RN COMPREHENSIVE PREDICTOR 2023 2024 FORM A B C EXAM QUESTIONS WITH COMPLETE SOLUTIONS GUA, Exams of Nursing

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RN COMPREHENSIVE PREDICTOR 2023/2024 FORM A / B / C EXAM

QUESTIONS WITH COMPLETE SOLUTIONS GUARANTEED PASS

A nurse is caring for a client who has raynaud's disease. Which of the following actions should the nurse take? A. Provide information about stress management. B. Maintain a cool temperature in the client's room. C. Administer epinephrine for acute episodes. D. Give glucocorticoid steroid twice per day.- ANSWER - > a. Provide information about stress management. A nurse is reviewing the medical history of a client who has angina. Which of the following findings in the client's medical history should identify as a risk factor for angina? A. Hyperlipidemia. B. Copd C. Seizure disorder D. Hyponatremia.- ANSWER - > a. Hyperlipidemia. A nurse is caring for a client who is 12 hr. Postpartum and has a thirddegree perineal laceration. The client reports not having a bowel movement for 4 days. Which of the following medications should the nurse administer? A. Bisacodyl 10 mg rectal suppository. B. Magnesium hydroxide 30 ml po.

C. Famotidine 20 mg po. D. Loperamide 4 mg po.- ANSWER - > b. Magnesium hydroxide 30 ml po. A nurse overhears two assistive personnel (ap) discussing care for a client while in the elevator. Which of the following actions should the nurse take? A. Contact the client's family about the incident. B. Notify the client's provider about the incident. C. File a complaint with the facility's ethics committee. D. Report the incident to the ap's charge nurse.- ANSWER - > d. Report the incident to the ap's charge nurse. A nurse is planning care for a client who is receiving hemodialysis. Which of the following actions should the nurse include in the plan of care? A. Withhold all medications until after dialysis B. Rehydrate with dextrose 5% in water for orthostatic hypotension. C. Check the vascular access site for bleeding after dialysis. D. Give an antibiotic 30 min before dialysis.- ANSWER - > c. Check the vascular access site for bleeding after dialysis. A nurse in the emergency department is caring for a client who reports intimate partner violence. Which of the following interventions is the nurse's priority? A. Develop a safety plan with the client B. (unable) options for reporting the incident. C. Refer the client to a community support group. D. Determine if the client has any injuries.- ANSWER - > d. Determine if the client has any injuries. A nurse is caring for a client who is in active labor and note the fhr baseline has been 100/min for the past

how many ml/hr? (round the answer to the nearest whole number)- ANSWER - > 6 ml/hr A nurse is providing teaching to the parents of a newborn genetic screening. Which of the following statement should the nurse include in the teaching? A. "this test should be performed after your baby is 24 hours old." B. "a nurse will draw blood from your baby's inner elbow." C. "your baby will be given 2 ounces of water to drink prior to the test." D. "this test will be repeated when your baby is 2 months old."- ANSWER - > a. "this test should be performed after your baby is 24 hours old." A nurse is providing discharge teaching to a client who is postoperative following a colon resection and has a new ascending colostomy. Which of the following statements by the client indicates an understanding of the teaching? A. "my stool will become fully formed within 3 weeks" B. "my skin will need to be cleaned with alcohol before i apply a new pouch" C. "i should avoid eating popcorn and fresh pineapple" D. "i should expect bruising around the stoma"- ANSWER - > c. "i should avoid eating popcorn and fresh pineapple"

98. A nurse is admitting a client who had a stroke and exhibits facial drooping, drooling and hoarseness. Which of the following is the nurse's priority? A. Refer the client to a speech language pathologist. B. Monitor the client's prealbumin levels C. Measure the client's weight. D. Place the client on npo status.- ANSWER - > d. Place the client on npo status.

