NURS NURSINGATI Predictor Q&A Test
latest update upgraded/rated 100% correct
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?
Place the newborn 45 cm (18 in) from the light source
2.an assistive personnel tells the nurse that several client measurements were obtained with morning
vital signs. Which of the following clients should the nurse plan to assess?
Head injury HR 60
3.A community health nurse recognizes that the teen pregnancy rate in the community has
increased. Which of the following program-planning strategies should the nurse implement first?
Arrange a meeting with teenage mothers who are high school students in the community
4.After making morning rounds, the charge nurse on a surgical unit delegates the following task to the
assistive personnel, which of the following task does the nurse direct the AP to complete first?
Place an NPO sign on the door of a client scheduled surgery
5 A nurse is caring for a client who is receiving a localized epidural analgesia infusion. Which of
the following nursing actions is appropriate?
Covering insertion site with a transparent dressing
6 A nurse is performing disaster triage following a natural disaster. Which of the following should
the nurse identify as the highest priority to receive care?
A client who has agonal respirations
7 A nurse is planning to provide community education about viral hepatitis. Which of the
following should the nurse plan to include in the teaching?
Series of four hepatitis vaccines is recommended to prevent viral hepatitis
8 A nurse in the emergency department caring for a client who has abdominal pain. Which of
the following actions by nurse demarcates veracity?
The nurse explains the potential risks of treatment
9 A nurse is about to administer an injection to a client who states, “I don’t want that injection. The
last time I got that I was sore for a week.” The nurse goes ahead and administers the injection against
the client’s wishes. The nurse committed which of the following?
Battery
10 A home health nurse is assessing a client who is receiving from an acute myocardial infarction
(MI). Which of the following assessment findings should the nurse report to the provider as a
possible indication of left-sided heart failure?
NURS NURSINGATI Predictor Q&A Test
latest update upgraded/rated 100% correct
,NURS NURSINGATI Predictor Q&A Test
latest update upgraded/rated 100% correct
Bilateral lung crackles
13////
A nurse is caring for a group of clients. The nurse should request a referral for a speech language
pathologist for which of the following clients?
NURS NURSINGATI Predictor Q&A Test
latest update upgraded/rated 100% correct
,NURS NURSINGATI Predictor Q&A Test
latest update upgraded/rated 100% correct
A client who has difficulty swallowing
14 A nurse is preparing to provide education about electroconvulsive therapy (ECT) for a client who
has major depressive disorder. Which of the following should the nurse include in the teaching?
A general anesthetic is administered prior to ECT treatments
15 A nurse is caring for a mother who prescribed methadone during pregnancy. The nurse should
assess the newborn for which of the following manifestations of neonatal abstinence syndrome
Tachypnea/irritability/tremors
16 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?
Hyperemesis
17 A nurse who typically works on the postpartum unit is assigned to float to the maternal newborn
unit. The nurse is very anxious about floating and uncomfortable with the assignment the charge nurse
has selected. Which of the following actions is appropriate for nurse to take?
Ask the charge nurse to assign an experienced nurse to act as a resource
18 A client hospitalized for a bone marrow transplant is in protective isolation while undergoing total
body radiation and intense chemotherapy. The client’s sibling comes visit but has obvious
manifestations of an upper respiratory infection. Which of the following nursing actions is appropriate
at this time?
Allow the sibling to wave at the client through the window or door
19 A nurse is caring for a client following insertion of a subclavian nontunneled percutaneous central
venous catheter (CVC). The provider writes a prescription to initiate an IV infusion ringer’s lactate at
150 mL per hr. prior to starting the infusion, which of the following actions should the nurse take?
Review the chest x-ray report
20 A nurse is providing teaching to an adolescent client who has cystic fibrosis and has a prescription
for pancrealipase. Which of the following should the nurse include in the teaching?
Take with meals
A nurse is assessing laboratory values on a client who has taken an overdose of acetaminophen. The
nurse should expect which of the following laboratory values indicative of organ damage from the
overdose?
Alanine aminotransferase (ALT)
21 A nurse on an orthopedic floor is completing morning assessments on several clients. Which of
the following clients has the greatest risk for fat embolism syndrome (FES)?
NURS NURSINGATI Predictor Q&A Test
latest update upgraded/rated 100% correct
, NURS NURSINGATI Predictor Q&A Test
latest update upgraded/rated 100% correct
A 24-year-old male who has a casted femur fracture
22 A nurse is caring for a client who has end stage liver disease. The daughter of the client asks about
her father’s do-not-resuscitate request. Which of the following is a therapeutic response by the nurse?
