NUR 339 PREDICTOR EXAM VERSION 2023(SUMMER-FALL QTR: - RASMUSSEN COLLEGE

1. The nurse cares for a client diagnosed with dehydration. The plan of care indicates the client is to drink two ounces of fluid every hour. The nurse determines the goal is met if which is recorded on the intake and output (I&O) sheet for an eight-hour shift? a. 360 ml b. 160 ml c. 480 ml d. 240 ml 1 oz=30 ml; 60 oz*8= 480 ml Answer: C 2. The nurse and LPN/LVN care for clients on a medical-surgical unit. The RN should delegate which activity to the LPN/LVN? a. Follow up on the client’s report of chest and back itching two hours after starting a patient controlled analgesia pump. b. Provide instruction for the client receiving the first nicotine patch. c. Inform the health care provider of the client’s history of peptic ulcer disease prior to administration of streptokinase. d. Take the blood pressure and heart rate before administration of enalapril. Answer: D 3. The nurses care for the client diagnosed with tuberculosis. Before discontinuing airborne precautions, the nurse must confirm which? a. The tuberculin skin test is negative b. No acid-fast bacteria are in the sputum. c. The client has received anti-tuberculin medication for three days. d. The client’s temperature has returned to normal. Answer: B 4. The nurse cares for the client at 28 weeks gestation diagnosed with a complete placenta previa. The nurse determines discharge teaching is effective if the client makes which statement to her husband? a. I can go back to work tomorrow on a part-time basis b. I’m sorry to tell you we can’t have sexual relations c. I will still be able to have a vaginal birth d. I have to come back in 48 hours for a vaginal exam Answer: B 5. The nurse prepares the client diagnosed with myxedema for discharge. Which action should the nurse teach related to body temperature? a. “Alternate acetaminophen with ibuprophen every four hours for fever” b. “Take your temperature and record the results three times a day.” c. “Put on multiple layers of clothes until you fell comfortably warm.” d. “Use a heating pad during the day and electric blanket at night.” Answer: C 6. The nurse cares for clients in the labor and delivery unit. The nurse anticipates which client is a candidate for induction of labor? a. The client with the fetal face as the presenting part. b. The client diagnosed with preeclampsia. c. The client diagnosed with active herpes infection. d. The client experiencing late decelerations. Answer: B 7. The nurse cares for the client diagnosed with HIV. The nurse determines which goal is MOST important? a. Prevent Kaposi’s sarcoma. b. Prevent depression c. Prevent infections. d. Prevent social isolation. Answer: C 8. The nurse educator presents an in-service on acyanotic heart disease. Which is the most common symptom of this disorder that the nurse educator should include? a. Severe retarded growth. b. Clubbing of the fingers and toes. c. Presence of an audible heart murmur. d. Polycythemia.