduled for a standard
electroencephalogram (EEG). Which of the following instructions should the nurse include in the teaching?
A nurse is planning dietary teaching for a client who has diabetes mellitus. Which of the following actions should the
nurse plan to take first?
Ask the client to identify the types of foods she prefers.
A nurse is caring for a client who has type 1 diabetes mellitus and a capillary blood glucose reading of 48 mg/dL.
Which of the following findings should the nurse expect?
Diaphoresis
00:0201:27
A nurse is caring for a client who is 72 hr postoperative following an above-the-knee amputation. Which of the
following actions should the nurse take?
Assist the client to a prone position every 4 hr.
A nurse is providing teaching to a client who has gout and urolithiasis. The client asks how to prevent future uric acid
stones. Which of the following suggestions should the nurse make? (Select all that apply.)
Take allopurinol as prescribed.
Exercise several times a week.
Limit intake of foods high in purine.
A nurse in an emergency department is assessing a client who sustained a fall off of a roof. Which of the following
findings should the nurse identify as an indication of a basilar skull fracture?
Clear fluid coming from the nares
A nurse is teaching a client how to perform a breast self exam (BSE). The nurse should identify which of the following
findings as an indication of breast cancer?
A nontender, hard lump that is palpated in one breast
A nurse is providing discharge teaching about improving gas exchange to a client who has emphysema. Which of the
following instructions should the nurse include in the teaching?
Use pursed-lip breathing during periods of dyspnea.
A nurse is caring for a client who has an upper gastrointestinal bleed and a hematocrit of 24%. Prior to initiating a
transfusion of packed red blood cells (RBCs), which of the following actions should the nurse take? (Select all that
apply.)
,PN Comprehensive Predictor 2022-2023
Assess and document the client's vital signs.
Verify with another nurse the blood type and Rh of the packed RBCs.
Change IV tubing to a set that has a filter.
A nurse is preparing to change the bed linens of a client who has AIDS and is incontinent of stool. Which of the
following personal protective equipment (PPE) should the nurse don prior to providing client care? (Select all that
apply.)
Gown
Gloves
A nurse is caring for a client who begins having a tonic-clonic seizure while sitting in a chair at the bedside. Which of
the following actions should the nurse take first?
Lower the client to the floor.
A nurse is caring for a client following a hip arthroplasty. The nurse places an abduction pillow on the client for which
of the following purposes?
Preventing dislocation of the hip during position changes or movement
A nurse in the emergency department is caring for a client who has fruity breath odor, dry mouth, and extreme thirst.
Which of the following assessments should the nurse make?
Blood glucose level
A nurse is caring for a client who has a stage III pressure ulcer on the heel. When preparing to irrigate the wound,
which of the following actions should the nurse take first?
Check the client's pain level.
A nurse is providing postoperative care for a client who has two chest tubes in place following a lobectomy. The client
asks the nurse the reason for having two chest tubes. The nurse should inform the client that the lower chest tube is
placed for which of the following reasons?
Draining blood and fluid from the pleural space
A nurse is providing teaching to a client who has stomatitis due to chemotherapy and radiation therapy. Which of the
following statements by the client indicates a need for further teaching?
"I will use lemon and glycerine swabs after meals."
A nurse is providing discharge teaching to a client who has a new permanent pacemaker. Which of the following
statements by the client indicates an understanding of the teaching?
"I should check my heart rate at the same time each day."
A nurse is reviewing a client's laboratory report. The client's ABG levels are pH 7.5, PaCO2 32 mm HG, and HCO3-
24 mEq/L. The nurse should determine that the client has which of the following acid-base imbalances?
, PN Comprehensive Predictor 2022-2023
Respiratory alkalosis
A nurse is preparing to care for a group of clients after receiving change-of-shift report. Which of the following clients
should the nurse assess first?
A client who has emphysema and reports dyspnea
A nurse is obtaining a weekly weight for a client who has obesity and osteoarthritis and is on a weight management
program. The nurse determines that the client gained 1.36 kg (3 lb) in the past week. Which of the following
statements should the nurse make?
"Were there any issues last week that kept you from focusing on your diet?"
A nurse is caring for a client who is receiving intermittent peritoneal dialysis. The nurse observes that the peritoneal
fluid is not adequately draining. Which of the following actions should the nurse take?
Turn the client from side to side.
A nurse is providing teaching to a client who has tuberculosis (TB) and a prescription for isoniazid. Which of the
following instructions should the nurse include?
"You should take this medication on an empty stomach."
A nurse is caring for a client who has continuous bladder irrigation following a transurethral resection of the prostate
(TURP). Which of the following findings should the nurse report to the provider?
Viscous urinary output with clots
A nurse is providing discharge teaching to an adult female client who has infective endocarditis about how to prevent
recurrence. Which of the following statements by the client indicates understanding of the teaching?
"I will notify my doctor before I have dental procedures."
A nurse is providing teaching about antiretroviral medication therapy to a client who has a new diagnosis of AIDS.
Which of the following statements should the nurse include in the teaching?
"You should take antiretroviral medications on a routine schedule."
A nurse is planning care for a client during a sickle cell crisis. Which of the following interventions should the nurse
include in the client's plan of care?
Encourage increased fluid intake.
A nurse is providing teaching to a client who has cervical cancer and is scheduled to receive brachytherapy in an
ambulatory care clinic. Which of the following statements by the client indicates an understanding of the teaching?
"I need to lie still in bed during my brachytherapy treatment."
A nurse is providing teaching to a client who has a history of tonic-clonic seizures and is scheduled for a standard
electroencephalogram (EEG). Which of the following instructions should the nurse include in the teaching?
