RN Comprehensive Predictor with Correct Answers
Question: 177 of 180
A nurse is caring for a client who is at 38 weeks of gestation, is in active labor, and has ruptured membranes.
Which of the following actions should the nurse take?
• Apply a fetal heart rate monitor (Correct Answer)
• Initiate an oxytocin IV infusion.
• Insert an indwelling urinary catheter.
• Initiate fundal massage.
,
,Question: 1 of 180
A nurse is caring for a school-age child who has cystic fibrosis.
Laboratory Results
• Sputum culture positive for Pseudomonas aeruginosa
• Stool fat positive for presence of fat and enzymes
• Chest x-ray indicates obstructive emphysema
• WBC count 20,000/mm³ (normal range: 5,000 to 10,000/mm³)
Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child’s
home medication list? Select all that apply.
• Ipratropium
• Dornase alfa
• Acetaminophen
• Water-soluble vitamins
• Pancreatic lipase
Correct Answers:
• Ipratropium
• Dornase alfa
• Water-soluble vitamins
• Pancreatic lipase
Rationale:
• Ipratropium is a bronchodilator used to treat respiratory symptoms in cystic fibrosis.
• Dornase alfa helps break down the thick mucus in the lungs, improving breathing in cystic fibrosis
patients.
• Water-soluble vitamins are essential because cystic fibrosis can affect absorption of fat-soluble vitamins.
• Pancreatic lipase is necessary to help digest fats, as children with cystic fibrosis often have pancreatic
insufficiency.
Acetaminophen is not typically prescribed for cystic fibrosis unless the child has pain or fever.
, Question: 106 of 180
A nurse is teaching a group of farmworkers who work with pesticide about minimizing exposure. Which of the
following information should the nurse include in the teaching?
• Change clothes after working in the field (Correct Answer)
• Apply petroleum jelly to the nostrils prior to working in the field.
• Wipe fruits and vegetables from the field with a dry cloth before consuming.
• Take a hot shower 1 hour after finishing work.
Correct Answer: Change clothes after working in the field.
Rationale:
Changing clothes after working in the field is essential to minimize pesticide exposure. It helps prevent
contamination of the home and other areas. The other options, such as applying petroleum jelly to the nostrils,
are not evidence-based practices for minimizing pesticide exposure.
Question: 177 of 180
A nurse is caring for a client who is at 38 weeks of gestation, is in active labor, and has ruptured membranes.
Which of the following actions should the nurse take?
• Apply a fetal heart rate monitor (Correct Answer)
• Initiate an oxytocin IV infusion.
• Insert an indwelling urinary catheter.
• Initiate fundal massage.
,
,Question: 1 of 180
A nurse is caring for a school-age child who has cystic fibrosis.
Laboratory Results
• Sputum culture positive for Pseudomonas aeruginosa
• Stool fat positive for presence of fat and enzymes
• Chest x-ray indicates obstructive emphysema
• WBC count 20,000/mm³ (normal range: 5,000 to 10,000/mm³)
Which of the following medications should the nurse expect the provider to prescribe or reconcile from the child’s
home medication list? Select all that apply.
• Ipratropium
• Dornase alfa
• Acetaminophen
• Water-soluble vitamins
• Pancreatic lipase
Correct Answers:
• Ipratropium
• Dornase alfa
• Water-soluble vitamins
• Pancreatic lipase
Rationale:
• Ipratropium is a bronchodilator used to treat respiratory symptoms in cystic fibrosis.
• Dornase alfa helps break down the thick mucus in the lungs, improving breathing in cystic fibrosis
patients.
• Water-soluble vitamins are essential because cystic fibrosis can affect absorption of fat-soluble vitamins.
• Pancreatic lipase is necessary to help digest fats, as children with cystic fibrosis often have pancreatic
insufficiency.
Acetaminophen is not typically prescribed for cystic fibrosis unless the child has pain or fever.
, Question: 106 of 180
A nurse is teaching a group of farmworkers who work with pesticide about minimizing exposure. Which of the
following information should the nurse include in the teaching?
• Change clothes after working in the field (Correct Answer)
• Apply petroleum jelly to the nostrils prior to working in the field.
• Wipe fruits and vegetables from the field with a dry cloth before consuming.
• Take a hot shower 1 hour after finishing work.
Correct Answer: Change clothes after working in the field.
Rationale:
Changing clothes after working in the field is essential to minimize pesticide exposure. It helps prevent
contamination of the home and other areas. The other options, such as applying petroleum jelly to the nostrils,
are not evidence-based practices for minimizing pesticide exposure.
