PREDICTOR EXAM QUESTIONS AND
ANSWERS
Which=of=these=instructions=should=a=nurse=include=in=the=teaching=plan=for=a=client=w
ho=had=removal=of=a=cataract=in=the=left=eye?
a.="Forcefully=cough=and=take=deep=breaths=every=two=hours=to=keep=your=airway=cle
ar."
b.="Perform=the=prescribed=eye=exercises=each=day=to=strengthen=your=eye=muscles."
c.="Rinse=your=eyes=with=saline=each=morning=to=prevent=postoperative=infection."
d.="Take=the=prescribed=stool=softener=to=avoid=increasing=intraocular=pressure."=-
=ans-✔✔d
A=client=vomits=during=a=continuous=nasogastric=tube=feeding.=A=nurse=should=stop=th
e=feeding=and=take=which=of=these=actions?
a.=Suction=the=nasogastric=tube.
b.=Flush=the=tube=with=30=mL=of=sterile=water.
c.=Remove=the=nasogastric=tube.
d.=Check=the=residual=volume.=-=ans-✔✔D
Which=of=these=actions=best=demonstrates=cultural=sensitivity=by=a=nurse?
a.=The=nurse=talks=in=a=slow-paced=speech.
b.=The=nurse=asks=clients=about=their=beliefs=and=practices=toward=pregnancy.
c.=The=nurse=uses=charts=and=diagrams=when=teaching=pregnant=clients.
d.=The=nurse=can=speak=several=different=languages.=-=ans-✔✔B
Which=of=these=manifestations=should=a=nurse=expect=to=observe=in=a=3-month-
old=infant=who=is=diagnosed=with=dehydration?
a.=Hyperreflexia.
b.=Tachycardia.
c.=Bradypnea.
d.=Agitation.=-=ans-✔✔B
,When=assessing=a=client's=risk=of=developing=nosocomial=infection,=a=nurse=plans=to=d
etermine=potential=entry=portals,=which=include:
a.=the=urinary=meatus.
b.=vomitus.
c.=contaminated=water.
d.=sexual=intercourse.=-=ans-✔✔A
A=client=who=is=on=the=inpatient=psychiatric=unit=has=a=history=of=violence.=Which=of=th
ese=actions=should=a=nurse=take=if=the=client=is=agitated?
a.=Encourage=the=client=to=verbalize=feelings.
b.=Lock=the=client=in=a=secluded=room.
c.=Ask=the=other=clients=to=give=feedback=regarding=the=client's=behavior.
d.=Ignore=the=client's=inappropriate=behavior.=-=ans-✔✔A
Which=of=these=measures=should=a=nurse=include=when=planning=care=for=a=school-
aged=child=during=a=sickle=cell=crisis=episode?
a.=Monitoring=for=signs=of=bleeding.
b.=Providing=pain=relief.
c.=Administering=cool=sponge=baths=to=reduce=fevers.
d.=Offering=a=high=calorie=diet.=-=ans-✔✔B
Which=of=these=instructions=should=a=nurse=include=in=the=plan=of=care=for=a=32-
week=gestation=client=who=had=an=amniocentesis=today?
a.="Drink=at=least=six=glasses=of=fluids=during=the=next=six=hours=after=the=test."
b.="Call=the=clinic=if=you=experience=any=abdominal=cramps."
c.="Don't=be=concerned=if=you=have=some=vaginal=spotting=in=the=next=12=hours."
d.="When=you=get=home,=stay=on=bed-rest=for=the=next=48=hours."=-=ans-✔✔B
An=adolescent=has=a=nursing=diagnosis=of=fatigue=related=to=inadequate=intake=of=iron
-
rich=foods.=Selection=of=which=of=these=lunches=by=the=client=indicates=a=correct=under
standing=of=foods=high=in=iron=content?
a.=Peanut=butter=and=jam=sandwich.
b.=Chicken=nuggets=with=rice.
c.=Tuna=salad=sandwich.
d.=Beefburger=with=cheese.=-=ans-✔✔D
A=client=has=been=admitted=with=acute=pancreatitis.=Which=of=these=laboratory=test=res
ults=supports=this=diagnosis?
a.=Elevated=serum=potassium=level.
