PN COMPREHENSIVE PREDICTOR 2023 with NGN questions and answers verified 100% CORRECT!!!

PN COMPREHENSIVE PREDICTOR 2023 with NGN questions and answers verified 100% CORRECT!!! An assistive personnel tells the charge nurse that her assignment is too demanding. She angrily tells the nurse to reassign one of her tasks to another AP. Which of the following actions should the nurse take to resolve the conflict? - Ask the AP to discuss the issue in a private area A nurse is supervising an assistive personnel (AP) obtain supplies for a client who is on seizure precautions. Which of the following materials should the AP place in the client's room? - Oral Suction Equipment A charge nurse on a mental health unit is supervising a newly licensed nurse. For which of the following actions by the newly licensed nurse should the supervising nurse intervene? - Tells a client he will lose his phone privileges if he does not take his medication A nurse is caring for a client who follows a kosher diet. Which of the following menu items should the nurse include in the meal tray? - Roasted Salmon A nurse is reviewing information about advance directives with a newly admitted client. Which of the following statements by the client indicates an understanding of the information? - "Advance directives include a living will" A nurse is collecting data from the caregiver of a client who has Alzheimer's disease. The caregiver reports the client has difficulty sleeping at night and wanders throughout the house. Which of the following interventions should the nurse recommend? - Encourage the client to take frequent walks during the day A nurse is assisting in the care of a client who is 8hr postpartum and has uterine atony with increased bleeding. Which of the following actions should the nurse take? (Select all that apply) - Assist the client to empty her bladder A nurse is reinforcing teaching with the support person of a client who is in the first stage of labor. Which of the following instructions should the nurse include regarding effleurage? - "Gently stroke her abdomen during contractions" A nurse is caring for an older adult client who is postoperative following a total hip arthroplasty. The client is incontinent of stool and urine. Which of the following actions should the nurse take to prevent skin breakdown? - Use a moisture barrier on the client's skin A nurse is caring for a client who has terminal cancer. Which of the following actions should the nurse take to promote the client's autonomy? - Allow the client to choose treatment times A nurse in a clinic is caring for a client who is at 40 weeks of gestation and experiences a sudden gush of vaginal fluids. Which of the following findings is evidence of an obstetric complication? - Appears greenish-brown in color A nurse is assisting with the care of an adolescent client immediately following a lumbar puncture. Which of the following actions should the nurse take? - Inform the adolescent that he might experience a headache A nurse is reinforcing teaching about advance directives with a client who has end-stage heart failure. Which of the following statements by the client indicates an understanding of the teaching? - "I should discuss this document with my family after I sign it" A nurse is caring for a client who has continuous bladder irrigation following a transurethral resection of the prostate. The nurse notices clots and dark red blood in the catheter collection bag. Which of the following actions should the nurse take? - Irrigate the bladder with 20 to 30 mL of 0.9% sodium chloride A nurse is planning to obtain a 12-lead ECG for a client who has a history of cardiac dysrhythmias. Which of the following actions should the nurse plan to take? - Instruct the client to remain as still as possible during the recording A nurse is reinforcing teaching with a client who has genital herpes. Which of the following information should the nurse include in the teaching? - "You should increase fluid intake to relieve dysuria" A nurse is preparing to empty a postoperative client's closed-wound drainage system. Which of the following actions should the nurse plan to take? - Compress the container before replacing the drainage plug A nurse is reinforcing teaching with the parents of a toddler who has a new diagnosis of asthma and a prescription for montelukast. Which of the following instructions should the nurse include in the teaching? - Administer the medication to the toddler each evening A nurse in an acute mental health facility is caring for a newly admitted client. Which of the following should occur during the orientation phase of the nurse-client relationship? - Defining responsibilities A nurse is caring for a client who reports having a decrease in fetal movement following an external cephalic version 6 hr ago. The nurse identifies the fetus is in the right occiput anterior position. The nurse should place the fetal heart monitor on which of the following sites to auscultate the fetal heart rate? - Lower left A charge nurse is observing a newly licensed nurse perform suctioning for a client who has a tracheostomy. For which of the following actions by the newly licensed nurse should the charge nurse intervene? - Suction for 30 seconds A nurse is reviewing the medication administration record of a client who takes atenolol PO and supplies a nitroglycerin transdermal patch daily. Which of the following interactions should the nurse monitor with this client? - Hypotension A nurse in an acute care setting is preparing to administer medications to a client. Which of the following actions should the nurse verify the client's identity? - Verify the client's identity using a photograph A nurse in a provider's office is collecting data from a client who has psoriasis. Which of the following statements made by the client should she report to the provider? - "I try not to look at the scales on my body" A nurse is completing chart reviews in a long-term care facility in response to an increase in falls. Which of the following responses in the chart should the nurse use to determine the potential causes of falls? - Medication record A nurse is making client care assignments for an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP? - Complete post mortem care for a client who has died A nurse is reinforcing teaching with a client who is taking allopurinol about the risk for developing Stevens-Johnsons syndrome. For which of the following manifestations should the nurse instruct the client to monitor and report? - Skin rash with fever A charge nurse in a long-term care facility is reinforcing teaching with a group of nurses about fall precautions. Which of the following statements made by the nurse indicates an understanding of the teaching? - "I will instruct the client to sit when putting on a pair of pants" A nurse is recommending clients for discharge to allow for admission of clients following a tornado disaster. Which of the following clients should the nurse recommend for discharge? - A client who has a sodium level of 140 mEq/L after one episode of diarrhea A nurse is assisting with the plan of care for a newly admitted client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan? - Administer liquid supplements A charge nurse is reinforcing teaching with a newly licensed nurse about floating to a different unit. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? - "I will document in the medical record the support nurse who assists with planning care for my clients" A nurse is caring for a client who has dehydration due to diarrhea. Which of the following findings should the nurse report to the provider? - Urine output 12 mL/hr A nurse is preparing the administer NPH (Novolin N) insulin to a client who has diabetes mellitus before breakfast at 0700. At which of the ff. times should the nurse plan to check the client for hypoglycemia? - 1100 A nurse in a clinic is obtaining a health history from a client scheduled to un- dergo a cardiac catheterization in 2 days. Which of the ff. questions is the most im- portant for the nurse to ask? - "Do you know if you're allergic to iodine?" A nurse in an urgent-care facility is collecting data from a client who is scheduled for a procedure. Which of the ff. clinical manifestations indicates a possi- ble latex allergy? - Rhinorrhea A nurse in a provider's office is reinforcing teaching with a client who has a new prescription for ferrous sulfate elixir. Which of the ff. statements by the client demonstrates understanding of the teaching? - "I will rinse my mouth after taking this medication" A nurse is observing an assistive personnel (AP) apply antiembolic stockings for a client who is at risk for a deep thrombosis. Which of the following actions the AP is applying the stockings correctly? - The AP applies the stockings before getting the client out of bed A nurse working in a provider's office receives a phone call from the parent of a school-age child who has varicella (chickenpox). The parent asks the nurse when the child can return to school. Which of the ff. responses by the nurse is cor- rect? - "When all the blisters are scabbed over" A nurse is caring for a client who just had blood drawn for an arterial blood gas analysis. Which of the ff. values should the nurse expect if the client is in respi- ratory acidosis? - PaCO2 51 mm Hg A nurse is reinforcing teaching with a client who has a new prosthesis for an above the knee amputation of the right leg. Which of the ff. instructions should the nurse reinforce to the client? - Apply the prosthesis immediately upon waking each day A nurse is preparing a client for the insertion of an NG tube. Which of the ff. actions should the nurse take? - Determine if the client has a deviated septum A nurse is caring for a client who has a fractured radius and has a short arm cast applied yesterday. Which of the ff. findings should the nurse report to the provider? - Client report of decreased sensation in the finger A nurse is contributing to the plan of care for a client who is on suicide pre- cautions. Which of the ff. interventions is appropriate for the nurse to recommend? - Encourage the client to sign a no-harm contract A nurse is preparing to administer haloperidol (Haldol) 4 mg IM start to a client. Available is haloperidol for injection mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if applicable. Do not use a trailing zero.) - 0.8 mL A nurse is caring for a client who reports an excruciating headache, nuchal rigidity, nausea and vomiting, and fever with chills. Which of the following diagnostics tests should the nurse expect to be prescribed? - Cerebrospinal fluid analysis A nurse is discussing alopecia with a client who is scheduled to begin chemotherapy. Which of the following statements is appropriate for the nurse to make? - If you'd like to wear a wig, you should select it before hair loss occurs A charge nurse in a long-term care facility observes an assistive personnel (AP) who appears to be under the influence of alcohol. Which of the following actions should the nurse take first? - Confront the AP about suspected impairment A nurse is caring a client who has asthma and has a prescription for theophylline (theochron) 200mg PO BID. Which of the following should the nurse include in the teaching? - Discontinue drinking caffeinated beverages While a nurse is assisting a client to ambulate, the client reports lightheadedness and begins to fall. Which of the following nursing actions demonstrates a correct understanding by the nurse about ergonomic principles? - Spread feet apart and extend one leg for the client to slide down while lowering the client to the floor A nurse is caring for an older adult client who appears lethargic and somnolent. The nurse reviews the client's medications prior to contacting the provider. Which of the following medication is the likely cause of the increased sedation? - Lorazepam (Ativan) A nurse is caring for a client who had a bronchoscopy and just arrived to the medical surgical unit. Which of the following actions should the nurse perform first? - Check for a gag reflex A client is requesting information from a nurse regarding the appointment of a health care proxy. Which of the following responses by the nurse is appropriate? - The person you appoint will make health care decision for you if you cannot do so yourself A nurse enters client's room and sees smoke coming from a wastebasket next to the bed. Which of the following actions should the nurse first? - Assist the client to a nearby waiting room A nurse is interviewing clients as part of a skin cancer screening program. Which of the following statement made by a client indicates that he may have a premalignant lesion? - I have this flat, scaly area with red edge on neck A nurse is caring for a client who reports 12 liquid stools in the past 8hr. Which of the following findings indicates that the client is experience dehydration? - Potassium level 2.5 mg/L A nurse is reinforcing teaching for a client undergoing radiation therapy to the neck. Which of the following should the nurse include? - Avoid exposing the neck to the cold A nurse is providing anticipatory guidance to the parent of a 6-year old child. Which of the following statements by the parent indicated an understanding of appropriate safety precautions for the child? - "I will encourage my child to wear a bicycle helmet whenever bike riding" A nurse is collecting data from a client who presents to the clinic reporting vomiting. Which of the following findings indicate that the client is experiencing a fluid volume deficit? - Orthostatic hypotension A nurse is caring for a client who is recieving warfarin (coumadin) for deep vein thrombosis. The nurse observed that the client's INR is 3.8.Which of the following actions should the nurse take? - Withhold the ordered dose of the medication A nurse is reinforcing teaching with the parents of a 4-month-old infant during a home visit. Which of the following findings in the infant's room indicates a need for further teaching? - The infant is lying in the crib with a stuffed animal A nurse is caring