A nurse is providing teaching to a client who has heart failure and a new prescription for furosemide. Which of the following statements should the nurse make? A. "taking furosemide can cause your potassium levels to be high" B. "eat foods that are high in sodium" C. "rise slowly when getting out of bed" D. "taking furosemide can cause you to be overhydrated"- ANSWER - > c. "rise slowly when getting out of bed" A nurse is planning a teaching session for a client who is postoperative following a colon resection. Which of the following actions should the nurse take first? A. Providing written material for the client to read B. Plan a short instruction about coughing and deep breathing. C. Determine the client's current pain level. D. Instruct the client about dietary restrictions.- ANSWER - > c. Determine the client's current pain level. A nurse is caring for a client who has chronic pancreatitis. Which of the following dietary recommendations should the nurse make? A. Coffee with creamer. B. Lettuce with sliced avocados. C. Broiled skinless chicken breast with brown rice. D. Warm toast with margarine.- ANSWER - > c. Broiled skinless chicken breast with brown rice. A nurse is caring for a client who asks for information regarding organ donation. Which of the following should the nurse make?

B. Infection control nurse C. Nephrologist D. Cardiologist- ANSWER - > c. Nephrologist A nurse is caring for an infant who is in contact isolation and received a blood transfusion. Which of the following actions is appropriate for the nurse to take to provide cost-effective care? A. Return unopened equipment to the supply center B. Leave the unused infusion pump in the room until discharge C. Stock the room with a 2-day supply of disposable diapers D. Being in formula as needed- ANSWER - > a. Return unopened equipment to the supply center A nurse is reviewing the medical record of a client who is postoperative following a total hip arthroplasty. For which of the following findings should the nurse contact the provider? A. Hear rate 100/min B. Temperature 37.8c (100f) C. Albumin level 4.0 g/dl. D. Wbc count 14,000 mm3- ANSWER - > d. Wbc count 14,000 mm A nurse is assessing a client who received 2 units of packed rbcs 48 hrs ago. Which of the following findings should indicate to the nurse that the therapy has been effective?- ANSWER - > hemoglobin 14. g/dl A nurse working in an emergency department is triaging four clients. Which of the following clients should the nurse recommend for treatment first?- ANSWER - > a middle adult client who has unstable vital signs A nurse is caring for a client who has fluid volume overload. Which of the following tasks should the nurse delegate to an assistive personnel?- ANSWER - > measure the client's daily weight

A nurse is preparing to administer mannitol 0.2 g/kg iv bolus over 5 min as a test dose to a client who has severe oliguria. The client weighs 198 lb. What is the amount in grams the nurse should administer?- ANSWER - > 18 g A nurse is conducting a physical examination for an adolescent and is assessing the rang of motion of the legs, which of the following images indicates the adolescent is abducting the hip joint?- ANSWER - > moving the leg away from the midline of the body (off to the side, not to the front) A nurse is caring for a client who has hyperthyroidism. Which of the following findings should the nurse expect?- ANSWER - > tremors, Tachycardia, diaphoresis, weight loss, insomnia, exopthalmia Hypothyroidism has dry corase hair, bradycardia, and periorbital edema A nurse is assessing a school age child who has bacterial meningitis. Which of the following findings should the nurse expect?- ANSWER - > nuchal rigidity Also weight loss A nurse is assessing a newborn's heart rate. Which of the following actions should the nurse take?- ANSWER - > auscultate the apical pulse at least 1 min A nurse is preparing to assist with a thoracentesis for a client who has pleurisy. The nurse should plan to perform which of the following actions?- ANSWER - > instruct the client to avoid coughing during the procedure A nurse is the emergency department is assessing a preschooler who has a facial laceration. The nurse should identify which of the following findings as a potential indication of child sexual abuse?- ANSWER -

the child exhibits discomfort while walking A nurse is preparing to teach about dietary management to a client who has crohn's disease and an enteroenteric fistula. Which of the following nutrients should the nurse instruct the client to decrease in their diet?- ANSWER - > fiber - reduce diarrhea and inflammation A nurse is caring for a client who has a prescription for a continuous passive motion cpm machine following a total knee arthroplasty. Which of the following actions should the nurse take?- ANSWER - > turn off the cpm machine during mealtime Promote client comfort and dietary intake A nurse is preparing to initiate iv access for an older adult client. Which of the following sites should the nurse select when initiating the iv for this client?- ANSWER - > radial vein of the inner arm

