RN Comprehensive Predictor 2019 Form A
1. A nurse in a pediatric unit is preparing to insert an IV catheter for
7-year-old. Which of the following
... [Show More] actions should the nurse take?
A. (Unable to read)
B. Tell the child they will feel discomfort during the catheter insertion.
C. Use a mummy restraint to hold the child during the catheter insertion.
D. Require the parents to leave the room during the procedure.
2. A nurse is caring for a client who has arteriovenous fistula Which
of the following findings should the nurse report?
A. Thrill upon palpation.
B. Absence of a bruit.
C. Distended blood vessels
D. Swishing sound upon auscultation.
3. A nurse is providing discharge teaching for a client who has an
implantable cardioverter defibrillator which of the following
statements demonstrates understanding of the teaching?
A. “I will soak in the tub rather and showering”
B. “I will wear loose clothing around my ICD”
C. “I will stop using my microwave oven at home because of my ICD”
D. “I can hold my cellphone on the same side of my body as the ICD”
4. A nurse is caring for a client who is at 14 weeks gestation and
reports feelings of ambivalence about being pregnant. Which of the
following responses should the nurse make?
A. “Describe your feelings to me about being pregnant”
B. “You should discuss your feelings about being pregnant with your
provider”
C. “Have you discussed these feelings with your partner?”
D. “When did you start having these feelings?”
5. A nurse is planning care for a client who has a prescription for a
bowel- training program following a spinal cord injury. Which of the
following actions should the nurse include in the plan of care?
A. Encourage a maximum fluid intake of 1,500 ml per day.
B. Increase the amount of refined grains in the client’s diet.
C. Provide the client with a cold drink prior to defecation.D. Administer a rectal suppository 30 minutes prior to scheduled
defecation times.
6. A nurse is caring for a client who is in active labor and requests
pain management. Which of the following actions should the nurse
take?
A. Administer ondansetron.
B. Place the client in a warm shower.
C. Apply fundal pressure during contractions.
D. Assist the client to a supine position.
7. a nurse in an emergency department is performing triage for
multiple clients following a disaster in the community. To which of
the following types of injuries should the nurse assign the highest
priority?
A. Below-the knee amputation
B. Fractured tibia
C. 95% full-thickness body burn
D. 10cm (4in) laceration to the forearm
8. a nurse manager is updating protocols for the use of belt
restraints. Which of the following guidelines should the nurse
include?
A. Remove the client’s restraint every 4hr
B. Document the client’s condition every 15 min
C. Attach the restrain to the bed’s side rails
D. Request a PRN restrain prescription for clients who are aggressive
9. A nurse is teaching an in-service about nursing leadership. Which of the
following information should the nurse include about an effective leader?
A. Acts as an advocate for the nursing unit.
B. (Unable to read) for the unit
C. Priorities staff request over client needs.
D. Provides routine client care and documentation.
10. A nurse is reviewing the laboratory findings of a client who has
diabetes mellitus and reports that she has been following her
(unable to read) care. The nurse should identify which of the
following findings indicates a need to revise the client’s plan of
care.A. Serum sodium 144 mEq/
B. (Unable to read)
C. Hba1c 10 %
D. Random serum glucose 190 mg/dl.
11. A nurse in a provider’s office is reviewing the laboratory results
of a group of clients. The nurse should identify that which of the
following sexually transmitted infections is a nationally notifiable
infectious disease that should be reported to the state health
department?
A. Chlamydia
B. Human papillomavirus
C. Candidiasis
D. Herps simplex virus
12. A nurse is teaching a newly licensed nurse about therapeutic
techniques to use when leading a group on a mental health unit.
Which of the following group facilitation techniques should the
nurse include in the teaching?
A. Share personal opinions to help influence the group’s values
B. Measure the accomplishments of the group against a previous group
C. Yield in situations of conflicts to maintain group harmony
D. Use modeling to help the clients improve their interpersonal skills
13. A nurse is planning for a client who practices Orthodox Judaism.
The client tells the nurse that (Unable to read) Passover holiday.
Which of the following action should the nurse include in the plan of
care?
