RN Comprehensive Predictor 2019 Form A : 180 Q&A

RN Comprehensive Predictor 2019 Form B : 180 Q&A

ATI Comprehensive Exit Final : 180 Q&A

RN Comprehensive Predictor 2019 : 180 Q&A

RN Comprehensive Predictor 2016 Test C : 180 Q&A

RN Exit Exam : 180 Q& 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.

85. A nurse is caring for a client who is receiving intermittent feedings via a feeding via a

feeding pump and is experiencing dumping syndrome. Which of the following actions should the

nurse take?

A. Administer a refrigerated feeding.

B. Increased the amount of water use to flush the tubing.

C. (Unable to read) rate of the client’s feedings.

D. Instruct the client to move onto their right side.

86. A nurse in an emergency department is caring for a client who received a dose of penicillin

and is now anxious, flushing, tachycardic and has difficulty swallowing. Which of the following

actions is the nurse’s priority?

A. Monitor the client’s ECG

B. Take the client’s vital signs.

C. Administer oxygen

D. Insert an IV line.

87. 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.

88. 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.

89. A nurse is caring for a client who is 12 hr. postpartum and has a third-degree 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.

151. A nurse is reviewing the medical records of four clients. The nurse should identify that

which of the following client findings requires follow up care?

A. A client who received a Mantoux test 48hr ago and has an induration

B. A client who is schedule for a colonoscopy and is taking sodium phosphate

C. A client who is taking warfarin and has an INR of 1.8

D. A client who is takin bumetanide and has a potassium level of 3.6 mEq/L

152. A nurse is caring for a client who is postpartum and request information about

contraception. Which of the following instructions should the nurse include?

A. “The lactation amenorrhea method is effective for your first year postpartum”

B. “You can continue to use the diaphragm used before your pregnancy”

C. “Place transdermal birth control patch on your upper arm”

D. “I should avoid vaginal spermicides while breast feeding.”

153. 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”

154. A nurse is developing a plan of care for a client who has preeclampsia and is to receive

magnesium sulfate via continuous IV infusion. Which of the following actions should the nurse

include in the plan?

A. Restrict the client’s total fluid intake to 250 mL/hr

B. Give the protamine if signs of magnesium sulfate toxicity occur

C. Monitor the FHR via Doppler every 30min

D. Measure the client’s urine output every hour

155. 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.”

27. A nurse is caring for a client who has depression and reports taking ST. John’s wort along with citalopram.

The nurse should monitor the client for which of the following conditions as a result of an interaction between

these substances?

A. Serotonin syndrome

B. Tardive dyskinesia

C. Pseudo parkinsonism.

D. Acute dystonia.

28. A nurse is assessing a client who is receiving packed RBCs. Which of the following findings indicate fluid

overload?

A. Low back pain.

B. Dyspnea.

C. Hypotension.

D. Thready pulse.

29. A nurse is calculating a client’s expected date of delivery. The client’s last menstrual period began on April

. Using Nagele’s rule, what date should the nurse determine to be the client’s expected delivery date? (Use

mmdd format.)

0119 date

30. A nurse is discussing group treatment and therapy with a client. The nurse should include which of

the following as being a characteristic of a therapeutic group? A. The group is organized in an autocratic

structure.

B. The group encourages members to focus on a particular issue. (Mental Health Chapter 8 Page 42)

C. The group must be led by a licensed psychiatrist.

D. The group encourages clients to form dependent relationships.

31. A nurse manger is reviewing documentation with a newly licensed nurse. Which of the following notations

by the newly licensed nurse indicates an understanding of the teaching.

82 B

83. A

84. A

85. A

165.A nurse is preparing to administer a new prescription for isoniazid (INH) to a client who has

tuberculosis. The nurse should instruct the client to report which of the following findings as an

adverse effect of the medication?

a. “You might notice yellowing of your skin.”

b. “You might experience pain in your joints.”

c. “You might notice tingling of your hands.”

d. “You might experience loss of appetite.”

166.A nurse is providing information about tuberculosis to a group of clients at a local community

center. Which of the following manifestations should the nurse include in the teaching? (Select all

that apply.)

a. Persistent cough

b. Weight gain

c. Fatigue

d. Night sweats

e. Purulent sputum

167.A nurse is caring for a group of clients. Which of the following clients are at risk for pulmonary

embolism? (Select all that apply.)

a. A client who has a BMI of 30

b. A female client who is postmenopausal

c. A client who has a fractured femur

d. A client who is a marathon runner

e. A client who has chronic atrial fibrillation

168.A nurse is assessing a client who has a pulmonary embolism. Which of the following information

should the nurse expect to find? (Select all that apply.)

f. Bradypnea

g. Pleural friction rub

h. Hypertension

i. Petechiae

j. Tachycardia

169.A nurse is reviewing prescriptions for a client who has acute dyspnea and diaphoresis. The client

states she is anxious and is unable to get enough air. Vital signs are HR 117/min, respirations 38/min,

temperature 38.4 C (101.2 F), and blood pressure 100/54 mm Hg. Which of the following nursing

actions is the priority?

k. Notify the provider.

l. Administer heparin via IV infusion.

m. Administer oxygen therapy.

n. Obtain a spiral CT scan.

