PN comprehensive predictor A [2022]
1. A nurse is assisting with the care of a client who has a terminal illness. The client
practices Orthodox Judaism. Which of the following actions should the nurse
take?
- ANS: Assure the client that a family member will stay with the body after death
RAT: The nurse should assure the client that a family member will remain with
the body until burial
2. A nurse is caring for a client who is receiving telemetry. which of the following
ECG findings should the nurse report to the charge nurse?
- PR interval 0.24 seconds.
3. A nurse in an urgent care clinic is collecting data from four clients. which of the
following clients should the nurse recommend for treatment?
- a client who is experiencing shortness of breath after taking amoxicillin.
4. A nurse is assisting with the transfer of a client to a long term care facility. the
nurse should review which of the following sections of the electronic medical
record to locate information about the clients personal health insurance?
- admission sheet.
5. A nurse is reinforcing teaching with a client who is scheduled for a lumbar
punture. which of the following statements should the nurse make?
- you should increase your fluid intake after this procedure.
6. A nurse is reinforcing teaching about puberty with a group of prepubescent
female clients. Which of the following information should the nurse include in the
teaching?
- you will likely gain weight before you start to get taller.
7. A nurse is assisting with a discussion about STI's with a group of adolescents at
a health fair. which of the following statements should the nurse make?
- an infection with gonorrhea may result in infertility.
8. A nurse in a providers office is caring for client who is at 34 weeks of gestation.
Which of the following instructions should the nurse anticipate providing to the
client?
- monitor your blood pressure using your right arm daily.
9. A nurse is preparing to administer amoxicillin 875 mg PO every 12 hours. The
amount available is amoxicillin oral suspension 400 mg/5mL. How many mL
should the nurse administer per dose?
- 11.
,10. A nurse is collecting data from a client who has chronic hepatitis. In which of the
following locations should the nurse expect the client to point to indicate hepatic
tenderness?
- B.
11. A nurse is monitoring a client who is receiving lactated ringers 500 mL over 4 hr.
the drop factor of the manual IV tubing is 10gtt/mL. The nurse should check that
the manual IV infusion is delivered at how many gtt/min?
- 21.
12. A nurse is reinforcing teaching with a client who has osteoarthritis. Which of the
following instructions should the nurse include?
- apply capsaicin cream four times a day.
13. A nurse is reviewing a client's medication record and notices that a double dose
of oral digoxin was administered 1 hr ago. Which of the following actions should
the nurse take first?
- ANS: Obtain a set of the client's vital signs
RAT: The first action the nurse should take when using the nursing process is to
collect data from the client. Digoxin can cause bradycardia. By obtaining the
client's vital signs, the nurse can identify the need for intervention
14. A nurse is instructing an assistive personnel (AP) about caring for a client who
has hepatitis A and is incontinent of stool. Which of the following infection control
precautions should the nurse instruct the AP to use?
- ANS: Contact
RAT: Hepatitis A is spread by the fecal-oral route. Standard precautions are
usually sufficient to prevent the spread of infection. However, if the client who
has hepatitis A is also incontinent of stool, then contact precautions are indicated
15. A nurse is assisting with the transfer of a client to a long-term care facility. The
nurse should review which of the following sections of the electronic health
record to locate information about the client's personal health insurance?
- ANS: Admission sheet
RAT: The nurse will find client data, such as date of birth, occupation, and the
client's source of health insurance, on the client's admission sheet
16. A nurse is inspecting the skin of a newborn. Which of the following findings
should the nurse report to the provider?
- ANS: Generalized petechiae
RAT: Petechiae are an expected finding over the presenting part of the newborn,
such as on the forehead in a brow presentation, and also anywhere on the head
, of the newborns who has a nuchal cord, which is an umbilical cord around the
neck. However, petechiae all over the newborn's body can indicate infection or a
decreased platelet count and should be reported to the provider
17. A nurse in a provider's office is obtaining the health history from a client who is
scheduled to undergo a cardiac catheterization in 2 days. Which of the following
questions is the priority for the nurse to ask?
- ANS: "Do you know if you're allergic to iodine?"
RAT: The greatest risk to the client is an allergic reaction to the contrast agent,
which contains iodine. Therefore, the priority question is to identify the client's
allergies
18. A nurse is reviewing the medical record of a client who is receiving warfarin and
has atrial fibrillation. Which of the following laboratory values should the nurse
report to the provider?
- ANS: INR 5.0
RAT: The international normalized ratio (INR) is a measurement of the body's
blood clotting ability. A client receiving warfarin to prevent clot formation related
to atrial fibrillation should have an INR of 2.0 to 3.0. An INR of 5.0 or greater
indicates that the client is at risk for bleeding. Therefore, the nurse should notify
the provider about this laboratory value
19. A nurse is evaluating the safe use of electrical equipment by a newly hired
assistive personnel (AP). Which of the following actions by the AP demonstrates
an understanding of the proper use of electrical equipment?
- ANS: Grasps the plug of a device in the client's room to pull it straight out from
the wall
RAT: The nurse should recognize that by grasping the plug, rather than the cord,
the AP is demonstrating an understanding of proper equipment use and
preventing risk of injury from electronic equipment.
20. A nurse is reinforcing discharge teaching with the parents of a school-age child
who has severe hemophilia A. Which of the following statements by the parents
indicates an understanding of the teaching?
- ANS: "I will soak my child's toothbrush in warm water to soften it before my
child uses it."
RAT: The nurse should instruct the parents to soften their child's toothbrush in
warm water before they use it or allow them to use a sponge-tipped disposable
toothbrush. These actions will minimize trauma to the gums and prevent bleeding
of the oral cavity
1. A nurse is assisting with the care of a client who has a terminal illness. The client
practices Orthodox Judaism. Which of the following actions should the nurse
take?
