PN Comprehensive Predictor vati form A
Verified questions and answers.
A nurse is caring for four clients. Which of the following client statements should the nurse attend to firs
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
t? - (correct answer) - "My heartburn pain is going into my jaw now."
cx cx cx cx cxcx cx cx cx cx cx cx cx cx
A nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube. Which of t
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
he following actions should the nurse take? - (correct answer) - Perform oral care every 2 hr.
cx cx cx cx cx cx cx cx cx cx cxcx cx cx cx cx cx
A nurse is caring for a client who is receiving warfarin 5 mg PO daily. Which of the following laboratory v
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
alues should the nurse check prior to administering the medication? - (correct answer) - - PT
cx cx cx cx cx cx cx cx cx cx cx cx cx cxcx cx cx
- INRcx
A nurse is collecting data from a client who is at 9 weeks of gestation and has hyperemesis gravidarum.
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
Which of the following findings should the nurse expect? - (correct answer) - Weight loss
cx cx cx cx cx cx cx cx cx cx cx cx cxcx cx
A nurse is reinforcing teaching with a client about the importance of a low sodium diet. Which of the foll
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
owing foods should the nurse recommend as the best choice to include in a low sodium diet? -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
(correct answer) - 2 tbsp of peanut butter
cx cx cx cxcx cx cx cx cx
A nurse is collecting data from an 18 month old toddler at a well child visit. Which of the following findin
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
gs should the nurse report to the provider? - (correct answer) - The toddler can say four words.
cx cx cx cx cx cx cx cx cx cx cx cxcx cx cx cx cx cx
A nurse is collecting data from a client who has diabetes mellitus. Which of the following findings indicat
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
es that the client might be experiencing diabetic ketoacidosis? - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx cx
Kussmaul respirations
cxcx cx
A nurse is reinforcing teaching with a client who has a permanent pacemaker in place. Which of the foll
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
owing statements by the client indicates an understanding of the teaching? - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
"I need to record my pulse rate daily."
cxcx cx cx cx cx cx cx cx
A nurse is caring for a client who is in mechanical restraints after becoming violent with a staff member.
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
Which of the following actions should the nurse take? - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx cx
Document in the clients medical record every 15 min.
cxcx cx cx cx cx cx cx cx cx
, A nurse is reinforcing teaching about self-
cx cx cx cx cx cx
administration of nasal drops with a client. Which of the following positions should the nurse recommen
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
d for instillation of the drops? - (correct answer) - Supine
cx cx cx cx cx cx cx cx cx cxcx
A nurse is preparing to administer furosemide to a client who has heart failure. Which of the following la
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
boratory results should the nurse review prior to administering the medication? - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
Potassium
cxcx
A nurse is caring for a client who has methicillin-
cx cx cx cx cx cx cx cx cx
resistant staphylococcus aureus (MRSA) infection. Which of the following actions should the nurse plan t
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
o take? - (correct answer) - Don a gown and gloves when providing perineal care
cx cx cx cx cx cxcx cx cx cx cx cx cx cx cx
A nurse is assisting with the plan of care for a client who has dementia and often wanders in the halls at
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
night. Which of the following interventions should the nurse recommend including in the plan of care? -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
(correct answer) - Labeling the clients bathroom door
cx cx cx cxcx cx cx cx cx
A charge nurse is reinforcing teaching with a newly hired licensed practical nurse about scope of practic
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
e. Which of the following responsibilities should the nurse include in the teaching? - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
Providing direct client care
cxcx cx cx cx
A nurse is working on a mental health unit is meeting with a client who has been in the unit for 2 days. T
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
he nurse greets the client and asks, "What has been happening with you today?" Which of the following
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
therapeutic techniques is the nurse using? - (correct answer) - Reflecting
cx cx cx cx cx cx cx cx cx cxcx
A nurse us reinforcing teaching with a group of expectant parents regarding the proper use of a car seat.
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
Which of the following statements by a parent indicates an understanding of the teaching? -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
(correct answer) - "I will secure the seat belt across my newborns lap."
cx cx cx cxcx cx cx cx cx cx cx cx cx cx
A nurse from a medical surgical unit is floating to a postpartum unit. Which of the following clients is an
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
appropriate assignment for the nurse to accept? - (correct answer) -
cx cx cx cx cx cx cx cx cx cx
A client who underwent removal of a retained placenta
cxcx cx cx cx cx cx cx cx cx
A nurse is assisting with planning care for a newly admitted client who has anorexia nervosa. Which of t
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
he following interventions should the nurse recommend to include in the plan of care? -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
(correct answer) - Reinforce teaching about healthy eating during meals
cx cx cx cxcx cx cx cx cx cx cx
A nurse is admitting a client who is scheduled for an elective surgery. Which of he following actions shou
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
ld the nurse take to verify the status of the clients advance directives? - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
Ask the client whether they have advance directives
cxcx cx cx cx cx cx cx cx
A nurse is collecting data from a client who is receiving a continuous IV infusion of 0.9% sodium chloride
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
. The nurse discovers the IV infusion pump was set incorrectly and the client received 200 ml more than
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
prescribed. Data collection reveals that the client is stable. The nurse recognizes that this incident is not
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
considered malpractice for which of the following reasons? - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx
The client was not harmed as a result of the incident
cxcx cx cx cx cx cx cx cx cx cx cx
Verified questions and answers.
