RNIComprehensiveIPredictorI2019IFormIB
1. A nurse is providing teaching about the gastrostomy tube feedings to the parents of a school age child. Which
... [Show More] of t he following instructions should the nurse take?
A.IIAdministerIItheIIfeedingIIoverI30Imin.
B. Place the child in as supine position after the feeding. C. Ch arge the feeding bag and tubing every 3 days.
D. Warm the formula in the microwave prior to administration.
2. A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the following findings should the nurse repo rt to the provider? A. Potassium level 4.2 mEq/L.
B. Apical pulse 58/min. C. IDig oxinIIlevelII1IIng/ml.I D. Consti pation for 2 days.
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?
IA.IIIIIIIArrangeIIforIIanIIethicsIIcommitteeIImeetingIItoIIaddressIItheIIfamily’sIIconcerns.I
IB.II Support the family’s decision and initiate life-sustaining measures. IC.II Complete an incident report.
ID.IIEncourage the family to contact an attorney.
4. A nurse is caring for a client who wears glasses. Which of the following actions should the nurse take? IA.I
IStoreIItheIIglassesIIinIIaIIlabeledIIcase.I B. Clean the glasses with hot water.
C. Clean the glasses with a paper towel.
D. Store the glasses on the bedside table.
5. 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. Remove the protective gown after the client’s room. B. Plac e the client in a room with negative pressure.
C. I WearIIglovesIIwhenIIprovidingIIcareIItoIItheIIclient.
D. Wear a mask when changing the linens in the client’s room.
6.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. Perform an ECG every 12 hr. B. Place th e client in a supine position while resting.
C. Draw a troponin level every 4hr.
D. IObtainIIaIIcardiacIIrehabilitationIIconsultation.
7. The nurse is reviewing the medical record of a client who is requesting combination oral contraceptives. Which of the foll owing conditions in the client’s history is a contradiction to the use of oral contraceptives? A.
Hyperthyroidism.
IB.II Thrombophlebitis.I IC.II Diverticulosis.
ID.IIIIIIIIIHypocalcemia.
8 A nurse is caring for a client who request the creation of a living will. Which of the following actions should the nurse tak e?
A. Schedule a meeting between the hospital ethics committee and the client. B. IEv
aluateIItheIIclient’sIIunderstandingIIofIIlife-sustainingIImeasures.I
C. Determine the client’s preferences about post mortem care. D. Re quest a conference with the client’s family.
9.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? IA.IISubsternal
Iretractions.I B. Hematuria.
C. Temperature 37.9 C (100.2 F). D. Sneezing.
10.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. Instill 500 ml of solution through the NG tube. B. IIns ertIIaIIlarge-boreIINGIItube.I
C. Use a cold irrigation solution.
D. Instruct the client to lie on his right side.
11. A nurse is providing care for a client who is in the advance stage of amyotrophic lateral sclerosis. (ALS). Which of th e following referrals is the nurse’s priority?
A. Psychologist. B. Social worker.
C. Occupational therapist.
D. ISpeech-languageIIpathologist.
12.A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of the following fi ndings should the nurse report to the provider? A. WBC count 8,000/mm3.
B. Platelets 150,000/mm3.
C. Aspartate aminotransferase 10 units/L.
D. IErythrocyteIIsedimentationIIrateII75IImm/hrI
13. A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse should expect a prescri ption for which of the following laboratory tests? A.IIPlateletIIcount.I
B. Potassium level.
C. Creatine clearance. D
. Prealbumin.
14. A nurse is caring for a client following application of a cast. Which of the following actions should the nurse take first?
A. Place an ice pack over the cast.
B. IPalpateIItheIIpulseIIdistalIItoIItheIIcast.I
C. Teach the client to keep the cast clean and dry. D. Position the casted extremity on a pillow.
15. A nurse is caring for a client who has vision loss. Which of the following actions should the nurse take? (Select all t hat apply)
IA.IIKeepIIobjectsIIinIItheIIclient’sIIroomIIinIItheIIsameIIplace.
IB.II EnsureIIthereIIisIIhigh-wattageIIlightingIIinIItheIIclient’sIIroom. IC.IIApproach the client from the side. ID.IIAllowIIextraIItimeIIforIItheIIclientIItoIIperformIItasks.I
IE.II Touch the client gently to announce presence.
16. A nurse is caring for a client who is newly diagnosed with pancreatic cancer and has questions about the disease. T o research the nurse should identify that which of the following electronic database has the most comprehensive collecti on of nursing (Unable to read) articles? [Show Less]