Comprehensive Predictor Study Questions with complete solutions

Comprehensive Predictor Study Questions with complete solutions A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the following manifestations should the nurse expect? A. Loose stools B. Jitteriness C. Hypertonia D. Abdominal distention B. Jitteriness A nurse is assessing a client who is immediately post-operative following total hip arthroplasty, which of the following considerations should the nurse take when positioning the client? A. Place the client's heels directly against the bed mattress B. Ensure that the client's hips remain in an abducted position. C. Maintain the client in a supine position for the first 24 hr. after surgery. D. Flex the client's hip up to 120° when sitting in a chair. B. Ensure that the client's hips remain in an abducted position. A nurse is assessing a client who is immediately postoperative following a subtotal thyroidectomy. Which of the following should the nurse expect to administer? A. Calcium gluconate. B. Sodium bicarbonate. C. Potassium chloride. D. Sodium phosphate. A. Calcium gluconate. A nurse is caring for an adult client who has prescriptions for multiple medications. Which of the following (Unable to read) as an age-related change that increases the risk for adverse effects from this medication? A. Rapid gastric emptying. B. Prolonged medication half-life. C. Increased medication elimination. D. Decreased medication sensitivity. B. Prolonged medication half-life. A nurse manager is planning to promote client advocacy among staff in a medical unit. Which of the following actions should the nurse take? A. Encourage staff to implement the principle of paternalism when a client is having difficulty making a choice. B. Tell staff explain procedures to clients before obtaining informed consent. C. Instruct unit staff to share personal experiences to help clients make decisions. D. Develop a system for staff members to report safety concerns in the client care environment. D. Develop a system for staff members to report safety concerns in the client care environment. A nurse is preparing an in-service for a group of nurses about malpractice issues in nursing. Which of the following examples should the nurse include in the teaching? A. Leaving a nasogastric tube clamped after administering oral medication B. Documenting communication with a provider in the progress notes of the client's medical record C. Administering potassium via IV bolus D. Placing a yellow bracelet on a client who is at risk for falls C. Administering potassium via IV bolus A nurse is providing teaching about the gastrostomy tube feedings to the parents of a school age child. Which of the following instructions should the nurse take? A. Administer the feeding over 30 min. B. Place the child in as supine position after the feeding. C. Charge the feeding bag and tubing every 3 days. D. Warm the formula in the microwave prior to administration A. Administer the feeding over 30 min. A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the following findings should the nurse report to the provider? A. Potassium level 4.2 mEq/L. B. Apical pulse 58/min. C. Digoxin level 1 ng/ml. D. Constipation for 2 days. C. Digoxin level 1 ng/ml. A nurse is providing discharge teaching to a client who has a new prescription for phenelzine. The nurse should instruct the client that it is safe to eat which of the following foods while taking this medication? A. Whole grain bread B. Avocados C. Smoked salmon D. Pepperoni pizza A. Whole grain bread A nurse is caring for an adolescent who has sickle-cell anemia. Which of the following manifestations indicates acute chest syndrome and should be immediately reported to the provider? A. Substernal retractions. B. Hematuria. C. Temperature 37.9 C (100.2 F). D. Sneezing A. Substernal retractions. A nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse include? A. Attach the restraint to the bed's side rails. B. Attach a PRN restraint prescription for clients who are aggressive C. Document the client's condition every 15 min D. Remove the client's restraints every 4 hr C. Document the client's condition every 15 min A nurse is preforming a gastric lavage for a client who has upper gastrointestinal bleeding. Which of the following action should the nurse take? A. Instill 500 ml of solution through the NG tube. B. Insert a large-bore NG tube. C. Use a cold irrigation solution. D. Instruct the client to lie on his right side. B. Insert a large-bore NG tube. A nurse is providing care for a client who is in the advance stage of amyotrophic lateral sclerosis. (ALS). Which of the following referrals is the nurse's priority? A. Psychologist. B. Social worker. C. Occupational therapist. D. Speech-language pathologist. D. Speech-language pathologist. A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of the following findings should the nurse report to the provider? A. WBC count 8,000/mm3. B. Platelets 150,000/mm3. C. Aspartate aminotransferase 10 units/L. D. Erythrocyte sedimentation rate 75 mm/hr D. Erythrocyte sedimentation rate 75 mm/hr A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse should expect a prescription for which of the following laboratory tests? A. Platelet count. B. Potassium level. C. Creatine clearance. D. Prealbumin. A. Platelet count. A charge nurse on a medical-surgical unit is assisting with the emergency response plan following an external disaster in the community. In anticipation of multiple client admissions, which of the following current clients should the nurse recommend for early discharge? A. A client who has COPD and a respiratory rate of 44/min B. A client who has cancer with a sealed implant for radiation therapy. C. A client who is receiving heparin for deep-vein thrombosis D. A client who is 1 day postoperative following a vertebroplasty D. A client who is 1 day postoperative following a vertebroplasty A nurse is caring for a client who is comatose and has advance directives that indicate the client does not want life-sustaining measures. The client's family want the client to have life-sustaining measures. Which of the following action should the nurse take? A. Arrange for an ethics committee meeting to address the family's concerns. B. Support the family's decision and initiate life-sustaining measures. C. Complete an incident report. D. Encourage the family to contact an attorney. A. Arrange for an ethics committee meeting to address the family's concerns. A nurse is caring for a client who wears glasses. Which of the following actions should