PN comprehensive predictor B [2022] with rationales_Rated 100%
A nurse at a long-term care facility is caring for a client who requires oral suctioning. Which of the
following supplies should the nurse plan to use for this task? Correct Answer: yankeurs catheter
rationale: A Yankauer catheter is a clean suction catheter used when performing oral and oropharyngeal
suctioning to remove secretions from the client's mouth to facilitate breathing or obtain a sample for
diagnostic evaluation.
A nurse in a long-term care facility is serving on the ethics committee, which is addressing a client care
dilemma. Which of the following strategies will facilitate resolving the dilemma? (Select all that apply.)
Correct Answer: [1] determine the facts related to the dilemma.
[2] identify possible solution
[3]consider the client wishes
A nurse is talking with a client whose son died in a motor-vehicle crash 2 weeks ago. The client states, "l
really thought I'd be back to my usual routines by now, but I can't think of anything else except that my
son is gone." Which Of the following responses should the nurse make? Correct Answer: Grieving for
your son is hard work. it will take as much time as you need to come to terms with your loss.
A nurse is reinforcing teaching with a client about cancer prevention. The nurse should include that
frequent consumption of which of the following foods increases the risk for developing cancer? Correct
Answer: Lamb
rationale: including tuna fish reduces risk of developing cancer.
including poultry reduces risk,
A nurse notices an assistive personnel (AP) taking a nap in the break room during meal time. The nurse
also notes that the AP is drowsy while performing routine tasks. Which of the following actions should
the nurse take? Correct Answer: Report the observation about the AP to the Unit nurse manager
A nurse on a pediatric unit is collecting data from four newly admitted clients. Which of the following
clients should the nurse identify as being at risk for urinary retention? Correct Answer: A school age
child who has allergic rhinitis and is taking diphenhydramine.
A nurse is caring for a client following a bronchoscopy. Which of the following actions should the nurse
take first? Correct Answer: check for gag reflex
A nurse is assisting with the admission of a client who has a latex allergy. The nurse should identify that
which of the following supplies has the potential to contain latex? Correct Answer: Indwelling urinary
catheter
A nurse is performing postmortem care for a client prior to the arrival Of the client's family for viewing
Of the body. Which Of the following actions should the nurse take? Correct Answer: Gently close the
client's eyelids
, A nurse is reinforcing teaching with a client who has dumping syndrome about measures to reduce
manifestations. Which of the following instructions should the nurse include in the teaching? Correct
Answer: avoid foods high in sugar content.
rationale: The nurse should instruct the client to avoid sweet foods, which often increase the
manifestations of dumping syndrome. These manifestations include nausea, sweating, abdominal pain,
diarrhea, and weakness.
A nurse is collecting data from a client who is experiencing a situational crisis following the loss of a job.
The client states, "l don't think I can go through this again." Which of the following actions is the nurse's
priority? Correct Answer: Determine if the client is experiencing psychotic thinking.
A nurse is contributing to the plan of care for a client following a transurethral resection of the prostate
(TURP). Which of the following interventions should the nurse include? Correct Answer: Irrigate the
bladder using sterile technique
A nurse is caring for an infant who is receiving IV fluids for dehydration. Which of the following should
the nurse recognize as a positive response to the therapy? Correct Answer: Moist mucus membranes.
A nurse is assisting with the admission of a client who is experiencing alcohol withdrawal. Which of the
following medications should the nurse expect the provider to prescribe for the client? Correct Answer:
Chlordiazepoxide
rationale: The nurse should expect to administer chlordiazepoxide to decrease anxiety and the risk for
seizures associated with alcohol withdrawal.
A nurse is caring for a client who is scheduled for surgery in the morning. The nurse learns that the client
has decided not to have surgery even though they have already signed the informed consent form.
Which of the following actions should the nurse take? Correct Answer: report the situation to the
provider who obtained informed consent.
A nurse is collecting data from a client who is in severe pain. Which of the following questions should
the nurse ask first? Correct Answer: where is your pain located
A nurse in a provider's office is reinforcing teaching with a client who has a new prescription for ferrous
sulfate elixir. Which of the following statements by the client should indicate to the nurse an
understanding of the teaching? Correct Answer: i will rinse my mouth after taking this medication
A nurse is contributing to the plan of care for a client who is postoperative following a rhinoplasty.
Which of the following interventions should the nurse recommend? Correct Answer: instruct the client
to avoid the Valsalva maneuver.
rationale. Valsalva ts such as straining during defecation or playing the saxophone entail performance of
Valsalva maneuver
A nurse is collecting data from a postpartum client who had a vaginal birth 2 days ago. Which Of the
following findings is the nurse's priority to report to the provider? Correct Answer: client reports
burning with urination.
