NUR 339: PREDICTOR VERSION 1 COMPLETE Q
& A EXAM
The nurse instructs an adolescent diagnosed with a sprained left ankle. Further
teaching is required if the adolescent makes which statement?
,1. I will elevate my ankle when I am sitting.
2. I will try to keep weight off the ankle for several days.
3. I will put a heating pad on my ankle as soon as I get home.
4. I will keep my ankle wrapped with an elastic compression
bandage. Answer#3
RICE: rest, ice, compression, elevation
The client in the psychiatric unit tells the nurse, “I know you are trying to poison
me, I’m not taking those pills”, which statement, if made by the nurse is MOST
appropriate?
1. It’s alright if you don’t want to take the pills right now. You can take them later.
2. I’m not trying to poison you, why do you say that?
3. It sounds like you are afraid that the staff might hurt you, this is a medication to
help you.
4. These pills came straight from the pharmacy just like everyone else’s. Why do
you think they are poisonous?
Answer#3
The nurse teaches the client diagnosed with Addison’s disease. What is MOST
important to include in the instructions?
1. Limit physical exertion.
2. Frequent consultations with the health care provider.
3. Adhere to a low sodium diet.
4. Take hormone replacement therapy as
prescribed. Answer#4
The nurse identifies which client is at GREATEST risk for developing osteomyelitis?
1. A 75 year old client diagnosed with chronic lymphocytic leukemia with a
positive wound culture showing methicillin-resistant Staphylococcus aureus infection.
2. A 35 year old client with a history of smoking being treated for an inguinal
hernia and is placed on a nicotine patch.
3. An 82 year old client hospitalized for a compound fracture of the left femur
treated with an open reduction 48 hours ago.
,4. A 42 year old client diagnosed with cerebral palsy hospitalized with pneumonia
and has a Stage II decubitus ulcer on the right heel.
#1
The nurse prepared to administer buspirone 15 mg to the client. The nurse
recognized this medication is MOST appropriate for which client?
1. The 45 year old woman diagnosed with pancreatitis reporting nausea and vomiting.
2. The 27 year old woman diagnosed with panic attacks.
3. The 60 year old man diagnosed with coronary artery disease with a blood
pressure of 172/94.
4. The 38 year old man diagnosed with schizophrenia reporting
auditory hallucinations.
Answer#2
Antianxiety Med
The nurse records the following intake of the client during an 8 hour shift:
½ liter of oral bowel prep solution (500
ml) 8 ounces of juice 1 oz = 30 ml; (240 ml)
4 tablespoons of medicine through a G-tube 1 tbsp= 15 ml; (60 ml)
2 cups of water 1 cup=8 oz= 16 oz; (480 ml)
0.9% sodium chloride at 125 ml/hour IV 125*8= (1000 ml)
Record the patient’s intake in milliliters (ML)
2280 ML
The nurse cares for the unconscious client diagnosed with a closed head injury.
There is no family present. What is the MOST appropriate action for the nurse to take?
1. Wait until a family member is contacted before treating the client.
2. Request the attending health care provider to sign the consent form.
3. Begin treatment on the client under the doctrine of implied emergency consent.
4. Delegate the unit secretary to call every number listed on the client’s cell
phone. Answer#3
The nurse and nursing assistive personnel (NAP) care for clients in the postpartum
unit. The nurse appropriately delegated which tasks to the NAP?
, Select all that apply.
1. Document the amount of food intake at lunch.
2. Assist the father dress a newborn prior to a photograph.
3. Perform an intermittent bladder catheterization.
4. Speak to the health care provider about the results of a client’s complete
blood count.
5. Ambulate the mother after cesarean birth to the bathroom.
6. Obtain the vital signs on the client ready for
discharge. # 1,2,5,6
The nurse cares for the child diagnosed with a closed head injury. It is most
important for the nurse to assess which finding?
1. The child’s response to the environment.
2. The child’s intake and output.
3. The child’s vital signs.
4. The child’s motor activity.
Answer#1 (level of
consciousness)
The staff nurse asks for the goals of the Quality Assurance Committee. Which is an
example of a goal?
1. Use of an alternate laundry service.
2. Explore an increase of handicap parking spaces.
3. Survey documentation of follow-up after administration of pain medication.
4. Determine the cause for employee’s
tardiness. Answer#3
1. The nurse cares for a client diagnosed with superficial partial thickness burn.
The nurse should assign the client to a room with which client?
A. A client diagnosed with Cushing’s Syndrome.
B. A client Diagnosed with cellulitis of the left leg.
C. A Client diagnosed with acute peritonsillar abscess.
D. A client diagnosed with acute pelvic inflammatory
disease. Answer: A
& A EXAM
The nurse instructs an adolescent diagnosed with a sprained left ankle. Further
teaching is required if the adolescent makes which statement?
