Comprehensive Predictor
. A nurse is caring for a client.....5 exhibits (NGN)
Complete the following sentence by using the list of options
The nurse understands that the patient has likely developed ___________ and will need to be
monitored for ______________. - ANS lithium toxicity
seizure activity.
A nurse is preparing to initiate intravenous fluids via infusion pump to the client. Which of the following
actions should the nurse take?
A. Obtain a surge protector that can accommodate the pump and several other appliances
B. verify that the extension cord for the pump is ungrounded
C. report the pump has a frayed cord and proceed with the infusion
D. check the expiration date on safety inspection sticker of the pump - ANS D. check the expiration date
on safety inspection sticker of the pump
a nurse is caring for a client who has an implanted venous access port. Which of the following should the
nurse use to access the port?
A. non coring needle
B. an angio catheter
C. a butterfly needle
D. a 25 gauge needle - ANS A. non coring needle
a nurse is conducting an initial assessment of a client and notices A discrepancy between the client's
current IV infusion and the information received during the shift report. Which of the following actions
should the nurse take?
a. Contact the charge nurse to see if the prescription was changed
b. complete an incident report and place it in the client's medical record
,c. submit a written warning for the nurse involved in the incident
d. compare the current infusion with the prescription and the client's medication - ANS d. compare the
current infusion with the prescription and the client's medication
(NGN) a nurse is caring for an older adult client.
Highlight the following choices! - ANS General: I found the title to the car today; signed over to me
Physical: Client makes poor eye contact, speaks in a monotone voice, and has lack of facial expression.
Client reports not wanting to eat anymore. Client's child reports their parent has lost about 8lb in the
past month.
Affect: Client says, "Why don't you just leave me? I am of no use."
(NGN) A nursing is caring for a client on psychiatric unit.
For each potential action, the client is to specify if the action is indicated or contraindicated for the
client. - ANS
A nurse is caring for a client who is near the end of life and is on a complete bed rest. The client states
that he needs to have a bowel movement. The nurse offers a bed pan. The client states "I've always
used the bathroom". Which of the following responses should the nurse make?
a. Tell me what concerns you have about using a bedpan
b. make sure to use a nearby furniture to support yourself when walking to the bathroom
c. I will have the physical therapist ambulate you to the bathroom
d. you have to use the bedpan for your own safety - ANS a. Tell me what concerns you have about using
a bedpan
(NGN) A nurse is caring for a client who is labor.
Select the 5 actions the nurse should take:
,a. Increase the flow rate of the maintenance IV fluid
b. have the charge nurse notify the provider
c. place the client in a Trendelenburg position
d. exert upward pressure on the presenting part
e. attempt to push the umbilical cord back into the cervix
f. administer oxygen at 10L/min via nonrebreather face mask - ANS a. Increase the flow rate of the
maintenance IV fluid
b. have the charge nurse notify the provider
c. place the client in a Trendelenburg position
d. exert upward pressure on the presenting part
f. administer oxygen at 10L/min via nonrebreather face mask
A nurse is providing an in-service about client evacuation during a fire. Which of the following client
should the nurse instruct the staff to evacuate first?
a. A client who is ambulatory and receiving oxygen
b. a client who has a fracture in is imbalance suspension traction
c. a client who is bedridden and wears a hearing aid
d. a client who uses a wheelchair and is confused - ANS a. A client who is ambulatory and receiving
oxygen
(NGN) A nurse is caring for a client who is 4 days postpartum following a cesarean birth.
For each potential assessment finding, click to specify if the assessment finding is consistent with
mastitis or endometritis. Each finding may support more than 1 disease process. - ANS Foul-smelling
lochia: endometritis
Painful, tender breast: mastitis
, Temperature: endometritis and mastitis
Chills: endometritis and mastitis
A nurse is assessing a client who has a possible right pneumothorax. Which of the following findings
should the nurse expect the?
a. Reduced right sided breath sounds
b. intercostal retractions
c. High pitched stridor
d. paradoxical chest movement - ANS a. Reduced right sided breath sounds
(NGN) Which of the following interventions should the nurse include in the plan of care? - ANS a.
increase oxygen flow rate to 4L/min
b. assess the clients breath sounds
c. perform chest percussions and vibration
A nurse is caring for a client who is postoperative following a liver biopsy. Which of the following
positions should the nurse place the client immediately following the procedure?
a. Prone
b. Trendelenburg
c. high fowlers
d. right lateral - ANS d. right lateral
A nurse is caring for a client who states he recently purchase lavender oil to use when he gets the flu.
The nurse should recognize which of the following findings as a potential contraindication for using
lavender?
