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Comprehensive RN- Predictor review questions with correct answers

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Comprehensive - Predictor review 03/18/14 1. A nurse is assessing a client who has left-sided heart failure. Which of the following symptoms should the nurse identify as the highest priority? __ Ju... gular distention __ Frothy pink sputum __ Hepatomegaly __ Weight gain 2. A nurse in the emergency department is assisting with the suturing of a laceration to the client’s face. Which of the following actions should the nurse take? __ Pour the sterile cleansing solution holding the bottle 10 cm (4 in.) above the sterile field __ Pull the top flap of the suture tray towards the body when opening. __ Place the bottle of local anesthetic 5 cm (2 in) inside the sterile field border. __ Drop the suture package on to the sterile field from a distance of 30 cm (12 in). 3. A nurse is assessing a client 1 hr following delivery and notes that her uterus is boggy and….to the umbilicus. Which of the following actions should the nurse take first? __ Massage the fundus. __ Assess lochia __ Take vital signs __ Give oxytocin (Pitocin) IV bolus. 4. (missing) 5.. A nurse is caring for a client who is 1 day postoperative following a hypophysectomy for removal of a pituitary tumor. Which of the following findings requires further assessment by the nurse? __ Urinary output greater than fluid intake __ Report of dry mouth __ Glasgow Coma Scale score of 15 __ Bloody drainage on the nasal dressing measuring 3 cm 6. A nurse in an emergency department is caring for a client who has multiple wounds due to a crash. Which of the following interventions are appropriate? (Select all that apply). __ Apply direct pressure to bleeding wounds. __ Clean lacerations and abrasions with hydrogen peroxide. __ Administer 650 mg aspirin PO as needed for pain. __ Cover wounds with a sterile dressing __ Determine date of last tetanus toxoid vaccination. 7. A nurse is planning care for four clients. Which of the following clients is the highest priority? [Show More]

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