RN Comprehensive Predictor 2025
Question 1 of 180:
A nurse is caring for a client.
Nurse's Notes: 0800:
A client who has bipolar disorder is admitted to the inpatient psychiatric unit. During the morning assessment,
,the client reports blurred vision and an increase in urine output. It is noted that the client is having clonic jerking
of upper extremities. Provider notified and laboratory tests ordered. Skin is warm and dry without rash.
Complete the following sentence by using the list of options:
The nurse understands that the patient has likely developed lithium toxicity, and will need to be monitored for:
• blood glucose levels
• seizure activity
• symptoms of infection
• temperature over 39.4°C (103°F)
Correct answer:
• seizure activity
Lithium toxicity often manifests with neurological symptoms, including seizure activity, making it important for
the nurse to monitor for this potential complication.
Question 5 of 180:
A nurse is caring for an older adult client.
,Nurses' Notes: 0945: Adult child accompanying parent reports cognitive and physical decline in the client,
expressing concern over memory loss, thought processes, appetite, and self-care. Adult child states, "My sibling
and I hired help at home for my parent. We thought that might help, but it has not. I found the title to the car
today, signed over to me."
Client makes poor eye contact, speaks in a monotone voice, and has a lack of facial expression.
Client reports sleeping 7 hr a night and getting up “once or twice per night to go to the bathroom.” Client reports
not wanting to eat anymore. Client’s child reports their parent has lost about 8 lb in the past month.
1030: Client found sitting in waiting room, head in hands. Client says, “Why don’t you just leave me? I am of no
use.”
Complete the following by highlighting the findings that require immediate follow-up:
• General: Adult child accompanying parent reports decline in client, expressing concern over memory and
thought processes, appetite, and self-care.
• Physical: Client makes poor eye contact, speaks in a monotone voice, and has a lack of facial expression.
Client reports sleeping 7 hr a night and getting up “once or twice per night to go to the bathroom.” Client
reports not wanting to eat anymore. Client’s child reports their parent has lost about 8 lb in the past
month.
• Affect: Client says, “Why don’t you just leave me? I am of no use.”
Correct answer:
• Affect: Client says, “Why don’t you just leave me? I am of no use.”
This statement indicates the client may be experiencing depression or suicidal thoughts, which requires
immediate follow-up and intervention.
, Question 6 of 180:
A nurse is caring for a client on a psychiatric unit.
Nurses' Notes: 0700:
Client is admitted to the unit. They deny suicidal ideations at this time. Client states, “I am an assistant to a
powerful spirit.” Client is poorly groomed and has body odor.
Question 1 of 180:
A nurse is caring for a client.
Nurse's Notes: 0800:
A client who has bipolar disorder is admitted to the inpatient psychiatric unit. During the morning assessment,
,the client reports blurred vision and an increase in urine output. It is noted that the client is having clonic jerking
of upper extremities. Provider notified and laboratory tests ordered. Skin is warm and dry without rash.
Complete the following sentence by using the list of options:
The nurse understands that the patient has likely developed lithium toxicity, and will need to be monitored for:
• blood glucose levels
• seizure activity
• symptoms of infection
• temperature over 39.4°C (103°F)
Correct answer:
• seizure activity
Lithium toxicity often manifests with neurological symptoms, including seizure activity, making it important for
the nurse to monitor for this potential complication.
Question 5 of 180:
A nurse is caring for an older adult client.
,Nurses' Notes: 0945: Adult child accompanying parent reports cognitive and physical decline in the client,
expressing concern over memory loss, thought processes, appetite, and self-care. Adult child states, "My sibling
and I hired help at home for my parent. We thought that might help, but it has not. I found the title to the car
today, signed over to me."
Client makes poor eye contact, speaks in a monotone voice, and has a lack of facial expression.
Client reports sleeping 7 hr a night and getting up “once or twice per night to go to the bathroom.” Client reports
not wanting to eat anymore. Client’s child reports their parent has lost about 8 lb in the past month.
1030: Client found sitting in waiting room, head in hands. Client says, “Why don’t you just leave me? I am of no
use.”
Complete the following by highlighting the findings that require immediate follow-up:
• General: Adult child accompanying parent reports decline in client, expressing concern over memory and
thought processes, appetite, and self-care.
• Physical: Client makes poor eye contact, speaks in a monotone voice, and has a lack of facial expression.
Client reports sleeping 7 hr a night and getting up “once or twice per night to go to the bathroom.” Client
reports not wanting to eat anymore. Client’s child reports their parent has lost about 8 lb in the past
month.
• Affect: Client says, “Why don’t you just leave me? I am of no use.”
Correct answer:
• Affect: Client says, “Why don’t you just leave me? I am of no use.”
This statement indicates the client may be experiencing depression or suicidal thoughts, which requires
immediate follow-up and intervention.
, Question 6 of 180:
A nurse is caring for a client on a psychiatric unit.
Nurses' Notes: 0700:
Client is admitted to the unit. They deny suicidal ideations at this time. Client states, “I am an assistant to a
powerful spirit.” Client is poorly groomed and has body odor.
