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
... [Show More] ondansetron.
B. Place the client in a warm shower.
C. Apply fundal pressure during contractions.
D. Assist the client to a supine position. -CORRECT ANSWERS B. Place the client in a
warm shower.
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 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 -CORRECT
ANSWERS B. Document the client's condition every 15 min
A nurse is teaching an in-service 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. -CORRECT ANSWERS A. Acts as
an advocate for the nursing unit.
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 -CORRECT ANSWERS A. Chlamydia
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 -CORRECT ANSWERS B. Jitteriness
RN Comprehensive Predictor 2019 A
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." -CORRECT ANSWERS C.
"The proxy can make treatment decisions if the client is under anesthesia."
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 -CORRECT ANSWERS A. Confirm the client's
perception of the event
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."
C. A client who has a prescription for spironolactone and states "I will reduce my intake
of foods that contain potassium".
D. A client who has (Unable to read) and states "I'll plan to take my calcium carbonate
with a full glass of water". -CORRECT ANSWERS B. A client who has gout and states,
"I can continue to eat anchovies on my pizza."
A nurse is preparing to measure a temperature of an infant. Which of the following
action should the nurse take?
A. Place the tip of the thermometer under the center of the infant's axilla.
B. Pull the pinna of the infant's ear forward before inserting the probe. -down and back
C. Insert the probe 3.8 cm (1.5in) into the infant's rectum.
D. Insert the thermometer in front of the infant's tongue. -CORRECT ANSWERS A.
Place the tip of the thermometer under the center of the infant's axilla.
The nurse is reviewing the medical record of a client who is requesting combination oral
contraceptives. Which of the following conditions in the client's history is a contradiction
to the use of oral contraceptives?
A. Hyperthyroidism.
B. Thrombophlebitis.
RN Comprehensive Predictor 2019 A
C. Diverticulosis.
D. Hypocalcemia. -CORRECT ANSWERS B. Thrombophlebitis.
A nurse is providing care for a group of clients. Which of the following client's should the
nurse identify as having the highest risk for developing a pressure injury?
A. A client who has a T-tube following an open cholecystectomy.
B. A client who had a knee 2 days ago following a sports injury.
C. A client who has dementia and is incontinent of urine and feces
D. A client who has a myocardial infarction and is receiving thrombolytic therapy. -
CORRECT ANSWERS C. A client who has dementia and is incontinent of urine and
feces
A nurse is reviewing the laboratory report of a client who has been having lithium
carbonate for the past 12 months. The nurse notes a lithium level of 0.8 mEq/L. Which
of the following orders from the provider should the nurse expect?
A. Withhold the next dose.
B. Increase the dosage.
C. Discontinue the medication.
D. Administer the medication -CORRECT ANSWERS D. Administer the medication
A nurse is caring for a client who has fibromyalgia and requests pain medication. Which
of the following medications should the nurse administer?
A. Pregabalin
B. Lorazepam
C. Colchicine
D. Codeine -CORRECT ANSWERS A. Pregabalin
A nurse is caring for a client who is receiving morphine 4 mg via IV bolus every 4 hr.
PRN. The nurse should monitor for which of the following adverse effects?
A. Productive cough.
B. Urinary retention.
C. Rhinitis
D. Fever. -CORRECT ANSWERS B. Urinary retention.
A nurse is interviewing the partner of a client who was admitted in the manic phase of
bipolar disorder. The partner states "I don't know what to do. Everything has been
happening so quickly." Which of the following by the nurse is therapeutic?
A. "Can you talk about what happens with your partner at home?"
B. "Why do you think your partner's symptoms are progressing so quickly?"
C. "You should make sure your partner takes the prescribed medication."
D. "You did the right thing by bringing your partner in for treatment." -CORRECT
ANSWERS A. "Can you talk about what happens with your partner at home? [Show Less]