RN Comprehensive Predictor 2024 EXAM NEW VERSION LATEST UPDATE 2024-2025 WITH ACCURATE, Exams of Nursing

Download RN Comprehensive Predictor 2024 EXAM NEW VERSION LATEST UPDATE 2024-2025 WITH ACCURATE and more Exams Nursing in PDF only on Docsity! RN Comprehensive Predictor 2024 EXAM NEW VERSION LATEST UPDATE 2024-2025 WITH ACCURATE ANSWERS GUARANTEED PASS BEST STUDYING MATERIAL WITH 100+ QUESTIONS A nurse is preparing to remove an IV catheter from the arm of a client who has phlebitis at the peripheral IV site. Which of the following actions should the nurse plan to take? a. Insert a new IV catheter distal to the discontinued IV site b. apply pressure dressing at the IV site c. Please a warm moist compress on the site d. Express drainage from the IV site and send it to be cultured - ANSWERS-c. Please a warm moist compress on the site Phlebitis is characterized by pain, increased skin temperature, and redness along the vein. It is commonly treated by discontinuing the IV line and applying a moist, warm compress over the area. A nurse is preparing to administer three medications to a client who is receiving continuous enteral tube feeding through an NG tube. Which of the following actions is appropriate for the nurse to take? a. ADD medication directly to enteral feeding - not without crushing them first b. Dissolve the medications together- some medications can mix others can't c. Use a syringe to allow the medications to Flow by gravity d. Flush the NG tube with 5 ml water- 10ml - ANSWERS-c. Use a syringe to allow the medications to Flow by gravity The nurse is caring for a client who has histrionic personality disorder. Which of the following findings should the nurse expect? a. Repeated acts of unlawful Behavior b. Suspicious demeanor c. Seductive Behavior d. Lack of remorse - ANSWERS-c. Seductive Behavior A nurse in a prenatal Clinic is teaching a client about non pharmacological pain management during labor. Which of the following statements by the client indicates an understanding of the teaching? a. My nurse can teach me biofeedback at the beginning of labor- biofeedback would be taught earlier to control other pain, not pain of labor b. A transcutaneous electrical nerve stimulator will help with pelvic pressure- This would mess with the readings of the pt and baby c. The nurse will initiate acupuncture when I arrive at the unit - Needles during labor no. d. I can use my ultrasound picture as a focal point during contractions - ANSWERS-d. I can use my ultrasound picture as a focal point during contractions A nurse is assessing a client Telemetry strip. Which of the following findings should the nurse report to the provider? a. Heart rate 98 per minute b. ST segment elevations_ Remember this could possibly lead to infarctions c. 2 PVCs per minute a. A client who is at 36 weeks of gestation and has a biophysical profile score of 8 b. A client who has pregestational diabetes mellitus and an HbA1c of 6.2% c. A client who is at 28 weeks of gestation and reports leukorrhea d. A client who has preeclampsia and reports a persistent headache - ANSWERS-d. A client who has preeclampsia and reports a persistent headache A nurse is planning care for a client who is scheduled to have a paracentesis. Which of the following actions should the nurse include in the plan of care? a. Instruct the client to empty her bladder prior to the procedure. b. Position the client over an overbed table prior to the procedure. c. Administer 1 L dextrose 5% in water IV bolus prior to the procedure. d. Initiate NPO status 4 hr prior to the procedure. - ANSWERS-a. Instruct the client to empty her bladder prior to the procedure. A nurse is assessing a client who is prescribed valproic acid. Which of the following laboratory tests should the nurse monitor? a. Arterial blood gas b. Serum potassium c. Liver function test d. Serum creatinine - ANSWERS-c. Liver function test A nurse is preparing to catheterize a toddler for a urine culture. Which of the following is an appropriate action for the nurse to take? a. Discard the first 10 mL of urine. b. Apply EMLA cream prior to the procedure. c. Obtain a 12 French catheter. d. Don sterile gloves prior to the procedure - ANSWERS-d. Don sterile gloves prior to the procedure . A nurse is reviewing the laboratory levels of a client who is having elective surgery. Which of the following levels should the nurse report to the provider? a. Potassium 3.2 mEq/L 3.5 - 5.0 is normal b. BUN 16 mg/dL (Normal 10-20) c. PT 12.2 seconds (Normal 