RN Comprehensive Predictor 2019 A (Version 2)

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RN Comprehensive Predictor 2019 A (Version 2) A nurse in a pediatric unit is preparing to insert an I.V catheter for 7-year-old. Which of the following actions should the nurse take? CORRECT ANSW... ER B. Tell the child they will feel discomfort during the catheter insertion. A nurse is caring for a client who has arteriovenous fistula Which of the following findings should the nurse report? CORRECT ANSWER B. Absence of a bruit. A nurse is providing discharge teaching for a client who has an implantable cardioverter defibrillator which of the following statements demonstrates understanding of the teaching? CORRECT ANSWER B. "I will wear loose clothing around my ICD" A nurse is caring for a client who is at 14 weeks gestation and reports feelings of ambivalence about being pregnant. Which of the following responses should the nurse make? CORRECT ANSWER A. "Describe your feelings to me about being pregnant" A nurse is planning care for a client who has a prescription for a bowel- training program following a spinal cord injury. Which of the following actions should the nurse include in the plan of care? CORRECT ANSWER D. Administer a rectal suppository 30 minutes prior to scheduled defecation times. A nurse is caring for a client who is in active labor and requests pain management. Which of the following actions should the nurse take? CORRECT ANSWER B. Place the client in a warm shower. A nurse in an emergency department is performing triage for multiple clients following a disaster in the community. To which of the following types of injuries should the nurse assign the highest priority? CORRECT ANSWER A. Below-the knee amputation (urgent) A nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse include? CORRECT ANSWER B. Document the client's condition every 15 min A nurse is teaching an in-service about nursing leadership. Which of the following information should the nurse include about an effective leader? CORRECT ANSWER A. Acts as an advocate for the nursing unit. A nurse is reviewing the laboratory findings of a client who has and reports that she has been following her care. The nurse should identify which of the following findings indicates a need to revise the client's plan of care. CORRECT ANSWER C. Hba1c 10 % A nurse in a provider's office is reviewing the laboratory results of a group of clients. The nurse should identify that which of the following sexually transmitted infections is a nationally notifiable infectious disease that should be reported to the state health department? CORRECT ANSWER A. Chlamydia A nurse is teaching a newly licensed nurse about therapeutic techniques to use when leading a group on a mental health unit. Which of the following group facilitation techniques should the nurse include in the teaching? CORRECT ANSWER D. Use modeling to help the clients improve their interpersonal skills A nurse is planning for a client who practices Orthodox Judaism. The client tells the nurse that its Passover holiday. Which of the following action should the nurse include in the plan of care? CORRECT ANSWER C. Provide unleavened bread. A nurse is caring for a client who has a pulmonary embolism. The nurse should identify the effectiveness of the treatment: CORRECT ANSWER B. The client reports feeling less anxious. A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam tablets and has respiratory rate of 10/min. After securing the client's airway and initiating an I.V, which of the following actions should the nurse do next. CORRECT ANSWER B. Administer flumazenil to the client. A nurse in an emergency department is caring for a client who reports cocaine use 1hr ago. Which of the following findings should the nurse expect? CORRECT ANSWER D. Elevated temperature A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the following manifestations should the nurse expect? CORRECT ANSWER B. Jitteriness A nurse in a pediatric clinic is reviewing the laboratory test results of a school age child. Which of the following findings should the nurse report to the provider? CORRECT ANSWER D. WBC 14,000/mm3 (elevated) A charge nurse is teaching a newly licensed nurse about clients designating a health care proxy in situations that require a durable power of attorney for heal care (DPSHC). Which of the following information should the charge nurse include? CORRECT ANSWER C. "The proxy can make treatment decisions if the client is under anesthesia." A nurse in the PACU is caring for a client who reports nausea. Which of the following actions should the nurse take first? CORRECT ANSWER A. Turn the client on their side. A nurse is caring for a client who has a history of depression and is experiencing a situational crisis. Which of the following actions should the nurse take first? CORRECT ANSWER A. [Show More]

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