. A nurse is caring for a client.....5 exhibits (NGN)
Complete the following sentence by using the list of options
The nurse understands that the patient has likely developed ___________ and will need to be
monitored for ______________. - ANS lithium toxicity
seizure activity.
A nurse is preparing to initiate intravenous fluids via infusion pump to the client. Which of the following
actions should the nurse take?
A. Obtain a surge protector that can accommodate the pump and several other appliances
B. verify that the extension cord for the pump is ungrounded
C. report the pump has a frayed cord and proceed with the infusion
D. check the expiration date on safety inspection sticker of the pump - ANS D. check the expiration date
on safety inspection sticker of the pump
a nurse is caring for a client who has an implanted venous access port. Which of the following should the
nurse use to access the port?
A. non coring needle
B. an angio catheter
C. a butterfly needle
D. a 25 gauge needle - ANS A. non coring needle
a nurse is conducting an initial assessment of a client and notices A discrepancy between the client's
current IV infusion and the information received during the shift report. Which of the following actions
should the nurse take?
a. Contact the charge nurse to see if the prescription was changed
b. complete an incident report and place it in the client's medical record
,c. submit a written warning for the nurse involved in the incident
d. compare the current infusion with the prescription and the client's medication - ANS d. compare the
current infusion with the prescription and the client's medication
(NGN) a nurse is caring for an older adult client.
Highlight the following choices! - ANS General: I found the title to the car today; signed over to me
Physical: Client makes poor eye contact, speaks in a monotone voice, and has lack of facial expression.
Client reports not wanting to eat anymore. Client's child reports their parent has lost about 8lb in the
past month.
Affect: Client says, "Why don't you just leave me? I am of no use."
(NGN) A nursing is caring for a client on psychiatric unit.
For each potential action, the client is to specify if the action is indicated or contraindicated for the
client. - ANS
A nurse is caring for a client who is near the end of life and is on a complete bed rest. The client states
that he needs to have a bowel movement. The nurse offers a bed pan. The client states "I've always
used the bathroom". Which of the following responses should the nurse make?
a. Tell me what concerns you have about using a bedpan
b. make sure to use a nearby furniture to support yourself when walking to the bathroom
c. I will have the physical therapist ambulate you to the bathroom
d. you have to use the bedpan for your own safety - ANS a. Tell me what concerns you have about using
a bedpan
(NGN) A nurse is caring for a client who is labor.
Select the 5 actions the nurse should take:
,a. Increase the flow rate of the maintenance IV fluid
b. have the charge nurse notify the provider
c. place the client in a Trendelenburg position
d. exert upward pressure on the presenting part
e. attempt to push the umbilical cord back into the cervix
f. administer oxygen at 10L/min via nonrebreather face mask - ANS a. Increase the flow rate of the
maintenance IV fluid
b. have the charge nurse notify the provider
c. place the client in a Trendelenburg position
d. exert upward pressure on the presenting part
f. administer oxygen at 10L/min via nonrebreather face mask
A nurse is providing an in-service about client evacuation during a fire. Which of the following client
should the nurse instruct the staff to evacuate first?
a. A client who is ambulatory and receiving oxygen
b. a client who has a fracture in is imbalance suspension traction
c. a client who is bedridden and wears a hearing aid
d. a client who uses a wheelchair and is confused - ANS a. A client who is ambulatory and receiving
oxygen
(NGN) A nurse is caring for a client who is 4 days postpartum following a cesarean birth.
For each potential assessment finding, click to specify if the assessment finding is consistent with
mastitis or endometritis. Each finding may support more than 1 disease process. - ANS Foul-smelling
lochia: endometritis
Painful, tender breast: mastitis
, Temperature: endometritis and mastitis
Chills: endometritis and mastitis
A nurse is assessing a client who has a possible right pneumothorax. Which of the following findings
should the nurse expect the?
a. Reduced right sided breath sounds
b. intercostal retractions
c. High pitched stridor
d. paradoxical chest movement - ANS a. Reduced right sided breath sounds
(NGN) Which of the following interventions should the nurse include in the plan of care? - ANS a.
increase oxygen flow rate to 4L/min
b. assess the clients breath sounds
c. perform chest percussions and vibration
A nurse is caring for a client who is postoperative following a liver biopsy. Which of the following
positions should the nurse place the client immediately following the procedure?
a. Prone
b. Trendelenburg
c. high fowlers
d. right lateral - ANS d. right lateral
A nurse is caring for a client who states he recently purchase lavender oil to use when he gets the flu.
The nurse should recognize which of the following findings as a potential contraindication for using
lavender?