11-14) d. Fasting blood glucose 103 mg/dL - ANSWERS-a. Potassium 3.2 mEq/L 3.5 - 5.0 is normal A nurse is admitting a client who has schizophrenia. The client states, "I'm hearing voices." Which of the following responses is the priority for the nurse to state? a. "How long have you been hearing the voices?" b. "What are the voices telling you?" c. "Have you taken your medication today?" d. "I realize the voices are real to you, but I don't hear anything." - ANSWERS-b. "What are the voices telling you?" RN Comprehensive Predictor 2019 Form B and C - ANSWERS- A nurse is providing teaching about the gastrostomy tube feedings to the parents of a school age child. Which of the following instructions should the nurse take? A. Administer the feeding over 30 min. B. Place the child in as supine position after the feeding. C. Charge the feeding bag and tubing every 3 days. D. Warm the formula in the microwave prior to administration. - ANSWERS-A. Administer the feeding over 30 min. 2. A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the following findings should the nurse report to the provider? A. Potassium level 4.2 mEq/L. B. Apical pulse 58/min. C. Digoxin level 1 ng/ml. D.Constipation for 2 days. - ANSWERS-B. Apical pulse 58/min A nurse is caring for a client who is comatose and has advance directives that indicate the client does not want life-sustaining measures. The client's family want the client to have life- sustaining measures. Which of the following action should the nurse take? A.Arrange for an ethics committee meeting to address the family's concerns. B. Support the family's decision and initiate life-sustaining measures. C. Complete an incident report. D.Encourage the family to contact an attorney. - ANSWERS-A. Arrange for an ethics committee meeting to address the family's concerns. A nurse is caring for a client who wears glasses. Which of the following actions should the nurse take? A. Store the glasses in a labeled case. B. Clean the glasses with hot water. C. Clean the glasses with a paper towel. D. Store the glasses on the bedside table. - ANSWERS-A. Store the glasses in a labeled case. B. Platelets 150,000/mm3. C. Aspartate aminotransferase 10 units/L. D. Erythrocyte sedimentation rate 75 mm/hr - ANSWERS-D. Erythrocyte sedimentation rate 75 mm/hr A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse should expect a prescription for which of the following laboratory tests? A. Platelet count. B. Potassium level. C. Creatine clearance. D. Pre-albumin. - ANSWERS-A. Platelet count. A nurse is caring for a client following application of a cast. Which of the following actions should the nurse take first? A. Place an ice pack over the cast. B. Palpate the pulse distal to the cast. C. Teach the client to keep the cast clean and dry. D. Position the casted extremity on a pillow. - ANSWERS-B. Palpate the pulse distal to the cast. A nurse is caring for a client who has vision loss. Which of the following actions should the nurse take? (Select all that apply) A. Keep objects in the client's room in the same place. B. Ensure there is high-wattage lighting in the client's room. C. Approach the client from the side. D. Allow extra time for the client to perform tasks. E. Touch the client gently to announce presence. - ANSWERS-A. Keep objects in the client's room in the same place. B. Ensure there is high-wattage lighting in the client's room. D. Allow extra time for the client to perform tasks. A nurse is caring for a client who is newly diagnosed with pancreatic cancer and has questions about the disease. To research the nurse should identify that which of the following electronic database has the most comprehensive collection of nursing (Unable to read) articles? A. MEDLINE B. CINAHL. C. ProQuest. D. Health Source. - ANSWERS-B. CINAHL. A nurse in an emergency department is assessing newly admitted client who is experiencing drooling and hoarseness following a burn injury. Which of the following should actions should the nurse take first? A. Obtain a baseline ECG. B. Obtain a blood specimen for ABG analysis. C. Insert an 18-gauge IV catheter. D. Administer 100% humidified oxygen. - ANSWERS-D. Administer 100% humidified oxygen. A nurse is planning care for a client who has unilateral paralysis and dysphagia following a right hemispheric stroke. Which of the following interventions should the nurse include in the plan? A. Place food on the left side of the client's mouth when he is ready to eat. B. Provide total care in performing the client's