PN COMPREHENSIVE PREDICTOR 2023 with NGN
Study online at https://quizlet.com/_g9iw0w
1. 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 con-
flict?: Ask the AP to discuss the issue in a private area
2. A nurse is supervising an assistive personnel (AP) obtain supplies for a
client who is on seizure precautions. Which of the following materials should
the AP place in the client's room?: Oral Suction Equipment
3. 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?: Tells a client he will lose his phone privileges
if he does not take his medication
4. A nurse is caring for a client who follows a kosher diet. Which of the
following menu items should the nurse include in the meal tray?: Roasted
Salmon
5. A nurse is reviewing information about advance directives with a newly
admitted client. Which of the following statements by the client indicates an
understanding of the information?: "Advance directives include a living will"
6. A nurse is collecting data from the caregiver of a client who has Alzheimer's
disease. The caregiver reports the client has difficulty sleeping at night and
wanders throughout the house. Which of the following interventions should
the nurse recommend?: Encourage the client to take frequent walks during the
day
7. A nurse is assisting in the care of a client who is 8hr postpartum and has
uterine atony with increased bleeding. Which of the following actions should
the nurse take? (Select all that apply): Assist the client to empty her bladder
8. A nurse is reinforcing teaching with the support person of a client who is in
the first stage of labor. Which of the following instructions should the nurse
include regarding effleurage?: "Gently stroke her abdomen during contractions"
9. A nurse is caring for an older adult client who is postoperative following a
total hip arthroplasty. The client is incontinent of stool and urine. Which of the
following actions should the nurse take to prevent skin breakdown?: Use a
moisture barrier on the client's skin
10. A nurse is caring for a client who has terminal cancer. Which of the follow-
ing actions should the nurse take to promote the client's autonomy?: Allow the
client to choose treatment times
11. A nurse in a clinic is caring for a client 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?: Appears greenish-brown in color
, PN COMPREHENSIVE PREDICTOR 2023 with NGN
Study online at https://quizlet.com/_g9iw0w
12. A nurse is assisting with the care of an adolescent client immediately
following a lumbar puncture. Which of the following actions should the nurse
take?: Inform the adolescent that he might experience a headache
13. A nurse is reinforcing teaching about advance directives with a client who
has end-stage heart failure. Which of the following statements by the client
indicates an understanding of the teaching?: "I should discuss this document
with my family after I sign it"
14. A nurse is caring for a client who has continuous bladder irrigation follow-
ing 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?: Irrigate the bladder with 20 to 30 mL of 0.9% sodium chloride
15. A nurse is planning to obtain a 12-lead ECG for a client who has a history
of cardiac dysrhythmias. Which of the following actions should the nurse plan
to take?: Instruct the client to remain as still as possible during the recording
16. A nurse is reinforcing teaching with a client who has genital herpes. Which
of the following information should the nurse include in the teaching?: "You
should increase fluid intake to relieve dysuria"
17. A nurse is preparing to empty a postoperative client's closed-wound
drainage system. Which of the following actions should the nurse plan to
take?: Compress the container before replacing the drainage plug
18. 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?: Administer
the medication to the toddler each evening
19. A nurse in an acute mental health facility is caring for a newly admitted
client. Which of the following should occur during the orientation phase of the
nurse-client relationship?: Defining responsibilities
20. A nurse is caring for a client 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?: Lower left
21. A charge nurse is observing a newly licensed nurse perform suctioning
for a client who has a tracheostomy. For which of the following actions by
the newly licensed nurse should the charge nurse intervene?: Suction for 30
seconds
22. A nurse is reviewing the medication administration record of a client who
takes atenolol PO and supplies a nitroglycerin transdermal patch daily. Which
, PN COMPREHENSIVE PREDICTOR 2023 with NGN
Study online at https://quizlet.com/_g9iw0w
of the following interactions should the nurse monitor with this client?: Hy-
potension
23. A nurse in an acute care setting is preparing to administer medications
to a client. Which of the following actions should the nurse verify the client's
identity?: Verify the client's identity using a photograph
24. A nurse in a provider's office is collecting data from a client who has
psoriasis. Which of the following statements made by the client should she
report to the provider?: "I try not to look at the scales on my body"
