RN COMPREHENSIVE PREDICTOR 2019 FORM B QUESTIONS AND ANSWERS GRADED A

RN COMPREHENSIVE PREDICTOR 2019 FORM B

QUESTIONS AND ANSWERS GRADED A

1.        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.

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.       Digoxin level 1 ng/ml.

3.        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.

4.        A nurse is teaching a group of newly licensed nurses about measures to take when caring for a client who is on contact precautions. Which of the following should the nurse include in the teaching?

A.       Wear gloves when providing care to the client.

5.        A nurse is planning on care for a client who is recovering from an acute myocardial infarction that occurred 3 days ago. Which of the following instructions should the nurse include?

A.       Obtain a cardiac rehabilitation consultation.

6.        A nurse is caring for a client who request the creation of a living will. Which of the following actions should the nurse take?

A.       the client’s understanding of life-sustaining measures.

7.        A nurse is caring for an adolescent who has sickle-cell anemia. Which of the following manifestations indicates acute chest syndrome and should be immediately reported to the provider?

A.       Substernal retractions.

8.       

Insert a large-bore NG tube.

A nurse is preforming a gastric lavage for a client who has upper gastrointestinal bleeding. Which of the .following action should the nurse take?

A.

9.        A nurse is providing care for a client who is in the advance stage of amyotrophic lateral sclerosis. (ALS). Which of the following referrals is the nurse’s priority?

A.       Speech-language pathologist.

10.     A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of the following findings should the nurse report to the provider?

A.       Erythrocyte sedimentation rate 75 mm/hr

11.     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.

12.     A nurse is caring for a client following application of a cast. Which of the following actions should the nurse take first?

A.       Palpate the pulse distal to the cast.

13.     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.         Allow extra time for the client to perform tasks.

14.     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.       CINAHL.

15.     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.

A.       Administer 100% humidified oxygen.

16.     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 the client’s left arm on a pillow while he is sitting.

17.     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.

18.     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.       Limit the client’s visitors to 30 min per day.

19.     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.       Bradypnea

20.     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.       Postterm with oligohydramnios. (I think Maternal Newborn Chapter 15 page 100)

21.     A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder. Which of the following interventions should the nurse take?