PN comprehensive predictor practice B
[2020]
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?
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.)
[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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
[2020]
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?
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.)
[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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
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?
