ATIjRNjCOMPREHENSIVEjPREDICTORjRETAKE
Comprehensivej predictorjretakej 2019
1. Ajnursejisjassessingjajclientjwhojhasjreceivedjanjantibiotic.jThejnursejshouldjidentifyjwhichjofjthefollowingjfindingsjasjanjindicationjofjajpossiblejallergicjrea
ctionjtojthejmedication?
A. Bradycardia
B. Headache
C. Jointjpain
D. Hypotension
2. Ajnursej onjaj mentalj healthjunitjisj caringjforjajclientj whoj hasjschizophreniaj andjisjexperiencingauditoryj hallucinationsj tellingj themj toj hurtjothers.jTh
ejclientjisjrefusingjtojtakejanti-psychoticmedication.jWhichjofjthejfollowingjresponsesjshouldjthej nursejmake?
A. “Youjshouldjplanjtoj takej thisj medicationjforj ajfewjweeks.”
B. “Youjwilljregretjitjifjyoujdojnotjtakejthisjmedication.”
C. “Thisjmedicationjwilljhelpjyoujrespondjtojthejvoices.
D. “Thisjmedicationjwilljhelpjyoujstopjthejvoicesjyoujarejhearing.”
3. Ajnursejisjprovidingjcarejforjajpatientjwhojhasjdepressionjandjisjtojhavejelectroconvulsivejtherapy.Whichjofjthejfollowingjconditionsjshouldjthej nursejide
ntifyjasjincreasingjthejclient’sjriskjforjcomplications?
A. Hyperthyroidism
B. Renalj calculi
C. Diabetesjmellitus
D. Cardiacjdysrhythmias
4. Ajnursejisjreviewingjthejlaboratoryjresultsjofjajclientjwhojhasjrheumatoidjarthritis.jWhichjofjthefollowingjfindingsjshouldjthejnursejreportjtojthejpro
vider?
A. WBCj countj 8,000/mm
B. Plateletsj150,000/mm
C. Aspartatejaminotransferasej10junits/LD.j Erythrocyte
sedimentationj 75j mm/hr
5. Ajnursejisjsuctioningjthejairwayjofjajclientjwhojisjreceivingjmechanicaljventilationjviajanjendotrachealjtube.jWhichjofjthejfollowingjfindingsjshouldjthejnur
sejidentifyjasjanjindicationjthatsuctioningjhasjbeenjeffective?
A. Presencejofjajproductivejcough
B. Decreasedjpeakjinspiratoryjpressure
C. Thinningjofjmucousjsecretions
D. Flatteningjofj thej artificialj airwayj cuff
,6. Ajnursejisjcaringjforjajclientjwhojisjinjajseclusionjroomjfollowingjviolentjbehavior.jThejclientjcontinuesjtojdisplayjaggressivejbehavior.jWhichofjthejfoll
owingjactionsjshouldjthejnursejtake?
A. Standjwithinj30cmj(1jft)jofjthejclientjwhenjspeakingjwithjthem.
B. Expressjsympathyjforjthejclient’sjsituation.
C. Confrontjthejclientj aboutj hisj behavior.D.j Speakj assertively
tojthejclient.
7. AjnursejisjcaringjforjajclientjwhojisjimmediatelyjpostoperativejfollowingjanjadrenalectomyjtojtreatCushing’sjdisease.jWhichjofjthejfollowingjactionsjisjthejnur
se’sjpriority?
A. Repositionjthej clientj forjcomfortj everyj2j hours
B. Observejforjanyjindicationsjofjinfection
C. Documentjamountjandjcolorjofjthejincisionaljdrainage.D.j Monitorjthejclient’sjfluid
andjelectrolytejstatus .
8. Aj nursej isj caringj forj aj clientj whoj isj scheduledjforj aj surgicaljprocedurej andj states,j “Ij don’tj wantj tohavej thisj surgeryj anymore.”j Whichj ofj thej followingjresp
onsesjshouldjthejnursejmake?
A. “Wecanmanagejyourjcarefollowingjthejprocedurejwithoutjcomplications.”B.j“Youjhavejthejrightjtojrefusej the
procedure.”
