NSG 6998 PRE-PREDICTOR EXAM
QUESTIONS WITH CORRECT ANSWERS
QuestionA1
AAnurseAisAcaringAforAaAclientAwithAchestApainAratedA8/10.AWhichAactionAshouldAtheAnurseAperformA
first?
A.AObtainAaA12-leadAECG.
B.AAdministerAmorphine.
C.AGiveAaspirin.
D.AAssessAtheAclient'sAairway,Abreathing,Acirculation,AandAvitalAsigns.
ACorrectAAnswer:AD.AAssessAtheAclient'sAairway,Abreathing,Acirculation,AandAvitalAsigns.
Rationale
UsingAtheAABCApriorityAframework,AtheAnurseAfirstAdeterminesAwhetherAtheAclientAisAhemodynami
callyAstable.AOnceAtheAinitialAassessmentAisAcompleted,AobtainAanAECGApromptlyAandAimplementAp
roviderAordersAsuchAasAaspirinAifAappropriate.
QuestionA2
AAnurseAisAcaringAforAaAclientAreceivingAheparin.AWhichAlaboratoryAvalueAisAmostAimportantAtoAmo
nitor?
,A.AINR
B.AaPTT
C.AHemoglobinAA1C
D.ATroponin
ACorrectAAnswer:AB.AaPTT
Rationale
aPTTAisAusedAtoAmonitorAunfractionatedAheparinAtherapy.
INRAisAprimarilyAusedAtoAmonitorAwarfarin.
HbA1cAevaluatesAlong-termAglucoseAcontrol.
TroponinAisAaAcardiacAinjuryAmarker.
QuestionA3A(SATA)
WhichAfindingsAsuggestAhypoglycemia?
A.A□ASweating
B.A□ATremors
C.A□AConfusion
D.A□AFruityAbreathAodor
E.A□ATachycardia
ACorrectAAnswers:AA,AB,AC,AE
Rationale
,HypoglycemiaAcommonlyAcausesAsweating,Atremors,Aconfusion,AandAtachycardiaAdueAtoAsympath
eticAnervousAsystemAactivation.AFruityAbreathAisAmoreAcharacteristicAofAdiabeticAketoacidosis.
QuestionA4
AApostoperativeAclientAsuddenlyAdevelopsAshortnessAofAbreath,AchestApain,AandAoxygenAsaturatio
nAofA86%.AWhatAisAtheAnurse'sApriorityAaction?
A.AEncourageAambulation.
B.AApplyAoxygenAandAnotifyAtheArapidAresponseAteamAorAproviderAimmediately.
C.AOfferAoralAfluids.
D.AReassessAinA30Aminutes.
ACorrectAAnswer:AB.
Rationale
TheseAfindingsAmayAindicateAaApulmonaryAembolism.AImmediateAassessment,Aoxygen,AandAurgent
AescalationAofAcareAareApriorities.
QuestionA5
AAnurseAisAdelegatingAcareAtoAanAunlicensedAassistiveApersonnelA(UAP).AWhichAtaskAisAappropriateA
toAdelegate?
A.AInitialAassessmentAofAaAnewAadmission
, B.ATeachingAinsulinAadministration
C.AAssistingAaAstableAclientAwithAbathing
D.AEvaluatingApainAafterAmedication
ACorrectAAnswer:AC.AAssistingAaAstableAclientAwithAbathing
Rationale
UAPsAcanAassistAwithAroutine,AnoninvasiveAcareAforAstableAclients.AAssessment,Ateaching,AandAeval
uationAremainAtheAnurse'sAresponsibility.
6.AAAclientAwithAchronicAheartAfailureAreportsAincreasingAshortnessAofAbreathAandAaA3-lbA(1.4-
kg)AweightAgainAinA2Adays.AWhichAactionAshouldAtheAnurseAtakeAfirst?
A.AEncourageAincreasedAfluidAintake.
B.AAssessAlungAsoundsAandAoxygenAsaturation.
C.AAdministerAaAPRNApainAmedication.
D.AInstructAtheAclientAtoAexercise.
ACorrectAAnswer:AB.AAssessAlungAsoundsAandAoxygenAsaturation.
Rationale:
RapidAweightAgainAandAdyspneaAsuggestAfluidAoverload.ATheAnurseAshouldAfirstAassessArespiratoryA
statusAforApulmonaryAedemaAandAdetermineAtheAclient'sAimmediateAstabilityAbeforeAimplementin
gAadditionalAinterventions.
7.AAAnurseAisApreparingAtoAadministerAinsulinAlispro.AWhenAshouldAtheAmedicationAbeAgiven?