25. 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?: Medication record
26. A nurse is making client care assignments for an assistive personnel (AP).
Which of the following tasks should the nurse assign to the AP?: Complete
post mortem care for a client who has died
27. A nurse is reinforcing teaching with a client who is taking allopurinol
about the risk for developing Stevens-Johnsons syndrome. For which of the
following manifestations should the nurse instruct the client to monitor and
report?: Skin rash with fever
28. 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?: "I will instruct
the client to sit when putting on a pair of pants"
29. A nurse is recommending clients for discharge to allow for admission of
clients following a tornado disaster. Which of the following clients should the
nurse recommend for discharge?: A client who has a sodium level of 140 mEq/L
after one episode of diarrhea
30. A nurse is assisting with the plan of care for a newly admitted client who
has anorexia nervosa. Which of the following interventions should the nurse
include in the plan?: Administer liquid supplements
31. 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 indicates an understanding of the teaching?: "I will document in
the medical record the support nurse who assists with planning care for my clients"
32. A nurse is caring for a client who has dehydration due to diarrhea. Which
of the following findings should the nurse report to the provider?: Urine output
12 mL/hr
33. A nurse is preparing the administer NPH (Novolin N) insulin to a client who
has diabetes mellitus before breakfast at 0700. At which of the ff. times should
the nurse plan to check the client for hypoglycemia?: 1100
Study online at https://quizlet.com/_g9iw0w
1. 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 con-
flict?: Ask the AP to discuss the issue in a private area
2. A nurse is supervising an assistive personnel (AP) obtain supplies for a
client who is on seizure precautions. Which of the following materials should
the AP place in the client's room?: Oral Suction Equipment
3. 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?: Tells a client he will lose his phone privileges
if he does not take his medication
4. A nurse is caring for a client who follows a kosher diet. Which of the
following menu items should the nurse include in the meal tray?: Roasted
Salmon
5. A nurse is reviewing information about advance directives with a newly
admitted client. Which of the following statements by the client indicates an
understanding of the information?: "Advance directives include a living will"
6. A nurse is collecting data from the caregiver of a client who has Alzheimer's
disease. The caregiver reports the client has difficulty sleeping at night and
wanders throughout the house. Which of the following interventions should
the nurse recommend?: Encourage the client to take frequent walks during the
day
7. A nurse is assisting in the care of a client who is 8hr postpartum and has
uterine atony with increased bleeding. Which of the following actions should
the nurse take? (Select all that apply): Assist the client to empty her bladder
8. A nurse is reinforcing teaching with the support person of a client who is in
the first stage of labor. Which of the following instructions should the nurse
include regarding effleurage?: "Gently stroke her abdomen during contractions"
9. A nurse is caring for an older adult client who is postoperative following a
total hip arthroplasty. The client is incontinent of stool and urine. Which of the
following actions should the nurse take to prevent skin breakdown?: Use a
moisture barrier on the client's skin
10. A nurse is caring for a client who has terminal cancer. Which of the follow-
ing actions should the nurse take to promote the client's autonomy?: Allow the
client to choose treatment times
11. A nurse in a clinic is caring for a client 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?: Appears greenish-brown in color
, PN COMPREHENSIVE PREDICTOR 2023 with NGN
Study online at https://quizlet.com/_g9iw0w
12. A nurse is assisting with the care of an adolescent client immediately
following a lumbar puncture. Which of the following actions should the nurse
take?: Inform the adolescent that he might experience a headache
13. A nurse is reinforcing teaching about advance directives with a client who
has end-stage heart failure. Which of the following statements by the client
indicates an understanding of the teaching?: "I should discuss this document
with my family after I sign it"
14. A nurse is caring for a client who has continuous bladder irrigation follow-
ing 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?: Irrigate the bladder with 20 to 30 mL of 0.9% sodium chloride
15. A nurse is planning to obtain a 12-lead ECG for a client who has a history
of cardiac dysrhythmias. Which of the following actions should the nurse plan
to take?: Instruct the client to remain as still as possible during the recording
16. A nurse is reinforcing teaching with a client who has genital herpes. Which
of the following information should the nurse include in the teaching?: "You
should increase fluid intake to relieve dysuria"
17. A nurse is preparing to empty a postoperative client's closed-wound
drainage system. Which of the following actions should the nurse plan to
take?: Compress the container before replacing the drainage plug
18. 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?: Administer
the medication to the toddler each evening
19. A nurse in an acute mental health facility is caring for a newly admitted
client. Which of the following should occur during the orientation phase of the
nurse-client relationship?: Defining responsibilities
20. A nurse is caring for a client 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?: Lower left
21. A charge nurse is observing a newly licensed nurse perform suctioning
for a client who has a tracheostomy. For which of the following actions by
the newly licensed nurse should the charge nurse intervene?: Suction for 30
seconds
22. A nurse is reviewing the medication administration record of a client who
takes atenolol PO and supplies a nitroglycerin transdermal patch daily. Which
, PN COMPREHENSIVE PREDICTOR 2023 with NGN
Study online at https://quizlet.com/_g9iw0w
of the following interactions should the nurse monitor with this client?: Hy-
potension
23. A nurse in an acute care setting is preparing to administer medications
to a client. Which of the following actions should the nurse verify the client's
identity?: Verify the client's identity using a photograph
24. A nurse in a provider's office is collecting data from a client who has
psoriasis. Which of the following statements made by the client should she
report to the provider?: "I try not to look at the scales on my body"
25. 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?: Medication record
26. A nurse is making client care assignments for an assistive personnel (AP).
Which of the following tasks should the nurse assign to the AP?: Complete
post mortem care for a client who has died
27. A nurse is reinforcing teaching with a client who is taking allopurinol
about the risk for developing Stevens-Johnsons syndrome. For which of the
following manifestations should the nurse instruct the client to monitor and
report?: Skin rash with fever
28. 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?: "I will instruct
the client to sit when putting on a pair of pants"
29. A nurse is recommending clients for discharge to allow for admission of
clients following a tornado disaster. Which of the following clients should the
nurse recommend for discharge?: A client who has a sodium level of 140 mEq/L
after one episode of diarrhea
30. A nurse is assisting with the plan of care for a newly admitted client who
has anorexia nervosa. Which of the following interventions should the nurse
include in the plan?: Administer liquid supplements
31. 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 indicates an understanding of the teaching?: "I will document in
the medical record the support nurse who assists with planning care for my clients"
32. A nurse is caring for a client who has dehydration due to diarrhea. Which
of the following findings should the nurse report to the provider?: Urine output
12 mL/hr
33. A nurse is preparing the administer NPH (Novolin N) insulin to a client who
has diabetes mellitus before breakfast at 0700. At which of the ff. times should
the nurse plan to check the client for hypoglycemia?: 1100
