omprehensive predictor retake 2019
1. A nurse is assessing a client who has received an antibiotic. The nurse should identify which of the
following findings as an indication of a possible allergic reaction to the medi
...
omprehensive predictor retake 2019
1. A nurse is assessing a client who has received an antibiotic. The nurse should identify which of the
following findings as an indication of a possible allergic reaction to the medication?
A. Bradycardia
B. Headache
C. Joint pain
D. Hypotension
2. A nurse on a mental health unit is caring for a client who hasschizophrenia and is experiencing
auditory hallucinations telling them to hurt others. The client is refusing to take anti-psychotic
medication. Which of the following responses should the nurse make?
A. “You should plan to take this medication for a few weeks.”
B. “You will regret it if you do not take this medication.”
C. “This medication will help you respond to the voices.
D. “This medication will help you stop the voices you are hearing.”
3. A nurse is providing care for a patient who has depression and isto have electroconvulsive therapy.
Which of the following conditions should the nurse identify as increasing the client’s risk for
complications?
A. Hyperthyroidism
B. Renal calculi
C. Diabetes mellitus
D. Cardiac dysrhythmias
4. A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of the
following findings should the nurse report to the provider?
A. WBC count 8,000/mm
B. Platelets 150,000/mm
C. Aspartate aminotransferase 10 units/L
D. Erythrocyte sedimentation 75 mm/hr
5. A nurse is suctioning the airway of a client who is receiving mechanical ventilation via an
endotracheal tube. Which of the following findings should the nurse identify as an indication that
suctioning has been effective?
A. Presence of a productive cough
B. Decreased peak inspiratory pressure
C. Thinning of mucous secretions
D. Flattening of the artificial airway cuff
6. A nurse is caring for a client who is in a seclusion room following violent behavior. The client
continuesto display aggressive behavior. Which of the following actionsshould the nurse take?
A. Stand within 30cm (1 ft) of the client when speaking with them.
B. Expresssympathy for the client’ssituation.
C. Confrontthe client about his behavior.
D. Speak assertively to the client.
7. A nurse is caring for a client who is immediately postoperative following an adrenalectomy to treat
Cushing’s disease. Which of the following actions is the nurse’s priority?
A. Reposition the client for comfort every 2 hours
B. Observe for any indications of infection
C. Document amount and color of the incisional drainage.
D. Monitor the client’s fluid and electrolyte status.
8. A nurse is caring for a client who is scheduled for a surgical procedure and states, “I don’t want to
have this surgery anymore.” Which of the following responses should the nurse make?
A. “We can manage your care following the procedure without complications.”
B. “You have the right to refuse the procedure.”
C. “Your doctorthinksthe surgery is necessary.”
D. “Let me review the procedure so you can understand what is going to happen.”
9. A nurse is evaluating a client who has borderline personality disorder. Which of the following
behaviors indicates an improvement in the client’s condition?
A. Impulsive behaviors
B. Decreased clinging behavior
C. Liability of mood
D. Dependent behavi
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