A nurse in a community center is providing an educational session to a group of client about ovarian cancer. Which of the following manifestations of ovarian cancer should the nurse include in the teaching?- ANSWER - > abdominal bloating Increase in abdominal girth, pelvic or abdominal pain, early satiety, urinary frequency of urgency A nurse is caring for a client who has active tuberculosis tb. Which of the following actions should the nurse plan to take to prevent the transmission of the disease?- ANSWER - > have the client wear a surgical mask while being transported outside the room A nurse is caring for a group of clients. Which of the following clients should the nurse attend to first?- ANSWER - > an older adult client who is anxious and attempting to pull out an iv line An rn is observing a licensed practical nurse lpn and an assistive personnel ap move a client up in bed. For which of the following situations should the nurse intervene?- ANSWER - > the lpn and the ap grasp the client under his arms to lift him up in bed A nurse is preparing to administer insulin to a client via a pen device. Which of the following actions should the nurse take?- ANSWER - > hold the insulin pen device perpendicular to the client's skin to inject the medication A nurse is caring for a client who has immunosuppression and a continuous iv infusion. Which of the following actions should the nurse take?- ANSWER - > monitor the client's mouth every 8 hours A nurse is providing teaching about advance directives to a middle adult client. Which of the following client responses indicates an understanding of the teaching?- ANSWER - > "i can designate my partner as my health care surrogate" A nurse is assessing a client following a vaginal delivery and notes heavy lochia and a boggy fundus. Which of the following medications should the nurse expect to administer?- ANSWER - > oxytocin A nurse manager is planning to use a democratic leadership style with the nurses on the unit. Which of the following actions by the nurse manager demonstrates a democratic leadership style?- ANSWER - > seeks input from the other nurses A nurse is assigning task roles for a group of clients in a community mental health clinic. Which of the following tasks should the nurse assign to the member of the group functioning as the orienteer?- ANSWER - > noting the progress of the group toward assigned goals A nurse is creating a plan of care for a newly admitted child. Which of the following actions should the nurse include in the plan?- ANSWER - > administer high dose antibiotic therapy

Cystic fibrosis kid with lung infection A nurse is caring for a newborn immediately after delivery. Which of the following interventions should the nurse implement to prevent heat loss by conduction?- ANSWER - > use a protective cover on the scale when weighing the infant A nurse is caring for a client who has abdominal surgery 24 hr ago. Which of the following actions is the nurse's priority?- ANSWER - > assist with deep breathing and coughing A nurse in an outpatient mental health clinic is caring for four clients. The nurse should recognize that which of the following clients is effectively using sublimation as a defense mechanism?- ANSWER - > a client who channels their energy into a new hobby following the loss of their job A nurse is assessing for correct placement of a client's ng feeding tube prior to administering a bolus feeding. Which of the following actions should the nurse take?- ANSWER - > aspirate contents from the tube and verify the ph level An antepartum nurse is caring for four clients. For which of the following clients should the nurse initiate seizure precautions?- ANSWER - > a client who is at 33 weeks of gestation and has severe gestational hypertension A nurse is providing discharge teaching to a client who is to receive home oxygen therapy. Which of the following instructions should the nurse include in the teaching?- ANSWER - > wear clothing made with cotton fabrics while oxygen is in use Use water soluble lubricant not petroleum based lubricant A nurse is providing teaching for a client who has a fracture of the right fibula with a short leg cast in place a new prescription for crutches. The client is non weight bearing for 6 weeks. Which of the following instructions should the nurse include in the teaching?- ANSWER - > use a three point gait A nurse is preparing to transfer a client from the icu to the medical floor. The client was recently weaned from mechanical ventilation following a pneumonectomy. Which of the following information should the nurse include in the change of shift report?- ANSWER - > the time of the client's last dose of pain medication A nurse is assessing an infant who has hydrocephalus and is 6 hr postoperative following placement of a ventriculoperitoneal vp shunt. Which of the following findings should the nurse report to the provider?- ANSWER - > irritability when being held - increased intracranial pressure

