2023 RN Comprehensive Predictor Form C with Answers (180 Solved Questions)

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RNComprehensivePredictor2023FormC1.A nurse is planning an educational program for high school studentsabout cigarette smoking.Which of the following potential consequences of smoking is most likely to discourageadolescents from using tobacco?a.Useoftobaccodecreaseslevelofathleticabilityb.Smoking in adolescence increases the risk of lifelong addictionc.Smoking in adolescence increase the risk of developing lung cancer later in lifed.Use of tobacco might lead to alcohol and drug abuse2.A newly licensed nurse is reviewing the role of a nurse in disaster planning. Which of thefollowing is an activity a nurse should engage in to assist in disaster preparedness?a.Make quarantine preparations for those exposed to anthraxb.Vaccinate susceptible children and adults against smallpoxc.Participateincommunitydrillsandmockeventsd.Asses types, levels, and scopes of disasters3.A nurse is obtaining a nutritional health history on a client who reports problems withconstipation. Which of the following findings should the nurse identify as a cause ofconstipation?a.Intolerance to lactoseb.Newprescriptionforanironsupplementc.Following a high-fiber dietd.Currently taking probiotics4.A nurse is caring for an infant who has coarctation of the aorta. Which of the followingshouldthe nurse identify as an expecting finding?a.Frequent nosebleedsb.Upper extremity hypotensionc.Increased intracranial pressured.Weakfemoralpulses5.A nurse is interviewing the partner of a client who was admitted in the manic phase of bipolardisorder. The partner states,“Idon’tknow what to do. Everything has been happening soquickly.” Whichof the following responses by the nurse is the therapeutic?a.Canyoutalkaboutwhatwashappeningwithyou partnerathome?b.Why do you think yourpartner’ssymptoms are progressing so quickly?c.You should make sure your partner takes the prescribed medicationd.You did the right thing by bringing your partner in for treatment6.A nurse enters aclient’sroom and sees a small fire in theclient’sbathroom. Identify thesequence of steps the nurse should take?a.Close all nearby windows and doors(3)b.Transport the client to another area of the nursing unit(1)c.Use theunit’sfire extinguisher to attempt to put out the fire(4)d.Activate thefacility’sfire alarm system(2)7.A nurse is caring for a client who is at 41 weeks of gestation and is receiving oxytocin for laborinduction. The nurse notes early d ec elera7t2i o nosfo2n8the fetal heart rate monitor. Which of the

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73of28following nursing actions should the nurse take?a.Perform a vaginal examination

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74of28b.Initiate an amnioinfusionc.Continue to monitor the fetal heart rated.Stop the oxytocin infusion8.A nurse is providing teaching to the parents of a newborn genetic screening. Which of thefollowing statements should the nurse include in the teaching?a.Your baby will be given 2 oz of water to drink prior to the testb.Thistestshouldbeperformedafteryourbabyis24hroldc.A nurse will draw blood from yourbaby’sinner elbowd.This test will be repeated when your baby is 2 months old9.A charge nurse is teaching new staff members about factors that increasea client’srisk tobecome violent. Which of the following risk factors should the nurse include as the bestpredictor of future violence?a.Previousviolentbehaviorb.A history of being in prisonc.Experiencing delusionsd.Male gender10.A school nurse is teaching a parent about absence seizures. Which of the following informationshould the nurse include?a.Thistypeofseizurecanbemistakenfordaydreamingb.The child usually has an aura prior to onsetc.This type of seizure has a gradual onsetd.This type of seizure lasts 30 to 60 seconds11.A nurse is receiving change-of-shift report for a group of clients. Which of the followingclients should the nurse plan to assess first?a.A client who has diabetes mellitus and a hemoglobin A1C of 6.8%b.A client who has sinus arrhythmia and is receiving cardiacmonitoringc.Aclientwhohasahipreplacementandanewonsetoftachypnead.A client who has epidural analgesia and weakness in the lower extremities12.A nurse in a prenatal clinic is teaching a client about nonpharmacological pain managementduring labor. Which of the following statements by the client indicates an understanding of theteaching?a.A transcutaneous electrical nerve stimulator will help with pelvic pressureb.Icanusemyultrasoundpictureasafocalpointduringcontractionsc.The nurse will initiate acupuncture when I arrive at the unitd.My nurse can teach me biofeedback at the beginning of labor13.A nurse has agreed to serve as an interpreter for an older adult client who is assigned to anothernurse. Which of the following statements by the nurse indicates an understanding of this role?a.I will receive a small fee for interpreting for this clientb.IwilllettheclientknowthatIamavailableastheinterpreterc.I am glad I am available today, but whenI’m not,you can use a family memberd.I will let the client know that an interpreter is unavailable during the night shift14.A nurse is caring for a client who is 4 hr postpartum and reports that she cannot urinate. Whichof the following interventions should the nurse implement?a.Insert an indwelling urinary catheter

