Comprehensive predictor Test A+
Solutions 2024
A nurse is caring for a group of clients, which of the following can be assigned to an
assistive personnel? - ANS-a. Collecting a stool specimen to test for occult blood.
A nurse is working on a unit for clients with dementia. Which of the following client
situations requires the nurse to write an incident report? - ANS-c. A client is found lying
on the floor next to a chair.
A nurse is discharging a client who was admitted for newly diagnosed type 2 diabetes
mellitus. The client is independent and lives alone. Which of the following should be
included in the discharge plan? - ANS-c. Refer the client to a diabetic support group.
A nurse is caring for a client who has type 2 diabetes mellitus and a blood glucose level
of 60 mg/dL. For which of the following findings should the nurse monitor? - ANS-a.
Clammy Skin
A female client who is an abusive marriage has discusses with the nurse strategies to
prevent this abuse. which of the following client statements indicate an understanding of
an appropriate strategy? - ANS-a. "I need to recognize the signs that my husband is
becoming abusive." c. "I need to identify what triggers my husband's anger to prevent
his abuse."
A charge nurse in a long-term care facility is preparing to administer noon insulin to a
client. The nurse observes that the assistive personnel (AP) has no documented the
client's blood glucose level. Which of the following actions should the charge nurse take
first? - ANS-d. Determine if the AP has completed the assignment.
A client is scheduled for an outpatient colonoscopy. which of the following actions is a
nursing responsibility in the informed consent process? - ANS-a. Verify that there is a
signed and witnesses consent form in the client's chart.
A nurse smells alcohol on the breath of an assistive personnel (AP) during report.
Which of the following actions should the nurse take? - ANS-c. Report the situation to
the nurse manager.
A nurse from a medical-surgical unit is floating to a postpartum unit. Which of the
,following clients is an appropriate assignment for the nurse to accept? - ANS-b. A client
who had a cesarean delivery 24hr ago.
A nurse in a provider's office is collecting data from a parent of an infant who is being
screened for cystic fibrosis. Which of the following supports a diagnosis of cystic
fibrosis? - ANS-a. Frothy stools.
When caring for an assigned group of clients, the nurse should wear gloves when -
ANS-a. performing oral hygiene.
A nurse is preparing a client for surgery. The client tells the nurse that he is concerned
about the safety of a large sum of money in his wallet. Which of the following actions is
appropriate for the nurse to take? - ANS-b. contact security personnel to place the
money in the facility safe.
A nurse is caring for a client who is receiving heparin. Which of the following is the
appropriate route of administration? - ANS-d. Subcutaneously.
A nurse is reinforcing teaching about car seat safety to the parents of a newborn. The
nurse should instruct the parents to place the car seat in a? - ANS-c. Rear-facing
position in the back seat.
A nurse is caring for a client and recognizes the client's rights to confidentiality have
been breached in which of the following situations? - ANS-a. A hospital risk manager
includes information from a client's medical record in
A nurse is caring for a client who had a femoral-popliteal bypass graft 2 days ago. When
monitoring peripheral pulses, the nurse is unable to locate a pulse on the affected leg.
Which of the following actions should the nurse take? - ANS-c. Notify the charge nurse
of the finding.
A nurse is caring for a full-term newborn who was circumcised 6 hrs. ago. Which of the
following findings indicates that the newborn is experiencing pain? - ANS-b. Furrowed
Brow
A nurse is reinforcing teaching with a client about organ donation. Which of the following
client statements indicated a need for further teaching? - ANS-c. "My doctor should
decide if my organs will be donated."
A Client who is prescribed metoprolol (Lopressor) for hypertension tells the nurse, "I
, don't want to take this medication because it makes me tired all the time." Which of the
following is the appropriate response? - ANS-c. "Let's talk with your doctor about other
options."
A nurse is preparing to administer an IM injection to a client. To reduce the risk of
neddlestick injury, the nurse should? - ANS-b. dispose of the used needle immediately
in a puncture-proof sharps container.
A nurse is contributing to the discharge plan for a client following surgery. Which of the
following findings indicate the need for an interdisciplinary care conference? - ANS-d.
The client requires assistance to pay for dressing supplies.
A client who is 24 hours postoperative suddenly develops chest pain, dyspnea, anxiety,
diaphoresis, and cough. Which of the following actions should the nurse take first? -
ANS-c. Elevate the head of the client's bed.
A nurse is caring for a 17-year old client who is admitted for an emergency
appendectomy. Which of the following is an appropriate action by the nurse in obtaining
informed consent? - ANS-a. Obtain verbal consent from the client while waiting for the
parents to arrive. b. Witness the signature of the client's parent when he arrives. c. Have
the client's older sibling give consent if a parent is not available. d. Delay the procedure
if the provider cannot contact the parents.
A nurse has delegated care to an assistive personnel. At the end of the shift, the AP
asks the nurse to enter data for her because the AP has forgotten her password and
needs to leave. Which of the following actions should the nurse take? - ANS-a. Tell the
AP to contact the IT department for charting assistance.
A nurse is reinforcing discharge teaching to a client following a gastrectomy. To prevent
dumping syndrome, which of the following foods should the nurse instruct the client to
avoid? - ANS-a. Ice Cream
A nurse is caring for a client admitted with shortness of breath who will be undergoing
arterial blood gas testing. Which of the following client statements indicated an
understanding of the purpose of drawing arterial blood gases? - ANS-d. "This will
indicate how much acid is building up in my blood."
A nurse manager is seeking ways to increase cost-effectiveness on the unit. In which of
the following client care situations should the nurse manager intervene? - ANS-a.
