Comprehensive predictor retake
A nurse is assessing a client who has received an antibiotic. The nurse
should identify which of the following findings as an indication of a
possible allergic reaction to the medication?
A. Bradycardia
B. Headache
C. Joint pain
D. Hypotension
A nurse on a mental health unit is caring for a client who has
schizophrenia and is experiencing auditory hallucinations telling them
to hurt others. The client is refusing to take anti-psychotic medication.
Which of the following responses should the nurse make?
A. “You should plan to take this medication for a few weeks.”
B. “You will regret it if you do not take this medication.”
C. “This medication will help you respond to the voices.
D. “This medication will help you stop the voices you are hearing.”
A nurse is providing care for a patient who has depression and is to have
electroconvulsive therapy. Which of the following conditions should the
nurse identify as increasing the client’s risk for complications?
A. Hyperthyroidism
B. Renal calculi
C. Diabetes mellitus
D. Cardiac dysrhythmias
, 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?
A. WBC count 8,000/mm
B. Platelets 150,000/mm
C. Aspartate aminotransferase
10 units/L D. Erythrocyte
sedimentation 75 mm/hr
A nurse is caring for a client who has a tension pneumothorax. Which of
the following manifestations should the nurse expect?
A. Paradoxical chest movement
B. Bilateral crackles
C. Asymmetry of the chest
D. Blood-tinged sputum
A nurse is caring for a client who is at 11 weeks of gestation. Which of
the following immunizations should the nurse recommend?
A. Human
papillomavirus B.
Influenza
C. Measles, mumps and rubella
D. Varicella
A nurse in a pediatric clinic is reviewing the laboratory test results of a
school-age child. Which of the following findings should the nurse report to
the provider?
, A. Hct 40%
B. Hgb 12.5 g/dL
C. Platelets
250,000/mm D. WBC
14,000/mm
A nurse is assessing a client who is receiving packed RBCs. Which of
the following indicates fluid overload?
A. Low-back pain
B. Thready pulse
C. Hypotensi
on D.
Dyspnea
A nurse is preparing to administer betamethasone to a client who is 25
weeks of gestation and has preterm labor. Which of the following findings
should the nurse identify as an adverse effect of this medication?
A. Hyperglycemia
B. Uterine contractions
C. Proteinuria
D. Hypotension
A nurse is preparing to obtain a blood sample from a client who has a central
venous catheter. Which of the following actions should the nurse take?
(SATA)
A. Apply a tourniquet above the catheter insertion site.
B. Access the catheter using a large bore needle.
, C. Aspirate for blood return to access catheter patency.
D. Flush the catheter with 0.9% sodium chloride.
E. Apply force when resistance is met while flushing the catheter.
A nurse is preparing to perform a dressing change on a preschooler. Which
of the following actions should the nurse take to prepare the child for the
procedure?
A. Explain in simple terms how the procedure will affect the child.
B. Ask the parents to wait outside the room during the procedure.
C. Limit teaching sessions about the procedure to 20 min.
D. Instruct the child in deep-breathing methods prior to the procedure.
A nurse is performing wound care for a client who has an abdominal
incision. Which of the following techniques should the nurse implement?
A. Irrigate the wound using a 10-mL syringe.
B. Cleanse the wound starting at the bottom and moving upward.
C. Cleanse the insertion site of the drain using a circular motion
towards the center. D. Irrigate the wound with a low-pressure
flow of solution.
A nurse on an antepartum unit is prioritizing care for multiple clients.
Which of the following clients should the nurse see first?
A. A client who is at 36 weeks of gestation and has a
biophysical profile score of 8. B. A client who has preeclampsia
and reports a persistent headache.
A nurse is assessing a client who has received an antibiotic. The nurse
should identify which of the following findings as an indication of a
possible allergic reaction to the medication?
A. Bradycardia
B. Headache
C. Joint pain
D. Hypotension
A nurse on a mental health unit is caring for a client who has
schizophrenia and is experiencing auditory hallucinations telling them
to hurt others. The client is refusing to take anti-psychotic medication.
Which of the following responses should the nurse make?
A. “You should plan to take this medication for a few weeks.”
B. “You will regret it if you do not take this medication.”
C. “This medication will help you respond to the voices.
D. “This medication will help you stop the voices you are hearing.”
A nurse is providing care for a patient who has depression and is to have
electroconvulsive therapy. Which of the following conditions should the
nurse identify as increasing the client’s risk for complications?
A. Hyperthyroidism
B. Renal calculi
C. Diabetes mellitus
D. Cardiac dysrhythmias
, 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?
A. WBC count 8,000/mm
B. Platelets 150,000/mm
C. Aspartate aminotransferase
10 units/L D. Erythrocyte
sedimentation 75 mm/hr
A nurse is caring for a client who has a tension pneumothorax. Which of
the following manifestations should the nurse expect?
A. Paradoxical chest movement
B. Bilateral crackles
C. Asymmetry of the chest
D. Blood-tinged sputum
A nurse is caring for a client who is at 11 weeks of gestation. Which of
the following immunizations should the nurse recommend?
A. Human
papillomavirus B.
Influenza
C. Measles, mumps and rubella
D. Varicella
A nurse in a pediatric clinic is reviewing the laboratory test results of a
school-age child. Which of the following findings should the nurse report to
the provider?
, A. Hct 40%
B. Hgb 12.5 g/dL
C. Platelets
250,000/mm D. WBC
14,000/mm
A nurse is assessing a client who is receiving packed RBCs. Which of
the following indicates fluid overload?
A. Low-back pain
B. Thready pulse
C. Hypotensi
on D.
Dyspnea
A nurse is preparing to administer betamethasone to a client who is 25
weeks of gestation and has preterm labor. Which of the following findings
should the nurse identify as an adverse effect of this medication?
A. Hyperglycemia
B. Uterine contractions
C. Proteinuria
D. Hypotension
A nurse is preparing to obtain a blood sample from a client who has a central
venous catheter. Which of the following actions should the nurse take?
(SATA)
A. Apply a tourniquet above the catheter insertion site.
B. Access the catheter using a large bore needle.
, C. Aspirate for blood return to access catheter patency.
D. Flush the catheter with 0.9% sodium chloride.
E. Apply force when resistance is met while flushing the catheter.
A nurse is preparing to perform a dressing change on a preschooler. Which
of the following actions should the nurse take to prepare the child for the
procedure?
A. Explain in simple terms how the procedure will affect the child.
B. Ask the parents to wait outside the room during the procedure.
C. Limit teaching sessions about the procedure to 20 min.
D. Instruct the child in deep-breathing methods prior to the procedure.
A nurse is performing wound care for a client who has an abdominal
incision. Which of the following techniques should the nurse implement?
A. Irrigate the wound using a 10-mL syringe.
B. Cleanse the wound starting at the bottom and moving upward.
C. Cleanse the insertion site of the drain using a circular motion
towards the center. D. Irrigate the wound with a low-pressure
flow of solution.
A nurse on an antepartum unit is prioritizing care for multiple clients.
Which of the following clients should the nurse see first?
A. A client who is at 36 weeks of gestation and has a
biophysical profile score of 8. B. A client who has preeclampsia
and reports a persistent headache.
