Exam Latest Update 320 Questions and 100

RN Comprehensive Predictor 2019 Form B and C Exam Latest Update 320 Questions and 100% Verified Correct Answers Guaranteed A+ At First Attempt . A nurse is assessing a client who is 36 weeks of gestation. Which of the following findings should the nurse report to the provider?

• 3+ deep tendon reflexes
• Protruding Hemorrhoids
• Urinary Frequency (expected)

D. Supine Hypotension - Correct Answer: B. Protruding Hemorrhoids

rational for option A (common finding in women with preeclampsia and does not require action unless there are symptoms of magnesium toxicity.)

. A nurse is caring for a client who has heart failure and is receiving a continuous IV infusion of low dose dopamine. Which of the following findings is the highest priority?

• Erythema 5 cm (2in) above the IV site
• Blood pressure 92/68 mm Hg -
• Urine output 35mL/hr
• Pedal pulse of +1 bilaterally - Correct Answer: a. Erythema 5 cm (2in) above the IV

site

. A nurse is reviewing the laboratory levels of a client who is having elective surgery.Which of the following levels should the nurse report to the provider?

• Potassium 3.2 mEq/L 3.5 - 5.0 is normal
• BUN 16 mg/dL (Normal 10-20)
• PT 12.2 seconds (Normal 11-14)
• Fasting blood glucose 103 mg/dL - Correct Answer: a. Potassium 3.2 mEq/L 3.5 - 5.0

is normal

.A nurse is admitting a client who has acute heart failure. Which of the following prescriptions from the provider should the nurse anticipate?

• Administer enalapril 2.5 mg PO twice daily
• Ambulate the client every 4 hr while awake(bedrest)
• Provide the client with 4 g sodium diet(

d. Infuse 0.9% sodium chloride 500 mL IV bolus over 1 hr - Correct Answer: a.

Administer enalapril 2.5 mg PO twice daily

.A nurse is admitting an older adult client who is transferring from another facility. The nurse notes pressure ulcers on the client's coccyx and abrasions around the wrists. 1 / 4

Which of the following actions should the nurse take to address the suspicions of elder abuse?

• Inform the transferring agency of the client's condition.
• Privately interview the client about her condition.
• Notify risk management
• Contact the family regarding the client's condition. - Correct Answer: b. Privately

interview the client about her condition.

.A nurse is planning to administer ampicillin 100 mg/kg/day in divided doses every 12 hours to a newborn who weighs 4.34 kg(9.5 lbs). Available is ampicillin 125mg/ml. How many milliliters should the nurse administer per dose? ( Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero - Correct Answer: Answer is 1.7 mL per dose Rationale: 100mg X 4.34 kg= 434 mg/day 434mg/125mgX1=3.472/day 3.472/2= 1.736

.A nurse is teaching a client who has tuberculosis. Which of the following statements should the nurse include in the teaching?

• "You will need to continue to take the multi-medication regimen for 4 months."
• You will need to provide sputum samples every 4 weeks to monitor the effectiveness

of the medication

• "You will need to remain hospitalized for treatment."
• "You will need to wear a mask at all times." - Correct Answer: B. You will need to

provide sputum samples every 4 weeks to monitor the effectiveness of the medication

• A nurse is caring for a client who has bipolar disorder and is experiencing acute

mania. The nurse obtained a verbal prescription for restraints. Which of the following should the actions the nurse take?

• Request a renewal of the prescription every 8 hr.
• Check the client's peripheral pulse rate every 30 min
• Obtain a prescription for restraint within 4 hr.
• Document the client's condition every 15 minutes - Correct Answer: D. Document the

client's condition every 15 minutes

• 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?

• Potassium level 4.2 mEq/L.
• Apical pulse 58/min.
• Digoxin level 1 ng/ml.

D.Constipation for 2 days. - Correct Answer: B. Apical pulse 58/min

• A nurse is planning to administer vancomycin IV to a client. Which of the following

actions should the nurse take to reduce the risk of an adverse reaction to the vancomycin?

