PN comprehensive predictor A [2022] with rationales_Rated 100%

PN comprehensive predictor A [2022] 1. A nurse is assisting with the care of a client who has a terminal illness. The client practices Orthodox Judaism. Which of the following actions should the nurse take? 2. A nurse is ...

PN comprehensive predictor A [2022] 1. A nurse is assisting with the care of a client who has a terminal illness. The client practices Orthodox Judaism. Which of the following actions should the nurse take? 2. A nurse is caring for a client who is receiving telemetry. which of the following ECG findings should the nurse report to the charge nurse? 3. A nurse in an urgent care clinic is collecting data from four clients. which of the following clients should the nurse recommend for treatment? 4. A nurse is assisting with the transfer of a client to a long term care facility. the nurse should review which of the following sections of the electronic medical record to locate information about the clients personal health insurance? 5. A nurse is reinforcing teaching with a client who is scheduled for a lumbar punture. which of the following statements should the nurse make? 6. A nurse is reinforcing teaching about puberty with a group of prepubescent female clients. Which of the following information should the nurse include in the teaching? 7. A nurse is assisting with a discussion about STI's with a group of adolescents at a health fair. which of the following statements should the nurse make? 8. A nurse in a providers office is caring for client who is at 34 weeks of gestation. Which of the following instructions should the nurse anticipate providing to the client? 9. A nurse is preparing to administer amoxicillin 875 mg PO every 12 hours. The amount available is amoxicillin oral suspension 400 mg/5mL. How many mL should the nurse administer per dose? 10. A nurse is collecting data from a client who has chronic hepatitis. In which of the following locations should the nurse expect the client to point to indicate hepatic tenderness? 11. A nurse is monitoring a client who is receiving lactated ringers 500 mL over 4 hr. the drop factor of the manual IV tubing is 10gtt/mL. The nurse should check that the manual IV infusion is delivered at how many gtt/min? 12. A nurse is reinforcing teaching with a client who has osteoarthritis. Which of the following instructions should the nurse include? 13. A nurse is reviewing a client's medication record and notices that a double dose of oral digoxin was administered 1 hr ago. Which of the following actions should the nurse take first? 14. A nurse is instructing an assistive personnel (AP) about caring for a client who has hepatitis A and is incontinent of stool. Which of the following infection control precautions should the nurse instruct the AP to use? 15. A nurse is assisting with the transfer of a client to a long-term care facility. The nurse should review which of the following sections of the electronic health record to locate information about the client's personal health insurance? 16. A nurse is inspecting the skin of a newborn. Which of the following findings should the nurse report to the provider? 17. A nurse in a provider's office is obtaining the health history from a client who is scheduled to undergo a cardiac catheterization in 2 days. Which of the following questions is the priority for the nurse to ask? 18. A nurse is reviewing the medical record of a client who is receiving warfarin and has atrial fibrillation. Which of the following laboratory values should the nurse report to the provider? 19. A nurse is evaluating the safe use of electrical equipment by a newly hired assistive personnel (AP). Which of the following actions by the AP demonstrates an understanding of the proper use of electrical equipment? 20. A nurse is reinforcing discharge teaching with the parents of a school-age child who has severe hemophilia A. Which of the following statements by the parents indicates an understanding of the teaching? 21. A nurse is assisting with the development of an in-service for newly licensed nurses about seclusion. In which of the following situations should the nurse identify the need to request a prescription for seclusion? 22. A nurse in a provider's office is reviewing the medical record of a client who requests a prescription for an oral contraceptive. Which of the following findings should the nurse identify as a contraindication for oral contraceptive use? 23. A nurse is assisting with the care of a school-age child immediately following surgery. The child weights 21.8 kg (48 lb) and has a chest tube applied to suction. Which of the following findings should the nurse report to the provider? - 24. A nurse is collecting data from a client who is at 30 weeks of gestation and has gestational diabetes. Which of the following findings should the nurse report to the provider as an indication of hyperglycemia? 25. A nurse is discussing home safety with a group of clients who have type 1 diabetes mellitus. Which of the following client statements indicates an understanding of the teaching? 26. A nurse is caring for a client who has Alzheimer's disease. Which of the following actions should the nurse take? 27. A nurse is monitoring a client who is receiving telemetry. Which of the following ECG findings should the nurse report to the provider? 28. A nurse on a medical unit is reviewing a client's medical record. Which of the following procedures should the nurse identify requires the client to sign a separate informed consent form? 29. A nurse is reviewing the techniques for transferring a client from a bed to a chair with a group of assistive personnel (AP). Which of the following instructions should the nurse include? 