170.A nurse is caring for a client who has a new prescription for heparin therapy. Which of

the following statements by the client should indicate and immediate concern for the nurse?

o. “I am allergic to morphine.”

p. “I take antacids several times a day.”

q. “I had a blood clot in my leg several years ago.”

r. “It hurts to take a deep breath.”

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149. 149 A nurse is assessing a client who has a chest tube following a thoracotomy. Which of the

following findings requires intervention by the nurse?

a. Tidaling with spontaneous respirations

b. Drainage collection chamber is 1/3 full

c. 1 cm of water present in the water seal chamber

d. Suction chamber pressure of -20 cm H20

150. A provider has written a do not resuscitate order for a client who is comatose and does not have

advance directives. A member of the clients family says to the nurse, “I wonder when the doctor will

tell us what’s going on" Which of the following actions should the nurse take first

a. Request that the provider provide more information to the family.

b. Refer the family to a support group for grief counseling.

c. Offer to answer questions that family members have.

d. Ask the family what the provider has discussed with them.

151. A nurse is performing a skin assessment on a client who has risk factors for development of skin

cancer. The nurse should understand that a suspicious lesion is

a. scaly and red

b. asymmetric, with variegated coloring

c. firm and rubbery

d. brown with a wart-like texture

152. A nurse is interviewing an older adult client about the physiological changes he has been

experiencing. Which of the following changes should the nurse recognize is normally associated with

the aging process?

a. Decreased sense of taste

b. Decreased blood pressure

c. Increased gastric secretions

d. Increased accommodation to near vision

153. A nurse in an intensive care unit is planning care for a client who has alcohol withdrawal

syndrome. Which of the following should the nurse include in the plan of care?

a. Administer disulfiram.

b. Provide frequent orientation to time and place.

c. Engage the client in group therapy.

d. Perform gastric lavage.

154. A nurse is assessing a client’s cardiovascular system. Identify where the nurse should place the

diaphragm of the stethoscope to best hear the closing of the aortic heart valve. (Selectable areas or Hot

Spots" can be found by moving your cursor over the artwork until the cursor changes appearance,

usually into a hand. Click only on the Hot Spot that corresponds to your answer.)

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58. A nurse is caring for a client who had gastric bypass surgery 1 week ago and has

manifestations of e arly dumping syndrome. Which of the following findings should the

nurse expect? (Select all that apply)

A. Hypertension

B. Diaphoresis

C. Syncope

D. Fever - idr putting this one

E. Dizziness

Early manifestations: Feeling of fullness, weakness, dizziness, palpitations, sweating,

abdominal cramping, and diarrhea

59. A nurse is caring for a male client who has a s pinal cord injury. Which of hte

following techniques should the nurse use when p roviding perineal care?

A. Wash the penis from the scrotum to the tip using a spiral motion

B. Discard the washcloth after cleansing the urethral meatus

C. Don sterile gloves to prevent infection

D. Use water with no soap to prevent skin irritation

60. A nurse is assessing a toddler whose parent is concerned about the child’s hearing

ability. Which of the following findings indicates the need for further hearing evaluation?

A. Lack of response to facial expressions

B. Uses gestures to communicate

C. Exaggerated startle response to sounds

D. Prefers group over solitary play

61. A surgeon is obtaining informed consent from a client. When a nurse witnesses the

client sign the consent form, which of the following legal requirements is the nurse

confirming?

a. The nurse explained the risks and benefits of the surgery- PROVIDERS JOB

b. The nurse explained the surgical procedure in detail- PROVIDERS JOB

c. The client knows she may not longer refuse the procedure- Client has the right

to refuse even if its seconds prior to the surgery.

d. The client agreed to the procedure voluntarily. - meaning she wasn’t forced to

sign .

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177. A nurse on a medical-surgical unit is planning care for a group of clients. Which of

the following clients should the nurse plan to see first?

a. A client who has diabetes mellitus and a morning blood glucose level of 120 mg/dL.

b. A client who has heart failure and an oxygen saturation level of 89%

c. A client who has atrial fibrillation and a ventricular heart rate of 105/min

d. A client who has polycystic kidney disease and a blood pressure of 130/85 mmHg

178. A nurse is caring for a child who has cystic fibrosis and requires postural drainage.

Which of the following actions should the nurse take?

a. Perform the procedure prior to meals

b. Administer a bronchodilator after the procedure

c. Hold hand flat to perform percussions on the child.

d. Perform the procedure twice a day.

179. A nurse is caring for a client who is at 33 weeks of gestation following an

amniocentesis. The nurse should monitor the client for which of the following

complications

a. Contractions

b. Hypertension

c. Vomiting

d. Epigastric pain

180. A nurse is providing care for a group of clients. Which of the following client’s

should the nurse assess first?

a. A client who has pneumonia with a productive cough

b. A client who has a NG tube in place and reports nausea

c. A client who received an opioid for pain following an appendectomy and has an

SaO2 of 94%

d. A client who has a fracture tibia and reports shortness of breath

180. 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?”

