PN COMPREHENSIVE PREDICTOR 2023 with NGN questions and answers
An assistive personnel tells the charge nurse that her assignment is too demanding.
She angrily tells the nurse to reassign one of her tasks to another AP. Which of the
following actions should the nurse take to resolve the conflict? - answerAsk the AP to
discuss the issue in a private area
A nurse is supervising an assistive personnel (AP) obtain supplies for a client who is
on seizure precautions. Which of the following materials should the AP place in the
client's room? - answerOral Suction Equipment
A charge nurse on a mental health unit is supervising a newly licensed nurse. For
which of the following actions by the newly licensed nurse should the supervising
nurse intervene? - answerTells a client he will lose his phone privileges if he does
not take his medication
A nurse is caring for a client who follows a kosher diet. Which of the following menu
items should the nurse include in the meal tray? - answerRoasted Salmon
A nurse is reviewing information about advance directives with a newly admitted
client. Which of the following statements by the client indicates an understanding of
the information? - answer"Advance directives include a living will"
A nurse is collecting data from the caregiver of a client who has Alzheimer's disease.
The caregiver reports the client has difficulty sleeping at night and wanders
throughout the house. Which of the following interventions should the nurse
recommend? - answerEncourage the client to take frequent walks during the day
A nurse is assisting in the care of a client who is 8hr postpartum and has uterine
atony with increased bleeding. Which of the following actions should the nurse take?
(Select all that apply) - answerAssist the client to empty her bladder
A nurse is reinforcing teaching with the support person of a client who is in the first
stage of labor. Which of the following instructions should the nurse include regarding
effleurage? - answer"Gently stroke her abdomen during contractions"
A nurse is caring for an older adult client who is postoperative following a total hip
arthroplasty. The client is incontinent of stool and urine. Which of the following
actions should the nurse take to prevent skin breakdown? - answerUse a moisture
barrier on the client's skin
A nurse is caring for a client who has terminal cancer. Which of the following actions
should the nurse take to promote the client's autonomy? - answerAllow the client to
choose treatment times
A nurse in a clinic is caring for a client who is at 40 weeks of gestation and
experiences a sudden gush of vaginal fluids. Which of the following findings is
evidence of an obstetric complication? - answerAppears greenish-brown in color
,A nurse is assisting with the care of an adolescent client immediately following a
lumbar puncture. Which of the following actions should the nurse take? -
answerInform the adolescent that he might experience a headache
A nurse is reinforcing teaching about advance directives with a client who has end-
stage heart failure. Which of the following statements by the client indicates an
understanding of the teaching? - answer"I should discuss this document with my
family after I sign it"
A nurse is caring for a client who has continuous bladder irrigation following a
transurethral resection of the prostate. The nurse notices clots and dark red blood in
the catheter collection bag. Which of the following actions should the nurse take? -
answerIrrigate the bladder with 20 to 30 mL of 0.9% sodium chloride
A nurse is planning to obtain a 12-lead ECG for a client who has a history of cardiac
dysrhythmias. Which of the following actions should the nurse plan to take? -
answerInstruct the client to remain as still as possible during the recording
A nurse is reinforcing teaching with a client who has genital herpes. Which of the
following information should the nurse include in the teaching? - answer"You should
increase fluid intake to relieve dysuria"
A nurse is preparing to empty a postoperative client's closed-wound drainage
system. Which of the following actions should the nurse plan to take? -
answerCompress the container before replacing the drainage plug
A nurse is reinforcing teaching with the parents of a toddler who has a new diagnosis
of asthma and a prescription for montelukast. Which of the following instructions
should the nurse include in the teaching? - answerAdminister the medication to the
toddler each evening
A nurse in an acute mental health facility is caring for a newly admitted client. Which
of the following should occur during the orientation phase of the nurse-client
relationship? - answerDefining responsibilities
A nurse is caring for a client who reports having a decrease in fetal movement
following an external cephalic version 6 hr ago. The nurse identifies the fetus is in
the right occiput anterior position. The nurse should place the fetal heart monitor on
which of the following sites to auscultate the fetal heart rate? - answerLower left
A charge nurse is observing a newly licensed nurse perform suctioning for a client
who has a tracheostomy. For which of the following actions by the newly licensed
nurse should the charge nurse intervene? - answerSuction for 30 seconds
A nurse is reviewing the medication administration record of a client who takes
atenolol PO and supplies a nitroglycerin transdermal patch daily. Which of the
following interactions should the nurse monitor with this client? - answerHypotension
, A nurse in an acute care setting is preparing to administer medications to a client.
