PN comprehensive predictor practice B 2023 QUESTIONS/ LATEST VERIFIED ANSWERS AND RATIONALE

A nurse at a long-term care facility is caring for a client who requires oral suctioning. Which of the following supplies should the nurse plan to use for this task? - ANSWER yankeurs catheter rationale: A Yankauer catheter is a clean suction catheter used when performing oral and oropharyngeal suctioning to remove secretions from the client's mouth to facilitate breathing or obtain a sample for diagnostic evaluation. A nurse in a long-term care facility is serving on the ethics committee, which is addressing a client care dilemma. Which of the following strategies will facilitate resolving the dilemma? (Select all that apply.) - ANSWER [1] determine the facts related to the dilemma. [2] identify possible solution [3]consider the client wishes A nurse is talking with a client whose son died in a motor-vehicle crash 2 weeks ago. The client states, "l really thought I'd be back to my usual routines by now, but I can't think of anything else except that my son is gone." Which Of the following responses should the nurse make? - ANSWER Grieving for your son is hard work. it will take as much time as you need to come to terms with your loss. A nurse is reinforcing teaching with a client about cancer prevention. The nurse should include that frequent consumption of which of the following foods increases the risk for developing cancer? - ANSWER Lamb rationale: including tuna fish reduces risk of developing cancer. including poultry reduces risk, A nurse notices an assistive personnel (AP) taking a nap in the break room during meal time. The nurse also notes that the AP is drowsy while performing routine tasks. Which of the following actions should the nurse take? - ANSWER Report the observation about the AP to the Unit nurse manager A nurse on a pediatric unit is collecting data from four newly admitted clients. Which of the following clients should the nurse identify as being at risk for urinary retention? - ANSWER A school age child who has allergic rhinitis and is taking diphenhydramine. A nurse is caring for a client following a bronchoscopy. Which of the following actions should the nurse take first? - ANSWER check for gag reflex A nurse is assisting with the admission of a client who has a latex allergy. The nurse should identify that which of the following supplies has the potential to contain latex? - ANSWER Indwelling urinary catheter A nurse is performing postmortem care for a client prior to the arrival Of the client's family for viewing Of the body. Which Of the following actions should the nurse take? - ANSWER Gently close the client's eyelids A nurse is reinforcing teaching with a client who has dumping syndrome about measures to reduce manifestations. Which of the following instructions should the nurse include in the teaching? - ANSWER avoid foods high in sugar content. rationale: The nurse should instruct the client to avoid sweet foods, which often increase the manifestations of dumping syndrome. These manifestations include nausea, sweating, abdominal pain, diarrhea, and weakness. A nurse is collecting data from a client who is experiencing a situational crisis following the loss of a job. The client states, "l don't think I can go through this again." Which of the following actions is the nurse's priority? - ANSWER Determine if the client is experiencing psychotic thinking. A nurse is contributing to the plan of care for a client following a transurethral resection of the prostate (TURP). Which of the following interventions should the nurse include? - ANSWER Irrigate the bladder using sterile technique A nurse is caring for an infant who is receiving IV fluids for dehydration. Which of the following should the nurse recognize as a positive response to the therapy? - ANSWER Moist mucus membranes. A nurse is assisting with the admission of a client who is experiencing alcohol withdrawal. Which of the following medications should the nurse expect the provider to prescribe for the client? - ANSWER Chlordiazepoxide rationale: The nurse should expect to administer chlordiazepoxide to decrease anxiety and the risk for seizures associated with alcohol withdrawal. A nurse is caring for a client who is scheduled for surgery in the morning. The nurse learns that the client has decided not to have surgery even though they have already signed the informed consent form. Which of the following actions should the nurse take? - ANSWER report the situation to the provider who obtained informed consent. A nurse is collecting data from a client who is in severe pain. Which of the following questions should the nurse ask first? - ANSWER where is your pain located A nurse in a provider's office is reinforcing teaching with a client who has a new prescription for ferrous sulfate elixir. Which of the following statements by the client should indicate to the nurse an understanding of the teaching? - ANSWER i will rinse my mouth after taking this medication A nurse is contributing to the plan of care for a client who is postoperative following a rhinoplasty. Which of the following interventions should the nurse recommend? - ANSWER instruct the client to avoid the Valsalva maneuver. rationale. Valsalva ts such as straining during defecation or playing the saxophone entail performance of Valsalva maneuver A nurse is collecting data from a postpartum client who had a vaginal birth 2 days ago. Which Of the following findings is the nurse's priority to report to the provider? - ANSWER client reports burning with urination. rationale: When using the urgent vs. nonurgent approach to client care, the nurse should determine that dysuria is a manifestation of a urinary tract infection. Therefore, the nurse should identify this as the priority finding to report