COMPREHENSIVE PREDICTOR TEST
A QUESTIONS & ACCURATE PASSED
ANSWERS
A nurse is caring for a group of clients, which of the following can be assigned to an
assistive personnel? - Correct Answer ✔✔ a. Collecting a stool specimen to test for
occult blood.
A nurse is working on a unit for clients with dementia. Which of the following client
situations requires the nurse to write an incident report? - Correct Answer ✔✔ c. A client
is found lying on the floor next to a chair
A nurse is discharging a client who was admitted for newly diagnosed type 2 diabetes
mellitus. The client is independent and lives alone. Which of the following should be
included in the discharge plan? - Correct Answer ✔✔ c. Refer the client to a diabetic
support group.
A nurse is caring for a client who has type 2 diabetes mellitus and a blood glucose level
of 60 mg/dL. For which of the following findings should the nurse monitor? - Correct
Answer ✔✔ a. Clammy Skin
A female client who is an abusive marriage has discusses with the nurse strategies to
prevent this abuse. which of the following client statements indicate an understanding of
an appropriate strategy? - Correct Answer ✔✔ a. "I need to recognize the signs that my
husband is becoming abusive." c. "I need to identify what triggers my husband's anger
to prevent his abuse."
A charge nurse in a long-term care facility is preparing to administer noon insulin to a
client. The nurse observes that the assistive personnel (AP) has no documented the
client's blood glucose level. Which of the following actions should the charge nurse take
first? - Correct Answer ✔✔ d. Determine if the AP has completed the assignment.
A client is scheduled for an outpatient colonoscopy. which of the following actions is a
nursing responsibility in the informed consent process? - Correct Answer ✔✔ a. Verify
that there is a signed and witnesses consent form in the client's chart.
A nurse smells alcohol on the breath of an assistive personnel (AP) during report.
Which of the following actions should the nurse take? - Correct Answer ✔✔ c. Report
the situation to the nurse manager.
,A nurse from a medical-surgical unit is floating to a postpartum unit. Which of the
following clients is an appropriate assignment for the nurse to accept? - Correct Answer
✔✔ b. A client who had a cesarean delivery 24hr ago.
A nurse in a provider's office is collecting data from a parent of an infant who is being
screened for cystic fibrosis. Which of the following supports a diagnosis of cystic
fibrosis? - Correct Answer ✔✔ a. Frothy stools.
When caring for an assigned group of clients, the nurse should wear gloves when -
Correct Answer ✔✔ a. performing oral hygiene.
A nurse is preparing a client for surgery. The client tells the nurse that he is concerned
about the safety of a large sum of money in his wallet. Which of the following actions is
appropriate for the nurse to take? - Correct Answer ✔✔ b. contact security personnel to
place the money in the facility safe.
A nurse is caring for a client who is receiving heparin. Which of the following is the
appropriate route of administration? - Correct Answer ✔✔ d. Subcutaneously.
A nurse is reinforcing teaching about car seat safety to the parents of a newborn. The
nurse should instruct the parents to place the car seat in a? - Correct Answer ✔✔ c.
Rear-facing position in the back seat.
A nurse is caring for a client and recognizes the client's rights to confidentiality have
been breached in which of the following situations? - Correct Answer ✔✔ a. A hospital
risk manager includes information from a client's medical record in
A nurse is caring for a client who had a femoral-popliteal bypass graft 2 days ago. When
monitoring peripheral pulses, the nurse is unable to locate a pulse on the affected leg.
Which of the following actions should the nurse take? - Correct Answer ✔✔ c. Notify the
charge nurse of the finding.
A nurse is caring for a full-term newborn who was circumcised 6 hrs. ago. Which of the
following findings indicates that the newborn is experiencing pain? - Correct Answer ✔✔
b. Furrowed Brow
A nurse is reinforcing teaching with a client about organ donation. Which of the following
client statements indicated a need for further teaching? - Correct Answer ✔✔ c. "My
doctor should decide if my organs will be donated."
A Client who is prescribed metoprolol (Lopressor) for hypertension tells the nurse, "I
don't want to take this medication because it makes me tired all the time." Which of the
following is the appropriate response? - Correct Answer ✔✔ c. "Let's talk with your
doctor about other options."
, A nurse is preparing to administer an IM injection to a client. To reduce the risk of
neddlestick injury, the nurse should? - Correct Answer ✔✔ b. dispose of the used
needle immediately in a puncture-proof sharps container.