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75of28b.Pourwaterfromasqueezebottleovertheclient’sperinealareac.Perform fundal massaged.Apply cold therapy to theclient’sperineal area15.A nurse is reviewing the laboratory findings of a client who is receiving IV infusion of insulin.Theclient’s laboratoryfindings reveal a potassium level of 5.5 mEq/L, a BUN of 15 mg/dL, anda creatinine level of 1 mg/dl. Which of the following interventions is appropriate for the nurse totake?a.Initiate a 24 hr urine collectionb.Administer oral potassium to the clientc.Placeacardiacmonitorontheclientd.Stop the IV infusion of insulin16.A nurse is caring for a client who has COD and is 5 kg (11lb) below her ideal body weight.The client experiences shortness of breath when eating. Which of the following actions shouldthe nurse take?a.Request non-gas-forming foods from the dietary departmentb.Limit theclient’sfood consumption between mealsc.Arrange for a low protein dietd.Administerabronchodilatorfollowingmeals17.A nurse is conducting a health promotion class about the use of oral contraceptives. Whichofthe following disorders is a contraindication for oral contraceptive use?a.Fibrocystic breast conditionb.Asthmac.Fibromyalgiad.Hypertension18.A nurse is assessing a client who is at 36 weeks of gestation. Which of the followingfindings should the nurse report to the provider?a.3+deep-tendonreflexesb.Protruding hemorrhoidsc.Supine hypotensiond.Urinary frequency19.A nurse is caring for a client who is insulin dependent and is undergoing test to determine if hisblood glucose is being adequately controlled. The nurse should identify that which of thefollowing laboratory values is the best indicator of adequate blood glucose control?a.Fasting blood glucose 60 mg/dlb.HbA1c6.5%c.Postprandial blood glucose 190 mg/dld.Hct 42%20.A charge nurse is preparing to lead negotiations among nursing staff due to a conflict aboutovertime requirements. Which of the following strategies should the nurse use to promoteeffective negotiation?a.Identify solutions prior to negotiationb.Focus on how the conflict occurredc.Attempttounderstandbothsides oftheissued.Personalize the conflict