30. A nurse is participating in a quality improvement study about the effectiveness of client pain management on the unit. Which of the following strategies should the nurse use to collect data? 31. A nurse is reinforcing teaching about confidentiality with a client who has a new diagnosis of HIV. Which of the following information should the nurse include in the teaching? 32. A nurse is planning care for a client who has a history of seizures. Which of the following pieces of equipment should the nurse place in the client's room? 33. A licensed practical nurse (LPN) is reviewing client assignments for the upcoming shift. Which of the following clients should the LPN ask the charge nurse to reassign to a registered nurse (RN)? 34. A nurse is caring for a client who is recovering from a stroke and is experiencing difficulty using eating utensils. The nurse should identify the need for a referral to which of the following interprofessional team members? 35. A nurse is preparing to perform blood glucose monitoring for a client who has type 1 diabetes mellitus. Which of the following actions should the nurse take first? 36. A home health nurse is reinforcing teaching with a client about the use of elastic stockings to decrease peripheral edema. Which of the following instructions should the nurse include? 37. A nurse in a provider's office is reviewing pediculosis capitis management and prevention strategies with the parent of a school-age child. Which of the following strategies should the nurse include? (Select all that apply.) 38. A nurse is contributing to the plan of care for a client who has a continent urinary diversion. Which of the following interventions should the nurse plan to implement to facilitate urinary elimination? 39. A nurse is preparing to perform a bladder scan for a client. Which of the following actions should the nurse take? 40. A nurse is caring for a client who is crying and states that their provider informed them that they have a tumor and will need a biopsy. Which of the following responses should the nurse make? 41. A nurse is caring for a newborn who is 12 hr old. The nurse should expect the newborn's stool to have which of the following characteristics within the first 24 hr following birth? viscous, containing of amniotic fluid, cells, intestinal secretions, and blood 42. A licensed practical nurse is assisting with preparation of client for insertion of a peripherally inserted central venous catheter (PICC). Which of the following actions should the nurse take? 43. A nurse is caring for a client who adheres to a kosher diet. Which of the following food selections should the nurse expect to see on the client's meal tray? 44. A nurse is contributing to the plan of care for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate (TURP). Which of the following interventions should the nurse include? 45. A nurse is assisting with the care of a client who is postpartum and has a deep-vein thrombosis. The client has been receiving heparin IV infusion. Which of the following medications should the nurse ensure is readily available? 46. A nurse is reinforcing teaching with a client about how to replace their two-piece ostomy pouching system. The client tells the nurse that removing the skin barrier is painful. Which of the following strategies should the nurse suggest? - 47. A nurse in an inpatient mental health facility is caring for a newly admitted client who has alcohol use disorder. During a therapy session, the client asks about Alcoholics Anonymous (AA). Which of the following resposes should the nurse make? 48. A nurse is performing a dressing change for a client who is 3 days postoperative. Which of the following findings should the nurse report to the provider? 49. A nurse is providing comfort to the partner of a client who has died. Which of the following statements should the nurse make? 50. A nurse is assisting with an educational session for newly licensed nurses about partner violence. Which of the following characteristics should the nurse include as placing a vulnerable person at risk for partner violence? 51. A nurse is reinforcing teaching for a client who is preparing to return to work after a back injury. Which of the following instructions for safe lifting technique should the nurse include? 52. A nurse is reinforcing discharge teaching with a client who has a prescription for home oxygen therapy via nasal cannula. Which of the following instructions should the nurse include? 53. A nurse is caring for a client who is in an inpatient mental health facility and has dependent personality disorder. Which of the following client behaviors should the nurse expect? 54. A nurse is caring for a client who is scheduled for a mastectomy the following day. The client is tearful and tells the nurse that they are not ready to have this procedure done at this time. Which of the following responses should the nurse make? 55. A nurse is documenting client care in the medical record. Which of the following entries should the nurse make? 56. A nurse is using an interpreter to reinforce discharge teaching with a client who speaks a different language than the nurse. Which of the following actions should the nurse take? 57. A nurse is collecting data from a client who reports recent methamphetamine use. Which of the following manifestations should the nurse expect? 58. A nurse is working in an acute care facility when a natural disaster occurs. The facility must discharge clients to provide room for new admissions. Which of the following clients should the nurse recommend to the charge nurse for discharge? 59. A nurse is assisting with the plan of care for a client who has bipolar disorder and is in the manic phase. Which of the following activities should the nurse recommend for the client? 