QUESTIONS WITH CORRECT ANSWERS
QuestionA1
AAnurseAisAcaringAforAaAclientAwithAchestApainAratedA8/10.AWhichAactionAshouldAtheAnurseAperformA
first?
A.AObtainAaA12-leadAECG.
B.AAdministerAmorphine.
C.AGiveAaspirin.
D.AAssessAtheAclient'sAairway,Abreathing,Acirculation,AandAvitalAsigns.
ACorrectAAnswer:AD.AAssessAtheAclient'sAairway,Abreathing,Acirculation,AandAvitalAsigns.
Rationale
UsingAtheAABCApriorityAframework,AtheAnurseAfirstAdeterminesAwhetherAtheAclientAisAhemodynami
callyAstable.AOnceAtheAinitialAassessmentAisAcompleted,AobtainAanAECGApromptlyAandAimplementAp
roviderAordersAsuchAasAaspirinAifAappropriate.
QuestionA2
AAnurseAisAcaringAforAaAclientAreceivingAheparin.AWhichAlaboratoryAvalueAisAmostAimportantAtoAmo
nitor?
,A.AINR
B.AaPTT
C.AHemoglobinAA1C
D.ATroponin
ACorrectAAnswer:AB.AaPTT
Rationale
aPTTAisAusedAtoAmonitorAunfractionatedAheparinAtherapy.
INRAisAprimarilyAusedAtoAmonitorAwarfarin.
HbA1cAevaluatesAlong-termAglucoseAcontrol.
TroponinAisAaAcardiacAinjuryAmarker.
QuestionA3A(SATA)
WhichAfindingsAsuggestAhypoglycemia?
A.A□ASweating
B.A□ATremors
C.A□AConfusion
D.A□AFruityAbreathAodor
E.A□ATachycardia
ACorrectAAnswers:AA,AB,AC,AE
Rationale
,HypoglycemiaAcommonlyAcausesAsweating,Atremors,Aconfusion,AandAtachycardiaAdueAtoAsympath
eticAnervousAsystemAactivation.AFruityAbreathAisAmoreAcharacteristicAofAdiabeticAketoacidosis.
QuestionA4
AApostoperativeAclientAsuddenlyAdevelopsAshortnessAofAbreath,AchestApain,AandAoxygenAsaturatio
nAofA86%.AWhatAisAtheAnurse'sApriorityAaction?
A.AEncourageAambulation.
B.AApplyAoxygenAandAnotifyAtheArapidAresponseAteamAorAproviderAimmediately.
C.AOfferAoralAfluids.
D.AReassessAinA30Aminutes.
ACorrectAAnswer:AB.
Rationale
TheseAfindingsAmayAindicateAaApulmonaryAembolism.AImmediateAassessment,Aoxygen,AandAurgent
AescalationAofAcareAareApriorities.
QuestionA5
AAnurseAisAdelegatingAcareAtoAanAunlicensedAassistiveApersonnelA(UAP).AWhichAtaskAisAappropriateA
toAdelegate?
A.AInitialAassessmentAofAaAnewAadmission
, B.ATeachingAinsulinAadministration
C.AAssistingAaAstableAclientAwithAbathing
D.AEvaluatingApainAafterAmedication
ACorrectAAnswer:AC.AAssistingAaAstableAclientAwithAbathing
Rationale
UAPsAcanAassistAwithAroutine,AnoninvasiveAcareAforAstableAclients.AAssessment,Ateaching,AandAeval
uationAremainAtheAnurse'sAresponsibility.
6.AAAclientAwithAchronicAheartAfailureAreportsAincreasingAshortnessAofAbreathAandAaA3-lbA(1.4-
kg)AweightAgainAinA2Adays.AWhichAactionAshouldAtheAnurseAtakeAfirst?
A.AEncourageAincreasedAfluidAintake.
B.AAssessAlungAsoundsAandAoxygenAsaturation.
C.AAdministerAaAPRNApainAmedication.
D.AInstructAtheAclientAtoAexercise.
ACorrectAAnswer:AB.AAssessAlungAsoundsAandAoxygenAsaturation.
Rationale:
RapidAweightAgainAandAdyspneaAsuggestAfluidAoverload.ATheAnurseAshouldAfirstAassessArespiratoryA
statusAforApulmonaryAedemaAandAdetermineAtheAclient'sAimmediateAstabilityAbeforeAimplementin
gAadditionalAinterventions.
7.AAAnurseAisApreparingAtoAadministerAinsulinAlispro.AWhenAshouldAtheAmedicationAbeAgiven?