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a. Euphoric mood

b. All-or-nothing

thinking c. Disorganized

speech

d. Hypochondriasis

144. A nurse and an assistive personnel (AP) are caring for a group of clients. Which of the

following tasks is appropriate for the nurse to delegate to the AP?

a. Documenting the report of pain for a client who is postoperative

b. Applying a condom catheter for a client who has a spinal cord injury

c. Administering oral fluids to a client who has dysphagia

d. Reviewing active range-of-motion exercise with a client who had a stroke

145. A nurse is planning to administer ampicillin 100 mg/kg/day in divided doses every 12hr

to a newborn who weighs 4.34 kg (9.5 lb). Available is ampicillin 125 mg/ml. How many

milliliters should the nurse administer per dose?

17 ml

146. A nurse is delegating tasks to an assistive personnel for a group of clients. Which of the

following statements should the nurse make?

a. Take the client in room 106 to radiology

b. The client in room 109 has spilled his water pitcher

c. Tell me the standing weight of the client in room 102 before breakfast

d. Take the vital signs of the clients on this side of the unit

147. A nurse is caring for a client who has end-stage kidney disease. The client’s adult child

asks the nurse about becoming a living kidney donor for her father. Which of the following

conditions in the child’s medical history should the nurse identify as a contraindication to the

procedure?

a. Hypertension

b. Primary glaucoma

c. Osteoarthritis

d. Amputation

148. A nurse is planning care for a preschool-age child who is in the acute phase of Kawasaki

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

a. Monitor the child’s cardiac status

b. Gives scheduled doses of acetaminophen every 6 hr

c. Administer antibiotics via intermittent IV bolus for 24 hr

d. Provide stimulation with children of the same age in the playroom

149. A nurse has identified tasks to delegate to a group of assistive personnel (AP) after

receiving change-of-shift report. Identify the sequence of steps the nurse should follow when

delegating tasks to the Aps

a. Evaluate the AP’s performance of each task (4)

b. Review the skill level and qualifications of each AP (1)

c. Monitor progress of task completion with each AP (3)

d. Communicate appropriate tasks to the APs with specific expectations (2)

150. A nurse in a surgical suite is planning care for a client who requires surgery and has a

latex sensitivity. Which of the following strategies is appropriate for the client?

a. Tape stockinet over monitoring devices and cords

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100.Admitting a client who is in labor and at 38 weeks of gestation. The client has a history of herpes simplex

virus 2. Which of the following questions is most important for the nurse to ask the client?

a. “Are you currently taking acyclovir?”

b. “Do you have an active lesion?”

c. “When did your labor begin?”

d. “How long ago were you first diagnosed?”

101.A nurse is preparing an in-service for a group of nurses about malpractice issues in nursing. Which of the

following examples should the nurse include in the teaching?

a. Leaving a NG tube clamped after administering oral medication

b. Administering potassium via IV bolus

c. Documenting communication with a provider in the progress notes of client’s medical record

d. Placing a yellow bracelet on a client who is at risk for falls

102.Lab results of a client who has osteomyelitis and is receiving tobramycin. Which of the following findings

indicate the client is experiencing an adverse effect of the medication?

a. Serum creatinine 0.4 mg/dL

b. Albumin 3.2 g/dL

c. Total bilirubin 0.08 mg/dL

d. BUN 30 mg/dL

103.A nurse is teaching a client who is trying to conceive. Which of the following should the nurse instruct the

client to increase in her diet to prevent a neural tube defect?

a. Zinc

b. Calcium

c. Folate

d. Iron

104.The nurse practices the ethical principles of distributive justice by performing which of the following?

a. Ensuring that a client who is homeless receives preventive medical care

b. Being honest with the parents of a child about the need to report suspected abuse

c. Keeping a promise to visit with a client who is housebound after the delivery of care

d. Accepting the decision of an older adult client to live alone in her home

105.Client who is to receive alteplase recombinant for a thrombus in the coronary artery. Which of the

following actions should the nurse include in the plan of care?

a. Observe for bruising of the skin

b. Provide a diet low in protein

c. Monitor v/s every hour for the first 4 hr.

d. Administer medications intramuscularly

106.Client with dementia. Which of the following actions should the nurse take to reduce the risk for client

injury?

a. Keep the television on during the night

b. Place the bedside table at the foot of the bed

c. Raise the side rails up when the client is in bed

d. Assist the client to the toilet frequently

107.Assessment of an 8 y/o child. Which of the following findings indicates the need for intervention by the

nurse?

a. Client eats at least one snack daily

b. Client’s weight has increased by 0.9 kg (2 lb.)

c. Client’s height has increased by 6.35 cm (2.5 in)

d. Client drinks 3 cups of 1% milk per day

108.Client following thyroidectomy. For which of the following complications should the nurse assess the

client?

a. Muscular depression

b. Laryngeal stridor

c. Hypokalemia

d. Hyperglycemia

109.Teaching to a client who is at 12 weeks gestation. The nurse should tell the client that she will undergo

which of the following screening tests at 16 weeks of gestation?

a. Maternal serum alpha-fetoprotein

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