VATI RN COMPREHENSIVE PREDICTOR
FOCUSED REVIEW | COMPLETE GUIDE
29
Comprehensive29Practice29A
**A29client29is29postoperative29following29a29lumbar29discectomy29and29is29having29difficulty29
voiding.29The29nurse29should29recognize29that29which29of29the29following29medications29place29t
he29client29at29risk29for29urinary29retention?
Ketorolac2 9 Hydromorpho
ne29(Dilaudid)29Bethanechol
29(Urecholine)29Tobramyci
n29(Nebcin)
**A29nurse29is29caring29for29an29older29adult29client29in29a29long-
term29care29facility29who29is29disoriented29and29continues29to29get29out29of29bed29without29assist
ance.29Which29of29the29following29images29indicates29the29nurse29is29using29an29appropriate29inter
vention29to29minimize29the29risk29of29injury29due29to29a29fall?
D
**A29practical29nurse29(PN)29on29medical-
surgical29unit29is29beginning29her29shift29and29is29working29with29a29registered29nurse29(RN)29an
d29an29assistive29personnel29(AP).29The29PN29should29expect29to29be29assigned29which29of29the
29following29tasks?
Teach29a29client29who29has29a29new29diagnosis29of29diabetes29mellitus29how29to29self-
administer29insulin.29Create29a29plan29of29care29for29a29newly29admitted29client.
Obtain29a29stool29specimen29from29a29client29who29has29ulcerative29colitis----
Administer29an29NG29tube29feeding29to29a29client29who29had29a29stroke
**A29nurse29on29an29acute29mental29health29unit29observes29a29client29who29begins29to29speak29l
oudly29in29the29common29room,29saying29that29he29can’t29hear29the29TV.29Which29of29the29follo
wing29is29an29appropriate29response29by29the29nurse?
You29will29need29to29go29to29your29room29until29you29can29calm
,29down29okay29The29TV29is29loud29enough29for29everyone29to29h
ear29it
You29are29being29inconsiderate.29Please29stop29talking29so2
9loudly29Let’s29go29to29another29room29to29talk29about29wha
t29is29upsetting29you
**A29client29tells29a29nurse29that29he29would29like29to29observe29kosher29dietary29laws.29Th
e29nurse29should29recognize29which29of29the29following?
,A29vegetarian29diet29is29the29preferred29diet
Dairy29products29are29served29separately29from29meat
Fasting29during29daylight29is29required29during29a29month-
long29holiday29Fish29with29scales29and29fins29should29not29be29ea
ten
**A29nursing29unit29receives29new29glucose29monitoring29equipment29from29staff29development29
with29the29promise29that29in-
service29education29will29be29given29soon.29Which29of29the29following29instructions29should29the29
nurse29give29to29the29assistive29personnel29(AP)29who29is29preforming29glucose29monitoring29on29t
he29unit?
Contact29the29staff29development29department29for29instr
uction29Continue29using29the29current29glucose29monitors
Check29for29accuracy29and29proper29functioning29of29the29new29monitor
Read29the29instruction29manual29before29attempting29to29use29the29new29monitor
**Which29of29the29following29should29the29nurse29document29as29an29indication29of29the29IV29infil
tration29in29a29client’s29forearm?
Redness29along29vein
Tissue29sloughing29at29the29site29F
orearm29that29is29warm29to29the29to
uch29Pallor29surrounding29the29infu
sion29site
**A29client29requests29information29about29advanced29directives.29Which29of29the29follo
wing29is29the29appropriate29response29by29the29nurse?
Advanced29directives29are29written29instructions29regarding29end29of2
9life29care29Advanced29directives29provide29education29on29palliative29
care29issues
Advanced29directives29require29the29provider’s29approval29before29changes29can29be29implemen
ted29Advanced29directives29help29determine29legal29competency
**A29nurse29is29caring29for29a29client29who29is29on29telemetry.29Which29of29the29following29ECG29
, findings29should29the29nurse29report29to29the29charge29nurse?
