PN COMPREHENSIVE
PREDICTOR FORM A,B,C
2023 TEST BANK
1. A nurse is caring for a client who is 2 days postoperative following
abdominal surgery. The client reports pain at the incision site. Which of the
following actions should the nurse take first?
o A. Administer the prescribed analgesic.
o B. Assess the client's pain level using a scale.
o C. Reposition the client for comfort.
o D. Check the incision for signs of infection.
o Rationale: The first step in the nursing process is assessment. The
nurse must assess the client's pain level, character, and location
before intervening. While administering the analgesic is important, it
is not the first action.
2. A nurse is reinforcing teaching with a client who has a new prescription for
furosemide. Which of the following foods should the nurse instruct the
client to include in their diet?
o A. Bananas
o B. Cheddar cheese
o C. White bread
o D. Apple juice
, o Rationale: Furosemide is a loop diuretic that can cause
hypokalemia (low potassium). The nurse should instruct the client to
increase their intake of potassium-rich foods, such as bananas,
oranges, and potatoes.
3. A nurse is preparing to administer digoxin to a client who has heart failure.
Which of the following findings should the nurse report to the provider
before administering the medication?
o A. Heart rate of 88/min
o B. Blood pressure of 118/76 mm Hg
o C. Heart rate of 52/min
o D. Potassium level of 4.0 mEq/L
o Rationale: Digoxin is a cardiac glycoside that slows the heart rate.
The nurse should withhold the medication and notify the provider if
the client's apical pulse is less than 60/min in an adult, as this can
indicate digoxin toxicity.
4. A nurse is caring for a client who has a new diagnosis of type 1 diabetes
mellitus. Which of the following statements by the client indicates an
understanding of the teaching?
o A. "I will need to take oral medication for the rest of my life."
o B. "I should check my blood sugar before meals and at bedtime."
o C. "I can skip my insulin if I don't eat breakfast."
o D. "I should only eat foods that are sugar-free."
o Rationale: Clients with type 1 diabetes require lifelong insulin
therapy. Monitoring blood glucose levels before meals and at
bedtime is a standard part of managing the disease to determine
insulin dosing and detect hypo/hyperglycemia.
,5. A nurse is assisting with the care of a client who is in the active phase of
labor. Which of the following findings should the nurse report to the charge
nurse immediately?
o A. Contractions every 3 minutes lasting 50 seconds.
o B. Client reports a feeling of pressure in the rectum.
o C. Fetal heart rate of 90/min with no variability.
o D. Maternal heart rate of 100/min.
o Rationale: A fetal heart rate of 90/min with no variability is a
non-reassuring pattern that can indicate fetal distress. This finding
requires immediate intervention and notification of the provider.
6. A nurse is reinforcing teaching with a client who has a new prescription for
warfarin. Which of the following instructions should the nurse include?
o A. "Increase your intake of foods high in vitamin K."
o B. "Use a soft-bristled toothbrush."
o C. "Take aspirin for any minor aches or pains."
o D. "Avoid all physical activity."
o Rationale: Warfarin is an anticoagulant that increases the risk for
bleeding. Using a soft-bristled toothbrush helps prevent bleeding
gums. The client should maintain a consistent intake of vitamin K, not
increase it, and avoid aspirin, which can further increase bleeding
risk.
7. A nurse is caring for a client who is receiving a blood transfusion. Which of
the following findings should the nurse identify as an acute hemolytic
reaction?
o A. Urticaria and itching.
o B. Fever and chills.
, o C. Flank pain and dark urine.
o D. Crackles in the lungs.
o Rationale: Flank pain, dark urine (hemoglobinuria), and a feeling
of impending doom are classic signs of an acute hemolytic
transfusion reaction, which occurs when the client's immune system
destroys the transfused red blood cells.
8. A nurse is reinforcing teaching with a client who has a new colostomy.
Which of the following statements by the client indicates a need for further
teaching?
o A. "I should empty my pouch when it is one-third full."
o B. "I can use a skin barrier to protect the skin around my stoma."
o C. "I should avoid eating foods that cause gas, like broccoli."
o D. "I will need to change my pouch every 3 to 7 days."
o Rationale: Clients with a colostomy do not need to avoid gas-
producing foods entirely. They should be taught which foods cause
gas and how to manage it, but these foods can still be part of a
healthy diet. The other statements are correct.
9. A nurse is assisting with the care of a client who is experiencing a tonic-
clonic seizure. Which of the following actions should the nurse take?
o A. Restrain the client's arms and legs.
o B. Place a tongue blade in the client's mouth.
o C. Turn the client onto their side.
o D. Administer an oral anticonvulsant.
o Rationale: Turning the client onto their side helps maintain a
patent airway and allows secretions to drain, preventing aspiration.
