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, RN Comprehensive Predictor 2019 Form A
1. A nurse is caring for a client who has a pulmonary embolism.
The nurse should identify the effectiveness of the treatment
A. A chest x-ray reveals increased density in all fields.
B. The client reports feeling 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.
2. A nurse in an emergency department is assessing a client who
reports ingesting thirty diazepam tablets (Unable to read) 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’s IV site for thrombophlebitis.
B. Administer flumazenil to the
client.
C. Evaluate the client for further suicidal behavior.
D. Initiate seizure precautions for the client.
3. A nurse in an emergency department is caring for a client who
reports cocaine use 1hr ago. Which of the following findings should the
nurse expect?
A. Hypotension
B. Memory loss
C. Slurred speech
D. Elevated temperature
4. 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
5. A nurse in a pediatric clinic is reviewing the laboratory test
results of a school age child. Which of the following findings should the
nurse report to the provider?
A. Hgb 12.5 g/dl
B. Platelets 250,000/mm3
C. Hct 40%
D. WBC 14,000/mm3
6. 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.”
7. 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.
8. 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.
9. 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”
10. 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?”
11. 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.
12. 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.
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