RN Comprehensive Predictor 2019 Form A|VATI RN

Comprehensive Predictor 2019 Form A (complete test

bank solutions).

ALL ANSWERS 100% CORRECT AID GRADE ‘A’

RN Comprehensive Predictor 2019 Form A 1. A nurse in a pediatric unit is preparing to

insert an IV catheter for 7-year-old. Which of the following actions should the nurse

take? A. (Unable to read) B. Tell the child they will feel discomfort during the catheter

insertion. C. Use a mummy restraint to hold the child during the catheter insertion. D.

Require the parents to leave the room during the procedure. 2. A nurse is caring for a

client who has arteriovenous fistula Which of the following findings should the nurse

report? A. Thrill upon palpation. B. Absence of a bruit. C. Distended blood vessels D.

Swishing sound upon auscultation. 3. A nurse is providing discharge teaching for a client

who has an implantable cardioverter defibrillator which of the following statements

demonstrates understanding of the teaching? A. “I will soak in the tub rather and

showering” B. “I will wear loose clothing around my ICD” C. “I will stop using my

microwave oven at home because of my ICD” D. “I can hold my cellphone on the same

side of my body as the ICD” 4. A nurse is caring for a client who is at 14 weeks gestation

and reports feelings of ambivalence about being pregnant. Which of the following

responses should the nurse make? A. “Describe your feelings to me about being

pregnant” B. “You should discuss your feelings about being pregnant with your

provider” C. “Have you discussed these feelings with your partner?” D. “When did you

start having these feelings?” 5. A nurse is planning care for a client who has a

prescription for a bowel- training program following a spinal cord injury. Which of the

following actions should the nurse include in the plan of care? A. Encourage a maximum

fluid intake of 1,500 ml per day. B. Increase the amount of refined grains in the client’s

diet. C. Provide the client with a cold drink prior to defecation. D. Administer a rectal

suppository 30 minutes prior to scheduled defecation times.6. A nurse is caring for a

client who is in active labor and requests pain management. Which of the following

actions should the nurse take? A. Administer ondansetron. B. Place the client in a warm

shower. C. Apply fundal pressure during contractions. D. Assist the client to a supine

position. 7. a nurse in an emergency department is performing triage for multiple clients

following a disaster in the community. To which of the following types of injuries should

the nurse assign the highest priority? A. Below-the knee amputation B. Fractured tibia C.

95% full-thickness body burn D. 10cm (4in) laceration to the forearm 8. a nurse manager

is updating protocols for the use of belt restraints. Which of the following guidelines

should the nurse include? A. Remove the client’s restraint every 4hr B. Document the

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client’s condition every 15 min C. Attach the restrain to the bed’s side rails D. Request a

PRN restrain prescription for clients who are aggressive 9. A nurse is teaching an inservice about nursing leadership. Which of the following information should the nurse

include about an effective leader? A. Acts as an advocate for the nursing unit. B. (Unable

to read) for the unit C. Priorities staff request over client needs. D. Provides routine client

care and documentation. 10. A nurse is reviewing the laboratory findings of a client who

has diabetes mellitus and reports that she has been following her (unable to read) care.

The nurse should identify which of the following findings indicates a need to revise the

client’s plan of care. A. Serum sodium 144 mEq/ B. (Unable to read) C. Hba1c 10 % D.

Random serum glucose 190 mg/dl.11. A nurse in a provider’s office is reviewing the

laboratory results of a group of clients. The nurse should identify that which of the

following sexually transmitted infections is a nationally notifiable infectious disease that

should be reported to the state health department? A. Chlamydia B. Human

papillomavirus C. Candidiasis D. Herps simplex virus 12. A nurse is teaching a newly

licensed nurse about therapeutic techniques to use when leading a group on a mental

health unit. Which of the following group facilitation techniques should the nurse

include in the teaching? A. Share personal opinions to help influence the group’s values

B. Measure the accomplishments of the group against a previous group C. Yield in

situations of conflicts to maintain group harmony D. Use modeling to help the clients

improve their interpersonal skills 13. A nurse is planning for a client who practices

Orthodox Judaism. The client tells the nurse that (Unable to read) Passover holiday.