the nurse take? A. Store the glasses in a labeled case. B. Clean the glasses with hot water. C. Clean the glasses with a paper towel. D. Store the glasses on the bedside table. A. Store the glasses in a labeled case. A nurse is teaching a group of newly licensed nurses about measures to take when caring for a client who is on contact precautions. Which of the following should the nurse include in the teaching? A. Remove the protective gown after the client's room. B. Place the client in a room with negative pressure. C. Wear gloves when providing care to the client. D. Wear a mask when changing the linens in the client's room C. Wear gloves when providing care to the client. A nurse is planning on care for a client who is recovering from an acute myocardial infarction that occurred 3 days ago. Which of the following instructions should the nurse include? A. Perform an ECG every 12 hr. B. Place the client in a supine position while resting. C. Draw a troponin level every 4hr. D. Obtain a cardiac rehabilitation consultation. D. Obtain a cardiac rehabilitation consultation. The nurse is reviewing the medical record of a client who is requesting combination oral contraceptives. Which of the following conditions in the client's history is a contradiction to the use of oral contraceptives? A. Hyperthyroidism. B. Thrombophlebitis. C. Diverticulosis. D. Hypocalcemia. B. Thrombophlebitis. A nurse is caring for a client who request the creation of a living will. Which of the following actions should the nurse take? A. Schedule a meeting between the hospital ethics committee and the client. B. Evaluate the client's understanding of life-sustaining measures. C. Determine the client's preferences about post mortem care. D. Request a conference with the client's family. B. Evaluate the client's understanding of life-sustaining measures. A nurse is providing teaching to a client who is at 14 weeks of gestation about findings to report to the provider. Which of the following findigns should the nurse include in the teaching? A. Bleeding gums B. Faintness upon rising C. Swelling of the face D. Urinary frequency C. Swelling of the face A nurse is caring for a client following application of a cast. Which of the following actions should the nurse take first? A. Place an ice pack over the cast. B. Palpate the pulse distal to the cast. C. Teach the client to keep the cast clean and dry. D. Position the casted extremity on a pillow. B. Palpate the pulse distal to the cast. A nurse is caring for a client who has vision loss. Which of the following actions should the nurse take? (Select all that apply) A. Keep objects in the client's room in the same place. B. Ensure there is high-wattage lighting in the client's room. C. Approach the client from the side. D. Allow extra time for the client to perform tasks. E. Touch the client gently to announce presence. A. Keep objects in the client's room in the same place. B. Ensure there is high-wattage lighting in the client's room. D. Allow extra time for the client to perform tasks. A nurse is caring for a client who is newly diagnosed with pancreatic cancer and has questions about the disease. To research the nurse should identify that which of the following electronic database has the most comprehensive collection of nursing (Unable to read) articles? A. MEDLINE B. CINAHL. C. ProQuest. D. Health Source. B. CINAHL. A nurse in an emergency department is assessing newly admitted client who is experiencing drooling and hoarseness following a burn injury. Which of the following should actions should the nurse take first? A. Obtain a baseline ECG. B. Obtain a blood specimen for ABG analysis. C. Insert an 18-gauge IV catheter. D. Administer 100% humidified oxygen. D. Administer 100% humidified oxygen. A nurse is planning care for a client who has unilateral paralysis and dysphagia following a right hemispheric stroke. Which of the following interventions should the nurse include in the plan? A. Place food on the left side of the client's mouth when he is ready to eat. B. Provide total care in performing the client's ADLs. C. Maintain the client on bed rest. D. Place the client's left arm on a pillow while he is sitting. D. Place the client's left arm on a pillow while he is sitting. A nurse is caring for a client who is in a seclusion room following violent behavior. The client continues to display aggressive behavior. Which of the following actions should the nurse take? A. Confront the client about this behavior. B. Express sympathy for the client's situation. C. Speak assertively to the client. D. Stand within 30 cm (1 ft) of the client when speaking with them. A. Confront the client about this behavior. A nurse is caring for a client who is receiving brachytherapy for treatment of prostate cancer. Which of the following actions should the nurse take? A. Cleanse equipment before removal from the client's room. B. Limit the client's visitors to 30 min per day. C. Discard the client's linens in a double bag. D. Discard the radioactive source in a biohazard bag B. Limit the client's visitors to 30 min per day. A nurse is developing a plan of care for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following actions should the nurse include in the plan? A. Ask the client directly what he is hearing B. Encourage the client to lie down in a quiet room C. Avoid eye contact with the client D. Refer to the hallucinations as if they are rea A. Ask the client directly what he is hearing A nurse is caring for a client who is in labor and requires augmentation of labor. Which of the following conditions should the nurse recognize as a contraindication to the use of oxytocin. A. Diabetes mellitus. B. Shoulder presentation. C. Postterm with oligohydramnios D. Chorioamnionitis. C. Postterm with oligohydramnios A nurse is preparing to perform a sterile wound irrigation and dressing change for a client. Which of the following actions by the nurse indicates a break in surgical aseptic technique? A. Applying a sterile gown after applying a sterile mask B. Balancing the bottle on the sterile basin while pouring the liquid C. Placing the supplies on the sterile field and leaving a 1-inch perimeter D. Putting on sterile gloves after preparing the sterile field B. Balancing the bottle on the sterile basin while pouring the liquid A nurse is assessing a client who has left-sided heart failure. Which of the following should the nurse identify as a manifestation of pulmonary congestion? A. Frothy, pink sputum. B. Jugular vein distention. C. Weight gain. D. Bradypnea. D. Bradypnea.