PN COMPREHENSIVE PREDICTOR 180
CERTIFICATION EVALUATION TESTED
QUESTIONS COMPLETE ANSWERS
◉ What are common causes of anemia based on RBC production and
destruction?
Answer: Common causes include inadequate RBC production
(hypoproliferative), increased RBC destruction (hemolytic), and
blood loss. Deficiencies in iron, vitamin B12, folic acid, or
erythropoietin also contribute to anemia.
◉ What are the key dietary recommendations for a patient
recovering from hyperemesis gravidarum?
Answer: Patients recovering from hyperemesis gravidarum should
begin with clear liquids and bland foods, progressing to dry toast,
crackers, or cereal, then a soft diet, and finally a normal diet as
tolerated. Meals should be frequent and small.
◉ What should clients avoid or carefully monitor when taking
levothyroxine alongside warfarin?
Answer: Levothyroxine can increase warfarin's anticoagulant effects
by breaking down vitamin K, necessitating monitoring of
prothrombin time (PT) and INR, and potential dose adjustments.
,◉ Why might hand hygiene be necessary multiple times during care
for the same client?
Answer: Hand hygiene may be necessary multiple times to prevent
cross-contamination of different body sites during tasks and
procedures on the same client.
◉ What are diagnostic procedures used to rule out other conditions
resembling neurocognitive disorders?
Answer: Diagnostic procedures include chest/head X-rays, EEG, ECG,
liver and thyroid function tests, neuroimaging (CT or PET scans),
urinalysis, blood electrolyte testing, and folate/vitamin B12 level
assessments.
◉ What laboratory findings related to red blood cell indices in
anemia demand urgent reporting?
Answer: Results showing microcytic, hypochromic RBCs (small cells
with less hemoglobin) or critically low MCHC must be reported to
determine anemia severity.
◉ When enforcing rules for clients with antisocial personality
disorder, what approach should nurses take to ensure compliance?
Answer: Nurses should use a consistent, structured approach with
clear and firm communication of consequences to ensure
compliance with rules.
,◉ What biological factors can increase the risk of suicide in clients?
Answer: Biological factors include family history of suicide and
physical disorders such as AIDS, cancer, cardiovascular diseases,
stroke, epilepsy, and multiple sclerosis.
◉ What are common complications of celiac disease if left
untreated?
Answer: Untreated celiac disease can lead to anemia, osteoporosis,
malnutrition, systemic manifestations like skin rash (dermatitis
herpetiformis), and infertility.
◉ Why should NSAIDs be used cautiously in osteoarthritis
treatment?
Answer: NSAIDs are nephrotoxic and can cause adverse effects like
black tarry stools, indigestion, and shortness of breath; they should
be taken only as prescribed.
◉ What actions should be taken to manage severe diverticulitis in a
hospitalized client?
Answer: Provide NPO status, administer IV fluids, IV antibiotics, and
opioid analgesics, monitor for perforation, and prepare the client for
potential surgery if no improvement is seen within 72 hours.
◉ What is the primary focus of tertiary interventions in suicide
care?
, Answer: Tertiary interventions focus on providing support and
assistance to survivors of a client who has died by suicide.
◉ Which diagnostic procedure evaluates synovial fluid in a client
with rheumatoid arthritis, and what findings are expected?
Answer: Arthrocentesis involves synovial fluid aspiration by needle.
In rheumatoid arthritis, synovial fluid may show increased WBC
counts and presence of rheumatoid factor.
◉ What dietary elements are necessary for the production of thyroid
hormones?
Answer: Protein and iodine intake are necessary for the production
of thyroid hormones.
◉ How does the administration of donepezil differ from
rivastigmine for Alzheimer's disease?
Answer: Donepezil is administered once daily at bedtime due to its
long half-life, while rivastigmine is typically taken twice daily and
may also be delivered as a patch.
◉ How can a client with mucositis alleviate dry mouth symptoms?
Answer: The client can use lubricating or moisturizing agents and
drink at least 2 liters of water daily unless contraindicated.
