RN Comprehensive Predictor 2019 Form A, B, C, 2016 Test C, ATI Compr.Exit Final, and RN Exit New Exam
RN Comprehensive Predictor 2019 Form A1. A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-old. Which of the following actions should the nurse take?
- (Unable to read)
- Tell the child they will feel discomfort during the catheter insertion.
- Use a mummy restraint to hold the child during the catheter insertion.
- Require the parents to leave the room during the procedure.
2. A nurse is caring for a client who has arteriovenous fistula Which of the following findings should the nurse report?
- Thrill upon palpation.
- Distended blood vessels
- Swishing sound upon auscultation.
3. A nurse is providing discharge teaching for a client who has an implantable cardioverter defibrillator which of the following statements demonstrates understanding of the teaching?
- “I will soak in the tub rather and showering”
- “I will wear loose clothing around my ICD”
- “I will stop using my microwave oven at home because of my ICD”
- “I can hold my cellphone on the same side of my body as the ICD”
4. A nurse is caring for a client who is at 14 weeks gestation and reports feelings of ambivalence about being pregnant. Which of the following responses should the nurse make?
- “Describe your feelings to me about being pregnant”
- “You should discuss your feelings about being pregnant with your provider”
- “Have you discussed these feelings with your partner?”
- “When did you start having these feelings?”
5. A nurse is planning care for a client who has a prescription for a bowel- training program following a spinal cord injury. Which of the following actions should the nurse include in the plan of care?
- Encourage a maximum fluid intake of 1,500 ml per day.
- Increase the amount of refined grains in the client’s diet.
- Provide the client with a cold drink prior to defecation.
- Administer a rectal suppository 30 minutes prior to scheduled defecation times.
6. A nurse is caring for a client who is in active labor and requests pain management. Which of the following actions should the nurse take?
- Administer ondansetron.
- Place the client in a warm shower.
- Apply fundal pressure during contractions.
- Assist the client to a supine position.
7. a nurse in an 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?
- Below-the knee amputation
- Fractured tibia
- 95% full-thickness body burn
- 10cm (4in) laceration to the forearm
8. a nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse include?
- Remove the client’s restraint every 4hr
- Document the client’s condition every 15 min
- Attach the restrain to the bed’s side rails
- Request a PRN restrain prescription for clients who are aggressive
9. A nurse is teaching an in-service about nursing leadership. Which of the following information should the nurse include about an effective leader?
- Acts as an advocate for the nursing unit.
- (Unable to read) for the unit
- Priorities staff request over client needs.
- Provides routine client care and documentation.
10. A nurse is reviewing the laboratory findings of a client who has diabetes mellitus and reports that she has been following her (unable to read) care. The nurse should identify which of the following findings indicates a need to revise the client’s plan of care.
- Serum sodium 144 mEq/
- (Unable to read)
- Random serum glucose 190 mg/dl.
11. A nurse in a provider’s office is reviewing the laboratory results of a group of clients. The nurse should identify that which of the following sexually transmitted infections is a nationally notifiable infectious disease that should be reported to the state health department?
- Human papillomavirus
- Herps simplex virus
12. A nurse is teaching a newly licensed nurse about therapeutic techniques to use when leading a group on a mental health unit. Which of the following group facilitation techniques should the nurse include in the teaching?
- Share personal opinions to help influence the group’s values
- Measure the accomplishments of the group against a previous group
- Yield in situations of conflicts to maintain group harmony
- Use modeling to help the clients improve their interpersonal skills
13. A nurse is planning for a client who practices Orthodox Judaism. The client tells the nurse that (Unable to read) Passover holiday. Which of the following action should the nurse include in the plan of care?
- Provide chicken with cream sauce.
- Avoid serving fish with fins and scales.
- Provide unleavened bread.
- Avoid serving foods containing lamb.
14. A nurse is caring for a client who has a pulmonary embolism. The nurse should identify the effectiveness of the treatment
- A chest x-ray reveals increased density in all fields.
- The client reports feeling less anxious.
- Diminished breath sounds are auscultated bilaterally
- ABG results include Ph 7.48 PaO2 77 mm Hg and PaCO2 47 mm Hg.
15. A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam tablets (Unable to read) a respiratory rate of 10/min. After securing the client’s airway and initiating an IV, which of the following actions should the nurse do next.
- Monitor the client’s IV site for thrombophlebitis.
- Administer flumazenil to the client.
- Evaluate the client for further suicidal behavior.
- Initiate seizure precautions for the client.