PN Comprehensive Predictor 2017 | PN Comprehensive Predictor_Graded A

PN Comprehensive Predictor 2017 • A nurse is caring for a client who has a recent diagnosis of a terminal illness. The nurse should identify which of the following as an indication of hopelessness? • The client wants to talk about the diagnosis with nursing staff • The client has a decreased energy level • The client makes funeral arrangements • The client requests a second opinion • A nurse is preparing to collect data on a preschooler. Which of the following behaviors by the child indicates that he is ready to cooperate? (Select all that apply) • Allows the nurse to touch him on the arm • Plays with toys in the examination room • Answers questions asked by the nurse • Makes eye contact with the nurse • Sits on his parent’s lap when the nurse enters the room • A nurse on a mental health unit is planning care for a group of clients. Which of the following clients should the nurse see first? • A client who has bipolar disorder and is displaying flights of ideas • A client who has ADHD and has an inability to concentrate • A client who has schizophrenia and is having command hallucinations • A client who has depressive disorder and is withdrawn • A nurse is caring for a client who recently gave birth to her first child. The newborn is crying and the client states, “ I can’t seem to do anything right. What should I do?” Which of the following responses should the nurse make? • “I’ll take him back to the nursery, so you can get some rest.” • “Babies need to cry soon after they are born to develop their lungs.” • “Let me show you how to swaddle and cuddle him, then you try.” • “If I turn him on his side, maybe he’ll go back to sleep.” • A nurse is using a glucometer to measure a client’s capillary blood glucose level, Which of the following actions should the nurse take? • Test the first drop of blood that forms after the puncture • Wear sterile gloves • Keep the finger in a dependent position • Select the central tip of the finger • A nurse is reviewing the home medications of a client who recently had transient ischemic attacks and is to begin taking clopidogrel. The nurse should instruct the client that which of the following over- the-counter medications interacts adversely with clopidogrel? • Docusate sodium • Ranitidine • Vitamin D3 • Naproxen • A nurse is collecting data from a client who has a long leg cast that was applied 2 days ago. The client’s foot is pale with a weak pedal pulse, and the client reports foot numbness. Which of the following actions should the nurse plan to take first? • Administer opioid pain medication • Apply an ice pack to the affected extremity • Check for pain with passive movement of the affected extremity • Elevate the affected extremity with several pillows • A nurse in a provider’s office is reinforcing teaching about cigarette smoking with a client. Which of the following adverse effects should the nurse include in the teaching? • Decreased hemoglobin • Somnolence • Bradycardia • Decreased blood pressure • A nurse is contributing to the development of an in-service program for mental health nursing staff. The nurse should include that the st • aff can medicate a client against his will, without a court hearing, in which of the following situations? • A client who has a serious mental illness • A client who is having difficulty making decisions about his treatment • A client for whom the benefits of the medication outweigh the risks • A client who is attempting to hurt himself or others • A nurse is reinforcing teaching with a client who has a new prescription for digoxin. Which of the following instructions should the nurse include in the teaching? • “Monitor for muscle weakness while taking the medication.” • “Rotate injection sites when administering the medication.” • “Withhold the medication if your pulse rate is above 100 beats per minute.” • “Increase your intake of dietary fiber to increase absorption.” • A charge nurse is discussing confidentiality requirements with a newly licensed nurse when sharing a client’s medical information. Which of the following individuals should the charge nurse identify as appropriate with whom to share client information? • A nurse from another unit after a client commits suicide • A social worker who is assigned to an involuntary committed school-age client • A client’s partner after the client reports intimate partner abuse • A client’s employer who is concerned about safety due to substance use • A nurse is reviewing laboratory values for a client who is at 34 weeks of gestation. Which of the following findings should the nurse report to the provider? • Hgb 13.2 g/dL • Urine protein 3 plus • Fasting blood glucose 72 mg/dL • BUN 15 mg/dL • A nurse is collecting data from a client who is 4 hr postoperative following a hemicolectomy. Which of the following findings is the nurse’s priority, requiring immediate intervention? • Pain rating of 9 on a scale from 0 to 10 • Blood pressure 160/90 mm Hg • Oxygen saturation 89% • Abdominal dressing with a moderate amount of bright red drainage - - - - -Continued