RN Comprehensive Predictor 2019 Form A
RN Comprehensive Predictor 2019 Form A
1. A nurse is planning care for a client who has a prescription for a
... [Show More] 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 .
2. 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.
3. A nurse is caring for a client who has an 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.
4. A nurse is providing discharge teaching for a client who has a new implantable cardioverter
defibrillator (ICD). 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”
5. 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 responsesshould 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?”
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 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.
9. A nurse is caring for a client who has a pulmonary embolism. How should the nurse should
identify the effectiveness of the treatment?
A. A chest x-ray reveals increased density in all Nelds.
B. The client reportsfeeling 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.
10. A nurse in an emergency department is assessing a client who reports ingesting thirty
diazepam tablets and now has 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’sIV site for thrombophlebitis.
B. Administer Flumazenil to the client.
C. Evaluate the client for furthersuicidal behavior.
D. Initiate seizure precautionsfor the client. [Show Less]