PN Comprehensive Predictor vati form A
A charge nurse is reinforcing teaching with a newly hired licensed practical nurse about scope
of practice. Which of the following responsibilities should the nurse include in the teaching? -
ANS-Providing direct client care
a client going through alcohol withdrawal; administer a first-time dose of chlordiazepoxide;
ANS-tremors a client who is taking heparin to prevent deep vein thrombosis and has bloody
stools. which laboratory values should the nurse report to the provider? - ANS-INR 5.2
A nurse from a medical surgical unit is floating to a postpartum unit. The nurse should take on
which of the following patients: ANS-A patient who had a retained placenta taken out. A nurse
has received a report for a group of clients. Which of the following clients should the nurse ask
the charge nurse to reassign? - ANS-A client who has a new prescription for two units of packed
RBC's.
A nurse in a newborn nursery is collecting data about a newborns Moro reflex. Which of the
following actions should the nurse take to elicit the reflex? - ANS-clap hands after laying the
newborn on a flat surface
A nurse in a pediatric clinic is reviewing the urine laboratory results for an adolescent. For
which of the following results should the nurse notify the provider? - ANS-Ketones positive
A nurse in a providers office is collecting data from a client who has deep vein thrombosis? -
ANS-The client takes ibuprofen daily to treat musculoskeletal pain
Has difficulty applying heir compression stockings
A nurse is admitting a client who is scheduled for an elective surgery. Which of he following
actions should the nurse take to verify the status of the clients advance directives? - ANS-Ask
the client whether they have advance directives
A nurse is assisting with he discharge planning for a client following a myocardial infarction.
Which of the following is appropriate referral for this client? - ANS-Physical therapist for
range-of-motion exercises
A nurse is assisting with planning care for a newly admitted client who has anorexia nervosa.
Which of the following interventions should the nurse recommend to include in the plan of care?
- ANS-Reinforce teaching about healthy eating during meals
A nurse is assisting with the admission of an older adult client who has impaired mobility and is
at risk for falls. The nurse should prioritize which of the following: - ANS- Record the client's risk
in the medical record Check the clients ability to use the call light
A client with dementia who frequently wanders the halls at night is receiving assistance from a
nurse with the care plan. Which of the following interventions should the nurse recommend
including in the plan of care? - ANS-Labeling the clients bathroom door
A nurse is caring for a child who has terminal cancer - ANS-The school age sister is concerned
about the impact of her siblings death on herself
A nurse is caring for a client who attempted suicide. Which of the following actions should the
nurse take? - ANS-Assign the client to a private room.
, A nurse is caring for a client who has a new prescription for furosemide and asks the nurse
about the purpose of the medication. The nurse states, "This medication is a diuretic that
removes excess fluid from your body." Which of the following ethical concepts is the nurse
exhibiting? - ANS-Veracity
A nurse is caring for a client who has COPD. The nurse should identify that which of the
following findings is the priority to report? - ANS-Productive cough with green sputum
A nurse is caring for a client who has methicillin-resistant staphylococcus aureus (MRSA)
infection. Which of the following actions should the nurse plan to take? - ANS-Don a gown and
gloves when providing perineal care
A nurse is caring for a client who has urolithiasis. Which of the following actions should the
nurse take? - ANS-Strain the clients urine
A nurse is caring for a client who is asking about the techniques of effleurage and its use in
labor and delivery. Which of the following responses should the nurse make regarding this
techique? - ANS-"It is a light stroking of the skin during a uterine contraction?
A nurse is caring for a client who is breastfeeding their 5-day old newborn. Which of the
following should the nurse identify as an indication that the newborn is breastfeeding effectively?
- ANS-Makes audible swallowing sounds
A nurse is caring for a client who is in mechanical restraints after becoming violent with a staff
member. Which of the following actions should the nurse take? - ANS-Document in the clients
medical record every 15 min.
A nurse is caring for a client who is newly diagnosed with type 1 diabetes mellitus. The nurse
should recognize that the client needs a referral for diabetic education when the client does
which of the following? - ANS-lists sweating, shaking and palpitations as signs of hyperglycemia
A nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube.
Which of the following actions should the nurse take? - ANS-Perform oral care every 2 hr.
A nurse is caring for a client who is receiving warfarin 5 mg PO daily. Which of the following
laboratory values should the nurse check prior to administering the medication? - ANS-- PT
- INR
A nurse is caring for a newborn following a circumcision. Which of the following manifestations
indicates the newborn is experiencing pain? - ANS-Diaphoresis
Lip smacking
A nurse is caring for a newborn who just had a circumcision. Which of the following findings
should the nurse identify as a nonverbal sign of pain? - ANS-The newborn continues to cry
despite efforts to console
A nurse is caring for a school age child whose family adheres to a vegan diet in the home. The
nurse should recognize he child is at risk for a deficiency of which of the following? -
ANS-Vitamin D
A nurse is caring for an older adult client who states, "I can't pay for my care because my kid
took all my money." Which of the following actions should the nurse take? - ANS-Report the
possible abuse to adult protective services
A nurse is caring for four clients. Which of the following client statements should the nurse
attend to first? - ANS-"My heartburn pain is going into my jaw now."
