RN Comprehensive Predictor 2019 Form C
1. A nursing planning care for a school-age child who is 4 hr postoperative following perforated appendicitis. Which of the following actions
should the nurse include in the plan of care?
a. Administer analgesics on a scheduled basis for the first 24 hr
2. A nurse is preparing to apply a transdermal nicotine patch for a client. Which of the following actions should the nurse take?
a. Wear gloves to apply the patch to the client’s skin
3. A nurse has just received change-of-shift report for four clients. Which of the following clients should the nurse assess first?
a. A client who was just given a glass of orange juice for a low blood glucose level
4. A nurse is reviewing the laboratory results for a client who has Cushing’s disease. The nurse should expect the client to have an increase in
which of the following laboratory values?
a. Serum glucose level increased
5. 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 actions should the nurse take?
a. Administer calcium gluconate IV
6. A nurse is preparing to perform a sterile dressing change. Which actions should the nurse take when setting up the sterile field?
a. Place the cap from the solution sterile side up on clean surface
7. A home health nurse is preparing for an initial visit with an older adult client who lives alone. Which of the following actions should the
nurse take first?
a. Identify environmental hazards in the home
8. A nurse is assessing the remote memory of an older adult client who has mild dementia. Which of the following questions should the
nurse ask the client?
a. “What high school did you graduate from
9. A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Which of the following goals should the nurse include in
the teaching
a. HbA1c level less than 7%
10. A nurse is caring for a client who is receiving phenytoin for grand mal seizures and has a new prescription for isoniazid and rifampin.
Which should the nurse conclude if the client develops ataxia and incoordination?
a. The client is showing evidence of phenytoin toxicity
11. A nurse is caring for a client who is 1 hr postoperative following manifestations requires immediate action?
a. Increase in frequency of swallowing→ may indicate bleeding
12. A nurse is planning care for a preschool-age child who is in the acute phase Kawasaki disease. Which of the following interventions should
the nurse include in the plan of care?
a. Monitor the child’s cardiac status
13. A nurse is planning an educational program for high school students about cigarette smoking. Which of the following potential
consequences of smoking is most likely to discourage adolescents from using tobacco?
a. Use of tobacco decreases the level of athletic ability
14. A nurse is assessing a client who is prescribed spironolactone. Which of the following laboratory values should the nurse monitor for this
client?
a. Serum potassium- diuretic that retains potassium= hyperkalemic risk
15. A nurse has agreed to serve as an interpreter for an older adult client who is assigned to another nurse. Which of the following statements
by the nurse indicates an understanding of this role?
a. “I will let the client know that I am available as the interpreter.”
16. A nurse is performing assessments on newborns in the nursery. Which findings should the nurse report?
a. A two day old newborn who has a respiratory rate of 70 --> 30 - 60 is normal
17. A nurse on an acute unit has received change of shift report for 4 clients which of the following clients should the nurse assess first? Pain
pallor pulselessness paresthesia
a. A client who has fractured left tibia and pallor in the affected extremity
18. A nurse is providing discharge instructions to a client who has a new prescription for haloperidol which of the following adverse effects
should the nurse instruct the client to report to the provider?
a. Sedation → s/s neuroleptic malignant syndrome??>> life threatening
b. Shuffling gait
19. A nurse is teaching dietary guidelines to a client who has celiac disease which of the following food choices is appropriate for the client?
a. Potato pancakes
20. A nurse is working in acute care mental health facility is assessing a client who has schizophrenia. Which of the following findings should
the nurse expect?
a. Disorganized speech
21. A nurse is caring for a client who is immobile which interventions is appropriate to prevent contracture?
a. Apply an orthotic to the clients foot
22. A public health nurse working in a rural area is developing a program to improve health for the local population. Which of the following
actions should the nurse plan to take?
a. Provide anticipatory guidance classes to parents through public schools
23. A nurse in the emergency department is performing triage for multiple clients following a disaster in the community. To which of the
following types of injuries should the nurse assign the highest priority?
a. Below the knee amputation → ESI Level 1
24. A nurse is admitting a client who has anorexia nervosa. Which of the following is an expected finding?
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a. Prealbumin 10 mcg/dl (normal: 16-40)
25. A charge nurse on a medical-surgical unit is planning assignments for a licensed practical nurse (LPN) who has been sent from the
postpartum unit due to a staffing shortage for the shift. Which of the following client assignments should the nurse delegate to the LPN?