Which of the following actions should the nurse verify the client's identity? -
answerVerify the client's identity using a photograph
A nurse in a provider's office is collecting data from a client who has psoriasis. Which
of the following statements made by the client should she report to the provider? -
answer"I try not to look at the scales on my body"
A nurse is completing chart reviews in a long-term care facility in response to an
increase in falls. Which of the following responses in the chart should the nurse use
to determine the potential causes of falls? - answerMedication record
A nurse is making client care assignments for an assistive personnel (AP). Which of
the following tasks should the nurse assign to the AP? - answerComplete post
mortem care for a client who has died
A nurse is reinforcing teaching with a client who is taking allopurinol about the risk for
developing Stevens-Johnsons syndrome. For which of the following manifestations
should the nurse instruct the client to monitor and report? - answerSkin rash with
fever
A charge nurse in a long-term care facility is reinforcing teaching with a group of
nurses about fall precautions. Which of the following statements made by the nurse
indicates an understanding of the teaching? - answer"I will instruct the client to sit
when putting on a pair of pants"
A nurse is recommending clients for discharge to allow for admission of clients
following a tornado disaster. Which of the following clients should the nurse
recommend for discharge? - answerA client who has a sodium level of 140 mEq/L
after one episode of diarrhea
A nurse is assisting with the plan of care for a newly admitted client who has
anorexia nervosa. Which of the following interventions should the nurse include in
the plan? - answerAdminister liquid supplements
A charge nurse is reinforcing teaching with a newly licensed nurse about floating to a
different unit. Which of the following statements by the newly licensed nurse
indicates an understanding of the teaching? - answer"I will document in the medical
record the support nurse who assists with planning care for my clients"
A nurse is caring for a client who has dehydration due to diarrhea. Which of the
following findings should the nurse report to the provider? - answerUrine output 12
mL/hr
A nurse is preparing the administer NPH (Novolin N) insulin to a client who has
diabetes mellitus before breakfast at 0700. At which of the ff. times should the nurse
plan to check the client for hypoglycemia? - answer1100
An assistive personnel tells the charge nurse that her assignment is too demanding.
She angrily tells the nurse to reassign one of her tasks to another AP. Which of the
following actions should the nurse take to resolve the conflict? - answerAsk the AP to
discuss the issue in a private area
A nurse is supervising an assistive personnel (AP) obtain supplies for a client who is
on seizure precautions. Which of the following materials should the AP place in the
client's room? - answerOral Suction Equipment
A charge nurse on a mental health unit is supervising a newly licensed nurse. For
which of the following actions by the newly licensed nurse should the supervising
nurse intervene? - answerTells a client he will lose his phone privileges if he does
not take his medication
A nurse is caring for a client who follows a kosher diet. Which of the following menu
items should the nurse include in the meal tray? - answerRoasted Salmon
A nurse is reviewing information about advance directives with a newly admitted
client. Which of the following statements by the client indicates an understanding of
the information? - answer"Advance directives include a living will"
A nurse is collecting data from the caregiver of a client who has Alzheimer's disease.
The caregiver reports the client has difficulty sleeping at night and wanders
throughout the house. Which of the following interventions should the nurse
recommend? - answerEncourage the client to take frequent walks during the day
A nurse is assisting in the care of a client who is 8hr postpartum and has uterine
atony with increased bleeding. Which of the following actions should the nurse take?