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76of2821.A nurse is caring for a client who has histrionic personality disorder. Which of the followingfindings should the nurse expect?a.Repeated acts of unlawful behaviorb.Suspicious demeanorc.Seductivebehaviord.Lack of remorse22.A nurse is caring for a client who is postpartum and reports difficulty voiding. Which of thefollowing findings should indicate to the nurse that theclient’sability to eliminate urine formthe bladder is restored?a.Fundus firm and to the right of the abdominal midlineb.Twovoidsof150ml eachoverthepast2hrc.Uterine atonyd.Fundus 2 fingerbreadths above the umbilicus23.A community health nurse is planning primary prevention activities to reduce the occurrence ofabuse. Which of the following strategies should the nurse include in the plan?a.Instruct health care professionals to identify abusive situationsb.Connect abuse survivors with legal counselc.Teachparentingskillstofamiliesatriskfor abused.Locate financial support to open a shelter for abuse survivors24.A nurse is working with a client who has an anxiety disorder and is in the orientation phase ofthe therapeutic relationship. Which of the following statements should the nurse make duringthis phase?a.Let’s talkabout how you can change your response to stressb.Weshouldestablishourroles intheinitialsessionc.Let me show you simple relaxation exercises to manage stressd.We should discuss resources to implement in your daily life25.A nurse is preparing to administer three medications to a client who is receiving continuousenteral feeding through an NG tube. Which of the following actions is appropriate for the nurseto take?a.Add medication directly to enteral feedingb.Dissolve the medication togetherc.Useasyringetoallowthemedicationstoflowbygravityd.Flush the NG tube with 5 ml water26.A nurse is providing teaching to a client about the adverse effects of sertraline. Which of thefollowing adverse effects should the nurse include?a.Metallic taste in mouthb.Increased urinary frequencyc.Excessivesweatingd.Dry cough27.A nurse in an emergency department is caring for a client who reports cocaine use 1 hr ago.Which of the following findings should the nurse expect?a.Hypotensionb.Memory lossc.Slurred speech

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77of28d.Elevatedtemperature28.A nurse is providing teaching to an adolescent who has peptic ulcer disease. Which of thefollowing statements by the client indicates an understanding of the teaching?a.I will decrease my daily protein intake to 15 grams per dayb.I will use ibuprofen as needed to control abdominal painc.I will take sucralfate with meals three times per dayd.Iwillavoidfoodandbeveragesthatcontaincaffeine29.A home health nurse is preparing for an initial visit with an older adult client who lives alone.Which of the following actions should the nurse take first?a.Refer the client to a meal delivery programb.Arrange for client transportation to follow-up appointmentsc.Identifyenvironmentalhazardsinthehomed.Educate the client about current medical diagnose30.A nurse is assessing a client who is inactive labor. Which of the following findings shouldthe nurse report to the provider?a.Contractionslasting80secondsb.Early decelerations in the FHRc.FHR baseline 170/mind.Temperature 37.4 C (99.3 F)31.A nurse is caring for a child who has sickle cell anemia and is experiencing vaso-occlusivecrisis. Which of the following actions should the nurse include in the plan of care?a.InitiateIVfluidreplacementb.Encourage ambulationc.Give aspirin to reduce paind.Start a 24 hr urine collection32.A nurse is assessing a client who has heart failure and is taking furosemide. For which of thefollowing findings should the nurse monitor?a.Hypercalcemiab.Hyperkalemiac.Hypoglycemia d. Hyponatremia33.A nurse is caring for four clients. Which of the following tasks can the nurse delegate to assistivepersonnel?a.Apply a transdermal nicotine patchb.Assess effectiveness of antiemetic medicationc.Performchestcompressionsduringcardiacresuscitationd.Perform a dressing change for a new amputee34.A client who is pregnant voices her concern that her 3-year-old son will feel left out oncethenewborn arrives. Which of the following statements by the nurse is appropriate?a.Teach your son to change thebaby’sdiapersb.Offeryour sonagiftwhenthebabyreceivesonec.Tell your son to kiss the babyd.Move your son to a toddler bed when the baby arrives