60. A nurse is supervising an assistive personnel (AP) who is preparing to remove personal protective equipment (PPE) after providing direct care to a client who requires airborne and contact precautions. The nurse should recognize that the AP understands the procedure when which of the following PPE is removed first? 61. A nurse in an outpatient surgery center is reinforcing discharge teaching with a client following a lithotripsy for uric acid stones. Which of the following instructions should the nurse plan to include in the teaching? 62. A nurse is reinforcing teaching with a client who has hypercholesterolemia and a new prescription for atorvastatin. The nurse should instruct the client that which of the following findings is an adverse effect of this medication and should be reported to the provider? 63. A nurse is caring for a client who is recovering from a motor vehicle crash. The client's employer calls to ask if the client's injuries will prevent them from returning to work. Which of the following responses should the nurse make? - 64. A nurse is assisting a client who is scheduled for a nonstress test (NST). Which of the following actions should the nurse take? 65. A nurse is reinforcing teaching with a client who is receiving radiation therapy for cancer of the larynx. Which of the following statements made by the client indicates an understanding of the teaching? 66. A nurse is reinforcing teaching with an older adult client who has severe left-sided heart failure. Which of the following statements should the nurse make? - 67. A nurse is caring for a client who is scheduled to undergo a thoracentesis for a left pleural effusion. In which of the following positions should the nurse plan to place the client durign the procedure? 68. A nurse is talking with a client who says the provider agreed to initiate a do-not-resuscitate (DNR) prescription. After leaving the client's room, which of the following actions should the nurse take first? 69. A nurse is observing a client who is in the first stage of labor. Which of the following interventions should the nurse recommend for this client? (Select all that apply.) . 70. A nurse is caring for a group of clients. The nurse should fill out an incident report for which of the following situations? 71. A client is requesting information from a nurse about creating a health care proxy. Which of the following statements should the nurse make? 72. A client in a mental health facility unjustly accuses a nurse of stealing money from their room. Which of the following therapeutic responses should the nurse make? 73. A nurse is preparing to administer a dose of digoxin to a client who is receiving continuous tube feedings. Which of the following actions should the nurse take? - 74. A nurse is planning care for a 5-year-old child who is 8 hr postoperative following a tonsillectomy. Which of the following interventions should the nurse include in the plan of care? 75. A nurse is reinforcing preoperative teaching with a client who will receive morphine through a PCA pump after surgery. Which of the following information should the nurse include? 76. A nurse is using the FLACC scale to determine the pain level of an 11-month-old infant who is postoperative. Which of the following factors should the nurse consider when using this pain scale? 77. A nurse is receiving change-of-shift report for four clients. The nurse should plan to collect data from which of the following clients first? - 78. A nurse is caring for a newborn who is 1 hr old. The mother received fentanyl 30 min before birth. For which of the following adverse effects should the nurse monitor the newborn? 79. A nurse is caring for a client who has asthma and has been taking montelukast for 1 month. Which of the following findings should indicate to the nurse that the client is complying with this medication regimen? 80. A nurse is assisting with planning palliative care for a client who has stage IV cancer and is in the active stage of dying. Which of the following interventions should the nurse include in the plan of care? 81. A nurse in a pediactric clinic is collecting data from a toddler. Which of the following findings should the nurse identify as a possible indication of physical neglect? 82. A nurse enters the room of an adolescent client and finds them on the floor experiencing a tonic-clonic seizure. Which of the following actions should the nurse take when the seizure subsides? 83. A nurse is contributing to the plan of care for a client who has a prescription for range-of-motion exercises of the shoulder. Which of the following exercises should the nurse recommend to promote shoulder hyperextension? 84. A nurse is reviewing various defense mechanisms with a newly licensed nurse. Which of the following client statements should the nurse use as an example of rationalization? 85. A nurse is caring for an older adult client who is experiencing difficulty sleeping. Which of the following actions should the nurse take? 86. A nurse is preparing a client for an enternal feeding and notices that the pump at the client's bedside is warm to the touch. Which of the following actions should the nurse take? 87. A nurse is collecting data from a 5-year-old child at a well-child visit. The parent reports that the child is having frequent nightmares. Which of the following statements by the parent indicates to the nurse that the child is experiencing sleep terrors rather than nightmares? 88. A nurse is assisting with the admission of an older adult client. Which of the following actions should the nurse take first? 89. A nurse is reinforcing teaching about a high-protein diet with a client who has HIV. Which of the following foods should the nurse recommend as containing the highest amount of protein per serving? 90. A nurse is caring for a client who has a phobia of elevators. Which of the following should the nurse recognize as an indication of a positive client response to systematic desensitization? 