PN Comprehensive Predictor 2020

Extract:

Question 1 of 5

A nurse is contributing to an in-service for newly licensed nurses about situations requiring an incident report. Which of the following examples should the nurse include?

A. A nurse observes a client vomiting after receiving an oral pain medication. B. A nurse observes another nurse remove wrist restraints one at a time from a client who is currently calm. C. A nurse discovers that an electronic IV pump delivered twice the prescribed amount of fluid to a client. D. A nurse discovers that a client's family member has administered a PCA dose.

Correct Answer: C

Rationale: An IV pump error delivering double the fluid is a serious medication error requiring an incident report. Vomiting is a side effect, restraint removal may not need reporting, and PCA misuse needs clarification.

Question 2 of 5

A nurse is collecting a health history from the guardian of a 4-year-old child. Which of the following statements by the guardian is the priority for the nurse to address?

A. My child still wets the bed at least two times per week. B. I have noticed that my child is withdrawn since we switched day care providers. C. I have a difficult time getting my child to eat green vegetables. D. My child continually asks me the same questions.

Correct Answer: B

Rationale: Withdrawal after a daycare change suggests emotional distress, a priority over bedwetting, picky eating, or repetitive questions, which are less urgent.

Question 3 of 5

A nurse at a provider's office is caring for a client who is in the third trimester of pregnancy. Which of the following findings should the nurse report to the provider?

A. Shortness of breath when climbing stairs B. Leukorrhea C. Periodic numbness of the fingers D. Blurred vision

Correct Answer: D

Rationale: Blurred vision in the third trimester may indicate preeclampsia, a serious condition requiring immediate reporting. Other findings are common pregnancy symptoms.

Question 4 of 5

A nurse is assisting with the development of an education program for a group of older adults. Which of the following actions should the nurse take first?

A. Establish learning outcomes. B. Schedule a time to implement the program. C. Create handouts for participants. D. Determine the literacy level of participants.

Correct Answer: D

Rationale: Determining literacy level first ensures the program is tailored to participants' comprehension, guiding outcomes, scheduling, and handouts effectively.

Question 5 of 5

A nurse is providing change-of-shift report for a client. Which of the following information should the nurse include in the report?

A. The client reports pain is reduced when he is positioned on his side. B. The client's mother died 4 years ago from breast cancer. C. The client's partner visited earlier today for 2 hours. D. The client received the prescribed antibiotic every 8 hours.

Correct Answer: A

Rationale: Pain reduction with positioning is a current condition change relevant to ongoing care, unlike past history, visitor details, or routine med administration.

PN Comprehensive Predictor 2020 | Nurselytic

Nurselytic

ATI LPN

ATI LPN