,1. I will elevate my ankle when I am sitting.
2. I will try to keep weight off the ankle for several days.
3. I will put a heating pad on my ankle as soon as I get home.
4. I will keep my ankle wrapped with an elastic compression
bandage. Answer#3
RICE: rest, ice, compression, elevation
The client in the psychiatric unit tells the nurse, “I know you are trying to poison
me, I’m not taking those pills”, which statement, if made by the nurse is MOST
appropriate?
1. It’s alright if you don’t want to take the pills right now. You can take them later.
2. I’m not trying to poison you, why do you say that?
3. It sounds like you are afraid that the staff might hurt you, this is a medication to
help you.
4. These pills came straight from the pharmacy just like everyone else’s. Why do
you think they are poisonous?
Answer#3
The nurse teaches the client diagnosed with Addison’s disease. What is MOST
important to include in the instructions?
1. Limit physical exertion.
2. Frequent consultations with the health care provider.
3. Adhere to a low sodium diet.
4. Take hormone replacement therapy as
prescribed. Answer#4
The nurse identifies which client is at GREATEST risk for developing osteomyelitis?
1. A 75 year old client diagnosed with chronic lymphocytic leukemia with a
positive wound culture showing methicillin-resistant Staphylococcus aureus infection.
2. A 35 year old client with a history of smoking being treated for an inguinal
hernia and is placed on a nicotine patch.
3. An 82 year old client hospitalized for a compound fracture of the left femur
treated with an open reduction 48 hours ago.
,4. A 42 year old client diagnosed with cerebral palsy hospitalized with pneumonia
and has a Stage II decubitus ulcer on the right heel.
#1
The nurse prepared to administer buspirone 15 mg to the client. The nurse
recognized this medication is MOST appropriate for which client?
1. The 45 year old woman diagnosed with pancreatitis reporting nausea and vomiting.
2. The 27 year old woman diagnosed with panic attacks.
3. The 60 year old man diagnosed with coronary artery disease with a blood
pressure of 172/94.
4. The 38 year old man diagnosed with schizophrenia reporting
auditory hallucinations.
Answer#2
Antianxiety Med
The nurse records the following intake of the client during an 8 hour shift:
½ liter of oral bowel prep solution (500
ml) 8 ounces of juice 1 oz = 30 ml; (240 ml)
4 tablespoons of medicine through a G-tube 1 tbsp= 15 ml; (60 ml)
2 cups of water 1 cup=8 oz= 16 oz; (480 ml)
0.9% sodium chloride at 125 ml/hour IV 125*8= (1000 ml)
Record the patient’s intake in milliliters (ML)
2280 ML
The nurse cares for the unconscious client diagnosed with a closed head injury.
There is no family present. What is the MOST appropriate action for the nurse to take?
1. Wait until a family member is contacted before treating the client.
2. Request the attending health care provider to sign the consent form.
3. Begin treatment on the client under the doctrine of implied emergency consent.
4. Delegate the unit secretary to call every number listed on the client’s cell
phone. Answer#3
The nurse and nursing assistive personnel (NAP) care for clients in the postpartum
unit. The nurse appropriately delegated which tasks to the NAP?
, Select all that apply.
1. Document the amount of food intake at lunch.
2. Assist the father dress a newborn prior to a photograph.
3. Perform an intermittent bladder catheterization.
4. Speak to the health care provider about the results of a client’s complete
blood count.
5. Ambulate the mother after cesarean birth to the bathroom.
6. Obtain the vital signs on the client ready for
discharge. # 1,2,5,6
The nurse cares for the child diagnosed with a closed head injury. It is most
important for the nurse to assess which finding?
1. The child’s response to the environment.
2. The child’s intake and output.
3. The child’s vital signs.
4. The child’s motor activity.
Answer#1 (level of
consciousness)
The staff nurse asks for the goals of the Quality Assurance Committee. Which is an
example of a goal?
1. Use of an alternate laundry service.
2. Explore an increase of handicap parking spaces.
3. Survey documentation of follow-up after administration of pain medication.
4. Determine the cause for employee’s
tardiness. Answer#3
1. The nurse cares for a client diagnosed with superficial partial thickness burn.
The nurse should assign the client to a room with which client?
A. A client diagnosed with Cushing’s Syndrome.
B. A client Diagnosed with cellulitis of the left leg.
C. A Client diagnosed with acute peritonsillar abscess.
D. A client diagnosed with acute pelvic inflammatory
disease. Answer: A