A. Provide chicken with cream sauce.
B. Avoid serving fish with fins and scales.
C. Provide unleavened bread.
D. Avoid serving foods containing lamb.
14. A nurse is caring for a client who has a pulmonary embolism.
The nurse should identify the effectiveness of the treatment
A. A chest x-ray reveals increased density in all fields.
B. The client reports feeling less anxious.
C. Diminished breath sounds are auscultated bilaterally
D. ABG results include Ph 7.48 PaO2 77 mm Hg and PaCO2 47 mm Hg.15. A nurse in an emergency department is assessing a client who
reports ingesting thirty diazepam tablets (Unable to read) a
respiratory rate of 10/min. After securing the client’s airway and
initiating an IV, which of the following actions should the nurse do
next.
A. Monitor the client’s IV site for thrombophlebitis.
B. Administer flumazenil to the client.
C. Evaluate the client for further suicidal behavior.
D. Initiate seizure precautions for the client.
16. A nurse in an emergency department is caring for a client who
reports cocaine use 1hr ago. Which of the following findings should
the nurse expect?
A. Hypotension
B. Memory loss
C. Slurred speech
D. Elevated temperature
17. A nurse is assessing a newborn who has a blood glucose level of
30 mg/dl. Which of the following manifestations should the nurse
expect?
A. Loose stools
B. Jitteriness –(hypoglycemia)
C. Hypertonia
D. Abdominal distention
18. A nurse in a pediatric clinic is reviewing the laboratory test
results of a school age child. Which of the following findings should
the nurse report to the provider?
A. Hgb 12.5 g/dl
B. Platelets 250,000/mm3
C. Hct 40%
D. WBC 14,000/mm3 -should be (5000-10000)
19. A charge nurse is teaching a newly licensed nurse about clients
designating a health care proxy in situations that require a durable
power of attorney for heal care (DPSHC). Which of the following
information should the charge nurse include?A. “The proxy should make health care decisions for the client regardless
of the client’s ability to do so.”
B. “The proxy can make financial decisions if the need arises.”
C. “The proxy can make treatment decisions if the client is under
anesthesia.”
D. “The proxy should manage legal issues for the client.”
20. A nurse in the PACU is caring for a client who reports nausea.
Which of the following actions should the nurse take first?
A. Turn the client on their side.
B. Administer an analgesic
C. Administer antiemetic
D. Monitor the client’s vital signs.
21. A nurse is caring for a client who has a history of depression and
is experiencing a situational crisis. Which of the following actions
should the nurse take first?
A. Confirm the client’s perception of the event
B. Notify the client’s support system
C. Help the client identify personal strengths
D. Teach the client relaxation techniques
22. A nurse is caring for a client who has bipolar disorder and is
experiencing acute mania. The nurse obtained a verbal prescription
for restraints. Which of the following should the actions should the
nurse take?
A. Request a renewal of the prescription every 8 hr.
B. Check the client’s peripheral pulse rate every 30 min
C. Obtain a prescription for restraint within 4 hr.
D. Document the client’s condition every 15 minutes.
23. A
24. A charge nurse on a medical-surgical unit is planning
assignments for a licensed practical nurse (LPN) who has been sent
from the (Unable to read) unit due to a staffing shortage. Which of
the following client should the nurse delegate to the LPN?A. A client who has an Hgb of 6.3 g/dl and a prescription for packed RBCs.
B. A client who sustained a concussion and has unequal pupils.
C. A client who is postoperative following a bowel resection with an NG
tube set to continuous suction.
D. A client who fractured his femur yesterday and is experiencing
shortness of breath.
25. A nurse is working on a surgical unit is developing a care plan for a client who has
paraplegia. The client has an area of nonblanchable erythema over his ischium. Which of
the following interventions should the nurse include in the care plan?
A. Place the client upright on a donut-shaped cushion
B. Teach the client to shift his weight every 15 min while sitting
C. Turn and reposition the client every 3 hr while in bed
D. Assess pressure points every 24 hr
25. A nurse is caring for a client who is dilated to 10 cm and
pushing. Which of the following pain-management (Unable to read)
a safe option for the client?
A. Naloxone hydrochloride.
B. Spinal anesthesia.
C. Pudendal block.- p for pushing….
D. Butorphanol tartrate.
26. C
27. A nurse is assessing a client who has major depressive disorder.
Which of the following findings should the nurse identify as the
(Unable to read) (Most important?)