91. A nurse is assisting with the admission of a client who has rubeola. Which of the following transmission-based precautions should the nurse plan to initiate for this client? 92. A nurse is reinforcing teaching about strategies to promote eating with a client who has COPD. Which of the following instructions should the nurse include in the teaching? 93. A nurse is working in a long-term care facility. Which of the following actions should the nurse take when using computer based client records? 94. A nurse is assisting a client who is postoperative to sit on the side of the bed. Which of the following actions should the nurse take? 95. A nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty. Which of the following actions should the nurse take? 96. A nurse is assisting with teaching a group of local residents at a community health fair about the Dietary Approaches to Stop Hypertension (DASH) diet. Which of the following statements by a resident indicates an understanding of the teaching? 97. A nurse is reviewing the critical pathway of a client who is 4 days postoperative following a total knee arthroplasty. The client's vital signs are oral temperature 102.4, heart rate 116/min, respiratory rate 24/min, and blood pressure 152/92 mm Hg. Which of the following actions should the nurse take? 98. A nurse in a long-term care facility notices a client who has Alzheimer's disease standing at the exit doors at the end of the hallway. The client appears to be anxious and agitated. Which of the following actions should the nurse take? - 99. A nurse is reviewing laboratory results for a client who is receiving mechanical ventilation. Which of the following findings should the nurse recognize as a potential complication of mechanical ventilation? 100. A nurse is administering morning medications to a client. The client questions the nurse regarding a medication that they do not recognize. Which of the following actions should the nurse take first? 101. A nurse is caring for a client who has a head injury. Using the Glasgow Coma Scale to collect data, the nurse should obtain which of the following information? 102. A nurse is reinforcing teaching about self-administration of enoxaparin. Which of the following instructions should the nurse include? 103. A nurse is monitoring a school-age child who has anemia and is receiving a transfusion of packed RBCs. Which of the following statements by the child indicates a possible hemolytic transfusion reaction that the nurse should report to the charge nurse and the provider? 104. A nurse is reinforcing teaching with a client who has hypertension and is beginning medication therapy with captopril. Which of the following over-the-counter medications should the nurse instruct the client to avoid? 105. A nurse is collecting data from a client who has chronic pancreatitis and is receiving pancrelipase. Which of the following client findings indicates a therapeutic effect of this medication? 106. A nurse is caring for a client who has borderline personality disorder and states, "I am going to kill my partner when I get out of here." Which of the following actions should the nurse take? 107. A nurse is reinforcing teaching about advance directives with a client. Which of the following statements by the client indicates an understanding of the teaching? 108. A nurse is checking the reflexes of a newborn. Which of the following techniques should the nurse use to elicit the Babinski reflex? 109. A nurse is monitoring a client who is 12 hr postoperative following a cholecystectomy and received morphine 30 min ago for pain. The nurse should identify which of the following findings as an adverse effect of the medication? - 110. A nurse is caring for a client who is scheduled for peritoneal dialysis. Which of the following actions should the nurse take first? 111. A nurse is reviewing the laboratory report of a client who is 2 days postoperative following thoracic surgery. Which of the following laboratory results should the nurse report to the provider? 112. A nurse in a long-term care facility is reviewing standard precaution guidelines with an assistive personnel (AP). The nurse should instruct the AP to use which of the following to clean up a blood spill? 113. A nurse is reinforcing teaching with a client who has a new prescription for phenytoin. Which of the following instructions should the nurse include as a measure to assist with the possible adverse effects of this medication? 114. A nurse is monitoring a client who is receiving IV fluids. For which of the following findings should the nurse stop the infusion? 115. A nurse is contributing to the plan of care for a client who has viral meningitis. Which of the following interventions should the nurse include? 116. A nurse is reviewing the medical history of a client who is scheduled for a colonoscopy to establish a diagnosis of diverticulitis. Which of the following findings should the nurse identify as increasing the client's risk for developing diverticular disease? 117. A nurse is making assignments for the upcoming shifts. Which of the following tasks should the nurse plan to delegate to an assistive peronnel (AP)? - 118. A nurse is caring for a client who is in the final stages of cancer. Which of the following client situations should the nurse identify as an ethical dilemma? - 119. A nurse in a long-term care facility is collecting data from a client who has been receiving betaxolol to treat glaucoma. Which of the following findings is an adverse effect of this medication? 120. A nurse in a long-term care facility is documenting the care of an older adult client. Which of the following information should the nurse include in the weekly nursing care summary? 