RN_Comprehensive_Predictor_2019_Form_A2 (GRADED A)

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A.Turn the client on their side. B.Administer an analgesicC.Administer antiemeticD.Monitor the client’s vital signs. 21. A nurse is caring for a client who has a history of depression and is experie ... ncing a situational crisis. Which of the following actions should the nurse take first?A.Confirm the client’s perception of the eventB.Notify the client’s support systemC.Help the client identify personal strengths D.Teach the client relaxation techniques22. A nurse is caring for a client who has bipolar disorder and is experiencingacute mania. The nurse obtained a verbal prescription for restraints. Which of the following should the actions should the nurse take? A.Request a renewal of the prescription every 8 hr.B.Check the client’s peripheral pulse rate every 30 min C.Obtain a prescription for restraint within 4 hr.D.Document the client’s condition every 15 minutes. 23. A 24. A charge nurse on a medical-surgical unit is planning assignments for a licensed practical nurse (LPN) who has been sent from the (Unable to read) unit due to a staffing shortage. Which of the following client should the nursedelegate to the LPN? A.A client who has an Hgb of 6.3 g/dl and a prescription for packed RBCs.B.A client who sustained a concussion and has unequal pupils.C.A client who is postoperative following a bowel resection with an NG tube set to continuous suction. D.A client who fractured his femur yesterday and is experiencing shortness of breath. 25. A nurse is working on a surgical unit is developing a care plan for a client who has paraplegia. The client has an area of nonblanchable erythema over his ischium. Which of the following interventions should the nurse include in the care plan? View answer and explanation View answer Need an answer? Need an answer? A.Place the client upright on a donut-shaped cushionB.Teach the client to shift his weight every 15 min while sitting C.Turn and reposition the client every 3 hr while in bed D.Assess pressure points every 24 hr25. A nurse is caring for a client who is dilated to 10 cm and pushing. Which of the following pain-management (Unable to read) a safe option for the client? A.Naloxone hydrochloride. B.Spinal anesthesia.C.Pudendal block.D.Butorphanol tartrate. 26. C 27. A nurse is assessing a client who has major depressive disorder. Which ofthe following findings should the nurse identify as the (Unable to read) (Most important?) A.The client changes the subject when future plans are mentioned. B.The client talks about being in pain constantly.C.The client sleeping over 12 hr. each day.D.The client reports giving away personal items. 28. A nurse is providing teaching about immunizations to a client who is pregnant. The nurse should inform the client that she can receive which of the following immunizations during pregnancy? (Select all that apply) A.Varicella vaccine.B.Inactivated polio vaccine.C.Tetanus diphtheria and acellular pertussis vaccineD.Rubella vaccine.E.Inactivated influenza vaccine. 29. A nurse is caring for a client who has end-stage kidney disease. The client’s adult child asks the nurse about becoming a living kidney donor for her father. Which of the following condition in the child’s medical history should the nurse identify as a contraindication to the procedure?A.AmputationB.OsteoarthritisC.Hypertension D.Primary glaucoma30. A nurse is providing discharge teaching for a group of clients. The nurse should recommend a referral to a dietitian Need an answer? Need an answer? Need an answer? Need an answer? Need an answer? A.A client who has a prescription for warfarin and states “I will need to limit how much spinach I eat”. B.A client who has gout and states, “I can continue to eat anchovies on my pizza.” C.A client who has a prescription for spironolactone and states “I will reduce my intake of foods that contain potassium”. D.A client who has (Unable to read) and states “I’ll plan to take my calcium carbonate with a full glass of water”. 31. A hospice nurse is visiting with the son of a client who has terminal cancer. The son reports sleeping very little during the past week due to caring for his mother. Which of the following responses should the nurse make? A.“I can give you information about respite care if you are interested.” B.“You should consider taking a sleeping pill before bed each night” C.“It must be difficult taking care of someone who is terminally ill” D.