A. The client changes the subject when future plans are mentioned.
B. The client talks about being in pain constantly.
C. The client sleeping over 12 hr. each day.
D. The client reports giving away personal items.
28. A nurse is providing teaching about immunizations to a client
who is pregnant. The nurse should inform the client that she can
receive which of the following immunizations during pregnancy?
(Select all that apply)
A. Varicella vaccine.
B. Inactivated polio vaccine.
C. Tetanus diphtheria and acellular pertussis vaccine
D. Rubella vaccine.
E. Inactivated influenza vaccine.29. A nurse is caring for a client who has end-stage kidney disease. The client’s adult child
asks the nurse about becoming a living kidney donor for her father. Which of the following
condition in the child’s medical history should the nurse identify as a contraindication to
the procedure?
A. Amputation
B. Osteoarthritis
C. Hypertension
D. Primary glaucoma
30. A nurse is providing discharge teaching for a group of clients.
The nurse should recommend a referral to a dietitian
A. A client who has a prescription for warfarin and states “I will need to
limit how much spinach I eat”.
B. A client who has gout and states, “I can continue to eat anchovies on
my pizza.”
C. A client who has a prescription for spironolactone and states “I will
reduce my intake of foods that contain potassium”.
D. A client who has (Unable to read) and states “I’ll plan to take my
calcium carbonate with a full glass of water”.
31. A hospice nurse is visiting with the son of a client who has
terminal cancer. The son reports sleeping very little during the past
week due to caring for his mother. Which of the following responses
should the nurse make?
A. “I can give you information about respite care if you are interested.”
B. “You should consider taking a sleeping pill before bed each night”
C. “It must be difficult taking care of someone who is terminally ill”
D. “You are doing a great job taking care of your mother”
31. A nurse is assessing a child who is being treated for bacterial
pneumonia. The nurse notes an increase in the child’s glucose. The
nurse should identify this finding as an adverse effect of which of
the following medications
A. Methylprednisolone.
B. Ondansetron.
C. Guaifenesin.
D. Amoxicillin.32. The nurse is providing teaching about folic acid to a client who is
prima gravida. Which of the following information should the nurse
include in the teaching?
A. “You should take folic acid to decrease the risk of transmitting
infections to your baby”
B. “You should consume a maximum of 300 micrograms of folic acid
every day”.
C. “You can increase your dietary intake of folic acid by eating cereals and
citrus fruits”.
D. “You can expect your urine to appear red-tingled while taking folic acid
supplements”.
33. A community health nurse is assessing an adolescent who is
pregnant. Which of the following assessments is the nurse’s
priority?
A. Social relationship with peers.
B. Plans for attending school while pregnant.
C. (Unable to read) (Picked this one) Medicaid?
D. Understanding of infant care.
34. A nurse manager is planning to teach staff about critical
pathways. Which of the following information should the nurse
include?
A. Critical pathways have unlimited timeframe for completion
B. (Unable to read) decrease health care costs.
C. (Unable to read) critical pathway if variances (Unable to read)
D. (Unable to read) are used to create the critical pathway.
35. A nurse is reviewing the medical record of a client who has
schizophrenia. Which of the following should the nurse report to the
provider?
Exhibit 1
Blood pressure: 102/56 mm Hg. Heart rate: 95/min
Respiratory rate: 18/min Temperature: 37.4C (99.3F)
Exhibit 2
Medication Administration Record
Clozapine 150 mg PO twice daily
Benztropine 0.5 mg PO twice daily as needed for tremors.Exhibit 3
Nurse’s notes:
Client reports feeling dizzy when changing positions, Reports weight gain of
1kg (2.2 lb.) in the past month. Also reports a sore throat for the past 3 days
and dry mouth. Client ate 75% of breakfast and reports slightly nauseous.
A. Dietary intake
B. Heart rate.
C. Sore throat.
D. Blood pressure.
36. A charge nurse is educating a group of unit nurses about
delegating client tasks to assistive personnel
A. “The nurse is legally responsible for the actions of the AP”.
B. “An AP can perform tasks outside of his range if he has been trained”.
C. “An experienced AP can delegate to another AP”.
D. “An RN evaluates the client needs to determine tasks to delegate”
37. A nurse is assessing a client who is in active labor. Which of the
following findings should the nurse report to the provider?