NURS NURSINGATI Predictor Q&A Test
latest update upgraded/rated 100% correct
latest update upgraded/rated 100% correct
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?
Place the newborn 45 cm (18 in) from the light source
2.an assistive personnel tells the nurse that several client measurements were obtained with morning
vital signs. Which of the following clients should the nurse plan to assess?
Head injury HR 60
3.A community health nurse recognizes that the teen pregnancy rate in the community has
increased. Which of the following program-planning strategies should the nurse implement first?
Arrange a meeting with teenage mothers who are high school students in the community
4.After making morning rounds, the charge nurse on a surgical unit delegates the following task to the
assistive personnel, which of the following task does the nurse direct the AP to complete first?
Place an NPO sign on the door of a client scheduled surgery
5 A nurse is caring for a client who is receiving a localized epidural analgesia infusion. Which of
the following nursing actions is appropriate?
Covering insertion site with a transparent dressing
6 A nurse is performing disaster triage following a natural disaster. Which of the following should
the nurse identify as the highest priority to receive care?
A client who has agonal respirations
7 A nurse is planning to provide community education about viral hepatitis. Which of the
following should the nurse plan to include in the teaching?
Series of four hepatitis vaccines is recommended to prevent viral hepatitis
8 A nurse in the emergency department caring for a client who has abdominal pain. Which of
the following actions by nurse demarcates veracity?
The nurse explains the potential risks of treatment
9 A nurse is about to administer an injection to a client who states, “I don’t want that injection. The
last time I got that I was sore for a week.” The nurse goes ahead and administers the injection against
the client’s wishes. The nurse committed which of the following?
Battery
10 A home health nurse is assessing a client who is receiving from an acute myocardial infarction
(MI). Which of the following assessment findings should the nurse report to the provider as a
possible indication of left-sided heart failure?
NURS NURSINGATI Predictor Q&A Test
latest update upgraded/rated 100% correct
,NURS NURSINGATI Predictor Q&A Test
latest update upgraded/rated 100% correct
Bilateral lung crackles
13////
A nurse is caring for a group of clients. The nurse should request a referral for a speech language
pathologist for which of the following clients?
NURS NURSINGATI Predictor Q&A Test
latest update upgraded/rated 100% correct
,NURS NURSINGATI Predictor Q&A Test
latest update upgraded/rated 100% correct
A client who has difficulty swallowing
14 A nurse is preparing to provide education about electroconvulsive therapy (ECT) for a client who
has major depressive disorder. Which of the following should the nurse include in the teaching?
A general anesthetic is administered prior to ECT treatments
15 A nurse is caring for a mother who prescribed methadone during pregnancy. The nurse should
assess the newborn for which of the following manifestations of neonatal abstinence syndrome
Tachypnea/irritability/tremors
16 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?
Hyperemesis
17 A nurse who typically works on the postpartum unit is assigned to float to the maternal newborn
unit. The nurse is very anxious about floating and uncomfortable with the assignment the charge nurse
has selected. Which of the following actions is appropriate for nurse to take?
Ask the charge nurse to assign an experienced nurse to act as a resource
18 A client hospitalized for a bone marrow transplant is in protective isolation while undergoing total
body radiation and intense chemotherapy. The client’s sibling comes visit but has obvious
manifestations of an upper respiratory infection. Which of the following nursing actions is appropriate
at this time?
Allow the sibling to wave at the client through the window or door
19 A nurse is caring for a client following insertion of a subclavian nontunneled percutaneous central
venous catheter (CVC). The provider writes a prescription to initiate an IV infusion ringer’s lactate at
150 mL per hr. prior to starting the infusion, which of the following actions should the nurse take?
Review the chest x-ray report
20 A nurse is providing teaching to an adolescent client who has cystic fibrosis and has a prescription
for pancrealipase. Which of the following should the nurse include in the teaching?
Take with meals
A nurse is assessing laboratory values on a client who has taken an overdose of acetaminophen. The
nurse should expect which of the following laboratory values indicative of organ damage from the
overdose?
Alanine aminotransferase (ALT)
21 A nurse on an orthopedic floor is completing morning assessments on several clients. Which of
the following clients has the greatest risk for fat embolism syndrome (FES)?
NURS NURSINGATI Predictor Q&A Test
latest update upgraded/rated 100% correct
, NURS NURSINGATI Predictor Q&A Test
latest update upgraded/rated 100% correct
A 24-year-old male who has a casted femur fracture
22 A nurse is caring for a client who has end stage liver disease. The daughter of the client asks about
her father’s do-not-resuscitate request. Which of the following is a therapeutic response by the nurse?
NURS NURSINGATI Predictor Q&A Test
latest update upgraded/rated 100% correct
