NUR 210 COMP PREDICTOR B EXAM QUESTIONS AND ANSWERS I ALREADY GRADED A+
1. A nurse is preparing to replace a patient's trans- B) Ask another
dermal fentanyl patch after 72 hours of use. After nurse to witness the
opening the packet with the new pouch, the patient disposal of the new
refuses to accept it. Which action should the nurse patch.
take?
A) Withhold pain medications for 24 hr after the old
patch is removed.
B) Ask another nurse to witness the disposal of the
new patch.
C) Seal the patches in a plastic bag and place in the
client's trash basket.
D) Stick the two patches to each other and place
them in the sharps bin.
2. A nurse is caring for a client with a PE. The client is C) Withhold the he-
receiving heparin IV at 1,200 units/hr and warfarin parin infusion.
5 mg PO daily. The morning lab values are aPTT 98
seconds and INR 1.8. Which action should the nurse The expected val-
take? ue for aPTT is 40
A) Prepare to administer vitamin K1. seconds. A thera-
B) Prepare to administer alteplase. peutic level of he-
C) Withhold the heparin infusion. parin increases the
D) Withhold the next dose of warfarin. aPTT by a factor of
1.5 to 2, making the
aPTT 60 to 80 sec-
onds. An aPTT lev-
el of 98 is above
the expected refer-
ence range, indicat-
ing that the dosage
should be reduced
or the infusion with-
held until the aPTT
returns to the thera-
peutic range.
3. A nurse at an urgent care clinic is assessing a B) Floating dark
patient with impaired vision in 1 eye. Which report spots
from the patient should indicate to the nurse that
,NUR 210 COMP PREDICTOR B EXAM QUESTIONS AND ANSWERS I ALREADY GRADED A+
the client has a detached retina?
A) Halos around lights
B) Floating dark spots
C) Pain in the affected eye
D) Cloudy vision
4. A nurse is assessing an infant with hydrocephalus B) Irritability when
and is 6 hours post-op following placement of a VP being held
shunt. Which finding should the nurse report to the
provider?
A) Heart rate 122/min
B) Irritability when being held
C) Hypoactive bowel sounds
D) Urine specific gravity 1.018
5. A nurse is assessing a newborn's HR. Which action D) Auscultate the
should the nurse take? apical pulse and
A) Assess the apical pulse while the newborn is count beats for at
crying to detect cardiac problems. least 1 min.
B) Palpate the radial pulse and determine the rate
based on number of beats per minute.
C) Listen to the apical pulse while palpating the
radial pulse to detect variance.
D) Auscultate the apical pulse and count beats for
at least 1 min.
6. A nurse is caring for a client with a fecal impaction. D) Insert a lubricat-
Which action should the nurse take when digitally ed gloved finger and
evacuating the stool? advance along the
A) Place the client in the lithotomy position. rectal wall.
B) Elicit a vagal response by performing gentle rec-
tal stimulation.
C) Administer oral bisacodyl 30 min prior to the
procedure.
D) Insert a lubricated gloved finger and advance
along the rectal wall.
7. A nurse is providing dietary teaching to a patient A) Broccoli
taking phenelzine. Which food recommendations B) Yogurt
should the nurse make? (Select all) D) Cream cheese
,NUR 210 COMP PREDICTOR B EXAM QUESTIONS AND ANSWERS I ALREADY GRADED A+
A) Broccoli
B) Yogurt
C) Pepperoni pizza
D) Cream cheese
E) Bologna sandwich
8. A nurse administers an incorrect dose of a med to B) Time the medica-
a client. The nurse recognizes the error immediately tion was given
and completes an incident report. Which fact related
to the incident should the nurse document in the
client's medical record?
