RN Comprehensive Predictor 2019 Form A2 (180 QUESTIONS)

RN Comprehensive Predictor 2019 Form A2 (180 QUESTIONS) 1. **A nurse in a pediatric unit is preparing to insert an IV catheter for a 7-year-old child. Which of the following actions should the nurse take?** - A. (Unable to read) - B. Inform the child that they will experience some discomfort during the catheter insertion. - C. Use a mummy restraint to hold the child in place during the catheter insertion. - D. Ask the parents to leave the room during the procedure. 2. **A nurse is caring for a client with an arteriovenous fistula. Which of the following findings should the nurse report?** - A. Presence of a thrill upon palpation. - B. Absence of a bruit. - C. Distended blood vessels. - D. Swishing sound upon auscultation. 3. **A nurse is providing discharge teaching for a client with an implantable cardioverter defibrillator (ICD). Which statement indicates the client understands the teaching?** - A. “I will take a bath instead of showering.” - B. “I will wear loose clothing around my ICD.” - C. “I will stop using my microwave oven because of my ICD.” - D. “I can hold my cellphone on the same side of my body as the ICD.” 4. **A nurse is caring for a client who is 14 weeks pregnant and reports feeling ambivalent about the pregnancy. Which response should the nurse give?** - A. “Tell me more about your feelings regarding the pregnancy.” - B. “You should discuss your feelings about the pregnancy with your provider.” - C. “Have you talked about these feelings with your partner?” - D. “When did you start feeling this way?” 5. **A nurse is planning care for a client who has a prescription for a bowel training program following a spinal cord injury. Which action should the nurse include in the plan?** - A. Encourage a maximum fluid intake of 1,500 ml per day. - B. Increase the amount of refined grains in the client’s diet. - C. Provide the client with a cold drink before defecation. - D. Administer a rectal suppository 30 minutes prior to scheduled defecation times. 6. **A nurse is caring for a client in active labor who requests pain management. Which action should the nurse take?** - A. Administer ondansetron. - B. Place the client in a warm shower. - C. Apply fundal pressure during contractions. - D. Assist the client into a supine position. 7. **A nurse in an emergency department is triaging multiple clients following a community disaster. Which injury should the nurse prioritize?** - A. Below-the-knee amputation. - B. Fractured tibia. - C. 95% full-thickness body burn. - D. 10 cm (4 in) laceration to the forearm. 8. **A nurse manager is updating protocols for the use of belt restraints. Which guideline should be included?** - A. Remove the client’s restraint every 4 hours. - B. Document the client’s condition every 15 minutes. - C. Attach the restraint to the bed’s side rails. - D. Request a PRN restraint prescription for aggressive clients. 9. **A nurse is teaching an in-service about nursing leadership. Which information should be included about effective leadership?** - A. Acts as an advocate for the nursing unit. - B. (Unable to read) for the unit. - C. Prioritizes staff requests over client needs. - D. Provides routine client care and documentation. 10. **A nurse is reviewing laboratory findings for a client with diabetes mellitus who reports following their care plan. Which finding indicates a need to revise the client’s care plan?** - A. Serum sodium 144 mEq/L. - B. (Unable to read) - C. HbA1c 10%. - D. Random serum glucose 190 mg/dL. 11. **A nurse in a provider’s office is reviewing laboratory results. Which sexually transmitted infection is nationally notifiable and should be reported to the state health department?** - A. Chlamydia. - B. Human papillomavirus. - C. Candidiasis. - D. Herpes simplex virus. 12. **A nurse is teaching a newly licensed nurse about therapeutic techniques for leading a group on a mental health unit. Which technique should be included?** - A. Share personal opinions to influence the group’s values. - B. Measure the group’s accomplishments against a previous group. - C. Yield to conflict situations to maintain group harmony. - D. Use modeling to help clients improve interpersonal skills. 13. **A nurse is planning care for a client who practices Orthodox Judaism and mentions they are observing Passover. Which action should be included in the care plan?** - A. Provide chicken with cream sauce. - B. Avoid serving fish with fins and scales. - C. Provide unleavened bread. - D. Avoid serving foods containing lamb. 14. **A nurse is caring for a client with a pulmonary embolism. Which finding indicates the treatment is effective?