2024 PN COMPREHENSIVE PREDICTOR EXAM | ALL QUESTIONS AND CORRECT ANSWERS | GRADED A+, Exams of Nursing

Download 2024 PN COMPREHENSIVE PREDICTOR EXAM | ALL QUESTIONS AND CORRECT ANSWERS | GRADED A+ and more Exams Nursing in PDF only on Docsity! 2024 PN COMPREHENSIVE PREDICTOR EXAM | ALL QUESTIONS AND CORRECT ANSWERS | ALREADY GRADED A+ | LATEST VERSION (JUST RELEASED) A nurse is reinforcing dietary teaching with a client whose pre-pregnancy BMI was 30.5. The nurse should recognize that the client understands the teaching when she states that she should expect to gain how many pounds during her pregnancy? ------CORRECT ANSWER---------------16 lb A nurse is assisting with the care of a client following electroconvulsive therapy for the treatment of a depressive disorder. Which of the following findings should the nurse expect 15 min following this procedure? ------ CORRECT ANSWER---------------Disorientation A nurse is caring for an adolescent client who has bulimia nervosa. Which of the following actions should the nurse take first? ------CORRECT ANSWER---------------Observe the client during and after meals A nurse is monitoring a client who is postoperative. Which of the following actions should the nurse take when collecting data about the client's respirations? ------CORRECT ANSWER---------------Observe the movements of the client's chest wall A nurse is preparing to give change-of-shift report on a client who is 2 days postoperative following a total knee arthroplasty. Which of the following information about the client should the nurse include in the report? ------ CORRECT ANSWER---------------Time of last pain medication An assistive personnel tells the charge nurse that her assignment is too demanding. She angrily tells the nurse to reassign one of her tasks to another AP. Which of the following actions should the nurse take to resolve the conflict? ------CORRECT ANSWER---------------I will plan to avoid grapefruit juice while taking this medication A nurse is reinforcing teaching with a client who has arthritis. Which of the following instructions should the nurse include in the teaching? ------ CORRECT ANSWER---------------Engage in low-impact aerobic exercises A nurse is caring for a female client who has an indwelling catheter with a urinary drainage system. Which of the following actions should the nurse take? ------CORRECT ANSWER---------------Secure the tubing with adhesive tape to the lower abdomen A nurse is assisting with a support group for clients who have experienced intimate partner violence. The nurse should identify which of the following client statements as indicating the greatest risk for violence? ------ CORRECT ANSWER---------------I have decided to tell my husband I am leaving him A nurse is collecting data from a client who is receiving magnesium sulfate via continuous IV infusion for preterm labor. Which of the following findings should the nurse expect? ------CORRECT ANSWER--------------- Hypotension include? ------CORRECT ANSWER---------------Administer the medication subcutaneously A nurse is caring for a client who has a Salem Sump tube connected to intermittent wall suction. Which of the following nursing interventions should the nurse perform? ------CORRECT ANSWER---------------Reposition the client every 2 hours A nurse is provider's office is reviewing pediculosis capitis management and pre- vention strategies with the parent of a school-age child. Which of the following strategies should the nurse include? (select all that apply) ----- -CORRECT ANSWER---------------Store the child's clothing in a separate cubicle when at school. Boil brushes and combs in water for 10 min. Dry bed linens and clothing for at least 20 mins. A nurse is contributing to the plan of care for an adolescent who has cystic fibrosis. Which of the following diets should the nurse recommend? ------ CORRECT ANSWER---------------High-calorie 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 medical record to the locate information about the clients personal health insurance? ------CORRECT ANSWER---------------Admission sheet A nurse is reinforcing teaching with a client who has a new prescription for pred- nisone for the treatment of Addison's disease. Which of the ff. instructions should the nurse include? ------CORRECT ANSWER-------------- -"You will need to schedule a bone density test" A nurse is assisting in the admission of a client who has diabetic ketoacidosis to a medical unit. Which of the ff. IV solutions the nurse anticipates administering first upon admission? ------CORRECT ANSWER-- -------------0.9% sodium chloride A nurse is caring for a client who is postoperative following a thyroidectomy. Which of the following findings is the priority? ------ CORRECT ANSWER---------------Tingling around the mouth A client who has asthma and is started on montelukast (Singular) returns to the clinic 1 month