One29P29wave29prior29to29each29QRS29complex
FOCUSED REVIEW | COMPLETE GUIDE
29
Comprehensive29Practice29A
**A29client29is29postoperative29following29a29lumbar29discectomy29and29is29having29difficulty29
voiding.29The29nurse29should29recognize29that29which29of29the29following29medications29place29t
he29client29at29risk29for29urinary29retention?
Ketorolac2 9 Hydromorpho
ne29(Dilaudid)29Bethanechol
29(Urecholine)29Tobramyci
n29(Nebcin)
**A29nurse29is29caring29for29an29older29adult29client29in29a29long-
term29care29facility29who29is29disoriented29and29continues29to29get29out29of29bed29without29assist
ance.29Which29of29the29following29images29indicates29the29nurse29is29using29an29appropriate29inter
vention29to29minimize29the29risk29of29injury29due29to29a29fall?
D
**A29practical29nurse29(PN)29on29medical-
surgical29unit29is29beginning29her29shift29and29is29working29with29a29registered29nurse29(RN)29an
d29an29assistive29personnel29(AP).29The29PN29should29expect29to29be29assigned29which29of29the
29following29tasks?
Teach29a29client29who29has29a29new29diagnosis29of29diabetes29mellitus29how29to29self-
administer29insulin.29Create29a29plan29of29care29for29a29newly29admitted29client.
Obtain29a29stool29specimen29from29a29client29who29has29ulcerative29colitis----
Administer29an29NG29tube29feeding29to29a29client29who29had29a29stroke
**A29nurse29on29an29acute29mental29health29unit29observes29a29client29who29begins29to29speak29l
oudly29in29the29common29room,29saying29that29he29can’t29hear29the29TV.29Which29of29the29follo
wing29is29an29appropriate29response29by29the29nurse?
You29will29need29to29go29to29your29room29until29you29can29calm
,29down29okay29The29TV29is29loud29enough29for29everyone29to29h
ear29it
You29are29being29inconsiderate.29Please29stop29talking29so2
9loudly29Let’s29go29to29another29room29to29talk29about29wha
t29is29upsetting29you
**A29client29tells29a29nurse29that29he29would29like29to29observe29kosher29dietary29laws.29Th
e29nurse29should29recognize29which29of29the29following?
,A29vegetarian29diet29is29the29preferred29diet
Dairy29products29are29served29separately29from29meat
Fasting29during29daylight29is29required29during29a29month-
long29holiday29Fish29with29scales29and29fins29should29not29be29ea
ten
**A29nursing29unit29receives29new29glucose29monitoring29equipment29from29staff29development29
with29the29promise29that29in-
service29education29will29be29given29soon.29Which29of29the29following29instructions29should29the29
nurse29give29to29the29assistive29personnel29(AP)29who29is29preforming29glucose29monitoring29on29t
he29unit?
Contact29the29staff29development29department29for29instr
uction29Continue29using29the29current29glucose29monitors
Check29for29accuracy29and29proper29functioning29of29the29new29monitor
Read29the29instruction29manual29before29attempting29to29use29the29new29monitor
**Which29of29the29following29should29the29nurse29document29as29an29indication29of29the29IV29infil
tration29in29a29client’s29forearm?
Redness29along29vein
Tissue29sloughing29at29the29site29F
orearm29that29is29warm29to29the29to
uch29Pallor29surrounding29the29infu
sion29site
**A29client29requests29information29about29advanced29directives.29Which29of29the29follo
wing29is29the29appropriate29response29by29the29nurse?
Advanced29directives29are29written29instructions29regarding29end29of2
9life29care29Advanced29directives29provide29education29on29palliative29
care29issues
Advanced29directives29require29the29provider’s29approval29before29changes29can29be29implemen
ted29Advanced29directives29help29determine29legal29competency
**A29nurse29is29caring29for29a29client29who29is29on29telemetry.29Which29of29the29following29ECG29
, findings29should29the29nurse29report29to29the29charge29nurse?
One29P29wave29prior29to29each29QRS29complex