, b.=Elevated=serum=amylase=level.
c.=Elevated=serum=sodium=level.
d.=Elevated=serum=creatinine=level.=-=ans-✔✔B
Which=of=these=manifestations,=if=assessed=in=a=client=who=is=two-
hours=postoperative=after=abdominal=surgery,=should=a=nurse=report=immediately?
a.=Vomiting=and=a=pulse=rate=of=106/minute.
b.=Respiratory=rate=of=12/minute=and=urine=dribbling.
c.=Blood=pressure=of=100/60=mm=Hg=and=wound=discomfort.
d.=Urine=output=of=100=mL/hr=and=flushed=skin.=-=ans-✔✔A
Which=of=these=observations=of=a=student=nurse's=behavior=while=interacting=with=a=cli
ent=who=is=crying=indicates=a=correct=understanding=of=therapeutic=communication?
a.=The=student=maintains=continuous=eye=contact=with=the=client.
b.=The=student=places=one=arm=around=the=client's=shoulder?
c.=The=student=sits=quietly=next=to=the=client.
d.=The=student=leaves=the=room=to=provide=privacy=for=the=client.=-=ans-✔✔C
Which=of=these=actions=should=a=nurse=take=initially=if=a=client=who=is=diagnosed=with=
diabetes=mellitus=develops=tremors=and=ataxia?
a.=Measure=the=client's=blood=sugar=level.
b.=Administer=a=concentrated=form=glucose=to=the=client.
c.=Administer=a=prn=dose=of=insulin.
d.=Measure=the=client's=urine=for=ketones.=-=ans-✔✔A
An=elderly=client=is=at=increased=risk=of=developing=drug=toxicity=to=prescribed=medicat
ions=due=to=declining=hepatic=and=renal=functioning.=Which=of=these=strategies=should=
a=nurse=plan=to=decrease=this=risk?
a.=Increasing=the=time=interval=between=medication=doses.
b.=Limiting=the=client's=oral=fluid=intake.
c.=Administering=the=medications=with=meals.
d.=Encouraging=the=client=to=void=every=three=to=four=hours.=-=ans-✔✔A
A=client=has=persistent=paranoid=delusions=that=the=food=on=the=unit=is=poisoned.=Whic
h=of=these=measures=should=a=nurse=include=in=the=client's=care=plan?
a.=Explaining=that=staff=does=not=poison=clients.
b.=Focusing=on=how=the=hospital=staff=helps=clients.
c.=Allowing=the=client=to=eat=food=from=sealed=containers.
d.=Telling=the=client=that=not=eating=the=food=that=is=served=will=result=in=privilege=restri
ctions.=-=ans-✔✔C
ANSWERS
Which=of=these=instructions=should=a=nurse=include=in=the=teaching=plan=for=a=client=w
ho=had=removal=of=a=cataract=in=the=left=eye?
a.="Forcefully=cough=and=take=deep=breaths=every=two=hours=to=keep=your=airway=cle
ar."
b.="Perform=the=prescribed=eye=exercises=each=day=to=strengthen=your=eye=muscles."
c.="Rinse=your=eyes=with=saline=each=morning=to=prevent=postoperative=infection."
d.="Take=the=prescribed=stool=softener=to=avoid=increasing=intraocular=pressure."=-
=ans-✔✔d
A=client=vomits=during=a=continuous=nasogastric=tube=feeding.=A=nurse=should=stop=th
e=feeding=and=take=which=of=these=actions?
a.=Suction=the=nasogastric=tube.
b.=Flush=the=tube=with=30=mL=of=sterile=water.
c.=Remove=the=nasogastric=tube.
d.=Check=the=residual=volume.=-=ans-✔✔D
Which=of=these=actions=best=demonstrates=cultural=sensitivity=by=a=nurse?
a.=The=nurse=talks=in=a=slow-paced=speech.
b.=The=nurse=asks=clients=about=their=beliefs=and=practices=toward=pregnancy.
c.=The=nurse=uses=charts=and=diagrams=when=teaching=pregnant=clients.
d.=The=nurse=can=speak=several=different=languages.=-=ans-✔✔B
Which=of=these=manifestations=should=a=nurse=expect=to=observe=in=a=3-month-
old=infant=who=is=diagnosed=with=dehydration?
a.=Hyperreflexia.
b.=Tachycardia.
c.=Bradypnea.
d.=Agitation.=-=ans-✔✔B
,When=assessing=a=client's=risk=of=developing=nosocomial=infection,=a=nurse=plans=to=d
etermine=potential=entry=portals,=which=include:
a.=the=urinary=meatus.
b.=vomitus.
c.=contaminated=water.
d.=sexual=intercourse.=-=ans-✔✔A
A=client=who=is=on=the=inpatient=psychiatric=unit=has=a=history=of=violence.=Which=of=th
ese=actions=should=a=nurse=take=if=the=client=is=agitated?