later. Which of the ff. indicates that the client is complying with this medication regimen? ------CORRECT ANSWER---------- -----The client takes the medication once daily at bedtime An assistive personnel tells the charge nurse that her assignment is too demanding. She angrily tells the nurse to reassign one of her tasks to another AP. Which of the following actions should the nurse take to resolve the conflict? ------CORRECT ANSWER---------------Ask the AP to discuss the issue in a private area A nurse is supervising an assistive personnel (AP) obtain supplies for a client who is on seizure precautions. Which of the following materials should the AP place in the client's room? ------CORRECT ANSWER---------- -----Oral Suction Equipment A charge nurse on a mental health unit is supervising a newly licensed nurse. For which of the following actions by the newly licensed nurse should the supervising nurse intervene? ------CORRECT ANSWER----------- ----Tells a client he will lose his phone privileges if he does not take his medication A nurse is caring for a client who follows a kosher diet. Which of the following menu items should the nurse include in the meal tray? ------ CORRECT ANSWER---------------Roasted Salmon A nurse is reviewing information about advance directives with a newly admitted client. Which of the following statements by the client indicates an understanding of the information? ------CORRECT ANSWER--------------- "Advance directives include a living will" A nurse is collecting data from the caregiver of a client who has Alzheimer's disease. The caregiver reports the client has difficulty sleeping at night and wanders throughout the house. Which of the following interventions should the nurse recommend? ------CORRECT ANSWER------ ---------Encourage the client to take frequent walks during the day A nurse is assisting in the care of a client who is 8hr postpartum and has uterine atony with increased bleeding. Which of the following actions should the nurse take? (Select all that apply) ------CORRECT ANSWER----- ----------Assist the client to empty her bladder A nurse is reinforcing teaching with the support person of a client who is in the first stage of labor. Which of the following instructions should the nurse include regarding effleurage? ------CORRECT ANSWER---------------"Gently stroke her abdomen during contractions" A nurse is caring for a client who reports having a decrease in fetal movement following an external cephalic version 6 hr ago. The nurse identifies the fetus is in the right occiput anterior position. The nurse should place the fetal heart monitor on which of the following sites to auscultate the fetal heart rate? ------CORRECT ANSWER---------------Lower left A charge nurse is observing a newly licensed nurse perform suctioning for a client who has a tracheostomy. For which of the following actions by the newly licensed nurse should the charge nurse intervene? ------CORRECT ANSWER---------------Suction for 30 seconds A nurse is reviewing the medication administration record of a client who takes atenolol PO and supplies a nitroglycerin transdermal patch daily. Which of the following interactions should the nurse monitor with this client? ------CORRECT ANSWER---------------Hypotension A nurse in an acute care setting is preparing to administer medications to a client. Which of the following actions should the nurse verify the client's identity? ------CORRECT ANSWER---------------Verify the client's identity using a photograph A nurse in a provider's office is collecting data from a client who has psoriasis. Which of the following statements made by the client should she report to the provider? ------CORRECT ANSWER---------------"I try not to look at the scales on my body" A nurse is completing chart reviews in a long-term care facility in response to an increase in falls. Which of the following responses in the chart should the nurse use to determine the potential causes of falls? ------CORRECT ANSWER---------------Medication record A nurse is making client care assignments for an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP? ------ CORRECT ANSWER---------------Complete post mortem care for a client who has died A nurse is reinforcing teaching with a client who is taking allopurinol about the risk for developing Stevens-Johnsons syndrome. For which of the following manifestations should the nurse instruct the client to monitor and report? ------CORRECT ANSWER---------------Skin rash with fever A charge nurse in a long-term care facility is reinforcing teaching with a group of nurses about fall precautions. Which of the following statements made by the nurse indicates an understanding of the teaching? ------ CORRECT ANSWER---------------"I will instruct the client to sit when putting on a pair of pants" A nurse is recommending clients for discharge to allow for admission of clients following a tornado disaster. Which of the following clients should the nurse recommend for discharge? ------CORRECT ANSWER--------------- A client who has a sodium level of 140 mEq/L after one episode of diarrhea A nurse is assisting with the plan of care for a newly admitted client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan? ------CORRECT ANSWER---------------Administer liquid supplements A charge nurse is reinforcing teaching with a newly licensed nurse about floating to a different unit. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? ------CORRECT ANSWER---------------"I will document in the medical record the support nurse who assists with planning care for my clients" A nurse is caring for a client who has dehydration due to diarrhea. Which of the following findings should the nurse report to the provider? ------ CORRECT ANSWER---------------Urine output 12 mL/hr A nurse is preparing the administer NPH (Novolin N) insulin to a client who has diabetes mellitus before breakfast at 0700. At which of the ff. times should the nurse plan to check the client for hypoglycemia? ------ CORRECT ANSWER---------------1100 A nurse in a clinic is obtaining a health history from a client scheduled to un- dergo a cardiac catheterization in 2 days. Which of the ff. questions is the most im- portant for the nurse to ask? ------CORRECT ANSWER--------- ------"Do you know if you're allergic to iodine?" A nurse in an urgent-care facility is collecting data from a client who is scheduled for a procedure. Which of the ff. clinical manifestations indicates a possi- ble latex allergy? ------CORRECT ANSWER---------------Rhinorrhea A nurse in a provider's office is reinforcing teaching with a client who has a new prescription for ferrous sulfate elixir. Which of the ff. statements by the client demonstrates understanding of the teaching? ------CORRECT ANSWER---------------"I will rinse my mouth after taking this medication" A nurse is caring a client who has asthma and has a prescription for theophylline (theochron) 200mg PO BID. Which of the following should the nurse include in the teaching? ------CORRECT ANSWER--------------- Discontinue drinking caffeinated beverages While a nurse is assisting a client to ambulate, the client reports lightheadedness and begins to fall. Which of the following nursing actions demonstrates a correct understanding by the nurse about ergonomic principles? ------CORRECT ANSWER---------------Spread feet apart and extend one leg for the client to slide down while lowering the client to the floor A nurse is caring for an older adult client who appears lethargic and somnolent. The nurse reviews the client's medications prior to contacting the provider. Which of the following medication is the likely cause of the increased sedation? ------CORRECT ANSWER---------------Lorazepam (Ativan) A nurse is caring for a client who had a bronchoscopy and just arrived to the medical surgical unit. Which of the following actions should the nurse perform first? ------CORRECT ANSWER---------------Check for a gag reflex A client is requesting information from a nurse regarding the appointment of a health care proxy. Which of the following responses by the nurse is appropriate? ------CORRECT ANSWER---------------The person you appoint will make health care decision for you if you cannot do so yourself A nurse enters client's room and sees smoke coming from a wastebasket next to the bed. Which of the following actions should the nurse first? ------ CORRECT ANSWER---------------Assist the client to a nearby waiting room A nurse is interviewing clients as part of a skin cancer screening program. Which of the following statement made by a client indicates that he may have a premalignant lesion? ------CORRECT ANSWER---------------I have this flat, scaly area with red edge on neck A nurse is caring for a client who reports 12 liquid stools in the past 8hr. Which of the following findings indicates that the client is experience dehydration? ------CORRECT ANSWER---------------Potassium level 2.5 mg/L A nurse is reinforcing teaching for a client undergoing radiation therapy to the neck. Which of the following should the nurse include? ------CORRECT ANSWER---------------Avoid exposing the neck to the cold A nurse is providing anticipatory guidance to the parent of a 6-year old child. Which of the following statements by the parent indicated an understanding of appropriate safety precautions for the child? ------ CORRECT ANSWER---------------"I will encourage my child to wear a bicycle helmet whenever bike riding" A nurse is collecting data from a client who presents to the clinic reporting vomiting. Which of the following findings indicate that the client is experiencing a fluid volume deficit? ------CORRECT ANSWER--------------- Orthostatic hypotension A nurse is caring for a client who is recieving warfarin (coumadin) for