- ANS: Assure the client that a family member will stay with the body after death
RAT: The nurse should assure the client that a family member will remain with
the body until burial
2. A nurse is caring for a client who is receiving telemetry. which of the following
ECG findings should the nurse report to the charge nurse?
- PR interval 0.24 seconds.
3. A nurse in an urgent care clinic is collecting data from four clients. which of the
following clients should the nurse recommend for treatment?
- a client who is experiencing shortness of breath after taking amoxicillin.
4. A nurse is assisting with the transfer of a client to a long term care facility. the
nurse should review which of the following sections of the electronic medical
record to locate information about the clients personal health insurance?
- admission sheet.
5. A nurse is reinforcing teaching with a client who is scheduled for a lumbar
punture. which of the following statements should the nurse make?
- you should increase your fluid intake after this procedure.
6. A nurse is reinforcing teaching about puberty with a group of prepubescent
female clients. Which of the following information should the nurse include in the
teaching?
- you will likely gain weight before you start to get taller.
7. A nurse is assisting with a discussion about STI's with a group of adolescents at
a health fair. which of the following statements should the nurse make?
- an infection with gonorrhea may result in infertility.
8. A nurse in a providers office is caring for client who is at 34 weeks of gestation.
Which of the following instructions should the nurse anticipate providing to the
client?
- monitor your blood pressure using your right arm daily.
9. A nurse is preparing to administer amoxicillin 875 mg PO every 12 hours. The
amount available is amoxicillin oral suspension 400 mg/5mL. How many mL
should the nurse administer per dose?
- 11.
,10. A nurse is collecting data from a client who has chronic hepatitis. In which of the
following locations should the nurse expect the client to point to indicate hepatic
tenderness?
- B.
11. A nurse is monitoring a client who is receiving lactated ringers 500 mL over 4 hr.
the drop factor of the manual IV tubing is 10gtt/mL. The nurse should check that
the manual IV infusion is delivered at how many gtt/min?
- 21.
12. A nurse is reinforcing teaching with a client who has osteoarthritis. Which of the
following instructions should the nurse include?
- apply capsaicin cream four times a day.
13. A nurse is reviewing a client's medication record and notices that a double dose
of oral digoxin was administered 1 hr ago. Which of the following actions should
the nurse take first?
- ANS: Obtain a set of the client's vital signs
RAT: The first action the nurse should take when using the nursing process is to
collect data from the client. Digoxin can cause bradycardia. By obtaining the
client's vital signs, the nurse can identify the need for intervention
14. A nurse is instructing an assistive personnel (AP) about caring for a client who
has hepatitis A and is incontinent of stool. Which of the following infection control
precautions should the nurse instruct the AP to use?
- ANS: Contact
RAT: Hepatitis A is spread by the fecal-oral route. Standard precautions are
usually sufficient to prevent the spread of infection. However, if the client who
has hepatitis A is also incontinent of stool, then contact precautions are indicated
15. A nurse is assisting with the transfer of a client to a long-term care facility. The
nurse should review which of the following sections of the electronic health
record to locate information about the client's personal health insurance?
- ANS: Admission sheet
RAT: The nurse will find client data, such as date of birth, occupation, and the
client's source of health insurance, on the client's admission sheet
16. A nurse is inspecting the skin of a newborn. Which of the following findings
should the nurse report to the provider?
- ANS: Generalized petechiae
RAT: Petechiae are an expected finding over the presenting part of the newborn,
such as on the forehead in a brow presentation, and also anywhere on the head
, of the newborns who has a nuchal cord, which is an umbilical cord around the
neck. However, petechiae all over the newborn's body can indicate infection or a
decreased platelet count and should be reported to the provider
17. A nurse in a provider's office is obtaining the health history from a client who is
scheduled to undergo a cardiac catheterization in 2 days. Which of the following
questions is the priority for the nurse to ask?
- ANS: "Do you know if you're allergic to iodine?"
RAT: The greatest risk to the client is an allergic reaction to the contrast agent,
which contains iodine. Therefore, the priority question is to identify the client's
allergies
18. A nurse is reviewing the medical record of a client who is receiving warfarin and
has atrial fibrillation. Which of the following laboratory values should the nurse
report to the provider?
- ANS: INR 5.0
RAT: The international normalized ratio (INR) is a measurement of the body's
blood clotting ability. A client receiving warfarin to prevent clot formation related
to atrial fibrillation should have an INR of 2.0 to 3.0. An INR of 5.0 or greater
indicates that the client is at risk for bleeding. Therefore, the nurse should notify
the provider about this laboratory value
19. A nurse is evaluating the safe use of electrical equipment by a newly hired
assistive personnel (AP). Which of the following actions by the AP demonstrates
an understanding of the proper use of electrical equipment?
- ANS: Grasps the plug of a device in the client's room to pull it straight out from
the wall
RAT: The nurse should recognize that by grasping the plug, rather than the cord,
the AP is demonstrating an understanding of proper equipment use and
preventing risk of injury from electronic equipment.
20. A nurse is reinforcing discharge teaching with the parents of a school-age child
who has severe hemophilia A. Which of the following statements by the parents
indicates an understanding of the teaching?
- ANS: "I will soak my child's toothbrush in warm water to soften it before my
child uses it."
RAT: The nurse should instruct the parents to soften their child's toothbrush in
warm water before they use it or allow them to use a sponge-tipped disposable
toothbrush. These actions will minimize trauma to the gums and prevent bleeding
of the oral cavity
