PREDICTOR 2016 FORM B EXAM
WITH ELABORATED QUESTIONS
AND ANSWERS
A nurse is assessing an infant who has water intoxication. Which of the following findings should the
nurse expect? - Answer-bounding pulse/generalized edema
A nurse is discussing the z-track administration of hydroxyzine with a newly licensed nurse. Which of the
following statements indicates the newly licensed nurse understands the purpose of the technique -
Answer-a. This technique decreases the risk of subcutaneous infiltration
1. A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following
interventions should the nurse include in the plan? - Answer-a. Monitor the client for 1 hr after meals
A nurse notices smoke coming from a client's room and discovers a fire in the wastebasket. After moving
the client to safety, which of the followings is the priority action? - Answer-a. Close the fire door on the
unit
A nurse is assessing a client who has delirium due to a febrile illness. Which of the following findings
should the nurse expect? - Answer-a. Hallucinations
1. A nurse is caring for a client following an open colectomy. Which of the following findings places the
client at risk for delayed wound healing? - Answer-hyperemesis
1. A home health nurse is reviewing treatment goals with a client who has diabetes mellitus. The nurse
should evaluate which of the following laboratory tests to determine effective long-term management
of blood glucose levels? - Answer-A1C
,1. A nurse is caring for a client who has neutropenia due to HIV. Which of the following precautions
should the nurse take while caring for this client? - Answer-a. Use a dedicated stethoscope
1. A nurse is caring for a client who reports difficulty falling asleep at night. Which of the following
actions should the nurse take? - Answer-Tell the client to avoid drinking fluids 1 hr before bedtime
1. A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive phototherapy.
Which of the following interventions should the nurse include? - Answer-a. Place the newborn 45 cm
from the light source
1. A nurse is planning care for a client who has schizophrenia and is having difficulty expressing their
feelings. Which of the following referrals should the nurse make? - Answer-social worker
1. A nurse is caring for a client who has heart failure and has started taking a loop diuretic. Which of the
following findings indicates the client is experiencing an adverse effect of the medication - Answer-
decreased reflexes
1. At the start of an evening shift on a cardiac unit, a licensed practical nurse brings the nurse a list of
client reports. Which of the following client reports should the nurse assess first? - Answer-indigestion
1. A nurse is caring for a client who has just returned to the unit following a bronchoscopy. Which of the
following actions by the assistive personnel requires the nurse to intervene? - Answer-offer oral fluids to
the client
1. A nurse on a medical unit has just received change-of-shift report. Which of the following clients
should the nurse assess first? - Answer-a. A 68 year old client who had a myocardial infarction 2 days
ago and reports chest pain as a 4 on a scale of 0 to 10
1. A nurse is assessing a client prior to performing a blood draw. The nurse should identify that an
allergy to which of the following food can indicate that the client has an allergy to latex? - Answer-
avocados
, 1. A nurse is preparing to witness a client's signature on an informed consent for a total knee
arthroplasty. Which of the following client statements indicates the nurse should contact the surgeon? -
Answer-a. I am thankful there are no serious complications from this type of surgery
1. A nurse is admitting a client who has antisocial personality disorder. Which of the following client
behaviors should the nurse identify as consistent with this disorder? - Answer-a. Uses others for
personal gain
1. A nurse is teaching the parent of a school-age child who has scabies about the application of
permethrin 5% cream. The nurse should include which of the following as a potential adverse effect of
the medication? - Answer-burning
1. A nurse is teaching a client who has a new prescription for digoxin. Which of the following statements
should the nurse include in the teaching? - Answer-muscle weakness
1. A nurse is planning teaching for a client who is at 10 weeks of gestation and has a history of urinary
tract infections. Which of the following information should the nurse plan to include in the teaching
about UTI prevention? - Answer-a. Empty the bladder before and after intercourse
1. A nurse is providing discharge teaching to a client who is postpartum and plans to breastfeed. Which
of the following should the nurse recommend the client increase in their diet during lactation? - Answer-
a. Calcium
1. A nurse is providing teaching about preventing mastitis to a client who is postpartum and
breastfeeding her newborn. Which of the following instructions should the nurse include? - Answer-a.
Try to have your baby empty your breasts with each feeding."
1. A nurse is caring for a client who reports chest pain. Which of the following findings indicates
myocardial damage? - Answer-a. Troponin I 1.8 ng/mL