COMPREHESIVE PREDICTOR LATEST
EXAM QUESTIONS WITH CORRECT
ANSWERS
A nurse is caring for a client who reports difficulty falling asleep at night. Which of the
following actions should the nurse take?
A. Encourage the client to ambulate in the hallway 1 hr before bedtime
B. Tell the client to avoid drinking fluids 1 hr before bedtime
C. Schedule routine care tasks during hours when the client is awake
D. Advise the client to leave the television in the room on when trying to fall asleep --
ANSWER--C. Schedule routine care tasks during hours when the client is awake
A nurse is planning care for a newborn who has hyperbilirubinemia and is to receive
phototherapy. Which of the following interventions should the nurse include?
A. Clothe the newborn in light cotton
B. Check the newborn's temperature every 8 hrs. (every 4)
C. Administer 120 mL of water between feedings
D. Place the newborn 45 cm (18 in) from the light source --ANSWER--D. Place the newborn
45 cm (18 in) from the light source
A nurse is planning care for a client who has schizophrenia and is having difficulty
expressing their feelings. Which of the following referrals should the nurse make?
A. Art therapist
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,B. Speech-language pathologist
C. Social worker
D. Recreational therapist --ANSWER--A. Art therapist
A nurse is caring for a client who has heart failure and has started taking a loop diuretic.
Which of the following findings indicates the client is experiencing an adverse effect of the
medication?
A. Decreased reflexes
B. Weight gain of 1.4 kg
C. Increased urinary output
D. Jugular vein distention --ANSWER--A. Decreased reflexes
Loop diuretics cause excessive urination leading to hypotension and finally resulting in
decreased reflexes.
At the start of an evening shift on a cardiac unit, a licensed practical nurse brings the nurse a
list of client reports. Which of the following client reports should the nurse assess first?
A. Constipation
B. Indigestion
C. Swollen ankles
D. Urinary frequency --ANSWER--B. Indigestion
A nurse is caring for a client who has just returned to the unit following a bronchoscopy.
Which of the following actions by the assistive personnel requires the nurse to intervene?
A. Encourages the client to use the incentive spirometer
B. Elevates the head of the client's bed
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,C. Offers oral fluids to the client
D. Checks the client's pulse oximetry --ANSWER--C. Offers oral fluids to the client
A nurse on a medical unit has just received change-of-shift report. Which of the following
clients should the nurse assess first?
A. A 68-year-old client who had a myocardial infarction 2 days ago and reports chest pain 4
on a scale of 0 to 10
B. A 48-year-old client who has AIDS, pneumocystis pneumonia, and a temperature of 38.3
C (101F)
C. A 60-year-old client who has COPD, is receiving 2 L/min O2 via a nasal cannula, and has
an oxygen saturation of 89%
D. A 26-year-old female client who has pelvic inflammatory disease and is unable to void --
ANSWER--A 68-year-old client who had a myocardial infarction 2 days ago and reports
chest pain 4 on a scale of 0 to 10
A nurse is admitting a client who has antisocial personality disorder. Which of the following
client behaviors should the nurse identify as consistent with this disorder?
A. Compulsive attention to details
B. Avoids interacting with others
C. Uses others for personal gain
D. Socially awkward in group situations --ANSWER--C. Uses others for personal gain
A charge nurse on a pediatric unit is making assignments for a float nurse from the medical
unit. Which of the following clients is appropriate to assign to the float nurse?
A. A 10-year-old client who has pneumonia and is receiving respiratory treatments
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, B. A 4-year-old client who has a Wilms tumor and is receiving chemotherapy
C. An 8-month-old client who is scheduled for a surgical repair of a ventricular septal defect
tomorrow
D. A 14-year-old client who is scheduled for discharge today following placement of a
Harrington rod --ANSWER--A. A 10-year-old client who has pneumonia and is receiving
respiratory treatments
A nurse is assessing an infant who has water intoxication. Which of the following findings
should the nurse expect?
A. Generalized edema
B. Elevated urine specific gravity
C. Thready pulse
D. Increased hematocrit --ANSWER--A. Generalized edema
A nurse is discussing the z-track administration of hydroxyzine with a newly licensed nurse.
Which of the following statements indicates the newly licensed nurse understands the
purpose of the technique?
A. This technique prevents injury to the sciatic nerve
B. This technique decreases the risk of subcutaneous infiltration
C. This technique allows a larger amount of medication to be injected
D. This technique increases the absorption rate of the drug --ANSWER--This technique
decreases the risk of subcutaneous infiltration
A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the
following interventions should the nurse include in the plan?
A. Encourage the client to gain 2.3 kg per week
B. Weigh the client once per week throughout hospitalization
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