RN Comprehensive Predictor form B Exam Questions And Answers. Verified And Updated.
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Course
RN Comprehensive
Institution
RN Comprehensive
RN Comprehensive Predictor form B Exam
Questions And Answers. Verified And
Updated.
A nurse in a provider's office is reviewing a female client's medical record during a routine visit.
The nurse should recommend increasing dietary intake of which of the following vitamins?
(Exhibit: H&P: postm...
RN Comprehensive Predictor form B Exam
Questions And Answers. Verified And
Updated.
A nurse in a provider's office is reviewing a female client's medical record during a routine visit.
The nurse should recommend increasing dietary intake of which of the following vitamins?
(Exhibit: H&P: postmenopausal, hx DVT and iron deficiency anemia, works indoors, consumes
1-2 alcoholic beverages per week)
a. Vitamin D
b. Vitamin K
c. Vitamin A
d. Vitamin B12 - answer✔✔Vitamin B12
A nurse is assessing a client who had heart failure is taking furosemide. Which of the following
findings should the nurse monitor ?
Hyponatremia
Hyperkalemia- LESS
Hypercalcemia
hypoglycemia - answer✔✔Hyponatremia- loop diuretic (Lasix) - wherever water goes sodium
and potassium will follow
A nurse is providing teaching to a client who has heart failure and a new prescription for
furosemide. Which of the following statements should the nurse make? - answer✔✔"Rise slowly
when getting out of bed"
A nurse is reviewing the medical records of four clients. The nurse should identify that which of
the following client findings follow up care?
A client who is taking bumetanide and has potassium level of 3.6 mEq/L (normal)
A client who is scheduled for colonoscopy and taking sodium phosphate
A client who received a Mantoux test 48 hours ago and has induration
EXAM STUDY MATERIALS July 25, 2024 1:06 PM
,A client who is taking warfarin and has INR of 1.8 (normal if taking warfarin) - answer✔✔A
client who received a Mantoux test 48 hours ago and has induration
A nurse is providing teaching about digoxin administration to the parents of a toddler who has
heart failure. Which of the following statements should the nurse include in the teaching?
"Have your child drink a small glass of water after swallowing the medication."
"Repeat the dose if your child vomits within 1 hour after taking the medication."
"You can add the medication to a half-cup of your child's favorite juice."
"Limit your child's potassium intake while she is taking this medication." - answer✔✔"Have
your child drink a small glass of water after swallowing the medication.
Pg 117 in ATI Nursing Care of children. "Give water following administration to prevent tooth
decay if the child has teeth."
A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the following
findings should the nurse report to the provider?
a. Potassium level 4.2 mEq/L
b. Apical pulse 58/min
c. Digoxin level 1 mg/mL
d. Constipation for 2 days - answer✔✔c. Digoxin level 1 mg/mL
A nurse is caring for a client who is receiving phenytoin for management of grand mal seizures
and has a new prescription for isoniazid and rifampin. Which of the following should the nurse
conclude if the client develops ataxia and incoordination?
a. The client is experiencing an adverse reaction to rifampin
b. The client's seizure disorder is no longer under control
c. The client is showing evidence of phenytoin toxicity
d. The client is having adverse effects due to combination antimicrobial therapy - answer✔✔c.
The client is showing evidence of phenytoin toxicity
Rationale: http://www.webmd.com/drugs/2/drug-4157/dilantin-oral/details#interactions
Rationale ATI Pharm p96: Phenytoin complications include ataxia, sedation & cognitive
impairment (http://emedicine.medscape.com/article/816447-clinical#b4 also states that this is an
indication of phenytoin toxicity); According to my Davis Drug Guide book, progressive s/s of
phenytoin toxicity include ataxia, nystagmus, confusion, nausea, slurred speech & dizziness.
A home health nurse is teaching a client who has active tuberculosis. The provider has prescribed
the following medication regimen: isoniazid 250 mg PO daily, rifampin 500 mg PO daily,
EXAM STUDY MATERIALS July 25, 2024 1:06 PM
,pyrazinamide 750 mg PO daily, and ethambutol 1 mg PO daily. Which of the following client
statements indicate the client understands the teaching? (SATA)
a. "I can substitute one medication for another if I run out because that all fight infection."
b. "I will wash my hands each time I cough."
c. "I will wear a mask when I am in a public area."
d. "I am glad I don't have to have any more sputum
specimens."
e. "I don't need to worry where I go once I start taking my medications." - answer✔✔b. "I will
wash my hands each time I cough."
c. "I will wear a mask when I am in a public area."
A nurse is caring for a client who has a prescription for warfarin. When reviewing the client's
current medications, which of the following medications should the nurse identify as
contraindicated for use with warfarin? (Select all that apply)
Aspirin
Magnesium sulfate
Gingko biloba.
Cetirizine
E. Ibuprofen. - answer✔✔Aspirin
Gingko biloba.
E. Ibuprofen.
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. - answer✔✔Administer
flumazenil to the client.
A nurse is caring for a client who has depression and reports taking ST. John's wort along with
citalopram. The nurse should monitor the client for which of the following conditions as a result
of an interaction between these substances?
a. Serotonin syndrome
b. Tardive dyskinesia
c. Pseudo parkinsonism.
d. Acute dystonia. - answer✔✔Serotonin syndrome
EXAM STUDY MATERIALS July 25, 2024 1:06 PM
, A nurse is assessing a client who is receiving magnesium sulfate by continuous IV infusion.
Which of the following findings should the nurse recognize as a result of magnesium sulfate
toxicity?
Hyporeflexia
Tachypnea (bradypnea, less than 12/min)
Pruritus (sign of allergic reaction)
Polyuria (oliguria, less than 30 ml/hr) - answer✔✔Hyporeflexia
Rationale: OB PDF pg.61, decreased or absent DTRs.
A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate
intravenously. The nurse discontinues the magnesium sulfate after the client displaces toxicity.
Which of the following actions should the nurse take? P . 235 pharm ch 30
a. Position the client supine
b. Prepare an IV bolus of dextrose 5% in water
c. Administer methylergonovine IM
d. Administer calcium gluconate IV - answer✔✔d. Administer calcium gluconate IV
Rationale ATI PHARM PDF p398: Calcium gluconate is given for magnesium sulfate toxicity.
Always have an injectable form of calcium gluconate available when administering magnesium
sulfate by IV.
A nurse is developing a plan of care for a client who has preeclampsia and is to receive
magnesium sulfate via continuous IV infusion. Which of the following actions should the nurse
include in the plan?
Measure the client's urine output every hour.
Restrict the client's total fluid intake to 250ml/hr.
Monitor the FHR via Doppler every 30 min
Give the client protamine if sign of magnesium sulfate toxicity occur. - answer✔✔Measure the
client's urine output every hour. - monitor for toxicity.
Rationale: OB ati book. Page 66.Monitor for magnesium sulfate toxicity, and discontinue for any
of the following adverse e ects: loss of deep tendon re exes, urinary output less than 30 mL/hr,
respiratory depression (less than 12/min), pulmonary edema, and chest pain.
A nurse is reviewing the medication administration record of a client who has rheumatoid
arthritis and is 1 day postoperative following a left total hip arthroplasty. Which of the following
medications places the client at risk for delayed wound healing?
EXAM STUDY MATERIALS July 25, 2024 1:06 PM
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