A nurse is caring for four clients. Which of the following client statements should the nurse attend to firs
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
t? - (correct answer) - "My heartburn pain is going into my jaw now."
cx cx cx cx cxcx cx cx cx cx cx cx cx cx
A nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube. Which of t
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
he following actions should the nurse take? - (correct answer) - Perform oral care every 2 hr.
cx cx cx cx cx cx cx cx cx cx cxcx cx cx cx cx cx
A nurse is caring for a client who is receiving warfarin 5 mg PO daily. Which of the following laboratory v
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
alues should the nurse check prior to administering the medication? - (correct answer) - - PT
cx cx cx cx cx cx cx cx cx cx cx cx cx cxcx cx cx
- INRcx
A nurse is collecting data from a client who is at 9 weeks of gestation and has hyperemesis gravidarum.
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
Which of the following findings should the nurse expect? - (correct answer) - Weight loss
cx cx cx cx cx cx cx cx cx cx cx cx cxcx cx
A nurse is reinforcing teaching with a client about the importance of a low sodium diet. Which of the foll
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
owing foods should the nurse recommend as the best choice to include in a low sodium diet? -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
(correct answer) - 2 tbsp of peanut butter
cx cx cx cxcx cx cx cx cx
A nurse is collecting data from an 18 month old toddler at a well child visit. Which of the following findin
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
gs should the nurse report to the provider? - (correct answer) - The toddler can say four words.
cx cx cx cx cx cx cx cx cx cx cx cxcx cx cx cx cx cx
A nurse is collecting data from a client who has diabetes mellitus. Which of the following findings indicat
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
es that the client might be experiencing diabetic ketoacidosis? - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx cx
Kussmaul respirations
cxcx cx
A nurse is reinforcing teaching with a client who has a permanent pacemaker in place. Which of the foll
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
owing statements by the client indicates an understanding of the teaching? - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
"I need to record my pulse rate daily."
cxcx cx cx cx cx cx cx cx
A nurse is caring for a client who is in mechanical restraints after becoming violent with a staff member.
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
Which of the following actions should the nurse take? - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx cx
Document in the clients medical record every 15 min.
cxcx cx cx cx cx cx cx cx cx
, A nurse is reinforcing teaching about self-
cx cx cx cx cx cx
administration of nasal drops with a client. Which of the following positions should the nurse recommen
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
d for instillation of the drops? - (correct answer) - Supine
cx cx cx cx cx cx cx cx cx cxcx
A nurse is preparing to administer furosemide to a client who has heart failure. Which of the following la
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
boratory results should the nurse review prior to administering the medication? - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
Potassium
cxcx
A nurse is caring for a client who has methicillin-
cx cx cx cx cx cx cx cx cx
resistant staphylococcus aureus (MRSA) infection. Which of the following actions should the nurse plan t
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
o take? - (correct answer) - Don a gown and gloves when providing perineal care
cx cx cx cx cx cxcx cx cx cx cx cx cx cx cx
A nurse is assisting with the plan of care for a client who has dementia and often wanders in the halls at
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
night. Which of the following interventions should the nurse recommend including in the plan of care? -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
(correct answer) - Labeling the clients bathroom door
cx cx cx cxcx cx cx cx cx
A charge nurse is reinforcing teaching with a newly hired licensed practical nurse about scope of practic
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
e. Which of the following responsibilities should the nurse include in the teaching? - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
Providing direct client care
cxcx cx cx cx
A nurse is working on a mental health unit is meeting with a client who has been in the unit for 2 days. T
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
he nurse greets the client and asks, "What has been happening with you today?" Which of the following
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
therapeutic techniques is the nurse using? - (correct answer) - Reflecting
cx cx cx cx cx cx cx cx cx cxcx
A nurse us reinforcing teaching with a group of expectant parents regarding the proper use of a car seat.
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
Which of the following statements by a parent indicates an understanding of the teaching? -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
(correct answer) - "I will secure the seat belt across my newborns lap."
cx cx cx cxcx cx cx cx cx cx cx cx cx cx
A nurse from a medical surgical unit is floating to a postpartum unit. Which of the following clients is an
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
appropriate assignment for the nurse to accept? - (correct answer) -
cx cx cx cx cx cx cx cx cx cx
A client who underwent removal of a retained placenta
cxcx cx cx cx cx cx cx cx cx
A nurse is assisting with planning care for a newly admitted client who has anorexia nervosa. Which of t
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
he following interventions should the nurse recommend to include in the plan of care? -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx
(correct answer) - Reinforce teaching about healthy eating during meals
cx cx cx cxcx cx cx cx cx cx cx
A nurse is admitting a client who is scheduled for an elective surgery. Which of he following actions shou
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
ld the nurse take to verify the status of the clients advance directives? - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
Ask the client whether they have advance directives
cxcx cx cx cx cx cx cx cx
A nurse is collecting data from a client who is receiving a continuous IV infusion of 0.9% sodium chloride
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
. The nurse discovers the IV infusion pump was set incorrectly and the client received 200 ml more than
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
prescribed. Data collection reveals that the client is stable. The nurse recognizes that this incident is not
cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx cx
considered malpractice for which of the following reasons? - (correct answer) -
cx cx cx cx cx cx cx cx cx cx cx
The client was not harmed as a result of the incident
cxcx cx cx cx cx cx cx cx cx cx cx
