2019 RN Comprehensive Predictor Form C with Answers (135 Solved Questions)

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RN Comprehensive Predictor 2019 Form C1.A nursing planning care for a school-age child who is 4 hr postoperative following perforated appendicitis. Which of the following actionsshould the nurse include in the plan of care?a.Administer analgesics on a scheduled basis for the first 24 hr2.A nurse is preparing to apply a transdermal nicotine patch for a client. Which of the following actions should the nurse take?a.Wear gloves to apply the patch to the client’s skin3.A nurse has just received change-of-shift report for four clients. Which of the following clients should the nurse assess first?a.A client who was just given a glass of orange juice for a low blood glucose level4.A nurse is reviewing the laboratory results for a client who has Cushing’s disease. The nurse should expect the client to have an increase inwhich of the following laboratory values?a.Serum glucose level increased5.A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate intravenously. The nurse discontinues themagnesium sulfate after the client displaces toxicity. Which actions should the nurse take?a.Administer calcium gluconate IV6.A nurse is preparing to perform a sterile dressing change. Which actions should the nurse take when setting up the sterile field?a.Place the cap from the solution sterile side up on clean surface7.A home health nurse is preparing for an initial visit with an older adult client who lives alone. Which of the following actions should thenurse take first?a.Identify environmental hazards in the home8.A nurse is assessing the remote memory of an older adult client who has mild dementia. Which of the following questions should thenurse ask the client?a.“What high school did you graduate from9.A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Which of the following goals should the nurse include inthe teachinga.HbA1c level less than 7%10.A nurse is caring for a client who is receiving phenytoin for grand mal seizures and has a new prescription for isoniazid and rifampin.Which should the nurse conclude if the client develops ataxia and incoordination?a.The client is showing evidence of phenytoin toxicity11.A nurse is caring for a client who is 1 hr postoperative following manifestations requires immediate action?a.Increase in frequency of swallowing→ may indicate bleeding12.A nurse is planning care for a preschool-age child who is in the acute phase Kawasaki disease. Which of the following interventions shouldthe nurse include in the plan of care?a.Monitor the child’s cardiac status13.A nurse is planning an educational program for high school students about cigarette smoking. Which of the following potentialconsequences of smoking is most likely to discourage adolescents from using tobacco?a.Use of tobacco decreases the level of athletic ability14.A nurse is assessing a client who is prescribed spironolactone. Which of the following laboratory values should the nurse monitor for thisclient?a.Serum potassium- diuretic that retains potassium= hyperkalemic risk15.A nurse has agreed to serve as an interpreter for an older adult client who is assigned to another nurse. Which of the following statementsby the nurse indicates an understanding of this role?a.“I will let the client know that I am available as the interpreter.”16.A nurse is performing assessments on newborns in the nursery. Which findings should the nurse report?a.A two day old newborn who has a respiratory rate of 70 --> 30 - 60 is normal17.A nurse on an acute unit has received change of shift report for 4 clients which of the following clients should the nurse assess first? Painpallor pulselessness paresthesiaa.A client who has fractured left tibia and pallor in the affected extremity18.A nurse is providing discharge instructions to a client who has a new prescription for haloperidol which of the following adverse effectsshould the nurse instruct the client to report to the provider?a.Sedation → s/s neuroleptic malignant syndrome??>> life threateningb.Shuffling gait19.A nurse is teaching dietary guidelines to a client who has celiac disease which of the following food choices is appropriate for the client?a.Potato pancakes20.A nurse is working in acute care mental health facility is assessing a client who has schizophrenia. Which of the following findings shouldthe nurse expect?a.Disorganized speech21.A nurse is caring for a client who is immobile which interventions is appropriate to prevent contracture?a.Apply an orthotic to the clients foot22.A public health nurse working in a rural area is developing a program to improve health for the local population. Which of the followingactions should the nurse plan to take?a.Provide anticipatory guidance classes to parents through public schools23.A nurse in the emergency department is performing triage for multiple clients following a disaster in the community. To which of thefollowing types of injuries should the nurse assign the highest priority?a.Below the knee amputation → ESI Level 124.A nurse is admitting a client who has anorexia nervosa. Which of the following is an expected finding?lOMoARcPSD|13778330

