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RN Comprehensive Predictor 2023
RN Comprehensive Predictor 2023
Total Questions : 170
Showing 10 questions Sign up for moreA nurse in a family health clinic is caring for a client who requests information regarding the correct use of condoms. Which of the following statements should the nurse make?
Explanation
A. The condom should fit snugly but not just over the tip of the penis; it should cover the entire shaft.
B. Condoms provide protection against sexually transmitted diseases (STDs) and should be used in addition to implanted contraceptive methods (such as IUDs or implants) to prevent the spread of STDs. Implanted contraceptives do not offer STD protection.
C. Spermicides can increase condom effectiveness, but condoms are not equally effective with or without them. Their effectiveness varies.
D. Petroleum-based lubricants can degrade latex condoms and increase the risk of breakage, so water-based or silicone-based lubricants are recommended.
A nurse is obtaining the temperature of a newborn. Which of the following sites should the nurse use?
Explanation
A. Tympanic thermometers are not recommended for newborns because the ear canal is difficult to assess accurately in this age group.
B. Oral temperatures are not recommended for newborns due to the difficulty in ensuring accuracy.
C. The axillary site is the recommended method for obtaining a newborn's temperature. It is safe and non-invasive.
D. Rectal temperatures are accurate but are invasive and may cause discomfort or injury. It should only be used if other methods are not feasible.
A nurse is obtaining care for a clieture of a newborn. Which of the following sites should the nurse use?
Explanation
A. Keeping a newborn on NPO (nothing by mouth) status may be required in specific situations but not generally for routine care.
B. Laxatives are not routinely administered to newborns unless medically indicated for constipation.
C. Applying heat to the abdomen is not appropriate unless ordered by a healthcare provider, especially if the infant's temperature regulation is compromised.
D. Placing the head of the bed flat can help with positioning the newborn to prevent any breathing difficulties or aspiration.
A nurse is reviewing the medication administration record of a client. Which of the following prescriptions should the nurse clarify?
Explanation
A. Levothyroxine is usually administered in the morning and is prescribed correctly here.
B. The prescribed dose of Digoxin 250 mcg is unusually high for a daily dose. Typically, digoxin is prescribed in lower doses, and the nurse should clarify this prescription with the provider to ensure it is correct.
C. Ceftriaxone is correctly prescribed as an IV antibiotic with a standard interval.
D. Acetaminophen is correctly prescribed as a dosage of 650 mg every 6 hours.
A nurse is inserting an indwelling urinary catheter for a male client. Which of the following actions should the nurse take?
Explanation
A. The catheter should be picked up carefully, but the length from the tip is less important than maintaining sterility.
B. Cleansing the area is typically done with a single clean swab in a circular motion from the urethral meatus outward.
C. The correct technique for cleaning the penis is a circular motion from the urethra outward, not side-to-side.
D. Lifting the penis perpendicular to the body helps straighten the urethra, making catheter insertion easier and reducing the risk of injury.
A nurse in an outpatient mental health clinic is assessing an adolescent client. The nurse should expect the adolescent to be in which of the following of Erikson's stages of psychosocial development?
Explanation
A. Generativity vs. Self-absorption is the stage for adults in middle adulthood (ages 40-65), where individuals focus on contributing to society and guiding the next generation.
B. According to Erikson’s stages of psychosocial development, adolescents (ages 12-18) are in the stage of Identity vs. Role Confusion. During this stage, they work to develop a sense of personal identity and to explore different roles and beliefs.
C. Intimacy vs. Isolation occurs in young adulthood (ages 18-40), where individuals seek to form intimate relationships.
D. Trust vs. Mistrust is the first stage of Erikson’s theory, occurring during infancy (0-18 months), where infants develop a sense of trust when their needs are consistently met.
A nurse is caring for a client who is experiencing expressive aphasia and right The nurse should expect the adolescent to be in which of the nurse best promotes communication among staff caring for the client?
Explanation
A. While noting changes in the medical record is important, it doesn’t specifically address communication between staff members.
B. Having interdisciplinary team meetings on a regular basis ensures that all healthcare providers involved in the client’s care are informed of the current treatment plan, goals, and changes. This promotes communication and collaboration across disciplines, which is especially important in the care of clients with conditions like expressive aphasia.
C. Recording progress in the nurses’ notes is important, but it alone does not foster active communication between different team members.
D. Posting swallowing precautions is important for the safety of the client but doesn’t address the need for better communication among the team.
A nurse is teaching a client who is trying to conceive. Which adolescent client. The nurse should expect the adolescent to be in which of the a neural tube defect?
Explanation
A. Calcium is essential for bone health but does not directly prevent neural tube defects.
B. Iron is important for preventing anemia but is not specifically linked to the prevention of neural tube defects.
C. Zinc plays a role in reproductive health but is not specifically related to preventing neural tube defects.
D. Folate (also known as folic acid) is critical for preventing neural tube defects, such as spina bifida, during early pregnancy. It is recommended that women trying to conceive take folic acid supplements before conception and during the first trimester.
A nurse manager is addressing reports of conflict within a nursing unit. The nurse should identify which of the following situations as an example of interpersonal conflict?
Explanation
A. Interpersonal conflict occurs when there is a disagreement or negative interaction between two individuals. Insulting comments directed at a nurse by another nurse clearly represent an interpersonal conflict.
B. A complaint about handoff reporting is an issue between departments and may involve interdepartmental or communication problems, not interpersonal conflict.
C. A concern about holiday hours is a work scheduling issue and may relate to workload fairness rather than interpersonal conflict.
D. A personal difficulty with caring for clients who have HIV is an intrapersonal conflict, as it reflects the nurse’s internal struggle, not a conflict between two individuals.
A nurse is assessing a child who has bacterial pneumonia. Which of the following manifestations should the nurse expect?
Explanation
A. Steatorrhea (fatty stools) is not typically associated with pneumonia; it is more commonly linked to gastrointestinal disorders.
B. Tinnitus (ringing in the ears) is not a common symptom of pneumonia but may be related to ear infections or other conditions.
C. Dysphagia (difficulty swallowing) is not typically a hallmark symptom of pneumonia, though it can occur in severe cases if there is aspiration.
D. Fever is a common symptom of bacterial pneumonia due to the body’s response to infection.
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