Solutions 2024
A nurse is caring for a group of clients, which of the following can be assigned to an
assistive personnel? - ANS-a. Collecting a stool specimen to test for occult blood.
A nurse is working on a unit for clients with dementia. Which of the following client
situations requires the nurse to write an incident report? - ANS-c. A client is found lying
on the floor next to a chair.
A nurse is discharging a client who was admitted for newly diagnosed type 2 diabetes
mellitus. The client is independent and lives alone. Which of the following should be
included in the discharge plan? - ANS-c. Refer the client to a diabetic support group.
A nurse is caring for a client who has type 2 diabetes mellitus and a blood glucose level
of 60 mg/dL. For which of the following findings should the nurse monitor? - ANS-a.
Clammy Skin
A female client who is an abusive marriage has discusses with the nurse strategies to
prevent this abuse. which of the following client statements indicate an understanding of
an appropriate strategy? - ANS-a. "I need to recognize the signs that my husband is
becoming abusive." c. "I need to identify what triggers my husband's anger to prevent
his abuse."
A charge nurse in a long-term care facility is preparing to administer noon insulin to a
client. The nurse observes that the assistive personnel (AP) has no documented the
client's blood glucose level. Which of the following actions should the charge nurse take
first? - ANS-d. Determine if the AP has completed the assignment.
A client is scheduled for an outpatient colonoscopy. which of the following actions is a
nursing responsibility in the informed consent process? - ANS-a. Verify that there is a
signed and witnesses consent form in the client's chart.
A nurse smells alcohol on the breath of an assistive personnel (AP) during report.
Which of the following actions should the nurse take? - ANS-c. Report the situation to
the nurse manager.
A nurse from a medical-surgical unit is floating to a postpartum unit. Which of the
,following clients is an appropriate assignment for the nurse to accept? - ANS-b. A client
who had a cesarean delivery 24hr ago.
A nurse in a provider's office is collecting data from a parent of an infant who is being
screened for cystic fibrosis. Which of the following supports a diagnosis of cystic
fibrosis? - ANS-a. Frothy stools.
When caring for an assigned group of clients, the nurse should wear gloves when -
ANS-a. performing oral hygiene.
A nurse is preparing a client for surgery. The client tells the nurse that he is concerned
about the safety of a large sum of money in his wallet. Which of the following actions is
appropriate for the nurse to take? - ANS-b. contact security personnel to place the
money in the facility safe.
A nurse is caring for a client who is receiving heparin. Which of the following is the
appropriate route of administration? - ANS-d. Subcutaneously.
A nurse is reinforcing teaching about car seat safety to the parents of a newborn. The
nurse should instruct the parents to place the car seat in a? - ANS-c. Rear-facing
position in the back seat.
A nurse is caring for a client and recognizes the client's rights to confidentiality have
been breached in which of the following situations? - ANS-a. A hospital risk manager
includes information from a client's medical record in
A nurse is caring for a client who had a femoral-popliteal bypass graft 2 days ago. When
monitoring peripheral pulses, the nurse is unable to locate a pulse on the affected leg.
Which of the following actions should the nurse take? - ANS-c. Notify the charge nurse
of the finding.
A nurse is caring for a full-term newborn who was circumcised 6 hrs. ago. Which of the
following findings indicates that the newborn is experiencing pain? - ANS-b. Furrowed
Brow
A nurse is reinforcing teaching with a client about organ donation. Which of the following
client statements indicated a need for further teaching? - ANS-c. "My doctor should
decide if my organs will be donated."
A Client who is prescribed metoprolol (Lopressor) for hypertension tells the nurse, "I
, don't want to take this medication because it makes me tired all the time." Which of the
following is the appropriate response? - ANS-c. "Let's talk with your doctor about other
options."
A nurse is preparing to administer an IM injection to a client. To reduce the risk of
neddlestick injury, the nurse should? - ANS-b. dispose of the used needle immediately
in a puncture-proof sharps container.
A nurse is contributing to the discharge plan for a client following surgery. Which of the
following findings indicate the need for an interdisciplinary care conference? - ANS-d.
The client requires assistance to pay for dressing supplies.
A client who is 24 hours postoperative suddenly develops chest pain, dyspnea, anxiety,
diaphoresis, and cough. Which of the following actions should the nurse take first? -
ANS-c. Elevate the head of the client's bed.
A nurse is caring for a 17-year old client who is admitted for an emergency
appendectomy. Which of the following is an appropriate action by the nurse in obtaining
informed consent? - ANS-a. Obtain verbal consent from the client while waiting for the
parents to arrive. b. Witness the signature of the client's parent when he arrives. c. Have
the client's older sibling give consent if a parent is not available. d. Delay the procedure
if the provider cannot contact the parents.
A nurse has delegated care to an assistive personnel. At the end of the shift, the AP
asks the nurse to enter data for her because the AP has forgotten her password and
needs to leave. Which of the following actions should the nurse take? - ANS-a. Tell the
AP to contact the IT department for charting assistance.
A nurse is reinforcing discharge teaching to a client following a gastrectomy. To prevent
dumping syndrome, which of the following foods should the nurse instruct the client to
avoid? - ANS-a. Ice Cream
A nurse is caring for a client admitted with shortness of breath who will be undergoing
arterial blood gas testing. Which of the following client statements indicated an
understanding of the purpose of drawing arterial blood gases? - ANS-d. "This will
indicate how much acid is building up in my blood."
A nurse manager is seeking ways to increase cost-effectiveness on the unit. In which of
the following client care situations should the nurse manager intervene? - ANS-a.
