COMPREHENSIVE PREDICTOR 2020 WITH NGN A+ GUIDE.
An assistive personnel tells the charge nurse that her assignment is too
demanding. She angrily tells the nurse to reassign one of her tasks to another AP.
Which of the following actions should the nurse take to resolve the conflict? - ANS-
Ask the AP to discuss the issue in a private area
A nurse is supervising an assistive personnel (AP) obtain supplies for a patient who
is on seizure precautions. Which of the following materials should the AP place in
the patient's room? - ANS-Oral Suction Equipment
A charge nurse on a mental health unit is supervising a newly licensed nurse. For
which of the following actions by the newly licensed nurse should the supervising
nurse intervene? - ANS-Tells a patient he will lose his phone privileges if he does
not take his medication
A nurse is caring for a patient who follows a kosher diet. Which of the following
menu items should the nurse include in the meal tray? - ANS-Roasted Salmon
A nurse is reviewing information about advance directives with a newly admitted
patient. Which of the following statements by the patient indicates an understanding
of the information? - ANS-"Advance directives include a living will"
A nurse is collecting data from the caregiver of a patient who has Alzheimer's
disease. The caregiver reports the patient has difficulty sleeping at night and
wanders throughout the house. Which of the following interventions should the nurse
recommend? - ANS-Encourage the patient to take frequent walks during the day
A nurse is assisting in the care of a patient who is 8hr postpartum and has uterine
atony with increased bleeding. Which of the following actions should the nurse
take? (Select all that apply) - ANS-Assist the patient to empty her bladder
A nurse is reinforcing teaching with the support person of a patient who is in the first
stage of labor. Which of the following instructions should the nurse include regarding
effleurage? - ANS-"Gently stroke her abdomen during contractions"
A nurse is caring for an older adult patient who is postoperative following a total hip
arthroplasty. The patient is incontinent of stool and urine. Which of the following
actions should the nurse take to prevent skin breakdown? - ANS-Use a moisture
barrier on the patient's skin
A nurse is caring for a patient who has terminal cancer. Which of the following
actions should the nurse take to promote the patient's autonomy? - ANS-Allow the
patient to choose treatment times
,A nurse in a clinic is caring for a patient who is at 40 weeks of gestation and
experiences a sudden gush of vaginal fluids. Which of the following findings is
evidence of an obstetric complication? - ANS-Appears greenish-brown in color
A nurse is assisting with the care of an adolescent patient immediately following a
lumbar puncture. Which of the following actions should the nurse take? - ANS-
Inform the adolescent that he might experience a headache
A nurse is reinforcing teaching about advance directives with a patient who has
end-stage heart failure. Which of the following statements by the patient indicates
an understanding of the teaching? - ANS-"I should discuss this document with my
family after I sign it"
A nurse is caring for a patient who has continuous bladder irrigation following a
transurethral resection of the prostate. The nurse notices clots and dark red blood in
the catheter collection bag. Which of the following actions should the nurse take? -
ANS-Irrigate the bladder with 20 to 30 mL of 0.9% sodium chloride
A nurse is planning to obtain a 12-lead ECG for a patient who has a history of
cardiac dysrhythmias. Which of the following actions should the nurse plan to take?
- ANS-Instruct the patient to remain as still as possible during the recording
A nurse is reinforcing teaching with a patient who has genital herpes. Which of the
following information should the nurse include in the teaching? - ANS-"You should
increase fluid intake to relieve dysuria"
A nurse is preparing to empty a postoperative patient's closed-wound drainage
system. Which of the following actions should the nurse plan to take? - ANS-
Compress the container before replacing the drainage plug
A nurse is reinforcing teaching with the parents of a toddler who has a new
diagnosis of asthma and a prescription for montelukast. Which of the following
instructions should the nurse include in the teaching? - ANS-Administer the
medication to the toddler each evening
A nurse in an acute mental health facility is caring for a newly admitted patient.
Which of the following should occur during the orientation phase of the nurse-patient
relationship? - ANS-Defining responsibilities
A nurse is caring for a patient who reports having a decrease in fetal movement
following an external cephalic version 6 hr ago. The nurse identifies the fetus is in
the right occiput anterior position. The nurse should place the fetal heart monitor on
which of the following sites to auscultate the fetal heart rate? - ANS- Lower left
, A charge nurse is observing a newly licensed nurse perform suctioning for a
patient who has a tracheostomy. For which of the following actions by the newly
licensed nurse should the charge nurse intervene? - ANS-Suction for 30
seconds
A nurse is reviewing the medication administration record of a patient who takes
atenolol PO and supplies a nitroglycerin transdermal patch daily. Which of the
following interactions should the nurse monitor with this patient? - ANS-Hypotension
A nurse in an acute care setting is preparing to administer medications to a patient.
Which of the following actions should the nurse verify the patient's identity? - ANS-
Verify the patient's identity using a photograph
A nurse in a provider's office is collecting data from a patient who has psoriasis.
Which of the following statements made by the patient should she report to the
provider? - ANS-"I try not to look at the scales on my body"
A nurse is completing chart reviews in a long-term care facility in response to an
increase in falls. Which of the following responses in the chart should the nurse use
to determine the potential causes of falls? - ANS- Medication record
A nurse is making patient care assignments for an assistive personnel (AP). Which
of the following tasks should the nurse assign to the AP? - ANS-Complete post
mortem care for a patient who has died
A nurse is reinforcing teaching with a patient who is taking allopurinol about the
risk for developing Stevens- Johnsons syndrome. For which of the following
manifestations should the nurse instruct the patient to monitor and report? - ANS-
Skin rash with fever
A charge nurse in a long-term care facility is reinforcing teaching with a group of
nurses about fall precautions. Which of the following statements made by the nurse
indicates an understanding of the teaching? - ANS-"I will instruct the patient to sit
when putting on a pair of pants"
A nurse is recommending patients for discharge to allow for admission of patients
following a tornado disaster. Which of the following patients should the nurse
recommend for discharge? - ANS-A patient who has a sodium level of 140 mEq/L
after one episode of diarrhea
A nurse is assisting with the plan of care for a newly admitted patient who has
anorexia nervosa. Which of the following interventions should the nurse include in
the plan? - ANS-Administer liquid supplements
A charge nurse is reinforcing teaching with a newly licensed nurse about floating to
a different unit. Which of the following statements by the newly licensed nurse