A nurse is teaching a client who is at 20 weeks of gestation about common discomforts associated with pregnancy. Which of the following statements by the client indicates an understanding of the teaching?- ANSWER - > "i will wear a supportive bra overnight" A nurse is caring for a client who is taking valproic acid for seizure control. For which of the following adverse effects should the nurse monitor and report?- ANSWER - > jaundice A nurse is providing discharge instructions about newborn care to a client who is postpartum. Which of the following statements indicates to the nurse that the client understands the teaching? Select all- ANSWER - > "i will cover my baby's body when i wash her hair" "i will use the bulb syringe first in her mouth then in her nose" A nurse on a mental health unit is conducting a mental status examination mse on a newly admitted client. Which of the following components of the mse is the priority for the nurse to assess?- ANSWER - > ideas of self-harm A nurse is preparing to administer lactated ringers 1,500 ml iv to infuse at 50 ml/hr. The drop factor of the manual iv tubing is 15 gtt/ml. The nurse should set the manual iv infusion to deliver how many gtt/min? Round to nearest whole number- ANSWER - > 13 A nurse is providing teaching to a client who has a new diagnosis of type 1 diabetes mellitus. The nurse should instruct the client to monitor for which of the following findings as a manifestation of hypoglycemia?- ANSWER - > irritability A nurse is providing teaching to a client who is scheduled for electroconvulsive therapy ect. The nurse should inform the client that which of the following findings is an adverse effect of ect?- ANSWER - > short term memory loss A charge nurse notices that one of the nurses on the shift frequently violates unit polices by taking an extended amount of time for break. Which of the following statements should the charge nurse make to address this conflict?- ANSWER - > "i would like to talk to you about the unit polices regarding break time" A nurse in an emergency department is caring for a client who is at 9 weeks of gestation and reports nausea and vomiting for the past 2 days. Which of the following findings should the nurse expect?- ANSWER - > urine specific gravity 1. A nurse is caring for an older adult client who is experiencing chronic anorexia and is receiving enteral tube feedings. Which of the following laboratory values indicates that the client needs additional nutrients added to the feedings?- ANSWER - > albumin 2.8g/dl should be 3.5 to 5. A nurse is conducting group therapy with clients who have breast cancer. The nurse should recognize which of the following statements by a client as an example of altruism?- ANSWER - > "i told my doctor that i would like to start a support group for other women who are sick in my community" - reaching out and helping others

A nurse is providing dietary teaching to a client who has a new prescription for phenelzine. Which of the following food recommendations should the nurse make? Select all- ANSWER - > broccoli Yogurt Cream cheese A nurse is assessing a client for compartment syndrome. Which of the following findings should the nurse expect?- ANSWER - > edema A nurse is providing discharge teaching about disease management for a client who has a new diagnosis of type 1 diabetes mellitus. Which of the following activities is the nurse's priority?- ANSWER - > ensure that the client understands the medication regimen A nurse at an urgent care clinic assessing a client who reports impaired vision in one eye. Which of the following reports by the client should indicate to the nurse that the client has a detached retina?- ANSWER - > floating dark spots A nurse on a medical surgical unit is assessing a client who has had a stroke. For which of the following findings should the nurse initiate a referral for occupational therapy?- ANSWER - > difficulty performing adl's A nurse is assessing a client following a colonoscopy. Which of the following findings should indicate to the nurse that the client is hemorrhaging?- ANSWER - > rapid decrease in blood pressure A nurse is caring for a client who recently signed an informed consent form to donate a kidney to her sibling who has end stage kidney disease. The donor states to the nurse, "i don't want my brother to die, but what if i need this kidney one day" which of the following responses should the nurse make?- ANSWER - > "you're afraid that your other kidney will fail at some point after the organ donation" A nurse is assessing a client who has pulmonary edema. Which of the following findings should the nurse expect?- ANSWER - > pink frothy sputum A nurse administers an incorrect dose of medication to a client. The nurse recognizes the error immediately and completes an incident report. Which of the following facts related to the incident should the nurse document in the client's medical record?- ANSWER - > time the medication was given A nurse is caring for a client who is postoperative after receiving moderate (conscious) sedation. The client suddenly becomes restless and reports feeling lightheaded. Which of the following actions should the nurse take?- ANSWER - > check the client's oxygen saturation level A nurse in an emergency department is assessing a school age child who was brought in by their parents and has scald burns to both hands and wrists. The nurse suspects physical abuse. Which of the following actions should the nurse take?- ANSWER - > contact child protective services

