RN PREDICTOR Q & A TEST BANK
What action should a nurse take when inserting an IV catheter
for a 7-year-old child? .....ANSWER.....Tell the child they will feel
discomfort during the catheter insertion.
What finding should a nurse report for a client with an
arteriovenous fistula? .....ANSWER.....Absence of a bruit.
What statement indicates understanding of discharge teaching
for a client with an implantable cardioverter defibrillator?
.....ANSWER.....I will wear loose clothing around my ICD.
What is an appropriate response for a nurse to make to a client
at 14 weeks gestation who feels ambivalent about being
pregnant? .....ANSWER.....Describe your feelings to me about
being pregnant.
What should a nurse include in the care plan for a client on a
bowel-training program after a spinal cord injury?
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.....ANSWER.....Administer a rectal suppository 30 minutes prior to
scheduled defecation times.
What action should a nurse take for a client in active labor
requesting pain management? .....ANSWER.....Place the client in a
warm shower.
In triage after a disaster, which type of injury should a nurse
assign the highest priority? .....ANSWER.....95% full-thickness
body burn.
What guideline should a nurse include when updating protocols
for the use of belt restraints? .....ANSWER.....Document the client's
condition every 15 minutes.
What characteristic should be included about effective nursing
leadership? .....ANSWER.....Acts as an advocate for the nursing
unit.
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What laboratory finding indicates a need to revise the care plan
for a client with diabetes mellitus? .....ANSWER.....An HbA1c of
10%.
Which sexually transmitted infection is a nationally notifiable
disease that must be reported to the state health department?
.....ANSWER.....Chlamydia.
What group facilitation technique should a nurse teach a newly
licensed nurse for a mental health unit? .....ANSWER.....Use
modeling to help clients improve their interpersonal skills.
What dietary action should a nurse include in the care plan for a
client practicing Orthodox Judaism during Passover?
.....ANSWER.....Provide unleavened bread.
What finding indicates the effectiveness of treatment for a client
with a pulmonary embolism? .....ANSWER.....The client reports
feeling less anxious.
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What is the next action a nurse should take after securing the
airway of a client who ingested thirty diazepam tablets?
.....ANSWER.....Administer flumazenil to the client.
What finding should a nurse expect in a client who used cocaine
one hour ago? .....ANSWER.....Elevated temperature.
What manifestation should a nurse expect in a newborn with a
blood glucose level of 30 mg/dl? .....ANSWER.....Jitteriness.
Which laboratory finding in a school-age child should a nurse
report to the provider? .....ANSWER.....WBC count of
14,000/mm3.
What should a charge nurse include about designating a health
care proxy? .....ANSWER.....The proxy should make health care
decisions for the client regardless of the client's ability to do so.
What can a proxy do if the client is under anesthesia?
.....ANSWER.....Make treatment decisions for the client.