RN COMPREHENSIVE PREDICTOR 2019 FORM C
COMPLETE QUESTIONS AND
ANSWERS.
A nurse is caring for a client who has bipolar disorder and is
experiencing acute mania. The nurse obtained a verbal
prescription for restraints. Which of the following should the
actions the nurse take? - Correct Answer
-Document the client's condition every 15 minutes
A nursing planning care for a school-age child who is 4 hr
postoperative following perforated appendicitis. Which of the
following actions should the nurse include in the plan of care? -
Correct Answer -Administer analgesics on a scheduled basis for
the first 24 hr
A nurse is receiving change-of-shift report for a group of clients.
Which of the following clients should the nurse plan to assess first?
- Correct Answer -A client who has a hip fracture and a new onset
of tachypnea
A nurse is preparing to apply a transdermal nicotine patch for a
client. Which of the following actions should the nurse take? -
Correct Answer -Wear gloves to apply the patch to the client's skin
A nurse has just received change-of-shift report for four clients.
Which of the following clients should the nurse assess first? -
Correct Answer -A client who was just given a glass of orange juice
for a low blood glucose level
A nurse is caring for a client who is receiving intermittent enteral
tube feedings. Which of the following places the client at risk for
aspiration? - Correct Answer -A history of gastroesophageal reflux
disease
A nurse is reviewing the laboratory results for a client who has
Cushing's disease. The nurse should expect the client to have an
increase in which of the following laboratory values? - Correct
Answer -Serum glucose level- increased
A nurse is caring for a client who has severe preeclampsia and is
receiving magnesium sulfate intravenously. The nurse
discontinues the magnesium sulfate after the client displaces
toxicity. Which of the following actions should the nurse take? -
Correct Answer -Administer calcium gluconate IV
Rationale: Calcium gluconate is given for magnesium sulfate
toxicity. Always have an injectable form of
calcium gluconate available when administering magnesium
sulfate by IV.
A charge nurse is teaching new staff members about factors that
increase a client's risk to become violent. Which of the following
risk factors should the nurse include as the best predictor of
future violence? - Correct Answer
-Previous violent behavior
,Risk factors also include: past history of aggression, poor impulse
control, and violence. Comorbidity that leads to acts of violence
(psychotic delusions, command hallucinations, violent angry
reactions with cognitive disorders).
A nurse is preparing to perform a sterile dressing change. Which
of the following actions should the nurse take when setting up the
sterile field? -
,Correct Answer -Place the cap from the solution sterile side up on
clean surface
A nurse is providing teaching to an older adult client about
methods to promote nighttime
sleep. Which of the following instructions should the nurse include?
- Correct Answer -Eat a light snack before bedtime
A home health nurse is preparing for an initial visit with an older
adult client who lives
alone. Which of the following actions should the nurse take first? -
Correct Answer -Identify environmental hazards in the home
A nurse is assessing the remote memory of an older adult client
who has mild dementia. Which of the following questions should
the nurse ask the client? - Correct Answer -"What high school did
you graduate from"
A nurse is providing teaching to an adolescent who has type 1
diabetes mellitus. Which of the following goals should the nurse
include in the teaching? - Correct Answer -HbA1c level less than
7%
A nurse is caring for a client who is receiving phenytoin for
management of grand mal seizures and has a new prescription for
isoniazid and rifampin.
Which of the following should the nurse conclude if the client
develops ataxia and incoordination? - Correct Answer -The client is
showing evidence of phenytoin toxicity
A nurse is caring for a client who is 1 hr postoperative following
rhinoplasty. Which of the following manifestations requires
immediate action by the nurse? - Correct Answer -Increase in
frequency of swallowing (may indicate bleeding)
A nurse is planning care for a preschool-age child who is in the
acute phase Kawasaki disease. Which of the following
interventions should the nurse include in the plan of care? -
Correct Answer -Monitor the child's cardiac status
A nurse is planning an educational program for high school
students about cigarette smoking. Which of the following potential
consequences of smoking is most likely to discourage adolescents
from using tobacco? - Correct Answer -Use of tobacco decreases
the level of athletic ability
A nurse is assessing a client who is prescribed spironolactone.
Which of the following laboratory values should the nurse monitor
for this client? - Correct Answer -Serum potassium- diuretic that
retains potassium= hyperkalemic risk
A nurse has agreed to serve as an interpreter for an older adult
client who is assigned to another nurse. Which of the following
statements by the nurse indicates an understanding of this role? -
Correct Answer -"I will let the client know that I am available as the
interpreter."
A nurse is performing assessments on newborns in the nursery.
Which of the following findings should the nurse report to the
provider? - Correct Answer
, -A two day old newborn who has a respiratory rate
of 70 (30 - 60 is normal)
COMPLETE QUESTIONS AND
ANSWERS.