• Give the dose over 60 min 2 / 4

• Administer the medication undiluted
• Obtain trough level 30 min after the medication infusion
• Inject 1% lidocaine prior to each dose - Correct Answer: a. Give the dose over 60 min

A case manager is meeting with a client who asks about using alternative therapies to manage her rheumatoid arthritis. Which of the following statements should the nurse make?

• Im sure you can find alternative remedies through an online support group
• If there are therapies available to you, your provider will tell you about them
• Feel free to try whatever therapies that fit within your personal belief system
• We can review some information to help you select a safe alternative practitioner. -

Correct Answer: D. We can review some information to help you select a safe

alternative practitioner.

A charge nurse is preparing to lead negotiations among nursing staff due to conflict about overtime requirements. Which of the following strategies should the charge nurse use to promote effective negotiation?

• Identify Solutions prior to negotiation
• personalize the conflict
• Attempt to understand both sides of the issue
• Focus on how the conflict occurred - Correct Answer: c. Attempt to understand both

sides of the issue

Assess the situation first prior to trying to solve it

A charge nurse is recommending postpartum client discharge following a local disaster.Which of the following should the nurse recommend for discharge?

• A 42-year-old client who has preeclampsia and a BP of 166/110 mm Hg.
• A 15-year-old client who delivered via emergency cesarean birth 1 day ago.
• A client who received 2 units of packed RBCs 6 hr. ago for a postpartum

hemorrhage.

• A client who delivered precipitously 36 hr. ago and has a second-degree perineal

laceration. - Correct Answer: D. A client who delivered precipitously 36 hr. ago and has a second-degree perineal laceration.

A charge nurse is teaching a newly nurse about clients designating a health care proxy in situations that require a durable power of attorney for health care (DPAHC). Which of the following should the charge nurse include?

• The proxy should make health care decisions for the client regardless of the clients

ability to do so

• The proxy can make financial decisions if the need arises
• The proxy can make treatments decisions if the client is under anesthesia
• The proxy should manage legal issues for the client - Correct Answer: C. The proxy

can make treatments decisions if the client is under anesthesia

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A charge nurse is teaching new staff members about factors that increase a clients risk to become violent. Which of the following risk factor should the nurse include as the best predictor of future violence?

• Previous violent behavior
• A history of being in prison
• Experiencing delusions

D. Male gender - Correct Answer: A. Previous violent behavior

A charge nurse on a medical surgical unit is assisting with the emergency response plan following an external disaster in the community. In anticipation of multiple client admissions, which of the following current clients should the nurse recommend for early discharge?

• A client who has COPD and a respiratory rate of 44/min
• A client who has cancer with a sealed implant for radiation therapy.
• A client who is receiving heparin for DVT
• A client who is 1 day postoperative following a vertebroplasty. - Correct Answer: D. A

client who is 1 day postoperative following a vertebroplasty.

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 client post op following a bowel resection with an NGT set to suction
• A client who has fractured a femur yesterday and is expecting SOB
• A client who sustained a concussion and has unequal pupils
• A client who has an Hgb of 6.3 g/dl and a prescription for packed RBCs - Correct

Answer: A. A client post op following a bowel resection with an NGT set to suction

A client who is pregnant voice her concern that her 3y/o son will feel left out one the newborn arrives. Which of the following statements by the nurse is appropriate?

• Offer your son a gift when the baby receives one
• Move your son to a toddler bed when the baby arrives
• Tell your son to kiss the baby
• Teach your son to change the baby diapers - Correct Answer: A. Offer your son a gift

when the baby receives one

A client's partner tells a staff nurse that he overhears laboratory staff discussing the result of the clients biopsy report while on the elevator. Which of the following actions should the nurse take?

• Report the information to the charge nurse
• review confidentiality policies with laboratory employees- would be the job of the

Facility manager or someone who audits or teaches HIPAA stuff

• contact the laboratory manager regarding the situation - you are not high enough up

the chain to do that

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