C. “Yourjdoctorthinksjthejsurgeryjisjnecessary.”
D. “Letjmejreviewjthejprocedurejsojyoujcanjunderstandjwhatjisjgoingjtojhappen.”
9. Ajnursejisjevaluatingjajclientjwhojhasjborderlinejpersonalityjdisorder.jWhichjofjthejfollowingbehaviorsjindicatesjanjimprovementjinjthejclient’sjco
ndition?
A. Impulsivejbehaviors
B. Decreasedjclingingjbehavior
C. Liabilityjofjmood
D. Dependentjbehavior
10. Ajnursejisjteachingjajgroupjofjschool-agejchildrenjaboutjhealthyjsnackjoptions.jWhichjofjthefollowingjsnacksjshouldjthej nursejinclude?
A. Air-poppedjpopcorn
B. Milkshakejmadejwithjwholejmilk.
C. Bakedjpotatojchips
D. Cheesecake
11. Ajnursejisjprovidingjteachingjtojajclientjwhojhasjajnewjprescriptionjforjenoxaparin.jWhichjofjthefollowingjmedicationsjforjpainjreliefjshouldjthejnursejincl
udejinjthejteachingjthatjcanjbejtakenjconcurrentlyjwithjenoxaparin?
A. Naproxenjsodium
, B. Ibuprofen
C. Acetaminophen
D. Aspirin
12. Ajnursejisjcaringjforjajclientjwhojhasjfibromyalgiajandjrequestsjpainjmedication.jWhichjofjthefollowingjmedicationsjshouldjthejnursejplanjtojad
minister?
A. Colchicine
B. LorazepamC.
Pregabalin
D.j Codeine
13. Ajnursejisjcaringjforjajclientjwhojhasjcongestivejheartjfailurejandjisjreceivingjfurosemidejandjdigoxin.jWhichjofjthejfollowingjlaboratoryjvaluesjind
icatesjthatjthejclientjisjatjriskjforjdevelopingdigoxinjtoxicity?
A. Glucosej 150j mg/dL
B. Magnesiumj1.3j mEq/LC.
Potassiumj 3.1j mEq/L
D.j Sodiumj134jmEq/L
14. Ajnursejisjcaringjforjajclientjwhojhadjanjembolicjstrokejandjhasjajprescriptionjforjalteplase.jWhichjofthejfollowingjinjthejclient’sjhistoryjshouldjthejnursejiden
tifyjasjajcontraindicationjforjreceivingj alteplase?
A. Hipjarthroplastyj 1jweekj ago correct
B. Obstructivejlungsjdisease
C. Retinaljdetachment
D. Acutejkidneyjfailurej6jmonthsjago
15. Ajnursejisjprovidingjdischargejteachingjforjajclientjwhojhasjajnewjimplantablejcardioverterjdefibrillatorj(ICD).jWhichjofjthejfollowingjclientjsta
tementsjdemonstratesjunderstandingjofjtheteaching?
A. “Ij willjsoakj inj thej tubj ratherj thanj showering.”
B. “IjcanjholdjmyjcellphonejonjthejsamejsidejofjmyjbodyjasjthejICD.”C.j “Ijwilljwearjloosejclothingjoverjmy
ICD.”
D.j“IjwilljavoidjusingjmyjmicrowavejovenjatjhomejbecausejofjmyjICD.”
16. Aj nursej isj assessingj aj clientj whoj isj postoperativej followingj abdominalj surgeryj andj hasj anj indwellingjurinaryj catheterj thatj isj drainingj darkj yellowj urinej atj25
ml/hr.jWhichjofjthejfollowingjinterventionsj shouldjthejnursejanticipate?
, A. Clampj thej catheterj tubingj forj 30j min
B. Initiatejcontinuousjbladderjirrigation
C. Obtainj aj urinej specimenj forj culturej andj sensitivity
D. Administerjajfluidjbolus
17. Ajnursejisjcaringjforjajclientjwhojhasjexperiencedjajstillbirth.jWhichjofjthejfollowingjactionsjshouldthejnursejtakej duringjthejinitialjgrievingjprocess?
