PN Comprehensive Predictor 2020

Extract:

A nurse is assisting with the care of a client.
Laboratory Results
Abdominal ultrasound: mass present in small intestine proximal to ileocecal valve. Size of mass is 6 cm x 7 cm (2.4 in x 2.8 in).

Question 1 of 5

A nurse is assisting with the care of a client. Laboratory Results Abdominal ultrasound: mass present in small intestine proximal to ileocecal valve. Size of mass is 6 cm x 7 cm (2.4 in x 2.8 in). Select the 4 responsibilities the nurse has in relation to the client's advance directives.

A. Inform the client that an advance directive discontinues further care.B. Initiate a power of attorney for health care document.C. Document that the provider discussed do-not-resuscitate status with the client.D. Provide the client with written information about advance directives.E. Communicate advance directives status via the medical record and shift report.F. Instruct the client that an advance directive is a legal document and must be honored by care providers.

Correct Answer: C,D,E,F

Rationale: Nurses document DNR discussions, provide written info, communicate status, and explain legal honoring of directives. Discontinuing care is false, and initiating POA is a legal task.

Extract:

Question 2 of 5

A nurse is caring for a client who has a new prescription for clonazepam. Which of the following actions should the nurse take?

A. Instruct the client to take the medication daily regardless of need.B. Monitor the client for signs of drowsiness.C. Administer the medication with a high-fat meal.D. Check the client's respiratory rate prior to administration.

Correct Answer: B

Rationale: Clonazepam causes drowsiness, requiring monitoring. It's as prescribed (not always daily), taken without regard to meals, and respiratory checks aren't primary.

Question 3 of 5

A nurse is reinforcing teaching with a client who has a new prescription for buprenorphine. Which of the following statements should the nurse include?

A. You should take this medication with a full glass of milk.B. You might notice an increase in your energy levels.C. This medication might cause you to feel drowsy.D. You should stop taking this medication if your pain resolves.

Correct Answer: C

Rationale: Buprenorphine, an opioid, can cause drowsiness, a key side effect. Milk isn't required, energy may decrease, and stopping depends on the treatment plan.

Question 4 of 5

A nurse is assisting with the care of a client who is postoperative following a bowel resection. Which of the following actions should the nurse take?

A. Monitor the client for signs of paralytic ileus.B. Keep the client in a supine position for 24 hr.C. Administer a high-fiber diet immediately.D. Instruct the client to avoid coughing.

Correct Answer: A

Rationale: Paralytic ileus (absent bowel sounds) is a risk post-bowel resection, requiring monitoring. Supine isn't needed, diet starts low-fiber, and coughing is encouraged with support.

Question 5 of 5

A nurse is caring for a client who reports acute pain following a surgical procedure. Which of the following actions should the nurse take first?

A. Administer an opioid analgesic as prescribed.B. Apply a warm compress to the surgical site.C. Obtain the client's pain rating using a pain scale.D. Reposition the client for comfort.

Correct Answer: C

Rationale: Assessing pain level first guides appropriate intervention. Medication, compresses, or repositioning follow based on the assessment.

PN Comprehensive Predictor 2020 | Nurselytic

Nurselytic

ATI LPN

ATI LPN