“You are doing a great job taking care of your mother” 31. A nurse is assessing a child who is being treated for bacterial pneumonia.The nurse notes an increase in the child’s glucose. The nurse should identify this finding as an adverse effect of which of the following medications A.Methylprednisolone. B.Ondansetron. C.Guaifenesin. D.Amoxicillin. 32. The nurse is providing teaching about folic acid to a client who is prima gravida. Which of the following information should the nurse include in the teaching? A.“You should take folic acid to decrease the risk of transmitting infections to your baby”B.“You should consume a maximum of 300 micrograms of folic acid every day”.C.“You can increase your dietary intake of folic acid by eating cereals andcitrus fruits”.D.“You can expect your urine to appear red-tingled while taking folic acid supplements”. View answer View answer and explanation Need an answer? View answer and explanation 33. A community health nurse is assessing an adolescent who is pregnant. Which of the following assessments is the nurse’s priority? A.Social relationship with peers.B.Plans for attending school while pregnant.C.(Unable to read) (Picked this one) Medicaid? D.Understanding of infant care. 34. A nurse manager is planning to teach staff about critical pathways. Which of the following information should the nurse include? A.Critical pathways have unlimited timeframe for completion B.(Unable to read) decrease health care costs. C.(Unable to read) critical pathway if variances (Unable to read) D.(Unable to read) are used to create the critical pathway. 35. A nurse is reviewing the medical record of a client who has schizophrenia. Which of the following should the nurse report to the provider? Exhibit 1Blood pressure: 102/56 mm Hg. Heart rate: 95/minRespiratory rate: 18/min Temperature: 37.4C (99.3F) Exhibit 2Medication Administration RecordClozapine 150 mg PO twice dailyBenztropine 0.5 mg PO twice daily as needed for tremors. Exhibit 3 Nurse’s notes: Client reports feeling dizzy when changing positions, Reports weight gain of 1kg (2.2 lb.) in the past month. Also reports a sore throat for the past 3 days and dry mouth. Client ate 75% of breakfast and reports slightly nauseous. A.Dietary intake B.Heart rate.C.Sore throat.D.Blood pressure. View answer and explanation Need an answer? 36. A charge nurse is educating a group of unit nurses about delegating client tasks to assistive personnel A.“The nurse is legally responsible for the actions of the AP”.B.“An AP can perform tasks outside of his range if he has been trained”.C.“An experienced AP can delegate to another AP”. D.“An RN evaluates the client needs to determine tasks to delegate” 37. A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider?A.Contractions lasting 80 secondsB.FHR baseline 170/minC.Early decelerations in the FHR D.Temperature 37.4C (99.3)38. A nurse working in a rehabilitation facility is developing a discharge plan for a client who has left-sided hemiplegia the following actions is the nurse’s priority? A.Consult with a case manager about insurance coverage. B.Counsel caregivers about respite care options.C.Ensure that the client has a referral for physical therapy. D.Refer the client to a local stroke support group. 39. A nurse in a mental health unit is planning room assignments for four clients. Which of the following client should be closest to the nurse’s station? A.A client who has an anxiety disorder and is experiencing moderate anxiety. B.A client who has somatic symptom disorder and reports chronic pain.C.A client who has depressive disorder and reports feeling hopeless.D.A client who has bipolar disorder and impaired social interactions. 40. A nurse is preparing to measure a temperature of an infant. Which of the following action should the nurse take? A.Place the tip of the thermometer under the center of the infant’s axilla.B.Pull the pinna of the infant’s ear forward before inserting the probe. C.Insert the probe 3.8 cm (1.5in) into the infant’s rectum.D.Insert the thermometer in front of the infant’s tongue. View answer and explanation Need an answer? Need an answer? Need an answer? View answer and explanation 41. A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include in the plan?A.Encourage the client to spend time in the day roomB.Withdraw the client’s TV privileges is the does not attend group therapyC.Encourage the client to take frequent rest periodsD.Place the cline in seclusion when he exhibits signs of anxiety42. A nurse is admitting medications to a group of clients. Which of the following occurrences requires the completion of an incident report?A.A client receives his antibiotics 2hr lateB.A client vomits within 20min of taking his morning medications C.A client requests his statin to be administered at 2100D.A client asks for pain medication 1hr early43. A nurse is caring for a client who is 24 hr. postpartum and is breast feeding her newborns. The client asks the nurse to warm up seaweed soup that the client’s partner brought for her. Which of the following responses should the nurse make? A.