A. Avoidjtalkingjtojthejclientjaboutjthejnewborn
B. DiscouragejthejclientjfromjallowingjfriendsjtojseejthejnewbornC.j Offerjtojtakejpicturesjofjthe
newbornjforjthejclient
D.j Assurejthejclientjthatjshejcanjhavejadditionaljchildren
18. Ajnursejisjcaringjforjajclientjwhojhasjajmajorjburnjinjury.jWhichjofjthejfollowingjactionsjisjthenurse’sjpriorityjtojpreventjwoundjinfection?
A. Usejsterilejdressingsjforjwoundjcare
B. Applyjtopicaljantibioticsjtojthejclient’sjwounds.
C. Placejthejclientjinjprotectivejisolation.
D. Maintainconsistentjhandjwashingjbyjstaff.
19. AjnursejisjspeakingjwithjthejcaregiverjofjajclientjwhojhasjAlzheimer’sjdisease.jThejcaregiverjstates,“Providingjconstantjcarejisjveryjstressfuljandjisjaffectingjallj
areasjofjmyjlife.”jWhichjofjthejfollowingactionsjshouldjthejnursejtake?
A. Discussjmethodsjofjhowjtojcommunicatejwithjthejclientjaboutjproblemjsolvingjbehaviors.
B. Suggestjthatjthejcaregiverjseekjajprescriptionjforjanjantipsychoticjmedicationjforjthejclient.C.jjAssistjthejcaregiverjtojarrangejajdaycarejprogram
forjthejclient.
D.j Recommendjallowingjthejclientjtojhavejtimejalonejinjtheirjroomjthroughoutjthejday.
20. Ajnursejisjcaringjforjajclientjwhojisj1jhrjpostpartumjandjunablejtojurinate.jWhichjofjthejfollowingactionsjshouldjthejnursejtake?
A. Administerjajbenzodiazepine
B. Performjajfundaljmassage
C. Placej anj icej packjonj thej client’sj perineumD. j Placej thej client’s
handjinjwarmjwater
21. Ajnursejonjamedical-
surgicaljunitjisjperformingjmedicationjreconciliationjforjajnewlyjadmittedclient.jWhichjofjthejfollowingjactionsjshouldjthejnursejtake?
A. Comparejajlistjofjcommonjmedicationsjtojtreatjajconditionjtojthejactualjprescriptions
B. Comparejthejprescriptionjtojthejallergyjhistoryjofjthejclient
Comprehensivej predictorjretakej 2019
1. Ajnursejisjassessingjajclientjwhojhasjreceivedjanjantibiotic.jThejnursejshouldjidentifyjwhichjofjthefollowingjfindingsjasjanjindicationjofjajpossiblejallergicjrea
ctionjtojthejmedication?
A. Bradycardia
B. Headache
C. Jointjpain
D. Hypotension
2. Ajnursej onjaj mentalj healthjunitjisj caringjforjajclientj whoj hasjschizophreniaj andjisjexperiencingauditoryj hallucinationsj tellingj themj toj hurtjothers.jTh
ejclientjisjrefusingjtojtakejanti-psychoticmedication.jWhichjofjthejfollowingjresponsesjshouldjthej nursejmake?
A. “Youjshouldjplanjtoj takej thisj medicationjforj ajfewjweeks.”
B. “Youjwilljregretjitjifjyoujdojnotjtakejthisjmedication.”
C. “Thisjmedicationjwilljhelpjyoujrespondjtojthejvoices.
D. “Thisjmedicationjwilljhelpjyoujstopjthejvoicesjyoujarejhearing.”
3. Ajnursejisjprovidingjcarejforjajpatientjwhojhasjdepressionjandjisjtojhavejelectroconvulsivejtherapy.Whichjofjthejfollowingjconditionsjshouldjthej nursejide
ntifyjasjincreasingjthejclient’sjriskjforjcomplications?
A. Hyperthyroidism
B. Renalj calculi
C. Diabetesjmellitus
D. Cardiacjdysrhythmias
4. Ajnursejisjreviewingjthejlaboratoryjresultsjofjajclientjwhojhasjrheumatoidjarthritis.jWhichjofjthefollowingjfindingsjshouldjthejnursejreportjtojthejpro
vider?
A. WBCj countj 8,000/mm
B. Plateletsj150,000/mm
C. Aspartatejaminotransferasej10junits/LD.j Erythrocyte
sedimentationj 75j mm/hr
5. Ajnursejisjsuctioningjthejairwayjofjajclientjwhojisjreceivingjmechanicaljventilationjviajanjendotrachealjtube.jWhichjofjthejfollowingjfindingsjshouldjthejnur
sejidentifyjasjanjindicationjthatsuctioningjhasjbeenjeffective?