ADLs. C. Maintain the client on bed rest. D. Place the client's left arm on a pillow while he is sitting. - ANSWERS-D. Place the client's left arm on a pillow while he is sitting. A nurse is caring for a client who is in a seclusion room following violent behavior. The client continues to display aggressive behavior. Which of the following actions should the nurse take? A. Confront the client about this behavior. B. Express sympathy for the client's situation. C. Speak assertively to the client. D. Stand within 30 cm (1 ft) of the client when speaking with them. - ANSWERS-A. Confront the client about this behavior. A nurse is caring for a client who is receiving brachytherapy for treatment of prostate cancer. Which of the following actions should the nurse take? A. Cleanse equipment before removal from the client's room. B. Limit the client's visitors to 30 min per day. C. Discard the client's linens in a double bag. D. Discard the radioactive source in a biohazard bag - ANSWERS-B. Limit the client's visitors to 30 min per day. A nurse is assessing a client who has left-sided heart failure. Which of the following should the nurse identify as a manifestation of pulmonary congestion? A. Frothy, pink sputum. B. Jugular vein distention. C. Weight gain. D..Bradypnea - ANSWERS-A A nurse is caring for a client who is in labor and requires augmentation of labor. Which of the following conditions should the nurse recognize as a contraindication to the use of oxytocin. A. Diabetes mellitus. B. Shoulder presentation. C. Post term with oligohydramnios. D. Chorioamnionitis - ANSWERS-C. Post term with oligohydramnios. A nurse is caring for a 5-month-old infant who has manifestations of severe dehydration and a prescription for paternal fluid therapy. The guardian asks. "What are the indications that my baby needs an IV?" Which of the following responses should the nurse make? A. "Your baby needs an IV because she is not producing any tears" 2. Ask the child to look upward. 3. Pull the lower eyelid downward. 4. Instill the drops of medication. 5. Place the child in a sitting position. - ANSWERS-5. Place the child in a sitting position. 2. Ask the child to look upward. 3. Pull the lower eyelid downward. 4. Instill the drops of medication. 1. Apply pressure to the lacrimal punctum. A nurse is caring for a client who speaks a language different from the nurse. Which of the following should the nurse take? A. Request an interpreter of a different sex from the client. B. Request a family member or friend to interpret information for the client. C. Direct attention toward the interpreter when speaking to the client. D. Review the facility policy about the use of an interpreter. - ANSWERS-D. Review the facility policy about the use of an interpreter. A nurse is caring for a client who is in labor and is receiving oxytocin. Which of the following findings indicates that the nurse should increase the rate of infusion? A. Urine output 20 ml/hr. B. Montevideo units constantly 300 mm Hg. C. FHR pattern with absent variability. D. Contractions every 5 min that last 30 seconds. - ANSWERS-B. Montevideo units constantly 300 mm Hg. A public health nurse is managing several projects for the community. Which of the following interventions should the nurse identify as a primary prevention strategy? A. Teaching parenting skills to expectant mothers and their partners. B. Conducting mental health screenings at the local community center. C. Referring client who have obesity to community exercise programs. D. Providing crisis intervention through a mobile counseling unit. - ANSWERS-A. Teaching parenting skills to expectant mothers and their partners. A nurse is preparing to administer an autologous blood product to a client. Which of the following actions should the nurse take to identify the client? A. Match the client's blood type with the type and cross match specimens. B. Confirm the provider's prescription matches the number on the blood component. C. Ask the client to state the blood type and the date of their last blood donation. D. Ensure that the client's identification band matches the number on the blood unit. - ANSWERS-A. Match the client's blood type with the type and cross match specimens. A nurse is performing physical therapy for a client who has Parkinson's disease. Which of the following statements by the client indicates the need for a referral to physical therapy? A. "I have been experiencing more tremors in my left arm than before" B. "I noticed that I am having