A nurse is preparing to administer a blood transfusion to a client. Which of the following procedures should the nurse follow to ensure proper client identification?- ANSWER - > verify the client and blood product information with another licensed nurse A nurse in a mental health clinic is assessing a client who has a history of seeking counseling for relationship problems. The client shows the nurse multiple superficial self inflicted lacerations on their forearms. The nurse should identify these behaviors as characteristics of which of the following personality disorders.- ANSWER - > borderline - emotionally unstable, troubled interpersonal relationships, often engage ion harmful behaviors A nurse is caring for a client who has type 1 diabetes mellitus and reports severe ankle pain after falling off a stepstool at home. Which of the following prescriptions should the nurse clarify with the provider?- ANSWER - > apply a cold pack to the clients ankle for 30 min every hour - type 1 diabetes is a contraindication for cold therapy A nurse is teaching about adverse effects with a client who is starting to take captopril. Which of the following findings should the nurse identify as an adverse effect of the medication to report to the provider?- ANSWER - > cough - due to build up of bradykinin in the lungs A nurse is reviewing the abg values of a client. The client has a ph of 7.2, psco2 of 60 mm hg, nd hco3- of 25 meq/l. The nurse should identify that the client has which of the following acid base imbalances?- ANSWER - > respiratory acidosis A nurse in a providers office is assessing an adolescent who has been taking ibuprofen for 6 months to treatjuvenile idiopathic arthritis. Which of the following questions should the nurse ask to assess for adverse effect of this medication?- ANSWER - > "have you had any stomach pain or bloody stools? A nurse on a pediatric unit has received change of shift report for four children. Which of the following children should the nurse assess first?- ANSWER - > a 10 year old child who is awaiting surgery for an appendectomy and experienced sudden relief from pain A nurse on an inpatient unit is caring for a client who has schizophrenia and recently started taking risperidone. Which of the following actions should the nurse take?- ANSWER - > implement fall precautions for the client - orthostatic hypotension and dizziness A nurse is assessing a client who has decreased visual acuity due to cataracts. The nurse should identify that which of the following physiological changes is the cause for the client's visual loss?- ANSWER - > increased opacity of the lens A nurse is caring for a client following a vacuum assisted birth. The nurse should monitor the client for which of the following complications related to vacuum assisted birth?- ANSWER - > cervical laceration

A nurse is updating the plan of care for a client who is 48 hr post operative following a laryngectomy and is unable to speak. Which of the following actions should the nurse plan to take first?- ANSWER - > determine the clients reading skills A nurse is caring for a school age child who has dehydration and is receiving an oral rehydration solution. Which of the following laboratory results indicates that the treatment regimen is effective- ANSWER - > serum sodium 138 meq/l A school nurse is notified of an emergency in which several children were injured following the collapse of playground equipment. Upon arrival at the playground, which of the following actions should the nurse take first?- ANSWER - > survey the scene for potential hazards to staff and children A nurse in an emergency department is caring for a client who is unconscious and requires emergency medical procedures. The nurse is unable to locate members of the clients family to obtain consent. Which of the following actions should the nurse take?- ANSWER - > proceed with provision of medical care A nurse is caring for a school age child who is taking valproic acid. The nurse should expect the provider to order which of the following diagnostic tests?- ANSWER - > serum liver enzyme levels A nurse manager is preparing to teach a group of newly licensed nurses about effective time management. Which of the following steps of the time management process should the nurse manager include as the priority?- ANSWER - > making a list of activities to complete A nurse is caring for a client who has pulmonary embolism. The client is receiving heparin via continuous ivinfusion at 1,200 units/hr and warfarin 5 mg po daily. The morning laboratory values for the client are aptt 98 seconds and inr 1.8. Which of the following actions should the nurse take?- ANSWER - > withhold the heparin infusion A nurse is providing teaching to a school age child who has asthma about using albuterol metered dose inhaler. Which of the following instructions should the nurse include?- ANSWER - > take the medication 15 min before playing sports A home health nurse is evaluating a school age child who has cystic fibrosis. The nurse should initiate a request for high frequency chest compression vest in response to which of the following parent statements?- ANSWER - > "my child has only a small amount of mucus after percussion therapy" A nurse is planning care for a client who is receiving chemotherapy and has neutropenia. Which of the following interventions should the nurse include in the plan?- ANSWER - > avoid including raw fruits in the clients diet A nurse is caring for a client who is in the fourth stage of labor and is reviewing oxytocin via continuous iv infusion. Which of the following assessments is the nurse's priority?- ANSWER - > amount of vaginal bleeding

