RN Comprehensive Predictor 2019/2020 Form B
A nurse is providing teaching about the gastrostomy tube feedings to the parents of a
school age child. Which of the following instructions should the nurse take? - Administer
the feeding over 30 min.
A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the following
findings should the nurse report to the provider? - Digoxin level 1 ng/ml.
A nurse is caring for a client who is comatose and has advance directives that indicate the
client does not want life-sustaining measures. The client's family want the client to have
life-sustaining measures. Which of the following action should the nurse take? - Arrange for
an ethics committee meeting to address the family's concerns.
A nurse is caring for a client who wears glasses. Which of the following actions should the
nurse take? - Store the glasses in a labeled case.
A nurse is teaching a group of newly licensed nurses about measures to take when caring
for a client who is on contact precautions. Which of the following should the nurse include
in the teaching? - Wear gloves when providing care to the client.
A nurse is planning on care for a client who is recovering from an acute myocardial
infarction that occurred 3 days ago. Which of the following instructions should the nurse
include? - Obtain a cardiac rehabilitation consultation.
The nurse is reviewing the medical record of a client who is requesting combination oral
contraceptives. Which of the following conditions in the client's history is a contradiction to
the use of oral contraceptives? - Thrombophlebitis.
A nurse is caring for a client who request the creation of a living will. Which of the
following actions should the nurse take? - Evaluate the client's understanding of life-
sustaining measures.
A nurse is caring for an adolescent who has sickle-cell anemia. Which of the following
manifestations indicates acute chest syndrome and should be immediately reported to the
provider - Substernal retractions.
A nurse is preforming a gastric lavage for a client who has upper gastrointestinal bleeding.
Which of the .following action should the nurse take? - nsert a large-bore NG tube.
A nurse is providing care for a client who is in the advance stage of amyotrophic lateral
sclerosis. (ALS). Which of the following referrals is the nurse's priority? - Speech-language
pathologist.
,A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which
of the following findings should the nurse report to the provider? - Erythrocyte
sedimentation rate 75 mm/hr
A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse
should expect a prescription for which of the following laboratory tests? - Platelet count
A nurse is caring for a client following application of a cast. Which of the following actions
should the nurse take first? - Palpate the pulse distal to the cast.
A nurse is caring for a client who has vision loss. Which of the following actions should the
nurse take? - Keep objects in the client's room in the same place.
Ensure there is high-wattage lighting in the client's room.
Allow extra time for the client to perform tasks.
A nurse is caring for a client who is newly diagnosed with pancreatic cancer and has
questions about the disease. To research the nurse should identify that which of the
following electronic database has the most comprehensive collection of nursing (Unable to
read) articles? - CINAHL
A nurse in an emergency department is assessing newly admitted client who is
experiencing drooling and hoarseness following a burn injury. Which of the following
should actions should the nurse take first? - Administer 100% humidified oxygen.
A nurse is planning care for a client who has unilateral paralysis and dysphagia following a
right hemispheric stroke. Which of the following interventions should the nurse include in
the plan? - Place the client's left arm on a pillow while he is sitting.
A nurse is caring for a client who is in a seclusion room following violent behavior. The
client continues to display aggressive behavior. Which of the following actions should the
nurse take? - Confront the client about this behavior.
A nurse is caring for a client who is receiving brachytherapy for treatment of prostate
cancer. Which of the following actions should the nurse take? - Limit the client's visitors to
30 min per day.
A nurse is assessing a client who has left-sided heart failure. Which of the following should
the nurse identify as a manifestation of pulmonary congestion? - Bradypnea
A nurse is caring for a client who is in labor and requires augmentation of labor. Which of
the following conditions should the nurse recognize as a contraindication to the use of
oxytocin. - Postterm with oligohydramnios.
.A nurse is assessing a client who has left-sided heart failure. Which of the following should
the nurse identify as a manifestation of pulmonary congestion? - Bradypnea
, A nurse is caring for a 5-month-old infant who has manifestations of severe dehydration
and a prescription for paternal fluid therapy. The guardian asks. "What are the indications
that my baby needs an IV?" Which of the following responses should the nurse make? -
"Your baby needs an IV because she is not producing any tears"
A nurse is providing teaching to a client who has heart failure and a new prescription for
furosemide. Which of the following statements should the nurse make? - "Rise slowly when
getting out of bed"
A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive
disorder. Which of the following interventions should the nurse take? - Allow the client
enough time to perform rituals.
A nurse is caring for a client who has depression and reports taking ST. John's wort along
with citalopram. The nurse should monitor the client for which of the following conditions
as a result of an interaction between these substances? - Serotonin syndrome
A nurse is assessing a client who is receiving packed RBCs. Which of the following findings
indicate fluid overload? - Dyspnea.
A nurse is calculating a client's expected date of delivery. The client's last menstrual period
began on April
. Using Nagele's rule, what date should the nurse determine to be the client's expected
delivery date? - 0119 date
A nurse is discussing group treatment and therapy with a client. The nurse should include
which of the following as being a characteristic of a therapeutic group? A. The group is
organized in an autocratic structure. - The group encourages members to focus on a
particular issue.
A nurse manger is reviewing documentation with a newly licensed nurse. Which of the
following notations by the newly licensed nurse indicates an understanding of the teaching.
- Administered 8 u regular insulin sq
A nurse is preparing to administer eye drops to a school-age child. Identify the actions the
nurse should take. (Move the steps into the box on the right, placing them in the order of
performance. Use all the steps.) - 5. Place the child in a sitting position.
2. Ask the child to look upward
3. Pull the lower eyelid downward.
4. Instill the drops of medication.
1. Apply pressure to the lacrimal punctum.
A nurse is caring for a client who speaks a language different from the nurse. Which of the
following should the nurse take? - Review the facility policy about the use of an interpreter.
