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{NGN}ATI RN COMPREHENSIVE PREDICTOR 2024 RETAKE
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UPDATED ON MAY 2024 A+
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i. A mnursemismassessingmamclient mwhomhasmreceived manmantibiotic.m Themnursemshouldidentifym
whichmof mthefollowingmfindingsmasmanmindicationmof mampossiblemallergicmreactionmtomthemmedicatio
n?
A. Bradycardia
B. Headache
C. Joint mpain
D. Hypotension
ii. A mnursemonmammentalmhealthmunit mismcaringmformamclient mwhomhasmschizophrenia mand mismexp
eriencingauditorymhallucinationsmtellingmthemmtomhurt mothers.mThemclient mismrefusingmtomtakemanti-
mpsychoticmedication.mWhichmof mthemfollowingmresponsesmshould mthemnursemmake?
A. “Youmshould mplanmtomtakemthismmedicationmformamfew mweeks.”
B. “Youmwillmregret mit mif myoumdomnot mtakemthismmedication.”
C. “Thismmedicationmwillmhelpmyoumrespond mtomthemvoices.
D. “Thismmedicationmwillmhelpmyoumstopmthemvoicesmyoumaremhearing.”
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iii. A mnursemismprovidingmcaremformampatient mwhomhasmdepressionmand mismtomhavemelect
roconvulsivemtherapy.Whichmof mthemfollowingmconditionsmshould mthemnursemidentifymasmin
creasingmthemclient’smriskmformcomplications?
A. Hyperthyroidism
B. Renalmcalculi
C. Diabetesmmellitus
D. Cardiacmdysrhythmias
iv. A mnursemismreviewingmthemlaboratorymresultsmof mamclient mwhomhasmrheumatoid marthrit
is.mWhichmof mthefollowingmfindingsmshould mthemnursemreport mtomthemprovider?
A. WBCmcount m8,000/mm
B. Plateletsm150,000/mm
C. Aspartatemaminotransferasem10units/L
D. Erythrocytemsedimentationm75mmm/hr
v. A mnursemismsuctioningmthemairwaymof mamclient mwhomismreceivingmmechanicalmventilationmv
iamanmendotrachealmtube.mWhichmof mthemfollowingmfindingsmshould mthemnursemidentifymasmanmindic
ationmthatsuctioningmhasmbeenmeffective?
A. Presencemof mamproductivemcough
B. Decreased mpeakminspiratorympressure
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C. Thinningmof mmucousmsecretions
D. Flatteningmof mthemartificialmairwaymcuff
vi. A mnursemismcaringmformamclient mwhomisminmamseclusionmroommfollowingmviolent mbehavior.m
Themclient mcontinuesmtomdisplaymaggressivembehavior.mWhichmof
thefollowingmactionsmshould mthemnursemtake?
A. Stand mwithinm30cmm(1mft)mof mthemclient mwhenmspeakingmwithmthem.
B. Expressmsympathymformthemclient’smsituation.
C. Confront mthemclient mabout mhismbehavior.
D. Speakmassertivelymtomthemclient.
vii. A mnursemismcaringmformamclient mwhomismimmediatelympostoperativemfollowingman
adrenalectomymtomtreatCushing’smdisease.mWhichmof mthemfollowingmactionsmismthenurse’smpriority?
A. Repositionmthemclient mformcomfort meverym2mhours
B. Observemformanymindicationsmof minfection
C. Document mamount mand mcolormof mthemincisionalmdrainage
D. Monitormthemclient’smfluid mand melectrolytemstatus.
viii. A mnursemismcaringmformamclient mwhomismscheduled mformamsurgicalmproceduremand mstates,“I mdo
n’t mwant mtohavemthismsurgerymanymore.”mWhichmof mthemfollowing
responsesmshould mthemnursemmake?
A. “Wemcanmmanagemyourmcaremfollowingmthemproceduremwithout mcomplications.”
B. “Youmhavemthemright mtomrefusemthemprocedure.”
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C. “Yourmdoctormthinksmthemsurgerymismnecessary.”
D. “Let mmemreview mthemproceduremsomyoumcanmunderstand mwhat mismgoingmtomhappen.”
ix. A mnursemismevaluatingmamclient mwhomhasmborderlinempersonalitymdisorder.mWhichmof mt
hemfollowingbehaviorsmindicatesmanmimprovement minmthemclient’s mcondition?
A. Impulsivembehaviors
B. Decreased mclingingmbehavior
C. Liabilitymof mmood
D. Dependent mbehavior
x. A mnursemismteachingmamgroupmof mschool-
agemchildrenmabout mhealthymsnackoptions.mWhichmof mthefollowingmsnacksmshould mthemnurseminclu
de?
A. Air-popped mpopcorn
B. Milkshakemmademwithmwholemmilk.
C. Baked mpotatomchips
D. Cheesecake
xi. A mnursemismprovidingmteachingmtomamclient mwhomhasmamnew mprescriptionmformenoxaparin.m
Whichmof mthemfollowingmmedicationsmformpainmrelief mshould mthemnursemincludeminmthemteachingmt
hat mcanmbemtakenmconcurrentlymwithmenoxaparin?
A. Naproxenmsodium
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