deep vein thrombosis. The nurse observed that the client's INR is 3.8.Which of the following actions should the nurse take? ------CORRECT ANSWER------ ---------Withhold the ordered dose of the medication A nurse is reinforcing teaching with the parents of a 4-month-old infant during a home visit. Which of the following findings in the infant's room indicates a need for further teaching? ------CORRECT ANSWER--------------- The infant is lying in the crib with a stuffed animal A nurse is caring for a client who has hepatitis B. When caring for the client, which of the following actions places the nurse at highest risk for acquiring hepatitis B? ------CORRECT ANSWER---------------Performing oral hygiene A nurse is reinforcing dietary teaching with a client whose pre-pregnancy BMI was 30.5. The nurse evaluates that the client understands the teaching when she states she will gain ------CORRECT ANSWER---------------A..? A nurse is reinforcing teaching with school staff about streptococcal infection of the pharynx. The nurse should instruct the staff that the period of contagion for children who have this infection is which of the following? -- ----CORRECT ANSWER---------------From onset of symptoms until 24 hours of antibiotic therapy A nurse is caring for a client who is 2 days postoperative following a partial bowel resection. The client reports that the "felt something pop" when he sneezed. The nurse observes an evisceration. After calling for assistance, A nurse is supervising an assitive personnel (AP). During the morning meal, the nurse observes the AP accidentally spill a cup of coffee on a client. Which of the following actions should the nurse take? ------ CORRECT ANSWER---------------Reinforce safe meal setup techniques A nurse is reinforcing teaching to a first-time mother about toddler safety. The nurse should recognize the client's understanding of the teaching when the client states, "I will ------CORRECT ANSWER---------------Install gates at the top and bottom of the stairs A nurse is preparing a sterile field to peform a dressing change. Which of the following actions should the nurse take? ------CORRECT ANSWER------ ---------Place sterile objects at least 2.5 cm (1 inch) from the edge of the sterile field A nurse is collecting data from an adolescent client who is a victim of sexual abuse. The nurse recognizes the use of the defense mechanism of suppression when the client states, ------CORRECT ANSWER---------------"I guess I have to take some of the blame because of the way my friends and I dress" A client is prescribed 2g of ampicillin. The pharmacy dispenses this medication in 500 mg tablets. Which of the following should the nurse give the client? ------CORRECT ANSWER---------------4 tablets A nurse is providing home care to a client and is reinforcing teaching regarding home safety. Which of the following by the client indicates a need for further teaching? ------CORRECT ANSWER---------------"I will walk barefoot to prevent slipping" "I will check my smoke alarms once a month" A Client with emphysema asks the nurse why he has difficulty exhaling. Which of the following statements by the nurse is appropriate? ------ CORRECT ANSWER---------------"Your windpipe is inflamed and constricted" A nurse is caring for a client who was admitted 12 hours ago and is experiencing acute alcohol withdrawal. Which of the following is an expected finding for the client? ------CORRECT ANSWER--------------- Irritability A nurse is caring for a client who is in active labor and is accompanied by her partner. The client and her partner tell the nurse they were unable to attend childbirth preparartion classes. Which of the following responses by the nurse supports the partner's involvement during labor? ------CORRECT ANSWER---------------"Breathing with your partner will help her to relax during contractions" A nurse is planning tracheostomy care for a client in a long-term care facility. Which of the following actions should the nurse plan to take first? --- ---CORRECT ANSWER---------------Remove the tracheostomy inner cannula A nurse in a provider's office is reinforcing teaching with the parents of a school-age child who has an active case of pediculosis capitis. Which of the following should be included in the teaching? ------CORRECT ANSWER---------------Wash the bed linens in hot water. Clean the child's toys with 1:10 bleach solution. A nurse caring for the mother of a newborn finds the client crying in her room. The client tells th nurse, "I don't think I can handle caring for a baby." Which of the following nursing interventions is appropriate? ------CORRECT ANSWER---------------Encourage the client to share her feelings A nurse is assisting with the care of a 36-year-old client who is at 16 weeks of gestation and is scheduled for an amniocentesis. The nurse recognizes that the client understands the amniocentesis