a. A client who is postoperative following a bowel resection with an NGT set to continuous suction
26. A nurse is caring for a client who is at 41 week of gestation and is receiving oxytocin for labor induction. The nurse notes early
deceleration on the fetal heart rate monitor . Which actions should the nurse take ? p . 88 ch 13 maternity
a. Continue to monitor the fetal heart rate (not a problem, absent or late are though)
27. A nurse is conducting an initial assessment of a client and noticed a discrepancy between the clients current IV infusion and the
information received during the shift report. Which of the following actions should the nurse take?
a. Compare the current infusion with the prescription in the client’s medication record
28. A nurse is caring for a client who is at 38 weeks of gestation and has a history of hepatitis C. The client asks the nurse if she will be able to
breastfeed. Which of the following responses by the nurse is appropriate?
a. You may breastfeed unless your nipples are cracked or bleeding.
29. A nurse is caring for a client who has returned to the medical surgical unit following a transurethral resection of the prostate. Which
should the nurse identify as priority after reviewing the clients information? Exhibit.
a. Level of consciousness
30. A nurse is caring for a client who has hyperthermia .Which of the following actions for the nurse to take?
a. Initiate seizure precautions
31. A nurse in emergency department is caring for a client who has full thickness burn of the thorax and upper torso. After securing the
client's airway, which of the following is the nurse's priority intervention?
a. Initiating IV fluid resuscitation - they are at risk for hypovolemic shock d/t 3rd spacing
32. A nurse is caring for a client who has cancer and is being transferred to hospice care. The client’s daughter tells the nurse, “I’m not sure
what to say to my mom if she asks me about dying.” which responses are appropriate? (SATA)
a. Let's talk about your mom’s cancer and how things will progress from here. Tell me how you are feeling
b. You sound like you have questions about your mom dying. Let’s talk about it.
33. A community health nurse receives a referral for a family home visit. Which tasks should the nurse perform first?
a. Clarify the source of the referral
34. A nurse is caring for a client who will undergo a procedure. The client states he does not want the provider to discuss the results with his
partner. Which of the following is an appropriate response for the nurse to make?
a. You have the right to decide who receives information
35. A nurse is discussing a weight loss with a client who is concerned about losing 6.8 kg (15lb) from an original weight of 9o.7 (200 lb). The
nurse should identify the weight of the following total percentage?
a. 7.5%
36. A nurse is caring for a client who is 4 hr postpartum and reports that she cannot urinate. Which of the following interventions should the
nurse implement?
a. Pour water from a squeeze bottle over the client’s perineal area
37. A nurse is providing discharge teaching to a client who has cancer and a prescription for a fentanyl 25 mcg /hr transdermal patch. Which
of the following instructions should the nurse include in the teaching?
a. Avoid hot tub while wearing the patch
38. A nurse enters a client’s room and sees a small fire in the client’s bathroom. Identify the sequence.
a. Transport the client to another area of the nursing unit (1)
b. Activate the facility’s fire alarm system (2)
c. Close all nearby windows and doors (3)
d. Use the unit’s fire extinguisher to attempt to put out the fire (4)
39. A nurse is caring for a client who has type 1 diabetes mellitus. The client reports that she is not feeling well. Which of the following
findings should indicate to the nurse that the client is hypoglycemic? (Select all that apply.)
a. Tremors
b. Diaphoresis
c. Inability to concentrate
40. A community health nurse is planning primary prevention activities to reduce the occurrence of abuse. Which of the following strategies
should the nurse include in the plan?
a. Teach parenting skills to families at risk for abuse
41. A nurse and an assistive personnel (AP) are caring for a group of clients. Which of the following tasks is appropriate for the nurse to
delegate to the AP?
a. Applying a condom catheter for a client who has a spinal cord injury
42. A nurse is caring for a client who reports xerostomia following radiation therapy to the mandible. Which of the following is an appropriate
action by the nurse?
a. Offer the client saltine crackers between meals
b. Provide humidification of the room air
43. A nurse is caring for four clients. Which of the following tasks can the nurse delegate to an assistive personnel?
a. Perform chest compressions during cardiac resuscitation
44. A nurse is caring for a client who states he recently purchased lavender oil to use when he gets the flu. The nurse should recognize which
of the following findings as a potential contraindication for using lavender?
a. The client has a history of asthma
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2019 RN Comprehensive Predictor Form C with Answers (135 Solved Questions)

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