A nurse at a long-term care facility is caring for a client who requires oral suctioning. Which of the
following supplies should the nurse plan to use for this task? Correct Answer: yankeurs catheter
rationale: A Yankauer catheter is a clean suction catheter used when performing oral and oropharyngeal
suctioning to remove secretions from the client's mouth to facilitate breathing or obtain a sample for
diagnostic evaluation.
A nurse in a long-term care facility is serving on the ethics committee, which is addressing a client care
dilemma. Which of the following strategies will facilitate resolving the dilemma? (Select all that apply.)
Correct Answer: [1] determine the facts related to the dilemma.
[2] identify possible solution
[3]consider the client wishes
A nurse is talking with a client whose son died in a motor-vehicle crash 2 weeks ago. The client states, "l
really thought I'd be back to my usual routines by now, but I can't think of anything else except that my
son is gone." Which Of the following responses should the nurse make? Correct Answer: Grieving for
your son is hard work. it will take as much time as you need to come to terms with your loss.
A nurse is reinforcing teaching with a client about cancer prevention. The nurse should include that
frequent consumption of which of the following foods increases the risk for developing cancer? Correct
Answer: Lamb
rationale: including tuna fish reduces risk of developing cancer.
including poultry reduces risk,
A nurse notices an assistive personnel (AP) taking a nap in the break room during meal time. The nurse
also notes that the AP is drowsy while performing routine tasks. Which of the following actions should
the nurse take? Correct Answer: Report the observation about the AP to the Unit nurse manager
A nurse on a pediatric unit is collecting data from four newly admitted clients. Which of the following
clients should the nurse identify as being at risk for urinary retention? Correct Answer: A school age
child who has allergic rhinitis and is taking diphenhydramine.
A nurse is caring for a client following a bronchoscopy. Which of the following actions should the nurse
take first? Correct Answer: check for gag reflex
A nurse is assisting with the admission of a client who has a latex allergy. The nurse should identify that
which of the following supplies has the potential to contain latex? Correct Answer: Indwelling urinary
catheter
A nurse is performing postmortem care for a client prior to the arrival Of the client's family for viewing
Of the body. Which Of the following actions should the nurse take? Correct Answer: Gently close the
client's eyelids
, A nurse is reinforcing teaching with a client who has dumping syndrome about measures to reduce
manifestations. Which of the following instructions should the nurse include in the teaching? Correct
Answer: avoid foods high in sugar content.
rationale: The nurse should instruct the client to avoid sweet foods, which often increase the
manifestations of dumping syndrome. These manifestations include nausea, sweating, abdominal pain,
diarrhea, and weakness.
A nurse is collecting data from a client who is experiencing a situational crisis following the loss of a job.
The client states, "l don't think I can go through this again." Which of the following actions is the nurse's
priority? Correct Answer: Determine if the client is experiencing psychotic thinking.
A nurse is contributing to the plan of care for a client following a transurethral resection of the prostate
(TURP). Which of the following interventions should the nurse include? Correct Answer: Irrigate the
bladder using sterile technique
A nurse is caring for an infant who is receiving IV fluids for dehydration. Which of the following should
the nurse recognize as a positive response to the therapy? Correct Answer: Moist mucus membranes.
A nurse is assisting with the admission of a client who is experiencing alcohol withdrawal. Which of the
following medications should the nurse expect the provider to prescribe for the client? Correct Answer:
Chlordiazepoxide
rationale: The nurse should expect to administer chlordiazepoxide to decrease anxiety and the risk for
seizures associated with alcohol withdrawal.
A nurse is caring for a client who is scheduled for surgery in the morning. The nurse learns that the client
has decided not to have surgery even though they have already signed the informed consent form.
Which of the following actions should the nurse take? Correct Answer: report the situation to the
provider who obtained informed consent.
A nurse is collecting data from a client who is in severe pain. Which of the following questions should
the nurse ask first? Correct Answer: where is your pain located
A nurse in a provider's office is reinforcing teaching with a client who has a new prescription for ferrous
sulfate elixir. Which of the following statements by the client should indicate to the nurse an
understanding of the teaching? Correct Answer: i will rinse my mouth after taking this medication
A nurse is contributing to the plan of care for a client who is postoperative following a rhinoplasty.
Which of the following interventions should the nurse recommend? Correct Answer: instruct the client
to avoid the Valsalva maneuver.
rationale. Valsalva ts such as straining during defecation or playing the saxophone entail performance of
Valsalva maneuver
A nurse is collecting data from a postpartum client who had a vaginal birth 2 days ago. Which Of the
following findings is the nurse's priority to report to the provider? Correct Answer: client reports
burning with urination.
