Comprehensive Final Quiz, RN
Comprehensive Predictor 2024/2025 A,
RN Comprehensive Predictor 2024/2025
Form B and C(latest update)
A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of the
following findings should indicate to the nurse that the therapy has been effective? -
ANShemoglobin 14.9 g/dL
a nurse working in an emergency department is triaging four clients. which of the following
clients should the nurse recommend for treatment first? - ANSa middle adult client who has
unstable vital signs
a nurse is caring for a client who has fluid volume overload. which of the following tasks should
the nurse delegate to an assistive personnel? - ANSmeasure the client's daily weight
a nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as a test dose to a
client who has severe oliguria. The client weighs 198 lb. what is the amount in grams the nurse
should administer? - ANS18 g
a nurse is conducting a physical examination for an adolescent and is assessing the rang of
motion of the legs, which of the following images indicates the adolescent is abducting the hip
joint? - ANSMoving the leg away from the midline of the body (off to the side, not to the front)
a nurse is caring for a client who has hyperthyroidism. which of the following findings should the
nurse expect? - ANStremors
tachycardia, diaphoresis, weight loss, insomnia, exopthalmia
hypothyroidism has dry corase hair, bradycardia, and periorbital edema
a nurse is assessing a school age child who has bacterial meningitis. which of the following
findings should the nurse expect? - ANSnuchal rigidity
also weight loss
,a nurse is assessing a newborn's heart rate. which of the following actions should the nurse
take? - ANSauscultate the apical pulse at least 1 min
a nurse is preparing to assist with a thoracentesis for a client who has pleurisy. the nurse should
plan to perform which of the following actions? - ANSinstruct the client to avoid coughing during
the procedure
a nurse is the emergency department is assessing a preschooler who has a facial laceration.
the nurse should identify which of the following findings as a potential indication of child sexual
abuse? - ANSthe child exhibits discomfort while walking
a nurse is preparing to teach about dietary management to a client who has crohn's disease and
an enteroenteric fistula. which of the following nutrients should the nurse instruct the client to
decrease in their diet? - ANSfiber - reduce diarrhea and inflammation
a nurse is caring for a client who has a prescription for a continuous passive motion CPM
machine following a total knee arthroplasty. which of the following actions should the nurse
take? - ANSTurn off the CPM machine during mealtime
promote client comfort and dietary intake
a nurse is preparing to initiate IV access for an older adult client. Which of the following sites
should the nurse select when initiating the IV for this client? - ANSradial vein of the inner arm
a nurse is developing a client education program about osteoporosis for older adult clients. the
nurse should include which of the following variables as a risk factor for osteoporosis? -
ANSsedentary lifestyle
also, small framed body with a thin build, estrogen deficiency
a nurse in an emergency department is caring for a child who has a fever and fluid filled vesicles
on the trunk and extremities. which of the following interventions should the nurse identify as the
priority? - ANSinitiate transmission based precautions
a nurse is caring for a client who has a clogged percutaneous gastrostomy feeding tube. which
of the following actions should the nurse take first? - ANSchange the position of the client
a home health care nurse is developing a teaching plan for a client who has a new ileostomy.
which of the following instructions should the nurse include? - ANSempty the appliance when it
is one third to one half full
,a nurse is reviewing the laboratory report of a client who has end stage kidney disease and
received hemodialysis 24 hr ago. Which of the following laboratory values should the nurse
report to the provider? - ANSsodium 148 mEq/L
a nurse is caring for four clients. which of the following tasks should the nurse delegate to an
assistive personnel? - ANSArrange the lunch tray for a client who has a hip fracture
a nurse is preparing a client for a paracentesis. which of the following actions should the nurse
take? - ANSinstruct the client to void
a nurse has received change of shift report on four assigned clients. for which of the following
clients should the nurse intervene to prevent a potential food and medication interaction? -
ANSa client who is receiving an MAOI and is requesting a cheeseburger for dinner
a nurse is planning care for a client who has rheumatoid arthritis and has moderate to severe
pain in multiple joints. which of the following actions should the nurse plan to take? - ANSallow
for frequent rest periods throughout the day
a nurse is caring for a client who is receiving continuous bladder irrigation following a
transurethral resection of the prostate. the client reports bladder spasms, and the nurse
observes a decreased urinary output. which of the following actions should the nurse take? -
ANSirrigate the catheter with 0.9% sodium chloride irrigation
a nurse is assessing a client who has COPD. which of the following findings should the nurse
expect? - ANSpH 7.31
a nurse in a community center is providing an educational session to a group of client about
ovarian cancer. which of the following manifestations of ovarian cancer should the nurse include
in the teaching? - ANSabdominal bloating
increase in abdominal girth, pelvic or abdominal pain, early satiety, urinary frequency of urgency
a nurse is caring for a client who has active tuberculosis TB. which of the following actions
should the nurse plan to take to prevent the transmission of the disease? - ANSHave the client
wear a surgical mask while being transported outside the room
a nurse is caring for a group of clients. which of the following clients should the nurse attend to
first? - ANSan older adult client who is anxious and attempting to pull out an IV line
an RN is observing a licensed practical nurse LPN and an assistive personnel AP move a client
up in bed. for which of the following situations should the nurse intervene? - ANSThe LPN and
the AP grasp the client under his arms to lift him up in bed
, a nurse is preparing to administer insulin to a client via a pen device. which of the following
actions should the nurse take? - ANShold the insulin pen device perpendicular to the client's
skin to inject the medication
a nurse is caring for a client who has immunosuppression and a continuous IV infusion. which of
the following actions should the nurse take? - ANSmonitor the client's mouth every 8 hours
a nurse is providing teaching about advance directives to a middle adult client. which of the
following client responses indicates an understanding of the teaching? - ANS"I can designate
my partner as my health care surrogate"
a nurse is assessing a client following a vaginal delivery and notes heavy lochia and a boggy
fundus. which of the following medications should the nurse expect to administer? -
ANSoxytocin
a nurse manager is planning to use a democratic leadership style with the nurses on the unit.
Which of the following actions by the nurse manager demonstrates a democratic leadership
style? - ANSseeks input from the other nurses
a nurse is assigning task roles for a group of clients in a community mental health clinic. which
of the following tasks should the nurse assign to the member of the group functioning as the
orienteer? - ANSnoting the progress of the group toward assigned goals
a nurse is creating a plan of care for a newly admitted child. which of the following actions
should the nurse include in the plan? - ANSAdminister high dose antibiotic therapy
cystic fibrosis kid with lung infection
a nurse is caring for a newborn immediately after delivery. which of the following interventions
should the nurse implement to prevent heat loss by conduction? - ANSuse a protective cover on
the scale when weighing the infant
a nurse is caring for a client who has abdominal surgery 24 hr ago. which of the following
actions is the nurse's priority? - ANSassist with deep breathing and coughing
a nurse in an outpatient mental health clinic is caring for four clients. the nurse should recognize
that which of the following clients is effectively using sublimation as a defense mechanism? -
ANSa client who channels their energy into a new hobby following the loss of their job
a nurse is assessing for correct placement of a client's NG feeding tube prior to administering a
bolus feeding. which of the following actions should the nurse take? - ANSaspirate contents
from the tube and verify the pH level