PREDICTOR FORM A AND
B,[QUESTIONS AND CORRECT
CHOICES]..
A nurse is reviewing the medical record of a client who has
schizophrenia. Which of the following should the nurse report to the
provider?
Exhibit 1
Blood pressure: 102/56 mm Hg. Heart rate: 95/min
Respiratory rate: 18/min Temperature: 37.4C (99.3F)
Exhibit 2
Medication Administration Record
Clozapine 150 mg PO twice daily
Benztropine 0.5 mg PO twice daily as needed for tremors.
Exhibit 3
Nurse's notes:
Client reports feeling dizzy when changing positions, Reports weight gain of
1kg (2.2 lb.) in the past month. Also reports a sore throat for the past 3 days
and dry mouth. Client ate 75% of breakfast and reports slightly nauseous.
A. Dietary intake
B. Heart rate.
C. Sore throat.
D. Blood pressure. - CORRECT ANSWERS-C. Sore throat.
,3. A nurse is providing discharge teaching for a client who has an
implantable cardioverter defibrillator which of the following statements
demonstrates understanding of the teaching?
A. "I will soak in the tub rather and showering"
B. "I will wear loose clothing around my ICD"
C. "I will stop using my microwave oven at home because of my ICD"
D. "I can hold my cellphone on the same side of my body as the ICD" - CORRECT ANSWERS-B. "I
will wear loose clothing around my ICD"
17. A nurse is assessing a newborn who has a blood glucose level of 30
mg/dl. Which of the following manifestations should the nurse expect?
A. Loose stools
B. Jitteriness
C. Hypertonia
D. Abdominal distention - CORRECT ANSWERS-Jitteriness
4. A nurse is caring for a client who is at 14 weeks gestation and reports
feelings of ambivalence about being pregnant. Which of the following
responses should the nurse make?
A. "Describe your feelings to me about being pregnant"
B. "You should discuss your feelings about being pregnant with your
provider"
C. "Have you discussed these feelings with your partner?"
D. "When did you start having these feelings?" - CORRECT ANSWERS-A. "Describe your feelings
to me about being pregnant"
5. A nurse is planning care for a client who has a prescription for a bowel-
,training program following a spinal cord injury. Which of the following actions
should the nurse include in the plan of care?
A. Encourage a maximum fluid intake of 1,500 ml per day.
B. Increase the amount of refined grains in the client's diet.
C. Provide the client with a cold drink prior to defecation.
D. Administer a rectal suppository 30 minutes prior to scheduled
defecationmtimes.m-mmCORRECTmANSWERS-
D.mAdministermamrectalmsuppositorym30mminutesmpriormtomscheduled
defecationmtimes.
6.mAmnursemismcaringmformamclientmwhomisminmactivemlabormandmrequestsmpain
management.mWhichmofmthemfollowingmactionsmshouldmthemnursemtake?
A.mAdministermondansetron.
B.mPlacemthemclientminmamwarmmshower.
C.mApplymfundalmpressuremduringmcontractions.
D.mAssistmthemclientmtomamsupinemposition.m-mmCORRECTmANSWERS-
B.mPlacemthemclientminmamwarmmshower.
7.mamnurseminmanmemergencymdepartmentmismperformingmtriagemformmultiple
clientsmfollowingmamdisasterminmthemcommunity.mTomwhichmofmthemfollowingmtypes
ofminjuriesmshouldmthemnursemassignmthemhighestmpriority?
A.mBelow-themkneemamputation
B.mFracturedmtibia
C.m95%mfull-thicknessmbodymburn
D.m10cmm(4in)mlacerationmtomthemforearmm-mmCORRECTmANSWERS-A.mBelow-themkneemamputation
8.mamnursemmanagermismupdatingmprotocolsmformthemusemofmbeltmrestraints.mWhich
, ofmthemfollowingmguidelinesmshouldmthemnurseminclude?
A.mRemovemthemclient'smrestraintmeverym4hr
B.mDocumentmthemclient'smconditionmeverym15mmin
C.mAttachmthemrestrainmtomthembed'smsidemrails
D.mRequestmamPRNmrestrainmprescriptionmformclientsmwhomaremaggressivem-mmCORRECTmANSWERS-
B.mDocumentmthemclient'smconditionmeverym15mmin
9.mAmnursemismteachingmanmin-servicemaboutmnursingmleadership.mWhichmofmthe
followingminformationmshouldmthemnursemincludemaboutmanmeffectivemleader?
A.mActsmasmanmadvocatemformthemnursingmunit.
B.m(Unablemtomread)mformthemunit
C.mPrioritiesmstaffmrequestmovermclientmneeds.
D.mProvidesmroutinemclientmcaremandmdocumentation.m-mmCORRECTmANSWERS-
A.mActsmasmanmadvocatemformthemnursingmunit.
10.mAmnursemismreviewingmthemlaboratorymfindingsmofmamclientmwhomhasmdiabetes
mellitusmandmreportsmthatmshemhasmbeenmfollowingmherm(unablemtomread)mcare.
Themnursemshouldmidentifymwhichmofmthemfollowingmfindingsmindicatesmamneedmto
revisemthemclient'smplanmofmcare.
A.mSerummsodiumm144mmEq/
B.m(Unablemtomread)
C.mHba1cm10m%
D.mRandommserummglucosem190mmg/dl.m-mmCORRECTmANSWERS-C.mHba1cm10m%
11.mAmnurseminmamprovider'smofficemismreviewingmthemlaboratorymresultsmofma
groupmofmclients.mThemnursemshouldmidentifymthatmwhichmofmthemfollowing
sexuallymtransmittedminfectionsmismamnationallymnotifiableminfectiousmdisease