Which of the following action should the nurse include in the plan of care? A. Provide

chicken with cream sauce. B. Avoid serving fish with fins and scales. C. Provide

unleavened bread. D. Avoid serving foods containing lamb. 14. A nurse is caring for a

client who has a pulmonary embolism. The nurse should identify the effectiveness of the

treatment A. A chest x-ray reveals increased density in all fields. B. The client reports

feeling less anxious. C. Diminished breath sounds are auscultated bilaterally D. ABG

results include Ph 7.48 PaO2 77 mm Hg and PaCO2 47 mm Hg. 15. A nurse in an

emergency department is assessing a client who reports ingesting thirty diazepam

tablets (Unable to read) a respiratory rate of 10/min. After securing the client’s airway

and initiating an IV, which of the following actions should the nurse do next. A. Monitor

the client’s IV site for thrombophlebitis. B. Administer flumazenil to the client. C.

Evaluate the client for further suicidal behavior. D. Initiate seizure precautions for the

client.16. A nurse in an emergency department is caring for a client who reports cocaine

use 1hr ago. Which of the following findings should the nurse expect? A. Hypotension B.

Memory loss C. Slurred speech D. Elevated temperature 17. A nurse is assessing a

newborn who has a blood glucose level of 30 mg/dl. Which of the following

manifestations should the nurse expect? A. Loose stools B. Jitteriness C. Hypertonia D.

Abdominal distention 18. A nurse in a pediatric clinic is reviewing the laboratory test

results of a school age child. Which of the following findings should the nurse report to

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the provider? A. Hgb 12.5 g/dl B. Platelets 250,000/mm3 C. Hct 40% D. WBC

14,000/mm3 19. A charge nurse is teaching a newly licensed nurse about clients

designating a health care proxy in situations that require a durable power of attorney for

heal care (DPSHC). Which of the following information should the charge nurse include?

A. “The proxy should make health care decisions for the client regardless of the client’s

ability to do so.” B. “The proxy can make financial decisions if the need arises.” C. “The

proxy can make treatment decisions if the client is under anesthesia.” D. “The proxy

should manage legal issues for the client.” 20. A nurse in the PACU is caring for a client

who reports nausea. Which of the following actions should the nurse take first? A. Turn

the client on their side. B. Administer an analgesic C. Administer antiemetic D. Monitor

the client’s vital signs.21. A nurse is caring for a client who has a history of depression

and is experiencing a situational crisis. Which of the following actions should the nurse

take first? A. Confirm the client’s perception of the event B. Notify the client’s support

system C. Help the client identify personal strengths D. Teach the client relaxation

techniques 22. A nurse is caring for a client who has bipolar disorder and is experiencing

acute mania. The nurse obtained a verbal prescription for restraints. Which of the

following should the actions should the nurse take? A. Request a renewal of the

prescription every 8 hr. B. Check the client’s peripheral pulse rate every 30 min C. Obtain

a prescription for restraint within 4 hr. D. Document the client’s condition every 15

minutes. 23. A nurse is caring for a client who has end-stage of kidney disease. The

client adult child asked about becoming a living donor for his father. Which of the

following condition 24. A charge nurse on a medical-surgical unit is planning

assignments for a licensed practical nurse (LPN) who has been sent from the (Unable to

read) unit due to a staffing shortage. Which of the following client should the nurse

delegate to the LPN? A. A client who has an Hgb of 6.3 g/dl and a prescription for

packed RBCs. B. A client who sustained a concussion and has unequal pupils. C. A client

who is postoperative following a bowel resection with an NG tube set to continuous

suction. D. A client who fractured his femur yesterday and is experiencing shortness of

breath. 25. A nurse is working on a surgical unit is developing a care plan for a client

who has paraplegia. The client has an area of nonblanchable erythema over his ischium.

Which of the following interventions should the nurse include in the care plan? A. Place

the client upright on a donut-shaped cushion B. Teach the client to shift his weight

every 15 min while sitting C. Turn and reposition the client every 3 hr while in bed D.

Assess pressure points every 24 hr25. A nurse is caring for a client who is dilated to 10

cm and pushing. Which of the following pain-management (Unable to read) a safe

option for the client? A. Naloxone hydrochloride. B. Spinal anesthesia. C. Pudendal block.

D. Butorphanol tartrate. 26. A nurse is caring for a client who has left homonymous

hemianopsia. Which of the following is an appropriate nursing intervention? a. Teach

the client to scan the right to see objects on the right side of her body. b. Place the

bedside table on the right side of the bed. c. Orient the client to the food on her plate

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