A. Presencejofjajproductivejcough
B. Decreasedjpeakjinspiratoryjpressure
C. Thinningjofjmucousjsecretions
D. Flatteningjofj thej artificialj airwayj cuff
,6. Ajnursejisjcaringjforjajclientjwhojisjinjajseclusionjroomjfollowingjviolentjbehavior.jThejclientjcontinuesjtojdisplayjaggressivejbehavior.jWhichofjthejfoll
owingjactionsjshouldjthejnursejtake?
A. Standjwithinj30cmj(1jft)jofjthejclientjwhenjspeakingjwithjthem.
B. Expressjsympathyjforjthejclient’sjsituation.
C. Confrontjthejclientj aboutj hisj behavior.D.j Speakj assertively
tojthejclient.
7. AjnursejisjcaringjforjajclientjwhojisjimmediatelyjpostoperativejfollowingjanjadrenalectomyjtojtreatCushing’sjdisease.jWhichjofjthejfollowingjactionsjisjthejnur
se’sjpriority?
A. Repositionjthej clientj forjcomfortj everyj2j hours
B. Observejforjanyjindicationsjofjinfection
C. Documentjamountjandjcolorjofjthejincisionaljdrainage.D.j Monitorjthejclient’sjfluid
andjelectrolytejstatus .
8. Aj nursej isj caringj forj aj clientj whoj isj scheduledjforj aj surgicaljprocedurej andj states,j “Ij don’tj wantj tohavej thisj surgeryj anymore.”j Whichj ofj thej followingjresp
onsesjshouldjthejnursejmake?
A. “Wecanmanagejyourjcarefollowingjthejprocedurejwithoutjcomplications.”B.j“Youjhavejthejrightjtojrefusej the
procedure.”
C. “Yourjdoctorthinksjthejsurgeryjisjnecessary.”
D. “Letjmejreviewjthejprocedurejsojyoujcanjunderstandjwhatjisjgoingjtojhappen.”
9. Ajnursejisjevaluatingjajclientjwhojhasjborderlinejpersonalityjdisorder.jWhichjofjthejfollowingbehaviorsjindicatesjanjimprovementjinjthejclient’sjco
ndition?
A. Impulsivejbehaviors
B. Decreasedjclingingjbehavior
C. Liabilityjofjmood
D. Dependentjbehavior
10. Ajnursejisjteachingjajgroupjofjschool-agejchildrenjaboutjhealthyjsnackjoptions.jWhichjofjthefollowingjsnacksjshouldjthej nursejinclude?
A. Air-poppedjpopcorn
B. Milkshakejmadejwithjwholejmilk.
C. Bakedjpotatojchips
D. Cheesecake
11. Ajnursejisjprovidingjteachingjtojajclientjwhojhasjajnewjprescriptionjforjenoxaparin.jWhichjofjthefollowingjmedicationsjforjpainjreliefjshouldjthejnursejincl
udejinjthejteachingjthatjcanjbejtakenjconcurrentlyjwithjenoxaparin?
A. Naproxenjsodium
, B. Ibuprofen
C. Acetaminophen
D. Aspirin
12. Ajnursejisjcaringjforjajclientjwhojhasjfibromyalgiajandjrequestsjpainjmedication.jWhichjofjthefollowingjmedicationsjshouldjthejnursejplanjtojad
minister?
A. Colchicine
B. LorazepamC.
Pregabalin
D.j Codeine
13. Ajnursejisjcaringjforjajclientjwhojhasjcongestivejheartjfailurejandjisjreceivingjfurosemidejandjdigoxin.jWhichjofjthejfollowingjlaboratoryjvaluesjind
icatesjthatjthejclientjisjatjriskjforjdevelopingdigoxinjtoxicity?
A. Glucosej 150j mg/dL
B. Magnesiumj1.3j mEq/LC.
Potassiumj 3.1j mEq/L
D.j Sodiumj134jmEq/L
14. Ajnursejisjcaringjforjajclientjwhojhadjanjembolicjstrokejandjhasjajprescriptionjforjalteplase.jWhichjofthejfollowingjinjthejclient’sjhistoryjshouldjthejnursejiden
tifyjasjajcontraindicationjforjreceivingj alteplase?