** - A. A chest x-ray reveals increased density in all fields. - B. The client reports feeling less anxious. - C. Diminished breath sounds are auscultated bilaterally. - D. ABG results include pH 7.48, PaO2 77 mm Hg, and PaCO2 47 mm Hg. 15. **A nurse in an emergency department is assessing a client who ingested thirty diazepam tablets and has a respiratory rate of 10/min. After securing the airway and initiating an IV, what should be the next action?** - A. Monitor the client’s IV site for thrombophlebitis. - B. Administer flumazenil. - C. Evaluate the client for further suicidal behavior. - D. Initiate seizure precautions. 16. **A nurse in an emergency department is assessing a client who used cocaine 1 hour ago. Which finding should the nurse expect?** - A. Hypotension. - B. Memory loss. - C. Slurred speech. - D. Elevated temperature. 17. **A nurse is assessing a newborn with a blood glucose level of 30 mg/dL. Which manifestation should the nurse expect?** - A. Loose stools. - B. Jitteriness. - C. Hypertonia. - D. Abdominal distention. 18. **A nurse in a pediatric clinic is reviewing a school-age child’s lab results. Which finding should be reported to the provider?** - A. Hemoglobin 12.5 g/dL. - B. Platelets 250,000/mm³. - C. Hematocrit 40%. - D. WBC 14,000/mm³. 19. **A charge nurse is teaching about designating a health care proxy for durable power of attorney for health care (DPSHC). Which information should be included?** - A. “The proxy should make health care decisions for the client, even if the client is capable of making them.” - B. “The proxy can make financial decisions if needed.” - C. “The proxy can make treatment decisions if the client is under anesthesia.” - D. “The proxy should manage legal issues for the client.” 20. **A nurse in the PACU is caring for a client who reports nausea. Which action should the nurse take first?** - A. Turn the client onto their side. - B. Administer an analgesic. - C. Administer an antiemetic. - D. Monitor the client’s vital signs. 21. **A nurse is caring for a client with a history of depression who is experiencing a situational crisis. Which action should the nurse take first?** - A. Confirm the client’s perception of the event. - B. Notify the client’s support system. - C. Help the client identify personal strengths. - D. Teach the client relaxation techniques. 22. **A nurse is caring for a client with bipolar disorder who is experiencing acute mania and has a verbal prescription for restraints. Which action should the nurse take?** - A. Request a renewal of the prescription every 8 hours. - B. Check the client’s peripheral pulse rate every 30 minutes. - C. Obtain a prescription for restraint within 4 hours. - D. Document the client’s condition every 15 minutes. 23. **(Question not provided)** 24. **A charge nurse on a medical-surgical unit is planning assignments for an LPN who has been sent from another unit due to staffing shortages. Which client should the charge nurse delegate to the LPN?** - A. A client with hemoglobin of 6.3 g/dL and a prescription for packed RBCs. - B. A client with a concussion and unequal pupils. - C. A postoperative client following bowel resection with an NG tube set to continuous suction. - D. A client who fractured their femur yesterday and is experiencing shortness of breath. 25. **A nurse is developing a care plan for a client with paraplegia who has nonblanchable erythema over the ischium. Which intervention should be included?** - A. Place the client upright on a donut-shaped cushion. - B. Teach the client to shift their weight every 15 minutes while sitting. - C . Turn and reposition the client every 3 hours while in bed. - D. Assess pressure points every 24 hours. 25. **A nurse is caring for a client who is dilated to 10 cm and pushing. Which pain-management option is safe for the client?** - A. Naloxone hydrochloride. - B. Spinal anesthesia. - C. Pudendal block. - D. Butorphanol tartrate. 26. **(Question not provided)** 27. **A nurse is assessing a client with major depressive disorder. Which finding should the nurse identify as most important?** - A. The client changes the subject when future plans are mentioned. - B. The client talks constantly about being in pain. - C. The client sleeps more than 12 hours each day. - D. The client reports giving away personal items. 28. **A nurse is teaching a pregnant client about immunizations. Which vaccines are safe during pregnancy? (Select all that apply)** - A. Varicella vaccine. - B. Inactivated polio vaccine. - C. Tetanus, diphtheria, and acellular pertussis (Tdap) vaccine.