PN Comprehensive Predictor 2020

Extract:

Question 1 of 5

A nurse is caring for a client who has a chest tube to manage a hemothorax. Which of the following actions should the nurse take? Select all that apply.

A. Ensure the chest tube remains below the level of the client's chest. B. Notify the provider if drainage exceeds 50 mL/hr. C. Strip the chest tube every 2 hr to ensure patency. D. Reinforce loose dressing around the tube. E. Monitor the client for subcutaneous emphysema. F. Encourage the client to breathe shallowly to prevent pain.

Correct Answer: A,D,E

Rationale: Keeping the tube below chest level aids drainage, reinforcing dressings maintains a seal, and monitoring for emphysema detects complications. Stripping is outdated, shallow breathing hinders recovery, and drainage reporting varies by protocol.

Question 2 of 5

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

A. You should avoid eating grapefruit while taking this medication. B. This medication might cause you to gain weight. C. You might notice that this medication causes your gums to bleed. D. You might experience an increase in your energy level while taking this medication.

Correct Answer: A

Rationale: Verapamil interacts with grapefruit, increasing drug levels and side effects. Weight gain, gum bleeding, and energy boosts aren't typical effects.

Question 3 of 5

A nurse is collecting data from a client who reports recent weight loss. Which of the following findings should indicate to the nurse that the client is dehydrated?

A. Capillary refill of less than 2 seconds B. Distended neck veins C. Dry mucous membranes D. Strong peripheral pulses

Correct Answer: C

Rationale: Dry mucous membranes are a key sign of dehydration due to reduced fluid volume. Quick refill, distended veins, and strong pulses suggest adequate hydration.

Question 4 of 5

A nurse in a provider's office is reinforcing teaching with a client who has a new prescription for an ACE inhibitor to treat hypertension. Which of the following statements should the nurse include?

A. You might notice that you have an increase in your appetite. B. You should notify your provider if you develop a cough. C. This medication might cause your skin to turn yellow. D. You might notice an increase in your energy level while taking this medication.

Correct Answer: B

Rationale: ACE inhibitors commonly cause a dry cough, which should be reported. Appetite increase, jaundice, and energy boosts aren't typical effects.

Question 5 of 5

A nurse is reinforcing teaching with a client who has a new prescription for a metered-dose inhaler. Which of the following statements by the client indicates an understanding of the teaching?

A. I should wait 10 seconds between puffs. B. I should rinse my mouth with water after each use. C. I should depress the canister twice with each use. D. I should exhale quickly after inhaling the medication.

Correct Answer: B

Rationale: Rinsing the mouth prevents irritation or infection from residual medication. Waiting time is typically 30-60 seconds, one depression per puff, and breath-holding aids absorption.

PN Comprehensive Predictor 2020 | Nurselytic

Nurselytic

ATI LPN

ATI LPN