KAPLAN PREDICTOR

Predictor Exam

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450 terms nolanjackson06 Preview VATI Co 175 term rob Which of these instructions should a nurse include in the teaching plan for a client who had removal of a cataract in the left eye?

• "Forcefully cough and take deep breaths every two

hours to keep your airway clear."

• "Perform the prescribed eye exercises each day to

strengthen your eye muscles."

• "Rinse your eyes with saline each morning to prevent

postoperative infection."

• "Take the prescribed stool softener to avoid increasing

intraocular pressure." d A client vomits during a continuous nasogastric tube feeding. A nurse should stop the feeding and take which of these actions?

• Suction the nasogastric tube.
• Flush the tube with 30 mL of sterile water.
• Remove the nasogastric tube.
• Check the residual volume.

D

Which of these actions best demonstrates cultural sensitivity by a nurse?

• The nurse talks in a slow-paced speech.
• The nurse asks clients about their beliefs and practices

toward pregnancy.

• The nurse uses charts and diagrams when teaching

pregnant clients.

• The nurse can speak several different languages.

B Which of these manifestations should a nurse expect to observe in a 3-month-old infant who is diagnosed with dehydration?

• Hyperreflexia.
• Tachycardia.
• Bradypnea.
• Agitation.

B When assessing a client's risk of developing nosocomial infection, a nurse plans to determine potential entry

portals, which include:

• the urinary meatus.
• vomitus.
• contaminated water.
• sexual intercourse.

A A client who is on the inpatient psychiatric unit has a history of violence. Which of these actions should a nurse take if the client is agitated?

• Encourage the client to verbalize feelings.
• Lock the client in a secluded room.
• Ask the other clients to give feedback regarding the

client's behavior.

• Ignore the client's inappropriate behavior.

A Which of these measures should a nurse include when planning care for a school-aged child during a sickle cell crisis episode?

• Monitoring for signs of bleeding.
• Providing pain relief.
• Administering cool sponge baths to reduce fevers.
• Offering a high calorie diet.

B

Which of these instructions should a nurse include in the plan of care for a 32-week gestation client who had an amniocentesis today?

• "Drink at least six glasses of fluids during the next six

hours after the test."

• "Call the clinic if you experience any abdominal

cramps."

• "Don't be concerned if you have some vaginal spotting

in the next 12 hours."

• "When you get home, stay on bed-rest for the next 48

hours." B An adolescent has a nursing diagnosis of fatigue related to inadequate intake of iron-rich foods. Selection of which of these lunches by the client indicates a correct understanding of foods high in iron content?

• Peanut butter and jam sandwich.
• Chicken nuggets with rice.
• Tuna salad sandwich.
• Beefburger with cheese.

D A client has been admitted with acute pancreatitis. Which of these laboratory test results supports this diagnosis?

• Elevated serum potassium level.
• Elevated serum amylase level.
• Elevated serum sodium level.
• Elevated serum creatinine level.

B Which of these manifestations, if assessed in a client who is two-hours postoperative after abdominal surgery, should a nurse report immediately?

• Vomiting and a pulse rate of 106/minute.
• Respiratory rate of 12/minute and urine dribbling.
• Blood pressure of 100/60 mm Hg and wound

discomfort.

• Urine output of 100 mL/hr and flushed skin.

A Which of these observations of a student nurse's behavior while interacting with a client who is crying indicates a correct understanding of therapeutic communication?

• The student maintains continuous eye contact with the

client.

• The student places one arm around the client's

shoulder?

• The student sits quietly next to the client.
• The student leaves the room to provide privacy for the

client.C

Which of these actions should a nurse take initially if a client who is diagnosed with diabetes mellitus develops tremors and ataxia?

• Measure the client's blood sugar level.
• Administer a concentrated form glucose to the client.
• Administer a prn dose of insulin.
• Measure the client's urine for ketones.

A An elderly client is at increased risk of developing drug toxicity to prescribed medications due to declining hepatic and renal functioning. Which of these strategies should a nurse plan to decrease this risk?

• Increasing the time interval between medication doses.
• Limiting the client's oral fluid intake.
• Administering the medications with meals.
• Encouraging the client to void every three to four

hours.A A client has persistent paranoid delusions that the food on the unit is poisoned. Which of these measures should a nurse include in the client's care plan?

• Explaining that staff does not poison clients.
• Focusing on how the hospital staff helps clients.
• Allowing the client to eat food from sealed containers.
• Telling the client that not eating the food that is served

will result in privilege restrictions.C Thrombophlebitis is a complication that may result due to surgery. Which of these actions should a nurse take in the operating room to prevent this complication from occurring?

• Gatch the knee of the bed.
• Administer anticoagulants preoperatively.
• Apply sequential compression devices.
• Maintain the legs in a dependent position.

C When discussing weigh gain during pregnancy, a nurse should recommend that the total weight gain for a pregnant client who is at ideal body weight for her height

is:

• at least 15 pounds.
• 15 to 20 pounds.
• 25 to 35 pounds.
• at least 45 pounds.

C