is performed to identity ------ CORRECT ANSWER---------------Chromosomal abnormalities A nurse is caring for client who is requesting assistance with smoking cessation. For which of the following medications should the nurse anticipate having to reinforce teaching? ------CORRECT ANSWER------------ ---Nicotinic acid (niacin) A nurse is caring for a client who is 12hr postpartum. The nurse observes an increase in vaginal bleeding. Which of the following actions should the nurse plan to take first? ------CORRECT ANSWER---------------Massage the fundus. Obtain the client's vital signs. A nurse is preparing to administer ibuprofen solution 60 mg orally to a 7 month old infant who is febrile. Available is ibuprofen 50 mg/ 1.25 mL. How many mL should the nurse administer? ------CORRECT ANSWER------------ ---1.5 mL A nurse is caring for a child who has terminated cancer. Which of the following responses by the child's school-age brother should the nurse A nurse is reinforcing teaching with the parents of a newborn about physical assessments. Which of the ff. statements by the parent demonstrates understanding of the newborn hearing screening test? ------ CORRECT ANSWER---------------"If my baby fails the hearing test, he will need to be tested in 3 months" A nurse is reviewing instructions with a male client who is uncircumcised about obtaining a clean-catch midstream urine specimen. Identify the sequence of actions the client should take after washing his hands. (Move the steps into the box on the right, placing them in the selected order of performance. All steps must used.) ------CORRECT ANSWER---------------A. Expose the glans of the penis B. Cleanse the penis using aseptic swab C. Begin urination D. Pass the cup into the urine stream E. Move the cup out of the urine stream F. Move the cup out of the urine stream G. Replace the foreskin (IDK if in right order??) A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. Which of the ff. actions should the nurse take? ------ CORRECT ANSWER---------------Provide step-by-step instructions for performing ADLs A nurse is reinforcing teaching about breastfeeding with a pregnant client. Which of the ff. statements by the nurse is appropriate? ------CORRECT ANSWER---------------"Breastfeeding reduces the infant's risk of infection" A nurse is reviewing client positioning for a thoracentesis with a newly licensed nurse. The nurse validates that newly licensed nurse's understanding when he indicates that the client should be placed in which of the ff. positions for the procedure? ------CORRECT ANSWER--------------- Leaning forward over pillows A nurse is reinforcing teaching with a group of expectant parents regarding the proper use of car seat. Which of the following statements by a parent indicates an understanding of the teaching? ------CORRECT ANSWER------ ---------"I can place a rolled towel on each side of my newborn's head until he can hold his head up" A nurse is preparing to apply a pulse oximeter to a client's finger. Which of the following actions should the nurse take before applying the sensor? ----- -CORRECT ANSWER---------------Check the client's capillary refill A nurse is caring for a client who is asking about the technique of eTheurage and its use in labor and delivery. Which of the following responses should the nurse make regarding this technique? ------ CORRECT ANSWER---------------"It is a light stroking of the skin during a uterine contraction" A nurse is administering hydromorphone (Dilaudid) to a client who is experiencing postoperative pain. Which of the following is an adverse effect of this medication? ------CORRECT ANSWER---------------Urinary Retention A nurse is administering medication. A client states, "I know that the Inderal helps my blood pressure, but I don't like the way it makes me feel. I don't think I'll take it today." Which of the following actions should the nurse take? ------CORRECT ANSWER---------------Asks the client to describe what he is experiencing A nurse is reinforcing teaching with a client regarding the use of guided imagery to relieve back pain. Which of the following statements made by the nurse is appropriate? ------CORRECT ANSWER---------------"Think about a pleasant memory as you visualize your pain floating away" A nurse is caring for an older adult client who is postoperative following a total hip replacement. ------CORRECT ANSWER---------------The client is incontinent of stool and urine. To prevent skin breakdown, the nurse should apply moisture-absorbing undergarments. A client comes to the clinic with reports to nasal congestion. Which of the following medications should the nurse anticipate that the primary care provider will prescribe? ------CORRECT ANSWER--------------- Pseudoephedrine (Sufaded) A nurse is provider's office is reinforcing teaching to the parents of a school-age child who has an ankle sprain. The nurse