A. Contractions lasting 80 seconds
B. FHR baseline 170/min
C. Early decelerations in the FHR
D. Temperature 37.4C (99.3)
38. A nurse working in a rehabilitation facility is developing a
discharge plan for a client who has left-sided hemiplegia the
following actions is the nurse’s priority?
A. Consult with a case manager about insurance coverage.
B. Counsel caregivers about respite care options.
C. Ensure that the client has a referral for physical therapy.
D. Refer the client to a local stroke support group.
39. A nurse in a mental health unit is planning room assignments for
four clients. Which of the following client should be closest to the
nurse’s station?A. A client who has an anxiety disorder and is experiencing moderate
anxiety.
B. A client who has somatic symptom disorder and reports chronic pain.
C. A client who has depressive disorder and reports feeling hopeless.
D. A client who has bipolar disorder and impaired social interactions.
40. A nurse is preparing to measure a temperature of an infant.
Which of the following action should the nurse take?
A. Place the tip of the thermometer under the center of the infant’s axilla.
B. Pull the pinna of the infant’s ear forward before inserting the probe.
C. Insert the probe 3.8 cm (1.5in) into the infant’s rectum.
D. Insert the thermometer in front of the infant’s tongue.
41. A nurse is planning care for a client who has bipolar disorder
and is experiencing mania. Which of the following interventions
should the nurse include in the plan?
A. Encourage the client to spend time in the day room
B. Withdraw the client’s TV privileges is the does not attend group
therapy
C. Encourage the client to take frequent rest periods
D. Place the cline in seclusion when he exhibits signs of anxiety
42. A nurse is admitting medications to a group of clients. Which of
the following occurrences requires the completion of an incident
report?
A. A client receives his antibiotics 2hr late
B. A client vomits within 20min of taking his morning medications
C. A client requests his statin to be administered at 2100
D. A client asks for pain medication 1hr early
43. A nurse is caring for a client who is 24 hr. postpartum and is
breast feeding her newborns. The client asks the nurse to warm up
seaweed soup that the client’s partner brought for her. Which of the
following responses should the nurse make?
A. “Does the doctor know you are eating that?”
B. “Why are you eating seaweed soup?”
C. “Of course I will heat that up for you”
D. “The hospital food is more nutritious”44. a nurse is preparing an in-service for a group of nurses about
malpractice issues in nursing. Which of the following examples
should the nurse include in the teaching?
A. Leaving a nasogastric tube clamped after administering oral
medication
B. Documenting communication with a provider in the progress notes of
the client’s medical records
C. Administering potassium via IV bolus
D. Placing a yellow bracelet on a client who is at risk for falls
45. a nurse is providing teaching to family members of a client who
has dementia. Which of the following instructions should the nurse
include in the teaching?
A. Establish a toileting schedule for the client
B. Use clothing with buttons and sippers
C. Discourage physical activity during the day
D. Engage the client in activities that increase sensory stimulation
46. The nurse is reviewing the medical record of a client who is
requesting combination oral contraceptives. Which of the following
conditions in the client’s history is a contradiction to the use of oral
contraceptives?
A. Hyperthyroidism.
B. Thrombophlebitis.
C. Diverticulosis.
D. Hypocalcemia.
47. A nurse is admitting a client who has schizophrenia and
experiences auditory hallucinations. The client states, “It’s hard not
to listen to the voices.” Which of the following questions should the
nurse ask the client?
A. “Do you understand that the voices are not real?”
B. “Why do you think the voices are talking to you?”
C. “Have you tried going to a private place when this occurs?”
D. “What helps you ignore what you are hearing?”
48. A charge nurse is teaching a group of newly licensed nurses
about the correct use of restraints. Which of the following should
the nurse include in the teaching?A. Placing a belt restraint on a school-age child who has seizures.
B. Securing wrist restraints to the bed rails for an adolescent.
C. Applying elbow immobilizers of an infant receiving cleft lip injury
D. Keeping the side rails of a toddler’s crib elevated.
49. B
50. A nurse is preparing to mix NPH and regular insulin in the same
syringe. Which of the following
A. Inject air into the NPH insulin vial.
B. (Unable to read)
C. Withdraw the prescribed dose of regular insulin
D. Withdraw the prescribed dose of NPH insulin
51. a Nurse is working with a client who has an anxiety disorder and is in the orientation
phase of the therapeutic relationship. Which of the following statements should the nurse
make during this phase? [Show Less]