Comprehensive Final Quiz, RN
Comprehensive Predictor
2023/2024 A, RN Comprehensive
Predictor 2023/2024 Form B and
C(latest update)
A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago.
Which of the following findings should indicate to the nurse that the therapy has
been effective? - -hemoglobin 14.9 g/dL
-a nurse working in an emergency department is triaging four clients. which of the
following clients should the nurse recommend for treatment first? - -a middle
adult client who has unstable vital signs
-a nurse is caring for a client who has fluid volume overload. which of the
following tasks should the nurse delegate to an assistive personnel? - -measure the
client's daily weight
-a nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as a test
dose to a client who has severe oliguria. The client weighs 198 lb. what is the
amount in grams the nurse should administer? - -18 g
-a nurse is conducting a physical examination for an adolescent and is assessing
the rang of motion of the legs, which of the following images indicates the
adolescent is abducting the hip joint? - -Moving the leg away from the midline of
the body (off to the side, not to the front)
-a nurse is caring for a client who has hyperthyroidism. which of the following
findings should the nurse expect? - -tremors
tachycardia, diaphoresis, weight loss, insomnia, exopthalmia
hypothyroidism has dry corase hair, bradycardia, and periorbital edema
-a nurse is assessing a school age child who has bacterial meningitis. which of the
following findings should the nurse expect? - -nuchal rigidity
also weight loss
-a nurse is assessing a newborn's heart rate. which of the following actions should
the nurse take? - -auscultate the apical pulse at least 1 min
, -a nurse is preparing to assist with a thoracentesis for a client who has pleurisy.
the nurse should plan to perform which of the following actions? - -instruct the
client to avoid coughing during the procedure
-a nurse is the emergency department is assessing a preschooler who has a facial
laceration. the nurse should identify which of the following findings as a potential
indication of child sexual abuse? - -the child exhibits discomfort while walking
-a nurse is preparing to teach about dietary management to a client who has
crohn's disease and an enteroenteric fistula. which of the following nutrients
should the nurse instruct the client to decrease in their diet? - -fiber - reduce
diarrhea and inflammation
-a nurse is caring for a client who has a prescription for a continuous passive
motion CPM machine following a total knee arthroplasty. which of the following
actions should the nurse take? - -Turn off the CPM machine during mealtime
promote client comfort and dietary intake
-a nurse is preparing to initiate IV access for an older adult client. Which of the
following sites should the nurse select when initiating the IV for this client? - -
radial vein of the inner arm
-a nurse is developing a client education program about osteoporosis for older
adult clients. the nurse should include which of the following variables as a risk
factor for osteoporosis? - -sedentary lifestyle
also, small framed body with a thin build, estrogen deficiency
-a nurse in an emergency department is caring for a child who has a fever and
fluid filled vesicles on the trunk and extremities. which of the following
interventions should the nurse identify as the priority? - -initiate transmission
based precautions
-a nurse is caring for a client who has a clogged percutaneous gastrostomy feeding
tube. which of the following actions should the nurse take first? - -change the
position of the client
-a home health care nurse is developing a teaching plan for a client who has a new
ileostomy. which of the following instructions should the nurse include? - -empty
the appliance when it is one third to one half full
-a nurse is reviewing the laboratory report of a client who has end stage kidney
disease and received hemodialysis 24 hr ago. Which of the following laboratory
values should the nurse report to the provider? - -sodium 148 mEq/L
-a nurse is caring for four clients. which of the following tasks should the nurse
delegate to an assistive personnel? - -Arrange the lunch tray for a client who has a
hip fracture
, -a nurse is preparing a client for a paracentesis. which of the following actions
should the nurse take? - -instruct the client to void
-a nurse has received change of shift report on four assigned clients. for which of
the following clients should the nurse intervene to prevent a potential food and
medication interaction? - -a client who is receiving an MAOI and is requesting a
cheeseburger for dinner
-a nurse is planning care for a client who has rheumatoid arthritis and has