A. Hipjarthroplastyj 1jweekj ago correct
B. Obstructivejlungsjdisease
C. Retinaljdetachment
D. Acutejkidneyjfailurej6jmonthsjago
15. Ajnursejisjprovidingjdischargejteachingjforjajclientjwhojhasjajnewjimplantablejcardioverterjdefibrillatorj(ICD).jWhichjofjthejfollowingjclientjsta
tementsjdemonstratesjunderstandingjofjtheteaching?
A. “Ij willjsoakj inj thej tubj ratherj thanj showering.”
B. “IjcanjholdjmyjcellphonejonjthejsamejsidejofjmyjbodyjasjthejICD.”C.j “Ijwilljwearjloosejclothingjoverjmy
ICD.”
D.j“IjwilljavoidjusingjmyjmicrowavejovenjatjhomejbecausejofjmyjICD.”
16. Aj nursej isj assessingj aj clientj whoj isj postoperativej followingj abdominalj surgeryj andj hasj anj indwellingjurinaryj catheterj thatj isj drainingj darkj yellowj urinej atj25
ml/hr.jWhichjofjthejfollowingjinterventionsj shouldjthejnursejanticipate?
, A. Clampj thej catheterj tubingj forj 30j min
B. Initiatejcontinuousjbladderjirrigation
C. Obtainj aj urinej specimenj forj culturej andj sensitivity
D. Administerjajfluidjbolus
17. Ajnursejisjcaringjforjajclientjwhojhasjexperiencedjajstillbirth.jWhichjofjthejfollowingjactionsjshouldthejnursejtakej duringjthejinitialjgrievingjprocess?
A. Avoidjtalkingjtojthejclientjaboutjthejnewborn
B. DiscouragejthejclientjfromjallowingjfriendsjtojseejthejnewbornC.j Offerjtojtakejpicturesjofjthe
newbornjforjthejclient
D.j Assurejthejclientjthatjshejcanjhavejadditionaljchildren
18. Ajnursejisjcaringjforjajclientjwhojhasjajmajorjburnjinjury.jWhichjofjthejfollowingjactionsjisjthenurse’sjpriorityjtojpreventjwoundjinfection?
A. Usejsterilejdressingsjforjwoundjcare
B. Applyjtopicaljantibioticsjtojthejclient’sjwounds.
C. Placejthejclientjinjprotectivejisolation.
D. Maintainconsistentjhandjwashingjbyjstaff.
19. AjnursejisjspeakingjwithjthejcaregiverjofjajclientjwhojhasjAlzheimer’sjdisease.jThejcaregiverjstates,“Providingjconstantjcarejisjveryjstressfuljandjisjaffectingjallj
areasjofjmyjlife.”jWhichjofjthejfollowingactionsjshouldjthejnursejtake?
A. Discussjmethodsjofjhowjtojcommunicatejwithjthejclientjaboutjproblemjsolvingjbehaviors.
B. Suggestjthatjthejcaregiverjseekjajprescriptionjforjanjantipsychoticjmedicationjforjthejclient.C.jjAssistjthejcaregiverjtojarrangejajdaycarejprogram
forjthejclient.
D.j Recommendjallowingjthejclientjtojhavejtimejalonejinjtheirjroomjthroughoutjthejday.
20. Ajnursejisjcaringjforjajclientjwhojisj1jhrjpostpartumjandjunablejtojurinate.jWhichjofjthejfollowingactionsjshouldjthejnursejtake?
A. Administerjajbenzodiazepine
B. Performjajfundaljmassage
C. Placej anj icej packjonj thej client’sj perineumD. j Placej thej client’s
handjinjwarmjwater
21. Ajnursejonjamedical-
surgicaljunitjisjperformingjmedicationjreconciliationjforjajnewlyjadmittedclient.jWhichjofjthejfollowingjactionsjshouldjthejnursejtake?
A. Comparejajlistjofjcommonjmedicationsjtojtreatjajconditionjtojthejactualjprescriptions
B. Comparejthejprescriptionjtojthejallergyjhistoryjofjthejclient
