PN comprehensive predictor practice
B 2020
A charge nurse in a long-term care facility notices an assistive personnel's (AP) repeated failure
to provide oral care for clients. Which of the following actions should the charge nurse take? -
Discuss this behavior with the AP while reinforcing expectaions.
A charge nurse is observing a newly licensed nurse apply sterile gloves. Which of the following
actions by the newly licensed nurse demonstrates sterile technique? - putting a glove on their
dominant hand first.
A charge nurse on a long-term care unit is preparing to delegate tasks to a licensed practical
nurse (LPN) and an assistive personnel (AP). Which of the following tasks should the charge
nurse delegate to the LPN? - administer an initial NG tube feeding to a client who has a stroke
A community health nurse is helping to reinforce teaching about hepatitis A with a group of
employees at a childcare facility. Which of the following characteristics should the nurse identify
as an external factor that can impede learning for the participants? - poor lighting in the learning
setting
A home health nurse is caring for an older adult client who just returned home following a total
knee arthroplasty. Which of the following actions should the nurse take first? - determine the
client's mobility status
A nurse assisting with a childbirth class is discussing nonpharmacological strategies used
during labor. Which of the following statements by a client indicates an understanding of
cutaneous stimulation? - i should use counter pressure for back pain during labour
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 at a long-term care facility is part of a team preparing a report on the quality of care at
the facility. Which of the following information should the nurse recommend including in the
report to demonstrate improvement in care quality? - the facility has 12% fewer urinary tract
infection over the past 6 months.
A nurse at a long-term care facility is transcribing new prescriptions for four clients. Which of the
following prescriptions is accurately transcribed by the nurse? - Potassium chloride 20 mEq PO
every morning
A nurse has administered medications to a group of clients. For which of the following client
situations should the nurse complete an incident report? - the nurse administered insulin lispro
to a client who has diabetes mellitus and is NPO
A nurse in a long-term care facility is assisting with an in-service for newly hired assistive
personnel about legal issues within the facility. Which of the following should the nurse include
as an example of assault? - informing a client the the nurse is going to administer an injection
even through the client refuses.
A nurse in a long-term care facility is auscultating the lung sounds of a client who reports
shortness of breath and increased fatigue. The nurse should report which Of the following to the
provider after hearing this sound? (Click on the audio button to listen to the clip.) - Fine crackles
{audio}
A nurse in a long-term care facility is contributing to the plan Of care for a client who has a new
ostomy. Which Of the following interventions should the nurse include? - Change the appliance
two times each week
, A nurse in a long-term care facility is observing a newly licensed nurse who is providing
tracheostomy care for a client. The nurse identifies proper performance of the procedure when
the newly licensed nurse selects which of the following solutions to clean the inner cannula? -
Hydrogen peroxide
A nurse in a long-term care facility is reviewing information about health care-associated
infections with a newly licensed nurse. Which Of the following information should the nurse
include? - Prolonged use of corticosteroids is a risk factor for infection
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 in a pediatric clinic is collecting data from a school-age child whose injuries are
inconsistent with the parent's stated cause. Which Of the following actions should the nurse
take? - report the suspected abuse to the appropriate agency
A nurse in a provider's office is collecting data from a preschooler. Which of the following
findings should the nurse report to the provider? - heart rate 146/min
A nurse in a provider's office is reinforcing discharge teaching with a client who is postoperative
following cataract removal from one eye. Which of the following instructions should the nurse
include? - avoid lying on the affected side
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 administering lorazepam to a client who is scheduled for surgery within 1 hr. Which of
the following actions should the nurse take after administering the medication? - instruct the
client not to get out of bed
B 2020
A charge nurse in a long-term care facility notices an assistive personnel's (AP) repeated failure
to provide oral care for clients. Which of the following actions should the charge nurse take? -
Discuss this behavior with the AP while reinforcing expectaions.
A charge nurse is observing a newly licensed nurse apply sterile gloves. Which of the following
actions by the newly licensed nurse demonstrates sterile technique? - putting a glove on their
dominant hand first.
A charge nurse on a long-term care unit is preparing to delegate tasks to a licensed practical
nurse (LPN) and an assistive personnel (AP). Which of the following tasks should the charge
nurse delegate to the LPN? - administer an initial NG tube feeding to a client who has a stroke
A community health nurse is helping to reinforce teaching about hepatitis A with a group of
employees at a childcare facility. Which of the following characteristics should the nurse identify
as an external factor that can impede learning for the participants? - poor lighting in the learning
setting
A home health nurse is caring for an older adult client who just returned home following a total
knee arthroplasty. Which of the following actions should the nurse take first? - determine the
client's mobility status
A nurse assisting with a childbirth class is discussing nonpharmacological strategies used
during labor. Which of the following statements by a client indicates an understanding of
cutaneous stimulation? - i should use counter pressure for back pain during labour
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 at a long-term care facility is part of a team preparing a report on the quality of care at
the facility. Which of the following information should the nurse recommend including in the
report to demonstrate improvement in care quality? - the facility has 12% fewer urinary tract
infection over the past 6 months.
A nurse at a long-term care facility is transcribing new prescriptions for four clients. Which of the
following prescriptions is accurately transcribed by the nurse? - Potassium chloride 20 mEq PO
every morning
A nurse has administered medications to a group of clients. For which of the following client
situations should the nurse complete an incident report? - the nurse administered insulin lispro
to a client who has diabetes mellitus and is NPO
A nurse in a long-term care facility is assisting with an in-service for newly hired assistive
personnel about legal issues within the facility. Which of the following should the nurse include
as an example of assault? - informing a client the the nurse is going to administer an injection
even through the client refuses.
A nurse in a long-term care facility is auscultating the lung sounds of a client who reports
shortness of breath and increased fatigue. The nurse should report which Of the following to the
provider after hearing this sound? (Click on the audio button to listen to the clip.) - Fine crackles
{audio}
A nurse in a long-term care facility is contributing to the plan Of care for a client who has a new
ostomy. Which Of the following interventions should the nurse include? - Change the appliance
two times each week
, A nurse in a long-term care facility is observing a newly licensed nurse who is providing
tracheostomy care for a client. The nurse identifies proper performance of the procedure when
the newly licensed nurse selects which of the following solutions to clean the inner cannula? -
Hydrogen peroxide
A nurse in a long-term care facility is reviewing information about health care-associated
infections with a newly licensed nurse. Which Of the following information should the nurse
include? - Prolonged use of corticosteroids is a risk factor for infection
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 in a pediatric clinic is collecting data from a school-age child whose injuries are
inconsistent with the parent's stated cause. Which Of the following actions should the nurse
take? - report the suspected abuse to the appropriate agency
A nurse in a provider's office is collecting data from a preschooler. Which of the following
findings should the nurse report to the provider? - heart rate 146/min
A nurse in a provider's office is reinforcing discharge teaching with a client who is postoperative
following cataract removal from one eye. Which of the following instructions should the nurse
include? - avoid lying on the affected side
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 administering lorazepam to a client who is scheduled for surgery within 1 hr. Which of
the following actions should the nurse take after administering the medication? - instruct the
client not to get out of bed