A charge nurse is reinforcing teaching with a newly hired licensed practical nurse about scope
of practice. Which of the following responsibilities should the nurse include in the teaching? -
ANS-Providing direct client care
a client going through alcohol withdrawal; administer a first-time dose of chlordiazepoxide;
ANS-tremors a client who is taking heparin to prevent deep vein thrombosis and has bloody
stools. which laboratory values should the nurse report to the provider? - ANS-INR 5.2
A nurse from a medical surgical unit is floating to a postpartum unit. The nurse should take on
which of the following patients: ANS-A patient who had a retained placenta taken out. A nurse
has received a report for a group of clients. Which of the following clients should the nurse ask
the charge nurse to reassign? - ANS-A client who has a new prescription for two units of packed
RBC's.
A nurse in a newborn nursery is collecting data about a newborns Moro reflex. Which of the
following actions should the nurse take to elicit the reflex? - ANS-clap hands after laying the
newborn on a flat surface
A nurse in a pediatric clinic is reviewing the urine laboratory results for an adolescent. For
which of the following results should the nurse notify the provider? - ANS-Ketones positive
A nurse in a providers office is collecting data from a client who has deep vein thrombosis? -
ANS-The client takes ibuprofen daily to treat musculoskeletal pain
Has difficulty applying heir compression stockings
A nurse is admitting a client who is scheduled for an elective surgery. Which of he following
actions should the nurse take to verify the status of the clients advance directives? - ANS-Ask
the client whether they have advance directives
A nurse is assisting with he discharge planning for a client following a myocardial infarction.
Which of the following is appropriate referral for this client? - ANS-Physical therapist for
range-of-motion exercises
A nurse is assisting with planning care for a newly admitted client who has anorexia nervosa.
Which of the following interventions should the nurse recommend to include in the plan of care?
- ANS-Reinforce teaching about healthy eating during meals
A nurse is assisting with the admission of an older adult client who has impaired mobility and is
at risk for falls. The nurse should prioritize which of the following: - ANS- Record the client's risk
in the medical record Check the clients ability to use the call light
A client with dementia who frequently wanders the halls at night is receiving assistance from a
nurse with the care plan. Which of the following interventions should the nurse recommend
including in the plan of care? - ANS-Labeling the clients bathroom door
A nurse is caring for a child who has terminal cancer - ANS-The school age sister is concerned
about the impact of her siblings death on herself
A nurse is caring for a client who attempted suicide. Which of the following actions should the
nurse take? - ANS-Assign the client to a private room.
, A nurse is caring for a client who has a new prescription for furosemide and asks the nurse
about the purpose of the medication. The nurse states, "This medication is a diuretic that
removes excess fluid from your body." Which of the following ethical concepts is the nurse
exhibiting? - ANS-Veracity
A nurse is caring for a client who has COPD. The nurse should identify that which of the
following findings is the priority to report? - ANS-Productive cough with green sputum
A nurse is caring for a client who has methicillin-resistant staphylococcus aureus (MRSA)
infection. Which of the following actions should the nurse plan to take? - ANS-Don a gown and
gloves when providing perineal care
A nurse is caring for a client who has urolithiasis. Which of the following actions should the
nurse take? - ANS-Strain the clients urine
A nurse is caring for a client who is asking about the techniques of effleurage and its use in
labor and delivery. Which of the following responses should the nurse make regarding this
techique? - ANS-"It is a light stroking of the skin during a uterine contraction?
A nurse is caring for a client who is breastfeeding their 5-day old newborn. Which of the
following should the nurse identify as an indication that the newborn is breastfeeding effectively?
- ANS-Makes audible swallowing sounds
A nurse is caring for a client who is in mechanical restraints after becoming violent with a staff
member. Which of the following actions should the nurse take? - ANS-Document in the clients
medical record every 15 min.
A nurse is caring for a client who is newly diagnosed with type 1 diabetes mellitus. The nurse
should recognize that the client needs a referral for diabetic education when the client does
which of the following? - ANS-lists sweating, shaking and palpitations as signs of hyperglycemia
A nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube.
Which of the following actions should the nurse take? - ANS-Perform oral care every 2 hr.
A nurse is caring for a client who is receiving warfarin 5 mg PO daily. Which of the following
laboratory values should the nurse check prior to administering the medication? - ANS-- PT
- INR
A nurse is caring for a newborn following a circumcision. Which of the following manifestations
indicates the newborn is experiencing pain? - ANS-Diaphoresis
Lip smacking
A nurse is caring for a newborn who just had a circumcision. Which of the following findings
should the nurse identify as a nonverbal sign of pain? - ANS-The newborn continues to cry
despite efforts to console
A nurse is caring for a school age child whose family adheres to a vegan diet in the home. The
nurse should recognize he child is at risk for a deficiency of which of the following? -
ANS-Vitamin D
A nurse is caring for an older adult client who states, "I can't pay for my care because my kid
took all my money." Which of the following actions should the nurse take? - ANS-Report the
possible abuse to adult protective services
A nurse is caring for four clients. Which of the following client statements should the nurse
attend to first? - ANS-"My heartburn pain is going into my jaw now."