PREDICTOR FORM A,B,C
2023 TEST BANK
1. A nurse is caring for a client who is 2 days postoperative following
abdominal surgery. The client reports pain at the incision site. Which of the
following actions should the nurse take first?
o A. Administer the prescribed analgesic.
o B. Assess the client's pain level using a scale.
o C. Reposition the client for comfort.
o D. Check the incision for signs of infection.
o Rationale: The first step in the nursing process is assessment. The
nurse must assess the client's pain level, character, and location
before intervening. While administering the analgesic is important, it
is not the first action.
2. A nurse is reinforcing teaching with a client who has a new prescription for
furosemide. Which of the following foods should the nurse instruct the
client to include in their diet?
o A. Bananas
o B. Cheddar cheese
o C. White bread
o D. Apple juice
, o Rationale: Furosemide is a loop diuretic that can cause
hypokalemia (low potassium). The nurse should instruct the client to
increase their intake of potassium-rich foods, such as bananas,
oranges, and potatoes.
3. A nurse is preparing to administer digoxin to a client who has heart failure.
Which of the following findings should the nurse report to the provider
before administering the medication?
o A. Heart rate of 88/min
o B. Blood pressure of 118/76 mm Hg
o C. Heart rate of 52/min
o D. Potassium level of 4.0 mEq/L
o Rationale: Digoxin is a cardiac glycoside that slows the heart rate.
The nurse should withhold the medication and notify the provider if
the client's apical pulse is less than 60/min in an adult, as this can
indicate digoxin toxicity.
4. A nurse is caring for a client who has a new diagnosis of type 1 diabetes
mellitus. Which of the following statements by the client indicates an
understanding of the teaching?
o A. "I will need to take oral medication for the rest of my life."
o B. "I should check my blood sugar before meals and at bedtime."
o C. "I can skip my insulin if I don't eat breakfast."
o D. "I should only eat foods that are sugar-free."
o Rationale: Clients with type 1 diabetes require lifelong insulin
therapy. Monitoring blood glucose levels before meals and at
bedtime is a standard part of managing the disease to determine
insulin dosing and detect hypo/hyperglycemia.
,5. A nurse is assisting with the care of a client who is in the active phase of
labor. Which of the following findings should the nurse report to the charge
nurse immediately?
o A. Contractions every 3 minutes lasting 50 seconds.
o B. Client reports a feeling of pressure in the rectum.
o C. Fetal heart rate of 90/min with no variability.
o D. Maternal heart rate of 100/min.
o Rationale: A fetal heart rate of 90/min with no variability is a
non-reassuring pattern that can indicate fetal distress. This finding
requires immediate intervention and notification of the provider.
6. A nurse is reinforcing teaching with a client who has a new prescription for
warfarin. Which of the following instructions should the nurse include?
o A. "Increase your intake of foods high in vitamin K."
o B. "Use a soft-bristled toothbrush."
o C. "Take aspirin for any minor aches or pains."
o D. "Avoid all physical activity."
o Rationale: Warfarin is an anticoagulant that increases the risk for
bleeding. Using a soft-bristled toothbrush helps prevent bleeding
gums. The client should maintain a consistent intake of vitamin K, not
increase it, and avoid aspirin, which can further increase bleeding
risk.
7. A nurse is caring for a client who is receiving a blood transfusion. Which of
the following findings should the nurse identify as an acute hemolytic
reaction?
o A. Urticaria and itching.
o B. Fever and chills.
, o C. Flank pain and dark urine.
o D. Crackles in the lungs.
o Rationale: Flank pain, dark urine (hemoglobinuria), and a feeling
of impending doom are classic signs of an acute hemolytic
transfusion reaction, which occurs when the client's immune system
destroys the transfused red blood cells.
8. A nurse is reinforcing teaching with a client who has a new colostomy.
Which of the following statements by the client indicates a need for further
teaching?
o A. "I should empty my pouch when it is one-third full."
o B. "I can use a skin barrier to protect the skin around my stoma."
o C. "I should avoid eating foods that cause gas, like broccoli."
o D. "I will need to change my pouch every 3 to 7 days."
o Rationale: Clients with a colostomy do not need to avoid gas-
producing foods entirely. They should be taught which foods cause
gas and how to manage it, but these foods can still be part of a
healthy diet. The other statements are correct.
9. A nurse is assisting with the care of a client who is experiencing a tonic-
clonic seizure. Which of the following actions should the nurse take?
o A. Restrain the client's arms and legs.
o B. Place a tongue blade in the client's mouth.
o C. Turn the client onto their side.
o D. Administer an oral anticonvulsant.
o Rationale: Turning the client onto their side helps maintain a
patent airway and allows secretions to drain, preventing aspiration.
