PN comprehensive predictor practice B
[2020]
A nurse at a long-term care facility is caring for a client who requires oral suctioning.
Which of the following supplies should the nurse plan to use for this task? - CORRECT
ANSWER yankeurs catheter
rationale: A Yankauer catheter is a clean suc...
PN comprehensive predictor practice B
[2020]
A nurse at a long-term care facility is caring for a client who requires oral suctioning.
Which of the following supplies should the nurse plan to use for this task? - CORRECT
ANSWER yankeurs catheter
rationale: A Yankauer catheter is a clean suction catheter used when performing oral
and oropharyngeal suctioning to remove secretions from the client's mouth to facilitate
breathing or obtain a sample for diagnostic evaluation.
A nurse is contributing to the plan of care for a client who is postoperative following a
rhinoplasty. Which of the following interventions should the nurse recommend? -
CORRECT ANSWER instruct the client to avoid the Valsalva maneuver.
rationale. Valsalva ts such as straining during defecation or playing the saxophone
entail performance of Valsalva maneuver
A nurse is collecting data from a postpartum client who had a vaginal birth 2 days ago.
Which Of the following findings is the nurse's priority to report to the provider? -
CORRECT ANSWER client reports burning with urination.
rationale: When using the urgent vs. nonurgent approach to client care, the nurse
should determine that dysuria is a manifestation of a urinary tract infection. Therefore,
the nurse should identify this as the priority finding to report to the provider.
A nurse is preparing to administer digoxin to a client who has heart failure. Which Of the
following findings should indicate to the nurse that the medication has been effective? -
CORRECT ANSWER cardiac workload decreases
A nurse is reinforcing teaching about stress management techniques with a client who
has moderate anxiety disorder. Which of the following responses by the client indicates
an understanding of the teaching? - CORRECT ANSWER i will imagine myself in a
calm place when i cant concentrate
A nurse is reinforcing teaching with a client about taking warfarin to treat atrial
fibrillation. Which of the following statements by the client indicates an understanding of
the teaching? - CORRECT ANSWER if i forget to take a dose i can take it later on the
same day.
A charge nurse in a long-term care facility notices an assistive personnel's (AP)
repeated failure to provide oral care for clients. Which of the following actions should the
,charge nurse take? - CORRECT ANSWER Discuss this behavior with the AP while
reinforcing expectaions.
A nurse in a long-term care facility is observing a newly licensed nurse who is providing
tracheostomy care for a client. The nurse identifies proper performance of the
procedure when the newly licensed nurse selects which of the following solutions to
clean the inner cannula? - CORRECT ANSWER Hydrogen peroxide
A nurse is caring for a client who took an overdose of acetaminophen. Which of the
following medications should the nurse plan to administer to the client? - CORRECT
ANSWER acetylcysteine
A nurse is caring for a client who is in Buck's traction. Which of the following actions
should the nurse take? - CORRECT ANSWER allow the weight to hang freely
A nurse is preparing to administer metoclopramide 10 mg IM. Available is
metoclopramide 5 mg/mL How many mL should the nurse administer? (Round the
answer to the nearest whole number. Use a leading zero if it applies. Do not use a
trailing zero.) - CORRECT ANSWER 2 ml
A nurse is reinforcing discharge instructions with the parent of an infant who has
rotavirus. Which of the following statements by the parent indicates an understanding of
the teaching? - CORRECT ANSWER i will apply diaper cream to my baby skin during
each diaper change
rationale: The nurse should reinforce to the parent that applying a skin barrier, such as
zinc oxide, during diaper changes will minimize skin irritation from frequent stools.
A charge nurse is observing a newly licensed nurse apply sterile gloves. Which of the
following actions by the newly licensed nurse demonstrates sterile technique? -
CORRECT ANSWER putting a glove on their dominant hand first.
A nurse is reviewing laboratory reports for a client who has an Escherichia coli infection
and is receiving gentamicin. Which of the following results should the nurse report to the
provider before administering the next dose? - CORRECT ANSWER creatinine
2.5mg/dl
A nurse is reinforcing teaching with a client regarding prescribed asthma medications.
The nurse should instruct the client to use which of the following medications for
treatment of an acute asthma attack? - CORRECT ANSWER albuterol
A nurse is reinforcing teaching about home care for conjunctivitis with the parent of a
school-age child. Which of the following information should the nurse include? -
CORRECT ANSWER separate the Childs used washcloth form those of others.
, A nurse is preparing to administer an influenza virus immunization to a client by the
intradermal route. Which Of the following actions should the nurse take? - CORRECT
ANSWER avoid massaging the site after injecting vaccine.
rationale: The nurse should not massage the site following an intradermal injection
because this can spread the vaccine into the tissue or out through the needle insertion
site.
A nurse is preparing to insert an indwelling urinary catheter for a female client. Which of
the following actions should the nurse take? - CORRECT ANSWER open the outer
package flap of the catheterization kit away form the body
A nurse is reinforcing teaching about food selection with a client who has a moderate
burn injury. Which of the following foods should the nurse recommend as being high in
vitamin C? - CORRECT ANSWER tomatoes.
rationale: apricots= vit A
avocados= vit E
Carrots= Vit A
A nurse is collecting data from a client who has multiple fractures following a motor-
vehicle crash. For which of the following client statements should the nurse recommend
a referral to an occupational therapist? - CORRECT ANSWER i am so frustrated i
cannot even open my milk carton for breakfast
A nurse is assisting with the admission of an adolescent who has bulimia nervosa.
Which of the following manifestations should the nurse expect? - CORRECT ANSWER
Hematemesis
A nurse is collecting data from a client who is in the diagnostic center and is scheduled
to undergo a colonoscopy. Based on the information provided in the client's chart, which
of the following pieces of data places this client at risk for colorectal cancer? (Click on
the "Exhibit" button for additional information about the client. There are three tabs that
contain separate categories of data.) - CORRECT ANSWER BMI
rationale: 33 indicates obesity
A nurse is caring for a client who has an altered mental status and has become
aggressive. Which of the following prescriptions should the nurse clarify with the
provider prior to administration? - CORRECT ANSWER Zolipedem
A nurse is reinforcing teaching with a client who has hypothyroidism and a prescription
for levothyroxine. Which of the following instructions should the nurse include in the
teaching? - CORRECT ANSWER you will need to take the medication for the rest of
your life
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