A) Completion of the incident report
B) Time the medication was given
C) Reason for the medication error
D) Notification of the pharmacist
9. A nurse on a pediatric unit received report on 4 D) A 10-year-old
children. Which child should the nurse assess first? child who is await-
A) A 6-month-old infant who has croup and an O2 ing surgery for an
saturation of 92% on room air appendectomy and
B) A 15-year-old adolescent who is 2 hr postopera- experienced sud-
tive following an open reduction and internal fixa- den relief from pain
tion of the left ankle and is requesting pain medica-
tion Using the urgent
C) A 3-year-old toddler who has gastroenteritis, vs. non-urgent ap-
moderate dehydration, and had two loose bowel proach to client
movements over the past 24 hr care, the nurse
D) A 10-year-old child who is awaiting surgery for an should determine
appendectomy and experienced sudden relief from that the client to as-
pain sess first is the child
awaiting an appen-
dectomy who sud-
denly experiences
pain relief as this
can be an indication
of peritonitis from a
ruptured appendix.
10.10.
, NUR 210 COMP PREDICTOR B EXAM QUESTIONS AND ANSWERS I ALREADY GRADED A+
A community health nurse is providing teaching D) "Have grab bars
about home safety with a group of elderly clients. installed around
Which statement should the nurse make? your bathtub and
A) "Unplug your appliances by grasping the cord toilet."
and pulling it straight from the outlet."
B) "Set your water heater temperature at 130 de-
grees Fahrenheit."
C) "Use throw rugs in high-traffic areas to partially
cover wood floors."
D) "Have grab bars installed around your bathtub
and toilet."
11. A nurse in the ED is assessing a school-age child D) Contact child
who was brought in by her parents and has scald protective services.
burns to both hands and wrists. The nurse suspects
physical abuse. Which action should the nurse
take?
A) Discuss his suspicion of physical abuse with the
provider.
B) Confront the parents with his suspicion of phys-
ical abuse.
C) Ask the hospital security to detain and question
the parents.
D) Contact child protective services.
12. A nurse is caring for a patient with acute blood C) Explore the
loss following a trauma. The patient refuses a blood client's reasons for
transfusion that could save his life. Which action refusing the treat-
should the nurse take first? ment.
A) Document the client's refusal in the medical
record.
B) Honor the client's decision to refuse the blood
transfusion.
C) Explore the client's reasons for refusing the treat-
ment.
D) Discuss the client's refusal with the provider.
13. A nurse is teaching a client at 20 weeks gestation
about common prenatal discomfort. Which state-
1. A nurse is preparing to replace a patient's trans- B) Ask another
dermal fentanyl patch after 72 hours of use. After nurse to witness the
opening the packet with the new pouch, the patient disposal of the new
refuses to accept it. Which action should the nurse patch.
take?
A) Withhold pain medications for 24 hr after the old
patch is removed.
B) Ask another nurse to witness the disposal of the
new patch.
C) Seal the patches in a plastic bag and place in the
client's trash basket.
D) Stick the two patches to each other and place
them in the sharps bin.
2. A nurse is caring for a client with a PE. The client is C) Withhold the he-
receiving heparin IV at 1,200 units/hr and warfarin parin infusion.
5 mg PO daily. The morning lab values are aPTT 98
seconds and INR 1.8. Which action should the nurse The expected val-
take? ue for aPTT is 40
A) Prepare to administer vitamin K1. seconds. A thera-
B) Prepare to administer alteplase. peutic level of he-
C) Withhold the heparin infusion. parin increases the
D) Withhold the next dose of warfarin. aPTT by a factor of
1.5 to 2, making the
aPTT 60 to 80 sec-
onds. An aPTT lev-
el of 98 is above
the expected refer-
ence range, indicat-
ing that the dosage
should be reduced
or the infusion with-
held until the aPTT
returns to the thera-
peutic range.
3. A nurse at an urgent care clinic is assessing a B) Floating dark
patient with impaired vision in 1 eye. Which report spots
from the patient should indicate to the nurse that
,NUR 210 COMP PREDICTOR B EXAM QUESTIONS AND ANSWERS I ALREADY GRADED A+
the client has a detached retina?
A) Halos around lights
B) Floating dark spots
C) Pain in the affected eye
D) Cloudy vision
4. A nurse is assessing an infant with hydrocephalus B) Irritability when
and is 6 hours post-op following placement of a VP being held
shunt. Which finding should the nurse report to the
provider?