A nurse is assessing a client who is taking propranolol. Which of the following findings should indicate to the nurse that this client is experiencing an adverse reaction to propranolol?- ANSWER - > wheezing A client is receiving iv fluids at 150 ml/hr. Which of the following findings indicates that the client is experiencing fluid overload?- ANSWER - > dyspnea A nurse is assessing a client whose partner recently died. The client states, "i don't know what to do without my partner. Life is just not worth living" which of the following responses should the nurse make?- ANSWER - > "you seem to be having a difficult time right now" A nurse must recommend clients for discharge in order to make room for several critically injured clients from a local disaster. Which of the following clients should the nurse recommend for discharge?- ANSWER - > a client who has cellulitis and is receiving oral antibiotics every 8 hours A nurse is performing an admission assessment on a client who had a recent positive pregnancy test. The first day of her last menstrual period lmp was may 8. According to nagele's rules, which of the following dates should the nurse document as the clients estimated date of birth edb?- ANSWER - > february 15th (add 7 days to lmp and then subtract 3 months) A nurse is providing teaching about home care to the parents of a child who has autism spectrum disorder. Which of the following instructions should the nurse include?- ANSWER - > use a reward system to modify the childs behavior A nurse in a providers office is caring for an 18 month old toddler who has a blood lead level of 3 mcg/dl. Which of the following actions should the nurse take?- ANSWER - > recommend rescreening in 1 year - it is within the expected reference range A nurse is caring for a client who has cancer and is deciding between two treatment plans. The client asks the nurse for assistance in making the decision. Which of the following responses should the nurse make?- ANSWER - > "tell me more about your understanding of the options" A nurse is caring for a client who has a new prescription for clonidine. The nurse should inform the client that which of the following findings is an adverse effect of this medication?- ANSWER - > dry mouth A nurse is creating a plan of care for a client who has left sided weakness following a stroke. Which of the following interventions should the nurse include in the plan?- ANSWER - > support the client's left arm on a pillow while sitting A nurse is caring for a client who has acute blood loss following a trauma. The client refuses a blood transfusion that might potentially save their life. Which of the following actions should the nurse take first?- ANSWER - > explore the client's reasons for refusing treatment A nurse is performing an abdominal assessment on a client. Identify the sequence of actions the nurse should take. (in order)- ANSWER - > inspection

Auscultation Percussion Palpation A nurse is providing teaching to the guardians of a newborn about measures to prevent sudden infant death syndrome sids. Which of the following guardian statements indicates an understanding of the teaching- ANSWER - > "i will not allow anyone to smoke near my baby" A nurse is preparing a sterile field to perform a sterile dressing change. Which of the following interventions should the nurse use to maintain surgical aseptic technique?- ANSWER - > maintain sterile objects within the line of vision A nurse is caring for a client who has a magnesium level of 2.7 meq/l. Which of the following interventions should the nurse plan to take?- ANSWER - > initiate continuous cardiac monitoring - mag level is high A nurse is assessing a client who is at 11 weeks of gestation and reports drinking ginger tea. Which of the following findings indicates the client's use of ginger tea is effective?- ANSWER - > the client reports a decrease in episodes of nausea A nurse is caring for a client who has deep vein thrombosis. Which of the following actions should the nurse take?- ANSWER - > instruct the client to elevate the affected extremity when sitting A nurse is preparing to replace a client's transdermal fentanyl patch after 72 hr of use. After the nurse opens the packet containing the new pouch, the client declines to accept it. Which of the following actions should the nurse take?- ANSWER - > ask another nurse to witness the disposal of the new patch A nurse is assessing an older adult client who has pneumonia. Which of the following findings should the nurse expect?- ANSWER - > acute confusion - along with fatigue, lethargy, and anorexia A nurse is providing teaching about the basal body temperature method of birth control. Which of the following information should the nurse include in the teaching?- ANSWER - > "your body temperature might decrease slightly just prior to ovulation" - decrease in body temperature of 1 degree commonly occurs immediately prior to ovulation A nurse manager in a long term care facility is having difficulty with staffing for weekend shifts and is planning to implement some changes to the scheduling procedure. Which of the following actions should the nurse manager take first?- ANSWER - > form a committee of staff members to investigate current staffing issues