A nurse is caring for a client who has bipolar disorder and is
experiencing acute mania. The nurse obtained a verbal
prescription for restraints. Which of the following should the
actions the nurse take? - Correct Answer
-Document the client's condition every 15 minutes
A nursing planning care for a school-age child who is 4 hr
postoperative following perforated appendicitis. Which of the
following actions should the nurse include in the plan of care? -
Correct Answer -Administer analgesics on a scheduled basis for
the first 24 hr
A nurse is receiving change-of-shift report for a group of clients.
Which of the following clients should the nurse plan to assess first?
- Correct Answer -A client who has a hip fracture and a new onset
of tachypnea
A nurse is preparing to apply a transdermal nicotine patch for a
client. Which of the following actions should the nurse take? -
Correct Answer -Wear gloves to apply the patch to the client's skin
A nurse has just received change-of-shift report for four clients.
Which of the following clients should the nurse assess first? -
Correct Answer -A client who was just given a glass of orange juice
for a low blood glucose level
A nurse is caring for a client who is receiving intermittent enteral
tube feedings. Which of the following places the client at risk for
aspiration? - Correct Answer -A history of gastroesophageal reflux
disease
A nurse is reviewing the laboratory results for a client who has
Cushing's disease. The nurse should expect the client to have an
increase in which of the following laboratory values? - Correct
Answer -Serum glucose level- increased
A nurse is caring for a client who has severe preeclampsia and is
receiving magnesium sulfate intravenously. The nurse
discontinues the magnesium sulfate after the client displaces
toxicity. Which of the following actions should the nurse take? -
Correct Answer -Administer calcium gluconate IV
Rationale: Calcium gluconate is given for magnesium sulfate
toxicity. Always have an injectable form of
calcium gluconate available when administering magnesium
sulfate by IV.
A charge nurse is teaching new staff members about factors that
increase a client's risk to become violent. Which of the following
risk factors should the nurse include as the best predictor of
future violence? - Correct Answer
-Previous violent behavior
,Risk factors also include: past history of aggression, poor impulse
control, and violence. Comorbidity that leads to acts of violence
(psychotic delusions, command hallucinations, violent angry
reactions with cognitive disorders).
A nurse is preparing to perform a sterile dressing change. Which
of the following actions should the nurse take when setting up the
sterile field? -
,Correct Answer -Place the cap from the solution sterile side up on
clean surface
A nurse is providing teaching to an older adult client about
methods to promote nighttime
sleep. Which of the following instructions should the nurse include?
- Correct Answer -Eat a light snack before bedtime
A home health nurse is preparing for an initial visit with an older
adult client who lives
alone. Which of the following actions should the nurse take first? -
Correct Answer -Identify environmental hazards in the home
A nurse is assessing the remote memory of an older adult client
who has mild dementia. Which of the following questions should
the nurse ask the client? - Correct Answer -"What high school did
you graduate from"
A nurse is providing teaching to an adolescent who has type 1
diabetes mellitus. Which of the following goals should the nurse
include in the teaching? - Correct Answer -HbA1c level less than
7%
A nurse is caring for a client who is receiving phenytoin for
management of grand mal seizures and has a new prescription for
isoniazid and rifampin.
Which of the following should the nurse conclude if the client
develops ataxia and incoordination? - Correct Answer -The client is
showing evidence of phenytoin toxicity
A nurse is caring for a client who is 1 hr postoperative following
rhinoplasty. Which of the following manifestations requires
immediate action by the nurse? - Correct Answer -Increase in
frequency of swallowing (may indicate bleeding)
A nurse is planning care for a preschool-age child who is in the
acute phase Kawasaki disease. Which of the following
interventions should the nurse include in the plan of care? -
Correct Answer -Monitor the child's cardiac status
A nurse is planning an educational program for high school
students about cigarette smoking. Which of the following potential
consequences of smoking is most likely to discourage adolescents
from using tobacco? - Correct Answer -Use of tobacco decreases
the level of athletic ability
A nurse is assessing a client who is prescribed spironolactone.
Which of the following laboratory values should the nurse monitor
for this client? - Correct Answer -Serum potassium- diuretic that
retains potassium= hyperkalemic risk
A nurse has agreed to serve as an interpreter for an older adult
client who is assigned to another nurse. Which of the following
statements by the nurse indicates an understanding of this role? -
Correct Answer -"I will let the client know that I am available as the
interpreter."
A nurse is performing assessments on newborns in the nursery.
Which of the following findings should the nurse report to the
provider? - Correct Answer
, -A two day old newborn who has a respiratory rate
of 70 (30 - 60 is normal)