moderate to severe pain in multiple joints. which of the following actions should
the nurse plan to take? - -allow for frequent rest periods throughout the day
-a nurse is caring for a client who is receiving continuous bladder irrigation
following a transurethral resection of the prostate. the client reports bladder
spasms, and the nurse observes a decreased urinary output. which of the following
actions should the nurse take? - -irrigate the catheter with 0.9% sodium chloride
irrigation
-a nurse is assessing a client who has COPD. which of the following findings
should the nurse expect? - -pH 7.31
-a nurse in a community center is providing an educational session to a group of
client about ovarian cancer. which of the following manifestations of ovarian
cancer should the nurse include in the teaching? - -abdominal bloating
increase in abdominal girth, pelvic or abdominal pain, early satiety, urinary
frequency of urgency
-a nurse is caring for a client who has active tuberculosis TB. which of the
following actions should the nurse plan to take to prevent the transmission of the
disease? - -Have the client wear a surgical mask while being transported outside
the room
-a nurse is caring for a group of clients. which of the following clients should the
nurse attend to first? - -an older adult client who is anxious and attempting to pull
out an IV line
-an RN is observing a licensed practical nurse LPN and an assistive personnel AP
move a client up in bed. for which of the following situations should the nurse
intervene? - -The LPN and the AP grasp the client under his arms to lift him up in
bed
-a nurse is preparing to administer insulin to a client via a pen device. which of the
following actions should the nurse take? - -hold the insulin pen device
perpendicular to the client's skin to inject the medication
-a nurse is caring for a client who has immunosuppression and a continuous IV
infusion. which of the following actions should the nurse take? - -monitor the
client's mouth every 8 hours
, -a nurse is providing teaching about advance directives to a middle adult client.
which of the following client responses indicates an understanding of the teaching?
- -"I can designate my partner as my health care surrogate"
-a nurse is assessing a client following a vaginal delivery and notes heavy lochia
and a boggy fundus. which of the following medications should the nurse expect to
administer? - -oxytocin
-a nurse manager is planning to use a democratic leadership style with the nurses
on the unit. Which of the following actions by the nurse manager demonstrates a
democratic leadership style? - -seeks input from the other nurses
-a nurse is assigning task roles for a group of clients in a community mental health
clinic. which of the following tasks should the nurse assign to the member of the
group functioning as the orienteer? - -noting the progress of the group toward
assigned goals
-a nurse is creating a plan of care for a newly admitted child. which of the
following actions should the nurse include in the plan? - -Administer high dose
antibiotic therapy
cystic fibrosis kid with lung infection
-a nurse is caring for a newborn immediately after delivery. which of the following
interventions should the nurse implement to prevent heat loss by conduction? - -
use a protective cover on the scale when weighing the infant
-a nurse is caring for a client who has abdominal surgery 24 hr ago. which of the
following actions is the nurse's priority? - -assist with deep breathing and coughing
-a nurse in an outpatient mental health clinic is caring for four clients. the nurse
should recognize that which of the following clients is effectively using sublimation
as a defense mechanism? - -a client who channels their energy into a new hobby
following the loss of their job
-a nurse is assessing for correct placement of a client's NG feeding tube prior to
administering a bolus feeding. which of the following actions should the nurse
take? - -aspirate contents from the tube and verify the pH level
-an antepartum nurse is caring for four clients. for which of the following clients
should the nurse initiate seizure precautions? - -a client who is at 33 weeks of
gestation and has severe gestational hypertension
-a nurse is providing discharge teaching to a client who is to receive home oxygen
therapy. which of the following instructions should the nurse include in the
teaching? - -wear clothing made with cotton fabrics while oxygen is in use
use water soluble lubricant not petroleum based lubricant
-a nurse is providing teaching for a client who has a fracture of the right fibula
with a short leg cast in place a new prescription for crutches. The client is non