GUIDE Q & A
1) A charge nurse is preparing to lead negotiations among nursing staff due to a
conflict about overtime requirements. Which of the following strategies should the
charge nurse use to promote effective negotiation?
a. Identify solutions prior to negotiation
b. Personalize the conflict
c. Attempt to understand both sides of the issue
d. Focus on how the conflict occurred
2) A nurse is preparing to administer a NG tube feeding to a school-age child.
Which of the following actions should the nurse plan to take?
a. Position the child at a 10 to 20 degree angle after feeding
b. Warm the formula in the microwave
c. Complete the feeding in 5 min
d. Measure the tubing from the nose to the distal port
3) A nurse is developing a plan of care for a client who has preeclampsia and is to
receive magnesium sulfate via continuous IV infusion. Which of the following
actions should the nurse include in the plan?
a. Monitor the FHR via Doppler every 30 min
b. Measure the clients urine output every hour
c. Restrict the clients total fluid intake to 250mL/hr
d. Give the client protamine if signs of magnesium sulfate toxicity occur
4) A nurse realizes that the wrong medication has been administered to a client.
Which of the following actions should the nurse take first?
a. Notify the provider
b. Measure the clients vital signs
c. Report the incident to the nurse manager
d. Fill out an incident report
5) A nurse realizes that the wrong medication has been administered to a client.
,COMP PREDICT STUDY
GUIDE Q & A
Which of the following actions should the nurse take first?
a. Notify the provider
b. Measure the clients vital signs
,COMP PREDICT STUDY
GUIDE Q & A
c. Report the incident to the nurse manager
d. Fill out an incident report
6) A nurse is providing teaching to a client about the adverse effects of sertraline.
Which of the following adverse effects should the nurse include?
a. Increased urinary frequency
b. Dry cough
c. Excessive sweating
d. Metallic taste in the mouth
7) A nurse is caring for a client who is postoperative and has a chest tube drainage
system. For which of the following findings should the nurse notify the provider?
a. Tidaling occurs when the client is breathing
b. Continuous bubbling in the water seal chamber
c. Oxygen saturation of 92% on room air
d. Presence of 50 mL/hr in the drainage chamber
8) A nurse is preparing to administer vancomycin IV to an adult. The client asks the
nurse if the medication can be given 2 hr earlier. Which of the following statements
should the nurse make?
a. “I can infuse the medication at a faster rate.”
b. “I have up to 2 hours after the usual schedule time to give you this medication.”
c. “I can adjust the time and schedule for when it’s convenient
for you.” d. “I can start the medication 30 min earlier.”
9) A nurse in the emergency department is interviewing a client immediately following
a sexual assault. Which of the following actions should the nurse take first?
a. Determine a clients current anxiety level
b. Initiate a referral for client counseling
c. Request the clients permission to contact a family member
d. Report the clients assault to the authorities
, COMP PREDICT STUDY
GUIDE Q & A
10) A nurse is caring for a client who gestational hypertension and is experiencing
toxic effects due to magnesium sulfate therapy. The nurse should anticipate
administering which of the following medications?
a. Sodium bicarbonate
b. Potassium
chloride c.
Calcium
gluconate
d. Magnesium sulfate
11) A nurse is caring for a client who has end-stage kidney disease. The client’s adult
child asks the nurse about becoming a living kidney donor for their parent. Which of
the following conditions in the child’s medical history should the nurse identify as a
contraindication to the procedure?
a. Hypertension
b. Osteoarthritis
c. Primary glaucoma
d. Amputation