Questions 169

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RN Comprehensive Predictor 2023 Questions

Extract:

Question 164: Report an IssueReport Wrong Answer
Nurses' Notes
Vital Signs
Diagnostic Results
Day 1,0900:
Client is at 31 weeks of gestation and presents with a severe headache unrelieved by acetaminophen. Client also reports urinary frequency and decreased fetal movement. Client is a G3 P2 with one preterm birth


Question 1 of 5

The nurse is reviewing the client's medical record. Select 4 findings that indicate a potential prenatal complication.

Correct Answer: A,C,D,F

Rationale: Blood pressure: Indicates preeclampsia. Urine protein: Marker for preeclampsia. Headache: Symptom of preeclampsia. Fetal activity: Decreased movement suggests distress.

Extract:


Question 2 of 5

A nurse is assessing a client who is postoperative following a craniotomy. Which of the following findings should the nurse report immediately?

Correct Answer: B

Rationale: Pupillary dilation on one side indicates increased intracranial pressure, requiring immediate reporting.

Question 3 of 5

A nurse is teaching a client who has type 2 diabetes mellitus about metformin. Which of the following statements should the nurse include?

Correct Answer: A

Rationale: Taking metformin with meals minimizes gastrointestinal side effects such as nausea.

Extract:

History and Physical
Vital signs
Nurses' Notes
Laboratory Results
3 days ago:
Past medical history: Type 2 diabetes mellitus, hypertension. Surgical history: Cesarean birth x 2 as a young adult
Social history. Has smoked 1 pack of cigarettes per day for 40 years, drinks socially, does not exercise. Weight: 121.3 kg (267.4 lb)


Question 4 of 5

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

Implement rest, ice, elevation compression (RICE)
Check for pedal pulses and signs of ischemia.
Request a prescription for IV furosemide.
Request a prescription for a lower-extremity Doppler flow study.
Assess for Homan's sign.
Signs of bleeding after anticoagulation initiation
PT/INR and platelet count

Correct Answer: C

Rationale: Condition: Deep vein thrombosis. Actions: Request Doppler study, Assess for Homan's sign. Parameters: Signs of bleeding, PT/INR and platelet count. The client's history and symptoms suggest DVT.

Extract:


Question 5 of 5

A nurse is teaching dietary guidelines to a client who has celiac disease. Which of the following food choices is appropriate for this client?

Correct Answer: C

Rationale: Potato pancakes are a gluten-free option and appropriate for a client with celiac disease, as they do not contain wheat, barley, or rye.

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