PREDICTOR FORM A QUESTIONS AND
ANSWERS (100% CORRECT) /A+ GRADE
ASSURED
• A nurse is caring for a patient who is at 33 weeks of gestation following an
amniocentesis. The nurse should monitor the patient for which of the
followingcomplications?
• Vomiting
• Hypertension
• Epigastric pain
• Contractions
• A nurse is providing teaching to an older adult patient about methods to
promotenighttime sleep. Which of the following instructions should the nurse
include?
• Stay in bed at least 1 hr if unable to fall asleep
• Take a 1 hr nap during the day
• Perform exercises prior to bedtime
• Eat a light snack before bedtime
• A nurse on a telemetry unit is caring for a patient who becomes unconscious
and whose monitor displays ventricular tachycardia. Which of the following
actions should the nurse take first after determining the patient does not have
a palpablepulse?
• Assess heart sounds
• Defibrillate
• Establish IV access
• Administer epinephrine
• A nurse is admitting a patient who 1 week postpartum and reports excessive
vaginal bleeding. The nurse does not speak the same language as the patient.
Thepatient’s partner and 10-year-old child are accompanying her. Which of
the following actions should the nurse take to gather the patient’s admission
data?
• Have the patient’s child translate
• Allow the patient’s partner to translate
• Request a female interpreter through the facility
• Ask a nursing student who speaks the same language as the
patient totranslate
,• A nurse is caring for a patient who is febrile (High fever). To reduce the
patient’s fever, the nurse applies a cooling blanket. Which of the following
findings indicates the patient is having an adverse reaction to the cooling?
• Flushing
• Tachycardia
• Restlessness
• Shivering (Hypothermic)
• A nurse is caring for a patient who has deep-vein-thrombosis of the left
lowerextremity. Which of the following actions should the nurse take?
(Exhibit)
• Position the patient with the affected extremity lower than the heart
• Withhold heparin IV infusion PTT- 30-40 seconds; x2 if
on heparin
• Administer acetaminophen
• Massage the affected extremity every 4 hr
• A nurse is reviewing assessment data from several patients. For which of
thefollowing patients should the nurse recommend referral to a
dietitian?
• An older adult patient who has a BMI of 24 (18.5-24.9)
• A patient who has a nonhealing leg ulcer (diet isn’t good)
• An older adult patient who has presbyopia (age related far-sightness)
• A patient who has an albumin level of 3.7 g/dL (normal 3.4-5.4)
• A nurse is providing discharge teaching to a patient who has a chronic kidney
disease and is receiving hemodialysis. Which of the following instructions
shouldthe nurse include in the teaching?
• Eat 1 g/kg of protein per day
• Take magnesium hydroxide for indigestion
• Drink at least 3 L of fluid daily-
• Consume foods high in potassium- restrict
,• A nurse is caring for a patient who is receiving intermittent enteral tube
feedings.Which of the following places the patient at risk for aspiration?
• Sitting in a high-Fowler’s position during the feeding
• A history of gastroesophageal reflux disease
• Receiving a high osmolarity formula
• A residual of 65 mL 1 hr postprandial?
• ?A nurse is providing prenatal teaching to a patient who is at 12 weeks of
gestation.The nurse should tell the patient that she will undergo which of the
following screening tests at 16 weeks of gestation?
• Chorionic villus sampling- as early as 8 weeks
• Cervical cultures for chlamydia- 1st appointment.
• Nonstress test -28 weeks
• Maternal serum alpha-fetoprotein- 16 to 18 weeks
• A nurse is caring for a patient who is on bed rest. The nurse should recognize
thatwhich of the following findings is a complication of immobility?
• Decreased serum calcium levels- increased serum calcium
• Increased blood pressure- hypotension
• Swollen area on calf
• Urinary frequency-
• A nurse in acute care mental health facility is participating in a medication-
education group. The leader of the group uses a laissez-faire leadership style.
Which of the following actions should the nurse expect from the leader during
thesession?
• The leader encourages group members to remain silent until questions
arecalled for
• The leader lecture about medication adverse effects to the group members
• The leader allows the group to discuss whatever they would like
toregarding their medications
• The leader has group members vote on what they would like to learn
aboutduring the session
• A nurse is providing teaching about digoxin administration to the parents of a
toddler who has heart failure. Which of the following statements should the
nurseinclude in the teaching?
• “You can add the medication to a half-cup of your child’s favorite juice.”
• “Repeat the dose if your child vomits within 1 hour after
takingmedication.” X
• “Limit your child’s potassium intake while she is taking this medication.”
• “Have your child drink a small glass of water after swallowing
themedication.”
, • A nurse is providing teaching to a patient who has a depressive disorder and a
newprescription for phenelzine. Which of the following foods should the nurse
instruct the patient to avoid?
• Grapefruit
• Spinach
• Cottage cheese- cream cheese ok.
• Smoked
salmon
TYRAMINE!
• A nurse is planning care for a patient who has COPD and weighs 99 lb. The
provider has prescribed a diet of a 1.5 g protein/kg/day. How many grams of
protein per day should the nurse include in the patient’s dietary plan?
(Round tothe nearest whole number)
• 68
• A nurse is planning care for a patient who has bipolar disorder and is
experiencing mania. Which of the following interventions should the nurse
include in the plan?
• Encourage the patient to spend time in the day room
• Withdraw the patient’s TV privileges if he does not attend group therapy
• Encourage the patient to take frequent rest periods
• Place the patient in seclusion when he exhibits signs of anxiety
• A parish nurse is leading a support group for patients whose family members
have committed suicide. Which of the following strategies should the nurse
plan to useduring the group session?
• Initiate a discussion with patients about ways to cope with changes in
family dynamics
• Encourage patients to establish a timeline for their own grieving process
• Discourage patients from sharing negative aspects of their relationship
withthe deceased persons
• Assist patients in identifying ways suicide could have been prevented
• A nurse manager observes two staff nurses reviewing the computer records of
apatient who is not under their care. Which of the following actions should
the nurse manager take first?
• Instruct the nurses to close the patient’s computer record
• Request the nurses present an in-service on patient confidentiality
• Advise the nurses to read the facility’s confidentiality policy
• Place documentation of the nurses’ actions in the personnel file
• A nurse is reviewing the medical record of a patient who has schizophrenia
and istaking clozapine. Which of the following findings should the nurse
identify as a contraindication to the administration of clozapine?