“Does the doctor know you are eating that?” B.“Why are you eating seaweed soup?” C.“Of course I will heat that up for you” D.“The hospital good is more nutritious” 44. a nurse is preparing an in-service for a group of nurses about malpracticeissues in nursing. Which of the following examples should the nurse include in the teaching?A.Leaving a nasogastric tube clamped after administering oral medicationB.Documenting communication with a provider in the progress notes of the client’s medical records C.Administering potassium via IV bolus D.Placing a yellow bracelet on a client who is at risk for falls 45. a nurse is providing teaching to family members of a client who has dementia. Which of the following instructions should the nurse include in the teaching? Need an answer? Need an answer? Need an answer? A.Establish a toileting schedule for the clientB.Use clothing with buttons and sippers C.Discourage physical activity during the dayD.Engage the client in activities that increase sensory stimulation46. The nurse is reviewing the medical record of a client who is requesting combination oral contraceptives. Which of the following conditions in the client’s history is a contradiction to the use of oral contraceptives? A.Hyperthyroidism. B.Thrombophlebitis. C.Diverticulosis.D.Hypocalcemia. 47. A nurse is admitting a client who has schizophrenia and experiences auditory hallucinations. The client states, “It’s hard not to listen to the voices.” Which of the following questions should the nurse ask the client? A.“Do you understand that the voices are not real?”B.“Why do you think the voices are talking to you?”C.“Have you tried going to a private place when this occurs?” D.“What helps you ignore what you are hearing?” 48. A charge nurse is teaching a group of newly licensed nurses about the correct use of restraints. Which of the following should the nurse include in the teaching? A.Placing a belt restraint on a school-age child who has seizures.B.Securing wrist restraints to the bed rails for an adolescent.C.Applying elbow immobilizers of an infant receiving cleft lip injuryD.Keeping the side rails of a toddler’s crib elevated. 49. B 50. A nurse is preparing to mix NPH and regular insulin in the same syringe. Which of the following A.Inject air into the NPH insulin vial. B.(Unable to read)C.Withdraw the prescribed dose of regular insulin D.Withdraw the prescribed dose of NPH insulin View answer Need an answer? Need an answer? Need an answer? 51. a Nurse is working with a client who has an anxiety disorder and is in the orientation phase of the therapeutic relationship. Which of the following statements should the nurse make during this phase?A.“Let’s talk about how you can change your response to stress.”B.“We should establish our roles in the initial session.”C.“Let me show you simple relaxation exercises to manage stress.”D.“We should discuss resources to implement in your daily life.”51. A nurse in a pediatric clinic is teaching a newly hired nurse about the varicella rooster. Which of the following information should the nurse include? A.Children who have varicella are contagious until vesicles are crusted. B.Children who have varicella should receive the herpes zoster vaccination.C.Children who have varicella should be placed in droplet precaution.D.Children who have varicella are contagious 4 days before the first vesicle eruption. 52. A staff nurse is observing a newly licensed nurse suction a client’s tracheostomy. Which of the following requires intervention by the staff nurse? A.Waits 2 minutes between suctions. B.Encourages the client to cough during suctioning. C.Apply suctioning for 15 seconds.D.Inserts the catheter without applying suction. 53. A nurse is teaching at a community health fair about electrical fire prevention. Which of the following information should the nurse include in the teaching? A.Use three pronged grounded plugs. B.Cover extension cords with a rug.C.Check the tingling sensations around the cord to ensure the electricity is working.D.Remove the plug from the socket by pulling the cord. 54. A nurse is providing care for a group of clients. Which of the following client’s should the nurse identify as having the highest risk for developing a pressure injury? A.A client who has a T-tube following an open cholecystectomy. [Show More]

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