A) Heart rate 122/min
B) Irritability when being held
C) Hypoactive bowel sounds
D) Urine specific gravity 1.018
5. A nurse is assessing a newborn's HR. Which action D) Auscultate the
should the nurse take? apical pulse and
A) Assess the apical pulse while the newborn is count beats for at
crying to detect cardiac problems. least 1 min.
B) Palpate the radial pulse and determine the rate
based on number of beats per minute.
C) Listen to the apical pulse while palpating the
radial pulse to detect variance.
D) Auscultate the apical pulse and count beats for
at least 1 min.
6. A nurse is caring for a client with a fecal impaction. D) Insert a lubricat-
Which action should the nurse take when digitally ed gloved finger and
evacuating the stool? advance along the
A) Place the client in the lithotomy position. rectal wall.
B) Elicit a vagal response by performing gentle rec-
tal stimulation.
C) Administer oral bisacodyl 30 min prior to the
procedure.
D) Insert a lubricated gloved finger and advance
along the rectal wall.
7. A nurse is providing dietary teaching to a patient A) Broccoli
taking phenelzine. Which food recommendations B) Yogurt
should the nurse make? (Select all) D) Cream cheese
,NUR 210 COMP PREDICTOR B EXAM QUESTIONS AND ANSWERS I ALREADY GRADED A+
A) Broccoli
B) Yogurt
C) Pepperoni pizza
D) Cream cheese
E) Bologna sandwich
8. A nurse administers an incorrect dose of a med to B) Time the medica-
a client. The nurse recognizes the error immediately tion was given
and completes an incident report. Which fact related
to the incident should the nurse document in the
client's medical record?
A) Completion of the incident report
B) Time the medication was given
C) Reason for the medication error
D) Notification of the pharmacist
9. A nurse on a pediatric unit received report on 4 D) A 10-year-old
children. Which child should the nurse assess first? child who is await-
A) A 6-month-old infant who has croup and an O2 ing surgery for an
saturation of 92% on room air appendectomy and
B) A 15-year-old adolescent who is 2 hr postopera- experienced sud-
tive following an open reduction and internal fixa- den relief from pain
tion of the left ankle and is requesting pain medica-
tion Using the urgent
C) A 3-year-old toddler who has gastroenteritis, vs. non-urgent ap-
moderate dehydration, and had two loose bowel proach to client
movements over the past 24 hr care, the nurse
D) A 10-year-old child who is awaiting surgery for an should determine
appendectomy and experienced sudden relief from that the client to as-
pain sess first is the child
awaiting an appen-
dectomy who sud-
denly experiences
pain relief as this
can be an indication
of peritonitis from a
ruptured appendix.
10.10.
, NUR 210 COMP PREDICTOR B EXAM QUESTIONS AND ANSWERS I ALREADY GRADED A+
A community health nurse is providing teaching D) "Have grab bars
about home safety with a group of elderly clients. installed around
Which statement should the nurse make? your bathtub and
A) "Unplug your appliances by grasping the cord toilet."
and pulling it straight from the outlet."
B) "Set your water heater temperature at 130 de-
grees Fahrenheit."
C) "Use throw rugs in high-traffic areas to partially
cover wood floors."
D) "Have grab bars installed around your bathtub
and toilet."
11. A nurse in the ED is assessing a school-age child D) Contact child
who was brought in by her parents and has scald protective services.
burns to both hands and wrists. The nurse suspects
physical abuse. Which action should the nurse
take?
A) Discuss his suspicion of physical abuse with the
provider.
B) Confront the parents with his suspicion of phys-
ical abuse.
C) Ask the hospital security to detain and question
the parents.
D) Contact child protective services.
12. A nurse is caring for a patient with acute blood C) Explore the
loss following a trauma. The patient refuses a blood client's reasons for
transfusion that could save his life. Which action refusing the treat-
should the nurse take first? ment.
A) Document the client's refusal in the medical
record.
B) Honor the client's decision to refuse the blood
transfusion.
C) Explore the client's reasons for refusing the treat-
ment.
D) Discuss the client's refusal with the provider.
13. A nurse is teaching a client at 20 weeks gestation
about common prenatal discomfort. Which state-