121. A nurse in an inpatient mental health facility is contributing to the plan of care for a newly admitted client who has anorexia nervosa. Which of the following actions should the nurse include in the plan of care? 122. A nurse in an urgent care clinic is completing a client examination. after listening to the clients lungs, which of the following adventitious sounds should the nurse document? 123. A nurse in a urgent care clinic is caring for a child who has a minor burn on his palm after touching the burner on a hot stove. Which of the following actions should the nurse take? 124. A nurse in a providers office is collecting growth and development data from a 7 month old infant during a well child visit. Which of the following images should the nurse identify indicates expected gross motor skills for the infant - 125. a nurse in a providers office is caring for a client who is at 34 weeks of geststion. which of the following instructions should the nurse anticipate providing to the client? 126. a nurse is collecting data from a school age child who has hypoglycemia. which of the following clinical manifestations should the nurse expect? 127. a nurse is assisting with the care of a client who has a terminal cancer. which of the following statements by the clients family should indicate to the nurse that they are coping with their situation? 128. A nurse in a providers office is caring for four clients. which of the following clients should the nurse see first? 129. A nurse is collecting a urine specimen from a female client who has iabetes insipidus. the nurse should expect which of the following findings? 130. A nurse is reinforcing teaching for a client who has Meniere's disease and a new prescription for meclizine. The nurse should inform the client that which of the following is an adverse effect of this medication? 131. A nurse is reinforcing teaching with a client who is scheduled for an exercise ECG stress test. which of the following actions should the nurse take? - 132. a nurse is collecting data from an older adult client who has a gastric ulcer. which of the findings should the nurse identify as a complication to report to the provider? 133. A nurse is reinforcing teaching with a client who has asthma and has a prescription for theophylline which of the following statements should the nurse make?term-126 134. A nurse is caring for a client who is refusing a prescribed medication. Which of the following actions should the nurse take first? 135. A nurse is reviewing the electronic health records of four clients. Which of the following client conditions should the nurse recognize as reportable to a regulatory agency? 136. A nurse is caring for a client who is actively dying from cancer. Which of the following actions should the nurse take? 137. A nurse is caring for a client who is receiving continous feedings via a gastrostomy tube. Which of the following actions should the nurse plan to take? - 138. A nurse is preparing to administer an IM immunization to a preschooler. Which of the following statements should the nurse plan to make prior to performing the injection? 139. A nurse is collecting data from a client who has schizophrenia which of the following statements by the client should the nurse identify as delusional? 140. A nurse is collecting data from an older adult client who has a hip fracture. which of the following findings should the nurse expect? 141. A nurse is performing postmortem care for a client. Which of the following actions should the nurse take? 142. A nurse is preparing to perform tracheostomy care for a client. which of the following actions should the nurse take first? 143. A nurse is caring for a client who reports an excruciating headache, nuchal rigidity, nausea and vomiting along with fever and chills. which of the following diagnostic test should the nurse expect the provider to prescribe? - 144. A nurse is reinforcing teaching with a client who is to self administer epoetin alfa. which of the following instructions should the nurse include? - 145. A nurse enters a clients room and sees smoke coming from a wastebasket next to the bed. which of the following actions should the nurse take first? 146. a nurse is caring for a client who is 12hr postop following gastrointestinal surgery and has an NG tube for gastric decompression. which of the following actions should the nurse take? 147. A nurse is caring for a client who is expressing sadness about amputation of her leg 72 hr ago due to trauma. the nurse must leave the room but promises to return as soon as possible. which of the following ethical principles is the nurse demonstrating when he returns as promised? 148. A nurse is reinforcing teaching with an older adult client who has osteoarthritis. which of the following instructions should the nurse include? - 149. A nurse in a providers office is reinforcing teaching with a client who is to follow a 2000mg sodium restricted diet. which of the following client food selections indicates an understanding of the teaching? 150. A nurse is reinforcing teaching with a female client who has tuberculosis and a new prescription for rifampin. Which of the following statements by the client indicates understanding of the teaching? 151. A nurse is reinforcing teaching about managing manifestations of anxiety with a client who has generalized anxiety disorder. which of the following information should the nurse include? 152. A nurse is collecting data from a client following a lumbar puncture. For which of the following adverse effects should the nurse monitor? 153. A nurse is preparing to insert an indwelling catheter for a female adult client. Which of the following actions should the nurse take? (Select all that apply.) 154. A nurse is preparing to perform venipuncture to obtain a blood sample from a client. Which of the following actions should the nurse take?