PN comprehensive predictor B [2022]

1. A nurse at a long-term care facility is caring for a client who requires oral

suctioning. Which of the following supplies should the nurse plan to use for

this task?

- yankeurs catheter

rationale: A Yankauer catheter is a clean suction catheter used when

performing oral and oropharyngeal suctioning to remove secretions from the

client's mouth to facilitate breathing or obtain a sample for diagnostic

evaluation.

2. A nurse in a long-term care facility is serving on the ethics committee,

which is addressing a client care dilemma. Which of the following strategies

will facilitate resolving the dilemma? (Select all that apply.)

[1] determine the facts related to the dilemma.

[2] identify possible solution

[3]consider the client wishes

3. A nurse is talking with a client whose son died in a motor-vehicle crash 2

weeks ago. The client states, "l really thought I'd be back to my usual

routines by now, but I can't think of anything else except that my son is

gone." Which Of the following responses should the nurse make?

- Grieving for your son is hard work. it will take as much time as you need

to come to terms with your loss.

4. A nurse is reinforcing teaching with a client about cancer prevention. The

nurse should include that frequent consumption of which of the following

foods increases the risk for developing cancer?

- Lamb

rationale: including tuna fish reduces risk of developing cancer.

including poultry reduces risk,

5. A nurse notices an assistive personnel (AP) taking a nap in the break room

during meal time. The nurse also notes that the AP is drowsy while

performing routine tasks. Which of the following actions should the nurse

take? - Report the observation about the AP to the Unit nurse manager

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6. A nurse on a pediatric unit is collecting data from four newly admitted

clients. Which of the following clients should the nurse identify as being at

risk for urinary retention?

- A school age child who has allergic rhinitis and is taking

diphenhydramine.

7. A nurse is caring for a client following a bronchoscopy. Which of the

following actions should the nurse take first?

- check for gag reflex

8. A nurse is assisting with the admission of a client who has a latex allergy.

The nurse should identify that which of the following supplies has the

potential to contain latex?

- Indwelling urinary catheter

9. A nurse is performing postmortem care for a client prior to the arrival Of the

client's family for viewing Of the body. Which Of the following actions

should the nurse take?

- Gently close the client's eyelids

10.A nurse is reinforcing teaching with a client who has dumping syndrome

about measures to reduce manifestations. Which of the following

instructions should the nurse include in the teaching?

- avoid foods high in sugar content.

rationale: The nurse should instruct the client to avoid sweet foods, which

often increase the manifestations of dumping syndrome. These

manifestations include nausea, sweating, abdominal pain, diarrhea, and

weakness.

11.A nurse is collecting data from a client who is experiencing a situational

crisis following the loss of a job. The client states, "l don't think I can go

through this again." Which of the following actions is the nurse's priority?

- Determine if the client is experiencing psychotic thinking.

12.A nurse is contributing to the plan of care for a client following a

transurethral resection of the prostate (TURP). Which of the following

interventions should the nurse include?

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- Irrigate the bladder using sterile technique

13.A nurse is caring for an infant who is receiving IV fluids for dehydration.

Which of the following should the nurse recognize as a positive response to

the therapy?

- Moist mucus membranes.

14.A nurse is assisting with the admission of a client who is experiencing

alcohol withdrawal. Which of the following medications should the nurse

expect the provider to prescribe for the client?

- Chlordiazepoxide

rationale: The nurse should expect to administer chlordiazepoxide to

decrease anxiety and the risk for seizures associated with alcohol

withdrawal.

15.A nurse is caring for a client who is scheduled for surgery in the morning.

The nurse learns that the client has decided not to have surgery even though

they have already signed the informed consent form. Which of the following

actions should the nurse take?

- report the situation to the provider who obtained informed consent.

16.A nurse is collecting data from a client who is in severe pain. Which of the

following questions should the nurse ask first?

- where is your pain located

17.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 following statements

by the client should indicate to the nurse an understanding of the teaching?

- i will rinse my mouth after taking this medication

18.A nurse is contributing to the plan of care for a client who is postoperative

following a rhinoplasty. Which of the following interventions should the

nurse recommend?

- instruct the client to avoid the Valsalva maneuver.

rationale. Valsalva ts such as straining during defecation or playing the

saxophone entail performance of Valsalva maneuver

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