should include which of the following statements in the teaching? ------CORRECT ANSWER------- --------"Offer aspirin every 4 hours for discomfort" "Elevate the affected extremity to a level higher than the heart" A nurse is caring for a client with a closed head injury. Which of the following findings should indicate to the nurse a need for futher data collection? ------CORRECT ANSWER---------------Inappropriate words when speaking. Sharp sensation when touched with safety pin point. A nurse is admitting a client with active tuberculosis. Which of the following is an appropriate nursing intervention? ------CORRECT ANSWER------------- --Place the client in a room that is ventilated to the outside A nurse is providing change-of-shift report on four clients. Which of the following is most important for the nurse to include in the report? ------ CORRECT ANSWER---------------A client had a blood glucose of 140 mg/dL A nurse is caring for a client who has an order for NPH insulin (Humulin N) 10 units and regulat insulin (humulin R) 15 units SQ. Which of the following actions should the nurse perform first? ------CORRECT ANSWER------------- --Inject 10 unites of air into the NPH insulin vial A nurse discovers a fire in the trash can of a client's room. Which of the following actions should the nurse take first? ------CORRECT ANSWER----- ----------Escort the client to a secure area A client has a large, deep ulcer on her right hip. The primary care provider has prescribed a woman vacuum to be applied. Which of the following is an appropriate nursing action? ------CORRECT ANSWER---------------Maintain hydrophillic material deep into the ulcer A nurse is reinforcing teaching to a client who has been taking dig 0.25 mg PO daily for 6 months, which of the following indicates a need for further teaching? ------CORRECT ANSWER---------------I will call my provider if I experience a yellow tinge to my vision A nurse receives a verbal order for a client to receive a stat dose of meperidine (demerol) 100 mg PO. She administers the medication, charts the administration, and then realizes she has administered Phenytoin (dilantin) 100 mg PO. After obtaining the client's vital signs, which of the following actions should the nurse take? ------CORRECT ANSWER----------- ----Notify the provider A nurse is administering medication to a client. Which of the following actions is appropriate for the nurse to take? ------CORRECT ANSWER------ ---------Verify with another nurse when calculating a new dose of medication A nurse is reinforcing discharge teaching to a client who is prescribed propylthiuracil. For which of the following should the nurse instruct the client to monitor and report to the provider immediately? ------CORRECT ANSWER---------------Sore throat A nurse is reinforcing foot care to a client with diabetes mellitus. Which of the following clients' statements indicate to the nurse a need for further teaching? ------CORRECT ANSWER---------------"I will soak my feet in warm water every night" A nurse is caring for a client who has heart failure and is taking furosemide (lasix). Which of the following statements made by the client indicates a need for the nurse to intervene? ------CORRECT ANSWER---------------"I have to sleep sitting up" A nurse is reinforcing teaching to a client who has a new prescription for transdermal nitroglycerin (Nitro-Dur). Which of the following statements indicates the client understands the teaching? ------CORRECT ANSWER--- ------------"I will leave the patch on for 12 to 14 hours each day" A nurse is caring for a client who is 2 days postoperative. The client has a prescription for acetaminophen 300mg with codeine 30 mg (Tylenol #3), 1 tablet every 3 to 4 hr PRN for pain. The nurse inadvertently gave the client 2 tablets. Which of the following is the proper place to document this error? ------CORRECT ANSWER---------------Incident report A nurse is caring for a client in a mental health unit who is pacing back and forth and wringing his hands. Which of the following interventions should the nurse implement? ------CORRECT ANSWER---------------Take the client for a walk to the recreation room A nurse is caring for a client who is in bed and experiencing a toni-clonic seizure. Which of the following actions should the nurse take? ------ CORRECT ANSWER---------------Place the bed in the lowest position A nurse is preparing to irrigate a wound of a client who has methicillin- resistant Staphylococcus aureus (MRSA).The nurse should use which of the following personal protective equipment? ------CORRECT ANSWER----- ----------A face shield A nurse is collecting data for a client who has been recieving medroxyprogesterone acetate (Depo- Provera) for the past 6 months. Which of the following statements made by the client should be reported to the provider? ------CORRECT ANSWER---------------"I'm experiencing calf pain"