PREDICTOR 2019 FORM C 180
questions and answers graded
A/latest updated april 2023
A8 6 nurse8 6 is8 6 caring8 6 for8 6 a86client8 6 who8 6 has8 6 bipolar8 6 disorder8 6 an
d8 6 is8 6 experiencing86acute8 6 mania.86The8 6 nurse8 6 obtained8 6 a8 6 verbal8 6
prescription86for8 6 restraints.86Which86of8 6 the8 6 following8 6 should8 6 the8 6 a
ctions8 6 the8 6 nurse8 6 take?
A. Request8 6 a8 6 renewal8 6 of8 6 the8 6 prescription8 6 every8 6 88 6 hr.
B. Check8 6 the8 6 client’s8 6 peripheral8 6 pulse8 6 rate8 6 every8 6 308 6 min
C. Obtain8 6 a8 6 prescription8 6 for8 6 restraint8 6 within8 6 48 6 hr.
D. Document8 6 the8 6 client’s8 6 condition8 6 every8 6 158 6 minutes
1. A8 6 nursing8 6 planning8 6 care8 6 for8 6 a86school-
age86child8 6 who8 6 is8 6 48 6 hr86postoperative86following86perforated86ap
pendicitis.86Which86of86the86following8 6 actions8 6 should8 6 the8 6 nurse8
6 include8 6 in8 6 the8 6 plan8 6 of8 6 care?
a. Offer8 6 small86amounts8 6 of8 6 clear8 6 liquids8 6 68 6 hr8 6 following8 6 surge
ry8 6 (assess8 6 for86gag86reflex86first)
b. Give8 6 cromolyn8 6 nebulizer8 6 solution8 6 every8 6 68 6 hr8 6 (for8 6 asthma)
c. Apply8 6 a8 6 warm8 6 compress8 6 to8 6 the8 6 operative8 6 site8 6 every8 6 48 6 hr
,d. Administer86 analgesics86 on86 a86scheduled86 basis86 for86 the86 first86 2486 hr
,2. A86nurse8 6 is86receiving8 6 change-of-
shift86report86for86a86group8 6 of86clients.86Which8 6 of8 6 the8 6 following
8 6 clients8 6 should8 6 the8 6 nurse8 6 plan8 6 to8 6 assess8 6 first?
a. A8 6 client8 6 who8 6 has8 6 sinus8 6 arrhythmia8 6 and8 6 is8 6 receiving8 6 cardiac8 6 monitori
b. A8 6 client8 6 who8 6 has8 6 diabetes8 6 mellitus8 6 and8 6 a8 6 hemoglobin8 6 A1C8 6 of8 6 6.8%
c. A86client8 6 who86has8 6 epidural8 6 analgesia8 6 and8 6 weakness8 6 i
n86the8 6 lower86extremities
d. A86 client86 who86 has86 a86 hip86 fracture86 and8 6 a86new8 6 onset86 of86 tachypne
3. A86nurse8 6 is86preparing8 6 to86apply8 6 a86transdermal8 6 nicotine8
6 patch86for8 6 a86client.8 6 Which8 6 of8 6 the8 6 following8 6 actions8 6 shou
ld8 6 the8 6 nurse8 6 tak8 6 e?
a. Shave8 6 hairy8 6 areas8 6 of8 6 skin8 6 prior8 6 to8 6 application8 6 (apply8 6 to8 6 h
airless,86clean8 6 &86dry8 6 areas8 6 to8 6 promote8 6 absorption;8 6 avoid8 6 oily8 6
or8 6 broken8 6 skin)
, b. Wear86gloves86 to86 apply86 the86patch86 to86 the86client’s86 skin