CERTIFICATION EVALUATION TESTED
QUESTIONS COMPLETE ANSWERS
◉ What are common causes of anemia based on RBC production and
destruction?
Answer: Common causes include inadequate RBC production
(hypoproliferative), increased RBC destruction (hemolytic), and
blood loss. Deficiencies in iron, vitamin B12, folic acid, or
erythropoietin also contribute to anemia.
◉ What are the key dietary recommendations for a patient
recovering from hyperemesis gravidarum?
Answer: Patients recovering from hyperemesis gravidarum should
begin with clear liquids and bland foods, progressing to dry toast,
crackers, or cereal, then a soft diet, and finally a normal diet as
tolerated. Meals should be frequent and small.
◉ What should clients avoid or carefully monitor when taking
levothyroxine alongside warfarin?
Answer: Levothyroxine can increase warfarin's anticoagulant effects
by breaking down vitamin K, necessitating monitoring of
prothrombin time (PT) and INR, and potential dose adjustments.
,◉ Why might hand hygiene be necessary multiple times during care
for the same client?
Answer: Hand hygiene may be necessary multiple times to prevent
cross-contamination of different body sites during tasks and
procedures on the same client.
◉ What are diagnostic procedures used to rule out other conditions
resembling neurocognitive disorders?
Answer: Diagnostic procedures include chest/head X-rays, EEG, ECG,
liver and thyroid function tests, neuroimaging (CT or PET scans),
urinalysis, blood electrolyte testing, and folate/vitamin B12 level
assessments.
◉ What laboratory findings related to red blood cell indices in
anemia demand urgent reporting?
Answer: Results showing microcytic, hypochromic RBCs (small cells
with less hemoglobin) or critically low MCHC must be reported to
determine anemia severity.
◉ When enforcing rules for clients with antisocial personality
disorder, what approach should nurses take to ensure compliance?
Answer: Nurses should use a consistent, structured approach with
clear and firm communication of consequences to ensure
compliance with rules.
,◉ What biological factors can increase the risk of suicide in clients?
Answer: Biological factors include family history of suicide and
physical disorders such as AIDS, cancer, cardiovascular diseases,
stroke, epilepsy, and multiple sclerosis.
◉ What are common complications of celiac disease if left
untreated?
Answer: Untreated celiac disease can lead to anemia, osteoporosis,
malnutrition, systemic manifestations like skin rash (dermatitis
herpetiformis), and infertility.
◉ Why should NSAIDs be used cautiously in osteoarthritis
treatment?
Answer: NSAIDs are nephrotoxic and can cause adverse effects like
black tarry stools, indigestion, and shortness of breath; they should
be taken only as prescribed.
◉ What actions should be taken to manage severe diverticulitis in a
hospitalized client?
Answer: Provide NPO status, administer IV fluids, IV antibiotics, and
opioid analgesics, monitor for perforation, and prepare the client for
potential surgery if no improvement is seen within 72 hours.
◉ What is the primary focus of tertiary interventions in suicide
care?
, Answer: Tertiary interventions focus on providing support and
assistance to survivors of a client who has died by suicide.
◉ Which diagnostic procedure evaluates synovial fluid in a client
with rheumatoid arthritis, and what findings are expected?
Answer: Arthrocentesis involves synovial fluid aspiration by needle.
In rheumatoid arthritis, synovial fluid may show increased WBC
counts and presence of rheumatoid factor.
◉ What dietary elements are necessary for the production of thyroid
hormones?
Answer: Protein and iodine intake are necessary for the production
of thyroid hormones.
◉ How does the administration of donepezil differ from
rivastigmine for Alzheimer's disease?
Answer: Donepezil is administered once daily at bedtime due to its
long half-life, while rivastigmine is typically taken twice daily and
may also be delivered as a patch.
◉ How can a client with mucositis alleviate dry mouth symptoms?
Answer: The client can use lubricating or moisturizing agents and
drink at least 2 liters of water daily unless contraindicated.