(Select all that apply) - answerAssist the client to empty her bladder
A nurse is reinforcing teaching with the support person of a client who is in the first
stage of labor. Which of the following instructions should the nurse include regarding
effleurage? - answer"Gently stroke her abdomen during contractions"
A nurse is caring for an older adult client who is postoperative following a total hip
arthroplasty. The client is incontinent of stool and urine. Which of the following
actions should the nurse take to prevent skin breakdown? - answerUse a moisture
barrier on the client's skin
A nurse is caring for a client who has terminal cancer. Which of the following actions
should the nurse take to promote the client's autonomy? - answerAllow the client to
choose treatment times
A nurse in a clinic is caring for a client who is at 40 weeks of gestation and
experiences a sudden gush of vaginal fluids. Which of the following findings is
evidence of an obstetric complication? - answerAppears greenish-brown in color
,A nurse is assisting with the care of an adolescent client immediately following a
lumbar puncture. Which of the following actions should the nurse take? -
answerInform the adolescent that he might experience a headache
A nurse is reinforcing teaching about advance directives with a client who has end-
stage heart failure. Which of the following statements by the client indicates an
understanding of the teaching? - answer"I should discuss this document with my
family after I sign it"
A nurse is caring for a client who has continuous bladder irrigation following a
transurethral resection of the prostate. The nurse notices clots and dark red blood in
the catheter collection bag. Which of the following actions should the nurse take? -
answerIrrigate the bladder with 20 to 30 mL of 0.9% sodium chloride
A nurse is planning to obtain a 12-lead ECG for a client who has a history of cardiac
dysrhythmias. Which of the following actions should the nurse plan to take? -
answerInstruct the client to remain as still as possible during the recording
A nurse is reinforcing teaching with a client who has genital herpes. Which of the
following information should the nurse include in the teaching? - answer"You should
increase fluid intake to relieve dysuria"
A nurse is preparing to empty a postoperative client's closed-wound drainage
system. Which of the following actions should the nurse plan to take? -
answerCompress the container before replacing the drainage plug
A nurse is reinforcing teaching with the parents of a toddler who has a new diagnosis
of asthma and a prescription for montelukast. Which of the following instructions
should the nurse include in the teaching? - answerAdminister the medication to the
toddler each evening
A nurse in an acute mental health facility is caring for a newly admitted client. Which
of the following should occur during the orientation phase of the nurse-client
relationship? - answerDefining responsibilities
A nurse is caring for a client who reports having a decrease in fetal movement
following an external cephalic version 6 hr ago. The nurse identifies the fetus is in
the right occiput anterior position. The nurse should place the fetal heart monitor on
which of the following sites to auscultate the fetal heart rate? - answerLower left
A charge nurse is observing a newly licensed nurse perform suctioning for a client
who has a tracheostomy. For which of the following actions by the newly licensed
nurse should the charge nurse intervene? - answerSuction for 30 seconds
A nurse is reviewing the medication administration record of a client who takes
atenolol PO and supplies a nitroglycerin transdermal patch daily. Which of the
following interactions should the nurse monitor with this client? - answerHypotension
, A nurse in an acute care setting is preparing to administer medications to a client.
Which of the following actions should the nurse verify the client's identity? -
answerVerify the client's identity using a photograph
A nurse in a provider's office is collecting data from a client who has psoriasis. Which
of the following statements made by the client should she report to the provider? -
answer"I try not to look at the scales on my body"
A nurse is completing chart reviews in a long-term care facility in response to an
increase in falls. Which of the following responses in the chart should the nurse use
to determine the potential causes of falls? - answerMedication record
A nurse is making client care assignments for an assistive personnel (AP). Which of
the following tasks should the nurse assign to the AP? - answerComplete post
mortem care for a client who has died
A nurse is reinforcing teaching with a client who is taking allopurinol about the risk for
developing Stevens-Johnsons syndrome. For which of the following manifestations
should the nurse instruct the client to monitor and report? - answerSkin rash with
fever
A charge nurse in a long-term care facility is reinforcing teaching with a group of
nurses about fall precautions. Which of the following statements made by the nurse
indicates an understanding of the teaching? - answer"I will instruct the client to sit
when putting on a pair of pants"
A nurse is recommending clients for discharge to allow for admission of clients
following a tornado disaster. Which of the following clients should the nurse
recommend for discharge? - answerA client who has a sodium level of 140 mEq/L
after one episode of diarrhea
A nurse is assisting with the plan of care for a newly admitted client who has
anorexia nervosa. Which of the following interventions should the nurse include in
the plan? - answerAdminister liquid supplements
A charge nurse is reinforcing teaching with a newly licensed nurse about floating to a
different unit. Which of the following statements by the newly licensed nurse
indicates an understanding of the teaching? - answer"I will document in the medical
record the support nurse who assists with planning care for my clients"
A nurse is caring for a client who has dehydration due to diarrhea. Which of the
following findings should the nurse report to the provider? - answerUrine output 12
mL/hr
A nurse is preparing the administer NPH (Novolin N) insulin to a client who has
diabetes mellitus before breakfast at 0700. At which of the ff. times should the nurse
plan to check the client for hypoglycemia? - answer1100
