RN Comprehensive Predictor 2019 Form B Final Exam
A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl.Which of the following manifestations should the nurse expect?
- Loose stools
- Jitteriness
- Hypertonia
- Abdominal distention
Correct Answer:
- Jitteriness
A nurse is assessing a client who is immediately post-operative following hip arthroplasty, which of the following considerations should the nurse take when positioning the client?
- Place the client's heels directly against the bed mattress
- Ensure that the client's hips remain in an abducted position.
- Maintain the client in a supine position for the first 24 hr. after surgery.
- Flex the client's hip up to 120° when sitting in a chair.
Correct Answer:
- Ensure that the client's hips remain in an abducted position.
- / 4
A nurse is assessing a client who is immediately postoperative following a subtotal thyroidectomy. Which of the following should the nurse expect to administer?
- Calcium gluconate.
- Sodium bicarbonate.
- Potassium chloride.
- Sodium phosphate.
Correct Answer:
- Calcium gluconate.
A nurse is caring for an adult client who has prescriptions for multiple medications. Which of the following (Unable to read) as an age-related change that increases the risk for adverse effects from this medication?
- Rapid gastric emptying.
- Prolonged medication half-life.
- Increased medication elimination.
- Decreased medication sensitivity.
Correct Answer:
- Prolonged medication half-life.
A nurse is preparing an in-service for a group of nurses about malpractice issues in nursing. Which of the following examples should the nurse include in the teaching?
Correct Answer:
Administering potassium via IV bolus
- / 4
. A nurse manager is planning to promote client advocacy among staff in a medical unit. Which of the following actions should the nurse take?
- Encourage staff to implement the principle of paternalism when a client is
- Tell staff explain procedures to clients before obtaining informed consent.
- Instruct unit staff to share personal experiences to help clients make
- Develop a system for staff members to report safety concerns in the
having difficulty making a choice.
decisions.
client care environment.
Correct Answer:
- Develop a system for staff members to report safety concerns in the
client care environment.
A nurse is providing teaching about the gastrostomy tube feedings to the parents of a school age child. Which of the following instructions should the nurse take?
- Administer the feeding over 30 min.
- Place the child in as supine position after the feeding.
- Charge the feeding bag and tubing every 3 days.
- Warm the formula in the microwave prior to administration
Correct Answer:
- Administer the feeding over 30 min.
- / 4
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.
- Constipation for 2 days.
Correct Answer:
- Apical pulse 58/min.
A nurse is providing discharge teaching to client who has a new prescription for phenelzine. The nurse should instruct the client that it is safe to eat which of the following foods while taking this medication.
Correct Answer:
Whole grain bread
A nurse is caring for an adolescent who has sickle-cell anemia. Which of the following manifestations indicates acute chest syndrome and should be immediately reported to the provider?
- Substernal retractions.
- Hematuria.
- Temperature 37.9 C (100.2 F).
- Sneezing
Correct Answer:
- Substernal retractions.
- / 4