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a.Prealbumin 10 mcg/dl (normal: 16-40)25.A charge nurse on a medical-surgical unit is planning assignments for a licensed practical nurse (LPN) who has been sent from thepostpartum unit due to a staffing shortage for the shift. Which of the following client assignments should the nurse delegate to the LPN?a.A client who is postoperative following a bowel resection with an NGT set to continuous suction26.A nurse is caring for a client who is at 41 week of gestation and is receiving oxytocin for labor induction. The nurse notes earlydeceleration on the fetal heart rate monitor . Which actions should the nurse take ? p . 88 ch 13 maternitya.Continue to monitor the fetal heart rate (not a problem, absent or late are though)27.A nurse is conducting an initial assessment of a client and noticed a discrepancy between the clients current IV infusion and theinformation received during the shift report. Which of the following actions should the nurse take?a.Compare the current infusion with the prescription in the client’s medication record28.A nurse is caring for a client who is at 38 weeks of gestation and has a history of hepatitis C. The client asks the nurse if she will be able tobreastfeed. Which of the following responses by the nurse is appropriate?a.You may breastfeed unless your nipples are cracked or bleeding.29.A nurse is caring for a client who has returned to the medical surgical unit following a transurethral resection of the prostate. Whichshould the nurse identify as priority after reviewing the clients information? Exhibit.a.Level of consciousness30.A nurse is caring for a client who has hyperthermia .Which of the following actions for the nurse to take?a.Initiate seizure precautions31.A nurse in emergency department is caring for a client who has full thickness burn of the thorax and upper torso. After securing theclient's airway, which of the following is the nurse's priority intervention?a.Initiating IV fluid resuscitation - they are at risk for hypovolemic shock d/t 3rd spacing32.A nurse is caring for a client who has cancer and is being transferred to hospice care. The client’s daughter tells the nurse, “I’m not surewhat to say to my mom if she asks me about dying.” which responses are appropriate? (SATA)a.Let's talk about your mom’s cancer and how things will progress from here. Tell me how you are feelingb.You sound like you have questions about your mom dying. Let’s talk about it.33.A community health nurse receives a referral for a family home visit. Which tasks should the nurse perform first?a.Clarify the source of the referral34.A nurse is caring for a client who will undergo a procedure. The client states he does not want the provider to discuss the results with hispartner. Which of the following is an appropriate response for the nurse to make?a.You have the right to decide who receives information35.A nurse is discussing a weight loss with a client who is concerned about losing 6.8 kg (15lb) from an original weight of 9o.7 (200 lb). Thenurse should identify the weight of the following total percentage?a.7.5%36.A nurse is caring for a client who is 4 hr postpartum and reports that she cannot urinate. Which of the following interventions should thenurse implement?a.Pour water from a squeeze bottle over the client’s perineal area37.A nurse is providing discharge teaching to a client who has cancer and a prescription for a fentanyl 25 mcg /hr transdermal patch. Whichof the following instructions should the nurse include in the teaching?a.Avoid hot tub while wearing the patch38.A nurse enters a client’s room and sees a small fire in the client’s bathroom. Identify the sequence.a.Transport the client to another area of the nursing unit (1)b.Activate the facility’s fire alarm system (2)c.Close all nearby windows and doors (3)d.Use the unit’s fire extinguisher to attempt to put out the fire (4)39.A nurse is caring for a client who has type 1 diabetes mellitus. The client reports that she is not feeling well. Which of the followingfindings should indicate to the nurse that the client is hypoglycemic? (Select all that apply.)a.Tremorsb.Diaphoresisc.Inability to concentrate40.A community health nurse is planning primary prevention activities to reduce the occurrence of abuse. Which of the following strategiesshould the nurse include in the plan?a.Teach parenting skills to families at risk for abuse41.A nurse and an assistive personnel (AP) are caring for a group of clients. Which of the following tasks is appropriate for the nurse todelegate to the AP?a.Applying a condom catheter for a client who has a spinal cord injury42.A nurse is caring for a client who reports xerostomia following radiation therapy to the mandible. Which of the following is an appropriateaction by the nurse?a.Offer the client saltine crackers between mealsb.Provide humidification of the room air43.A nurse is caring for four clients. Which of the following tasks can the nurse delegate to an assistive personnel?a.Perform chest compressions during cardiac resuscitation44.A nurse is caring for a client who states he recently purchased lavender oil to use when he gets the flu. The nurse should recognize whichof the following findings as a potential contraindication for using lavender?a.The client has a history of asthmalOMoARcPSD|13778330

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