a harder time holding on to my toothbrush" C. "Lately, I feel like my feet are freezing up, as they are stuck to the ground" D. "Sometimes, I feel I am making a chewing motion when I'm not eating" - ANSWERS-C. "Lately, I feel like my feet are freezing up, as they are stuck to the ground" A nurse is reviewing laboratory data for a client who has chronic kidney disease. Which of the following findings should the nurse expect? A. Increased creatine. B. Increased hemoglobin. C. Increased bicarbonate. D. Increased calcium. - ANSWERS-A. Increased creatine. A nurse is administering a scheduled medication to a client. The client reports that the medication appears different than what they take at home. Which of the following responses should the nurse take? A. "Did the doctor discuss with you that there was a change in this medication?" B. "I recommend that you take this medication as prescribed" C. "Do you know why this medication is being prescribed to you?" D. "I will call the pharmacist now to check on this medication" - ANSWERS-D. "I will call the pharmacist now to check on this medication" 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. - ANSWERS-A. Use three pronged grounded plugs. A charge nurse is recommending postpartum client discharge following a local disaster. Which of the following should the nurse recommend for discharge? A. A 42-year-old client who has preeclampsia and a BP of 166/110 mm Hg. B. A 15-year-old client who delivered via emergency cesarean birth 1 day ago. C. A client who received 2 units of packed RBCs 6 hr. ago for a postpartum hemorrhage. D. A client who delivered precipitously 36 hr. ago and has a second-degree perineal laceration. - ANSWERS-D. A client who delivered precipitously 36 hr. ago and has a second-degree perineal laceration. A nurse is providing discharge teaching for a group of clients. The nurse should recommend a referral to a dietitian 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." A nurse is preparing to assess a 2-week-old newborn. Which of the following actions should the nurse plan to take? A. Obtain the newborn's body temperature using a tympanic thermometer. B. FACES pain scale. C. Auscultate the newborn's apical pulse for 60 seconds. D. Measure the newborn's head circumference over the eyebrows and below the occipital prominence. - ANSWERS-C. Auscultate the newborn's apical pulse for 60 seconds. A nurse is caring for a client who is at 38 weeks gestation, is in active labor, and has ruptured membrane. Which of the following actions should the nurse take? A. Insert an indwelling urinary catheter. B. Apply fetal heart rate monitor. C. Initiate fundal massage. D. Initiate an oxytocin IV infusion. - ANSWERS-B. Apply fetal heart rate monitor. A nurse is assessing a client who is 30 min postoperative following an arterial thrombectomy. Which of the following findings should the nurse to report? A. Chest pain B. Muscle spasms. C. Cool, moist skin. D. Incisional pain. - ANSWERS-A. Chest pain A nurse is completing an incident report after a client fall. Which of the following competencies of Quality and Safety Education for Nurse is the use demonstrating? A. Quality improvement. B. Patient (Unable to read) C. Evidence based practice. D. Informatics. - ANSWERS-A. Quality improvement. A nurse is talking with another nurse on the unit and smells alcohol on her breath. Which of the following actions should the nurse take? A. Confront the nurse about the suspected alcohol use. B. Inform another nurse on the unit about the suspected alcohol use. C. Ask the nurse to finish administering medications and then go home. D. Notify the nursing manager about the suspected alcohol use. - ANSWERS-D. Notify the nursing manager about the suspected alcohol use. A nurse is caring for a client who has diaper dermatitis. Which of the following actions should the nurse take? A. Apply zinc oxide ointment to the irritated area. B. (Unable to read) C. Wipe stool from the skin using store bought baby wipes. D. Apply talcum powder to the irritated area. - ANSWERS-A. Apply zinc oxide ointment to the irritated area. A nurse is reviewing the facility's safety protocols considering newborn abduction with the parent of a newborn. Which of the following statements indicates an understanding of the teaching? A. "Staff will apply identification band after first bath" B. "I will not publish public announcement about my baby's birth" C. "I can remove my baby's identification band as long as she is in my room" D. "I can leave my