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78of2835.A nurse is caring for a client who is in active labor and notes the FHR baseline has been 100/minfor the past 15 min. The nurse should identify which of the following conditions as a possiblecause of fetal bradycardia?a.Fetal anemiab.Maternalhypoglycemiac.Maternal feverd.Chorioamnionitis36.A nurse is caring for a client who has pernicious anemia. Which of the following laboratoryvalues should the nurse monitor to evaluate effectiveness of the treatment?a.Creatinine levelb.INR levelc.VitaminB12leveld.Folate level37.A nurse is providing discharge teaching to a client who has chronic kidney disease and isreceiving hemodialysis. Which of the following instructions should the nurse include in theteaching?a.Take magnesium hydroxide for indigestionb.Eat1g/kgofprotein perdayc.Consume foods high in potassiumd.Drink at least 3 L of fluid daily38.A charge nurse is providing teaching to a group of newly licensed nurses about the grievingprocess. Which of the following information should the charge nurse include in the teaching?a.Clients can expect to have feelings of hopelessnessb.Clients will experience anhedoniac.Clients will experience low self esteemd.Clientsmightfeelguiltyoversomeaspectsoftheirloss39.A nurse is assessing the heart sounds of a client who has acute pericarditis. Which of thefollowing clinical manifestations is an expected finding for this client?a.White, diffuse peritonsillar pustulesb.Scratchy,high-pitchedsounduponS-Tsegmentc.ECG demonstrates a depressed S-T segmentd.Report of occipital headache40.A nurse is providing teaching to family members of a client who has dementia. Which of thefollowing instructions should the nurse include in the teaching?a.Establishatoiletingschedulefortheclientb.Use the clothing with buttons and zippersc.Discourage physical activity during the dayd.Engage the client in activities that increase sensory stimulation41.A nurse is preparing to apply a transdermal nicotine patch for a client. Which of thefollowingactions should the nurse take?a.Apply the patch within 1 hr of removing it from the protective pouchb.Wearglovestoapplythepatchtotheclient’sskinc.Shave hairy areas of skin prior to applicationd.Remove the previous patch and place it in a tissue

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79of2842.A nurse is teaching a client who has an ileostomy about the care of his stoma site. Which of thefollowing statements by the client requires further teaching?a.I should cut my pouch opening 1/8 inch larger than my stomab.I should clean my stoma with warm waterc.Ishouldchangethestomapoucheverydayd.My stoma should be bright pink or red43.A nurse is assessing a client following an ischemic stroke. Which of the following findings isthe priority for the nurse to report to the provider?a.The client has poor-fitting denturesb.The client reports a metallic taste in his mouthc.The client reports a decreased appetited.Theclientcoughsafterswallowing44.Aclient’spartner tells a staff nurse that he overhead laboratory staff discussing the results of theclient’s biopsy report while on the elevator. Which of the following actions should the nursetake?a.Notify thefacility’slegal departmentb.Review confidentiality policies with laboratory employeesc.Contact the laboratory manager regarding the situationd.Report theinformationtothechargenurse45.A nurse is assessing a client who request an oral contraceptive. Which of the followingfindingsin the client’s medical history should the nurse identify as a contraindication for the use of acombination oral contraceptive?a.Concurrentuseoflevothyroxineb.Allergy to penicillinc.Recurrent urinary tract infectiond.Migraineswithaura46.A nurse us caring for a school-age-child who is 2 hr postoperative following a cardiaccatheterization. The nurse observes blood on thechild’sdressing. Which of the following actionsshould the nurse take?a.Applycontinuouspressure2.5cm(1in)abovethepercutaneousskinsiteb.Apply intermittent pressure 2.5 cm (1in) below the percutaneous skin sitec.Apply continuous pressure 2.5 cm (1in) below the percutaneous skin sited.Apply intermittent pressure 2.5 cm (1in) above the percutaneous skin site47.A nurse is caring for a client who has a major depressive disorder and a new prescriptionforamitriptyline. The nurse should monitor for which of the following adverse effects?a.Hypertensionb.Urinaryretentionc.Weight lossd.Increased salivation48.A nurse is providing teaching about the use of crutches using a three-point gait to a client whohas a tibia fracture. Which of the following actions by the client indicates an understanding ofthe teaching?a.Moving both crutches with stronger leg forward firstb.PositioningbothhandsonthegripswithhiselbowsslightlyflexedOralcontraceptivesthatcontainestrogencanincreasethyroidreplacementrequirements

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