a.=Encourage=the=client=to=verbalize=feelings.
b.=Lock=the=client=in=a=secluded=room.
c.=Ask=the=other=clients=to=give=feedback=regarding=the=client's=behavior.
d.=Ignore=the=client's=inappropriate=behavior.=-=ans-✔✔A
Which=of=these=measures=should=a=nurse=include=when=planning=care=for=a=school-
aged=child=during=a=sickle=cell=crisis=episode?
a.=Monitoring=for=signs=of=bleeding.
b.=Providing=pain=relief.
c.=Administering=cool=sponge=baths=to=reduce=fevers.
d.=Offering=a=high=calorie=diet.=-=ans-✔✔B
Which=of=these=instructions=should=a=nurse=include=in=the=plan=of=care=for=a=32-
week=gestation=client=who=had=an=amniocentesis=today?
a.="Drink=at=least=six=glasses=of=fluids=during=the=next=six=hours=after=the=test."
b.="Call=the=clinic=if=you=experience=any=abdominal=cramps."
c.="Don't=be=concerned=if=you=have=some=vaginal=spotting=in=the=next=12=hours."
d.="When=you=get=home,=stay=on=bed-rest=for=the=next=48=hours."=-=ans-✔✔B
An=adolescent=has=a=nursing=diagnosis=of=fatigue=related=to=inadequate=intake=of=iron
-
rich=foods.=Selection=of=which=of=these=lunches=by=the=client=indicates=a=correct=under
standing=of=foods=high=in=iron=content?
a.=Peanut=butter=and=jam=sandwich.
b.=Chicken=nuggets=with=rice.
c.=Tuna=salad=sandwich.
d.=Beefburger=with=cheese.=-=ans-✔✔D
A=client=has=been=admitted=with=acute=pancreatitis.=Which=of=these=laboratory=test=res
ults=supports=this=diagnosis?
a.=Elevated=serum=potassium=level.
, b.=Elevated=serum=amylase=level.
c.=Elevated=serum=sodium=level.
d.=Elevated=serum=creatinine=level.=-=ans-✔✔B
Which=of=these=manifestations,=if=assessed=in=a=client=who=is=two-
hours=postoperative=after=abdominal=surgery,=should=a=nurse=report=immediately?
a.=Vomiting=and=a=pulse=rate=of=106/minute.
b.=Respiratory=rate=of=12/minute=and=urine=dribbling.
c.=Blood=pressure=of=100/60=mm=Hg=and=wound=discomfort.
d.=Urine=output=of=100=mL/hr=and=flushed=skin.=-=ans-✔✔A
Which=of=these=observations=of=a=student=nurse's=behavior=while=interacting=with=a=cli
ent=who=is=crying=indicates=a=correct=understanding=of=therapeutic=communication?
a.=The=student=maintains=continuous=eye=contact=with=the=client.
b.=The=student=places=one=arm=around=the=client's=shoulder?
c.=The=student=sits=quietly=next=to=the=client.
d.=The=student=leaves=the=room=to=provide=privacy=for=the=client.=-=ans-✔✔C
Which=of=these=actions=should=a=nurse=take=initially=if=a=client=who=is=diagnosed=with=
diabetes=mellitus=develops=tremors=and=ataxia?
a.=Measure=the=client's=blood=sugar=level.
b.=Administer=a=concentrated=form=glucose=to=the=client.
c.=Administer=a=prn=dose=of=insulin.
d.=Measure=the=client's=urine=for=ketones.=-=ans-✔✔A
An=elderly=client=is=at=increased=risk=of=developing=drug=toxicity=to=prescribed=medicat
ions=due=to=declining=hepatic=and=renal=functioning.=Which=of=these=strategies=should=
a=nurse=plan=to=decrease=this=risk?
a.=Increasing=the=time=interval=between=medication=doses.
b.=Limiting=the=client's=oral=fluid=intake.
c.=Administering=the=medications=with=meals.
d.=Encouraging=the=client=to=void=every=three=to=four=hours.=-=ans-✔✔A
A=client=has=persistent=paranoid=delusions=that=the=food=on=the=unit=is=poisoned.=Whic
h=of=these=measures=should=a=nurse=include=in=the=client's=care=plan?
a.=Explaining=that=staff=does=not=poison=clients.
b.=Focusing=on=how=the=hospital=staff=helps=clients.
c.=Allowing=the=client=to=eat=food=from=sealed=containers.
d.=Telling=the=client=that=not=eating=the=food=that=is=served=will=result=in=privilege=restri
ctions.=-=ans-✔✔C