baby in my room while I walk in the hallway" - ANSWERS-B. "I will not publish public announcement about my baby's birth" A nurse is receiving a telephone prescription from a provider for a client who requires additional medication for pain control. Which of the following entries should the nurse make in the medical record? A. "Morphine 3 mg SQ every 4 hr. PRN for pain." B. "Morphine 3 mg Subcutaneous (Unable to read) C. "Morphine 3.0 mg sub q every 4 hr. PRN for pain." D. "Morphine 3 mg SC q 4 hr. PRN for pain." - ANSWERS-B. "Morphine 3 mg Subcutaneous (Unable to read) A nurse realizes that the wrong medication has been administered to a client. Which of the following actions should the nurse take first? A. Notify the provider. B. Report the incident to the nurse manager. C. Monitor vital signs. D. Fill out an incident report. - ANSWERS-C. Monitor vital signs. A nurse is providing teaching to a client who is experiencing preterm contractions and dehydration. Which of the following statements should the nurse make? A. "Dehydration is treated with calcium supplements" B. "Dehydration can increase the risk of preterm labor" C. "Dehydration associated gastroesophageal reflux" D. "Dehydration is caused by a decreased hemoglobin and hematocrit" - ANSWERS-B. "Dehydration can increase the risk of preterm labor" A nurse is receiving a change-of-shift report for an adult female client who is postoperative. Which of the following client information should the nurse report? A. (Unable to read) B. (Unable to read) C. Answer might be lower platelets. D. (Unable to read) - ANSWERS-C. Answer might be lower platelets. A. Applying a sterile gown after applying a sterile mask B. Balancing the bottle on the sterile basin while pouring the liquid C. Placing the supplies on the sterile field and leaving a 1 inch perimeter D. Putting on sterile gloves after preparing the sterile field. - ANSWERS-B. Balancing the bottle on the sterile basin while pouring the liquid A nurse is planning care for a group of clients and is working with one licensed practical nurse (LPN) and one assistive personal (AP). Which of the following actions should the nurse take first to manager her time effective? A. Develop an hourly time frame for tasks B. Schedule daily activities C. Determine goals of the day D. Delegate tasks to the AP - ANSWERS-C. Determine goals of the day A nurse is providing teaching to an adolescent who has peptic ulcer disease. Which of the following statements by the client indicates an understanding of the teaching? A. I will decrease my daily protein intake to 15 grams per day B. I will use ibuprofen as needed to control abdominal pain C. I will take sucralfate with meals three times per day D. I will avoid food and beverages that contain caffeine - ANSWERS-D. I will avoid food and beverages that contain caffeine A nurse is reviewing legal issues in health care with a group of newly licensed nurse. Which of the following recommendations should the nurse make? A. Place copies of incident reports in clients medical records. B. Overestimate clients acuity to prevent short staffing C. Ensure that each client has a living will on file prior to treatment D. Obtain personal professional liability insurance coverage - ANSWERS-C. Ensure that each client has a living will on file prior to treatment A nurse is providing preoperative teaching about patient controlled analgesia (PCA) to a client. Which of the following statements should the nurse include in the teaching? A. The PCA will deliver a double dose of medication when you push the button twice B. You can adjust the amount of pain you receive by pushing on the keypad C. Continuous PCA infusions is designed to allow fluctuating plasma medication levels D. You should push the button before physical activity to allow maximum pain control - ANSWERS-D. You should push the button before physical activity to allow maximum pain control A charge nurse is teaching a newly nurse about clients designating a health care proxy in situations that require a durable power of attorney for health care (DPAHC). Which of the following should the charge nurse include? A. The proxy should make health care decisions for the client regardless of the clients ability to do so B. The proxy can make financial decisions if the need arises C. The proxy can make treatments decisions if the client is under anesthesia D. The proxy should manage legal issues for the client - ANSWERS-C. The proxy can make treatments decisions if the client is under anesthesia