A nurse is contributing to the discharge plan for a client following surgery. Which of the
following findings indicate the need for an interdisciplinary care conference? - Correct
Answer ✔✔ d. The client requires assistance to pay for dressing supplies.
A client who is 24 hours postoperative suddenly develops chest pain, dyspnea, anxiety,
diaphoresis, and cough. Which of the following actions should the nurse take first? -
Correct Answer ✔✔ c. Elevate the head of the client's bed.
A nurse is caring for a 17-year old client who is admitted for an emergency
appendectomy. Which of the following is an appropriate action by the nurse in obtaining
informed consent? - Correct Answer ✔✔ a. Obtain verbal consent from the client while
waiting for the parents to arrive. b. Witness the signature of the client's parent when he
arrives. c. Have the client's older sibling give consent if a parent is not available. d.
Delay the procedure if the provider cannot contact the parents.
A nurse has delegated care to an assistive personnel. At the end of the shift, the AP
asks the nurse to enter data for her because the AP has forgotten her password and
needs to leave. Which of the following actions should the nurse take? - Correct Answer
✔✔ a. Tell the AP to contact the IT department for charting assistance.
A nurse is reinforcing discharge teaching to a client following a gastrectomy. To prevent
dumping syndrome, which of the following foods should the nurse instruct the client to
avoid? - Correct Answer ✔✔ a. Ice Cream
A nurse is caring for a client admitted with shortness of breath who will be undergoing
arterial blood gas testing. Which of the following client statements indicated an
understanding of the purpose of drawing arterial blood gases? - Correct Answer ✔✔ d.
"This will indicate how much acid is building up in my blood."
A nurse manager is seeking ways to increase cost-effectiveness on the unit. In which of
the following client care situations should the nurse manager intervene? - Correct
Answer ✔✔ a.
A nurse is collecting data from a client who reports recent weight loss and a Chronic
cough that is now producing blood-streaked sputum. For which of the following should
the nurse expect the client to have diagnostic testing? - Correct Answer ✔✔ a. Lung
Cancer D. Emphysema.
A nurse is caring for an older adult client with a decreased level of consciousness.
Which of the following is an appropriate intervention related to the client's mouth care? -
Correct Answer ✔✔ c. uses a sponge toothette to cleanse the inside of the mouth.
A QUESTIONS & ACCURATE PASSED
ANSWERS
A nurse is caring for a group of clients, which of the following can be assigned to an
assistive personnel? - Correct Answer ✔✔ a. Collecting a stool specimen to test for
occult blood.
A nurse is working on a unit for clients with dementia. Which of the following client
situations requires the nurse to write an incident report? - Correct Answer ✔✔ c. A client
is found lying on the floor next to a chair
A nurse is discharging a client who was admitted for newly diagnosed type 2 diabetes
mellitus. The client is independent and lives alone. Which of the following should be
included in the discharge plan? - Correct Answer ✔✔ c. Refer the client to a diabetic
support group.
A nurse is caring for a client who has type 2 diabetes mellitus and a blood glucose level
of 60 mg/dL. For which of the following findings should the nurse monitor? - Correct
Answer ✔✔ a. Clammy Skin
A female client who is an abusive marriage has discusses with the nurse strategies to
prevent this abuse. which of the following client statements indicate an understanding of
an appropriate strategy? - Correct Answer ✔✔ a. "I need to recognize the signs that my
husband is becoming abusive." c. "I need to identify what triggers my husband's anger
to prevent his abuse."
A charge nurse in a long-term care facility is preparing to administer noon insulin to a
client. The nurse observes that the assistive personnel (AP) has no documented the
client's blood glucose level. Which of the following actions should the charge nurse take
first? - Correct Answer ✔✔ d. Determine if the AP has completed the assignment.
A client is scheduled for an outpatient colonoscopy. which of the following actions is a
nursing responsibility in the informed consent process? - Correct Answer ✔✔ a. Verify
that there is a signed and witnesses consent form in the client's chart.
A nurse smells alcohol on the breath of an assistive personnel (AP) during report.
Which of the following actions should the nurse take? - Correct Answer ✔✔ c. Report
the situation to the nurse manager.
,A nurse from a medical-surgical unit is floating to a postpartum unit. Which of the
following clients is an appropriate assignment for the nurse to accept? - Correct Answer
✔✔ b. A client who had a cesarean delivery 24hr ago.
