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PN Comprehensive Predictor PN 2020

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Total Questions : 180

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Question 1:

A nurse is caring for a 3-year-old child immediately following a tonic-clonic seizure.

Which of the following actions should the nurse take?

Answer and Explanation

A
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Question 2:

A nurse is caring for a client who has paranoid schizophrenia and believes that they are being followed by FBI agents who are pretending to be psychiatric staff.

Which of the following responses should the nurse make?

Answer and Explanation

A
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Question 3:

A nurse is reinforcing teaching about advance directives with a client who has end-stage heart failure.

Which of the following statements by the client indicates an understanding of the teaching?

Answer and Explanation

A
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Question 4:

A nurse is reinforcing teaching with a client who has diabetes mellitus about a 24-hour creatinine clearance test.

Which of the following statements should the nurse include in the teaching?

Answer and Explanation

A
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Question 5:

A nurse in an adult day care facility is contributing to the plan of care for a client whose family reports recent confusion and memory loss.

Which of the following strategies should the nurse include in the plan?

Answer and Explanation

A
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Question 6:

A nurse is caring for a client who has a prescription for acetaminophen 300 mg with codeine 30 mg, 1 tablet every 3 to 4 hours PRN for pain.

The nurse inadvertently administers 2 tablets to the client. In which of the following locations should the nurse document this alert care incident?

Answer and Explanation

A
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Question 7:

A nurse is caring for a client who follows a kosher diet. Which of the following menu items should the nurse include on the tray?

Answer and Explanation

A
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Question 8:

A nurse is caring for a client who has end-stage kidney disease. The client has decided to stop dialysis treatment.

Which of the following actions should the nurse take?

Answer and Explanation

A
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Question 9:

A nurse is reinforcing teaching with a client who is about to start using an albuterol metered-dose inhaler.

Which of the following instructions should the nurse include in the teaching?

Answer and Explanation

A
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Question 10:

A nurse is reinforcing teaching with a new parent about bathing her newborn.

Which of the following statements should the nurse include?

Answer and Explanation

A
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Question 11:

A nurse is reinforcing teaching with a client who has a new prescription for atorvastatin.

For which of the following adverse effects should the nurse instruct the client to monitor and report to the provider?

Answer and Explanation

A
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Question 12:

A nurse is assisting with the care of a client in a PACU. Provider Prescriptions

1100:

Oxygen 2 to 5 L/min via nasal cannula to maintain oxygen saturation greater than 92%.

Which of the following actions should the nurse take during the management of oxygenation for this client? Select all that apply.

Answer and Explanation

A
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Question 13:

A nurse is collecting data from a client who has pyelonephritis and is receiving gentamicin via IV infusion.

Which of the following manifestations should the nurse identify as an adverse effect of the treatment?

Answer and Explanation

A
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Question 14:

A nurse is collecting data from a client who has heart failure and is taking furosemide.

Which of the following findings should indicate to the nurse that the medication is effective?

Answer and Explanation

A
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Question 15:

A nurse is caring for a client who has dementia.

Which of the following findings should the nurse expect?

Answer and Explanation

A
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Question 16:

A nurse is reinforcing teaching to a newly licensed nurse about bowel sounds.

Which of the following characteristics should the nurse use to describe hyperactive bowel sounds?

Answer and Explanation

A
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Question 17:

A nurse is caring for a newly admited older adult client.

Nurses' Notes

Day 1, 12:00:

Transferred to medical-surgical unit from emergency department (ED) for continued care following a closed reduction and immobilization of a fracture of the right arm. Accompanied by adult child.

Client in visibly soiled night clothes with multiple stains, including what appears to be dried blood. Hair, teeth, and fingernails unclean. Strong body odor noted. Bruising of various stages noted around upper arms, back, shoulders, and neck area.

Client is soft-spoken, speaks almost in a whisper, does not make eye contact with nurse.

Client looks at their child before answering the nurse's questions and, when asked how the injury occurred, mumbles "I don't know. Ask them." Client's child states, "He gets confused sometimes. I can answer your questions."

Which of the following interventions should the nurse recommend to include in the client's plan of care?

Select all that apply.

Answer and Explanation

A
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Question 18:

A nurse is administering a client's morning oral medications.

Which of the following actions should the nurse take?

Answer and Explanation

A
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Question 19:

A nurse is preparing to administer eye drops to a child.

Which of the following actions should the nurse take?

Answer and Explanation

A
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Question 20:

A nurse in an acute care setting is assisting in collecting client information to include in a referral for a physical therapist.

Which of the following information should the nurse plan to include?

Answer and Explanation

A
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