A nurse is providing teaching about the gastrostomy tube feedings to the parents of a
school age child. Which of the following instructions should the nurse take? - Administer
the feeding over 30 min.
A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the following
findings should the nurse report to the provider? - Digoxin level 1 ng/ml.
A nurse is caring for a client who is comatose and has advance directives that indicate the
client does not want life-sustaining measures. The client's family want the client to have
life-sustaining measures. Which of the following action should the nurse take? - Arrange for
an ethics committee meeting to address the family's concerns.
A nurse is caring for a client who wears glasses. Which of the following actions should the
nurse take? - Store the glasses in a labeled case.
A nurse is teaching a group of newly licensed nurses about measures to take when caring
for a client who is on contact precautions. Which of the following should the nurse include
in the teaching? - Wear gloves when providing care to the client.
A nurse is planning on care for a client who is recovering from an acute myocardial
infarction that occurred 3 days ago. Which of the following instructions should the nurse
include? - Obtain a cardiac rehabilitation consultation.
The nurse is reviewing the medical record of a client who is requesting combination oral
contraceptives. Which of the following conditions in the client's history is a contradiction to
the use of oral contraceptives? - Thrombophlebitis.
A nurse is caring for a client who request the creation of a living will. Which of the
following actions should the nurse take? - Evaluate the client's understanding of life-
sustaining measures.
A nurse is caring for an adolescent who has sickle-cell anemia. Which of the following
manifestations indicates acute chest syndrome and should be immediately reported to the
provider - Substernal retractions.
A nurse is preforming a gastric lavage for a client who has upper gastrointestinal bleeding.
Which of the .following action should the nurse take? - nsert a large-bore NG tube.
A nurse is providing care for a client who is in the advance stage of amyotrophic lateral
sclerosis. (ALS). Which of the following referrals is the nurse's priority? - Speech-language
pathologist.
,A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which
of the following findings should the nurse report to the provider? - Erythrocyte
sedimentation rate 75 mm/hr
A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse
should expect a prescription for which of the following laboratory tests? - Platelet count
A nurse is caring for a client following application of a cast. Which of the following actions
should the nurse take first? - Palpate the pulse distal to the cast.
A nurse is caring for a client who has vision loss. Which of the following actions should the
nurse take? - Keep objects in the client's room in the same place.
Ensure there is high-wattage lighting in the client's room.
Allow extra time for the client to perform tasks.
A nurse is caring for a client who is newly diagnosed with pancreatic cancer and has
questions about the disease. To research the nurse should identify that which of the
following electronic database has the most comprehensive collection of nursing (Unable to
read) articles? - CINAHL
A nurse in an emergency department is assessing newly admitted client who is
experiencing drooling and hoarseness following a burn injury. Which of the following
should actions should the nurse take first? - Administer 100% humidified oxygen.
A nurse is planning care for a client who has unilateral paralysis and dysphagia following a
right hemispheric stroke. Which of the following interventions should the nurse include in
the plan? - Place the client's left arm on a pillow while he is sitting.
A nurse is caring for a client who is in a seclusion room following violent behavior. The
client continues to display aggressive behavior. Which of the following actions should the
nurse take? - Confront the client about this behavior.
A nurse is caring for a client who is receiving brachytherapy for treatment of prostate
cancer. Which of the following actions should the nurse take? - Limit the client's visitors to
30 min per day.
A nurse is assessing a client who has left-sided heart failure. Which of the following should
the nurse identify as a manifestation of pulmonary congestion? - Bradypnea
A nurse is caring for a client who is in labor and requires augmentation of labor. Which of
the following conditions should the nurse recognize as a contraindication to the use of
oxytocin. - Postterm with oligohydramnios.
.A nurse is assessing a client who has left-sided heart failure. Which of the following should
the nurse identify as a manifestation of pulmonary congestion? - Bradypnea
, A nurse is caring for a 5-month-old infant who has manifestations of severe dehydration
and a prescription for paternal fluid therapy. The guardian asks. "What are the indications
that my baby needs an IV?" Which of the following responses should the nurse make? -
"Your baby needs an IV because she is not producing any tears"
A nurse is providing teaching to a client who has heart failure and a new prescription for
furosemide. Which of the following statements should the nurse make? - "Rise slowly when
getting out of bed"
A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive
disorder. Which of the following interventions should the nurse take? - Allow the client
enough time to perform rituals.
A nurse is caring for a client who has depression and reports taking ST. John's wort along
with citalopram. The nurse should monitor the client for which of the following conditions
as a result of an interaction between these substances? - Serotonin syndrome
A nurse is assessing a client who is receiving packed RBCs. Which of the following findings
indicate fluid overload? - Dyspnea.
A nurse is calculating a client's expected date of delivery. The client's last menstrual period
began on April
. Using Nagele's rule, what date should the nurse determine to be the client's expected
delivery date? - 0119 date
A nurse is discussing group treatment and therapy with a client. The nurse should include
which of the following as being a characteristic of a therapeutic group? A. The group is
organized in an autocratic structure. - The group encourages members to focus on a
particular issue.
A nurse manger is reviewing documentation with a newly licensed nurse. Which of the
following notations by the newly licensed nurse indicates an understanding of the teaching.
- Administered 8 u regular insulin sq
A nurse is preparing to administer eye drops to a school-age child. Identify the actions the
nurse should take. (Move the steps into the box on the right, placing them in the order of
performance. Use all the steps.) - 5. Place the child in a sitting position.
2. Ask the child to look upward
3. Pull the lower eyelid downward.
4. Instill the drops of medication.
1. Apply pressure to the lacrimal punctum.
A nurse is caring for a client who speaks a language different from the nurse. Which of the
following should the nurse take? - Review the facility policy about the use of an interpreter.