A nurse in a provider's office is collecting data from a parent of an infant who is being
screened for cystic fibrosis. Which of the following supports a diagnosis of cystic
fibrosis? - Correct Answer ✔✔ a. Frothy stools.
When caring for an assigned group of clients, the nurse should wear gloves when -
Correct Answer ✔✔ a. performing oral hygiene.
A nurse is preparing a client for surgery. The client tells the nurse that he is concerned
about the safety of a large sum of money in his wallet. Which of the following actions is
appropriate for the nurse to take? - Correct Answer ✔✔ b. contact security personnel to
place the money in the facility safe.
A nurse is caring for a client who is receiving heparin. Which of the following is the
appropriate route of administration? - Correct Answer ✔✔ d. Subcutaneously.
A nurse is reinforcing teaching about car seat safety to the parents of a newborn. The
nurse should instruct the parents to place the car seat in a? - Correct Answer ✔✔ c.
Rear-facing position in the back seat.
A nurse is caring for a client and recognizes the client's rights to confidentiality have
been breached in which of the following situations? - Correct Answer ✔✔ a. A hospital
risk manager includes information from a client's medical record in
A nurse is caring for a client who had a femoral-popliteal bypass graft 2 days ago. When
monitoring peripheral pulses, the nurse is unable to locate a pulse on the affected leg.
Which of the following actions should the nurse take? - Correct Answer ✔✔ c. Notify the
charge nurse of the finding.
A nurse is caring for a full-term newborn who was circumcised 6 hrs. ago. Which of the
following findings indicates that the newborn is experiencing pain? - Correct Answer ✔✔
b. Furrowed Brow
A nurse is reinforcing teaching with a client about organ donation. Which of the following
client statements indicated a need for further teaching? - Correct Answer ✔✔ c. "My
doctor should decide if my organs will be donated."
A Client who is prescribed metoprolol (Lopressor) for hypertension tells the nurse, "I
don't want to take this medication because it makes me tired all the time." Which of the
following is the appropriate response? - Correct Answer ✔✔ c. "Let's talk with your
doctor about other options."
, A nurse is preparing to administer an IM injection to a client. To reduce the risk of
neddlestick injury, the nurse should? - Correct Answer ✔✔ b. dispose of the used
needle immediately in a puncture-proof sharps container.
A nurse is contributing to the discharge plan for a client following surgery. Which of the
following findings indicate the need for an interdisciplinary care conference? - Correct
Answer ✔✔ d. The client requires assistance to pay for dressing supplies.
A client who is 24 hours postoperative suddenly develops chest pain, dyspnea, anxiety,
diaphoresis, and cough. Which of the following actions should the nurse take first? -
Correct Answer ✔✔ c. Elevate the head of the client's bed.
A nurse is caring for a 17-year old client who is admitted for an emergency
appendectomy. Which of the following is an appropriate action by the nurse in obtaining
informed consent? - Correct Answer ✔✔ a. Obtain verbal consent from the client while
waiting for the parents to arrive. b. Witness the signature of the client's parent when he
arrives. c. Have the client's older sibling give consent if a parent is not available. d.
Delay the procedure if the provider cannot contact the parents.
A nurse has delegated care to an assistive personnel. At the end of the shift, the AP
asks the nurse to enter data for her because the AP has forgotten her password and
needs to leave. Which of the following actions should the nurse take? - Correct Answer
✔✔ a. Tell the AP to contact the IT department for charting assistance.
A nurse is reinforcing discharge teaching to a client following a gastrectomy. To prevent
dumping syndrome, which of the following foods should the nurse instruct the client to
avoid? - Correct Answer ✔✔ a. Ice Cream
A nurse is caring for a client admitted with shortness of breath who will be undergoing
arterial blood gas testing. Which of the following client statements indicated an
understanding of the purpose of drawing arterial blood gases? - Correct Answer ✔✔ d.
"This will indicate how much acid is building up in my blood."
A nurse manager is seeking ways to increase cost-effectiveness on the unit. In which of
the following client care situations should the nurse manager intervene? - Correct
Answer ✔✔ a.
A nurse is collecting data from a client who reports recent weight loss and a Chronic
cough that is now producing blood-streaked sputum. For which of the following should
the nurse expect the client to have diagnostic testing? - Correct Answer ✔✔ a. Lung
Cancer D. Emphysema.
A nurse is caring for an older adult client with a decreased level of consciousness.
Which of the following is an appropriate intervention related to the client's mouth care? -
Correct Answer ✔✔ c. uses a sponge toothette to cleanse the inside of the mouth.
