RN AT I Comprehensive Predictor Exit Exam 2024 with All 180 Quest ions from Actual Past Exam , Correct Answ ers and Rationale Question 1: A nurse is caring for a child who has cystic fibrosis and requires postural drainage. Which of the following actions should the nurse take? A. Perform the procedure twice each day. B. Hold the hand flat to perform percussions on the child. C. Administer a bronchodilator after the procedure. D. Perform the procedure prior to meals. Show correct answer and explanation Explanation A. Incorrect. Postural drainage is usually performed multiple times a day, usually three to four times, to effectively mobilize respiratory secretions. B. Incorrect. Percussions are typically performed using cupped hands to create vibrations. Holding the hand flat would not produce the desired effect. C. Correct. Administering a bronchodilator after postural drainage helps open the airways, facilitating e asier breathing and the removal of mucus. D. Incorrect. Postural drainage is commonly performed before meals to prevent the risk of vomiting and aspiration. Question 2: A nurse is developing a plan of care for a newborn whose mother tested positive for heroin during pregnancy. The newborn is experiencing neonatal abstinence syndrome. Which of the following actions should the nurse include in the plan? A. Maintain eye contact with the newborn during feedings. B. Swaddle the newborn with his legs extended. C. Minimize noise in the newborn's environment. D. Administer naloxone to the newborn. Show correct answer and explanation Explanation A. Incorrect. While maintaining eye contact during feedings is generally beneficial for bonding, it's not a specific intervention for managing neonatal abstinence syndrome. B. Incorrect. Swaddling a newborn with extended legs might be uncomfortable, as newborns with neonatal abstinence syndrome can experience increased muscle tone and jitteriness. C. Correct. Newborns with neonatal abstinence syndrome can be hypersensitive to stimuli, including noise. Minimizing noise in the environment helps reduce stress and overstimulation. D. Incorrect. Naloxone is not typically administered to newborns with neonatal abstinence syndrome. The syndrome is managed through supportive care, gradually reducing exposure to the substance. Question 3: A nurse is admitting a client to a medical -surgical unit. When performing medication reconciliation for the client, which of the following actions should the nurse take? A. Include any adverse effects of the medications the client might develop. B. Exclude nutritional supplements from the list of medications the client reports. C. Encourage the client to make his own list after he returns to his home. D. Compare new prescriptions with the list of medications the client reports. Show correct answer and explanation Explanation A. Incorrect. While adverse effects are important to consider, the primary purpose of medication reconciliation is to ensure accurate and up -to-date medication information. B. Incorrect. Nutritional supplements and over -the-counter medications should be included in the medication reconciliation process to provide a comprehensive overview of the client's medication regimen. C. Incorrect. The nurse is responsible for accurately reconciling the client's medications during the admission process. Encouraging the client to create a list later may lead to inaccuracies. D. Correct. Comparing new prescriptions with the client's reported medication list helps identify any discrepancies or potential interactions, ensuring safe and effective medication administration. Question 4: A school nurse is teaching a parent about absence seizures. Which of the following information should the nurse include? A. "The child usually has an aura prior to onset." B. "This type of seizure can be mistaken for daydreaming." C. "This type of seizure lasts 30 to 60 seconds." D. "This type of seizure has a gradual onset." Show correct answer and explanation Explanation A. Incorrect. Absence seizures typically do not have an aura. They are characterized by a sudden and brief loss of awareness without warning. B. Correct. Absence seizures often involve a brief period of staring and decreased responsiveness. They can indeed be mistaken for daydreaming, as they are not as dramatic as other types of seizures. C. Incorrect. Absence seizures are usually very brief, lasting only a few seconds (often less than 10 seconds), rather than 30 to 60 seconds. D. Incorrect. Absence seizures have a sudden and abrupt onset, not a gradual one. They occur without warning and without a preceding aura. Question 5: A nurse is planning care for an older adult client who has dementia. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.) A. Reinforce orientation to time, place, and person. B. Allow the client to choose among a variety of activities each day. C. Give the client one simple direction at a time. D. Establish eye contact when communicating with the client. E. Refute the client's delusions using logic. Show correct answer and explanation Explanation A. Correct. Reinforcing orientation to time, place, and person helps ground the client in reality, even if their memory is impaired. B. Correct. Allowing the client to choose activities empowers them and helps maintain a sense of control. C. Correct. Providing one simple direction at a time helps prevent confusion and frustration for clients with dementia. D. Correct. Establishing eye contact while communicating can enhance the client's focus and understanding. E. Incorrect. It's generally not effective to try to refute a client's delusions using logic. Redirecting or validating their feelings might be more appropriate. Question 6:
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