PREDICTOR INTENSIVE
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Domain 1: Safety & Infection Control (Questions 1-12)
1. A nurse is caring for a client with a history of tonic-clonic seizures. Which of
the following safety precautions should the nurse implement?
• A. Keep a padded tongue blade at the bedside.
• B. Place the bed in the highest position.
• C. Ensure suction equipment is available in the room.
• D. Restrain the client’s limbs during a seizure.
Rationale: Suction equipment is essential to maintain a patent airway if the client
vomits or has excessive secretions. Padded tongue blades are contraindicated as
they can break and cause airway obstruction .
2. A nurse discovers a fire in a client's room. What is the nurse's first action?
• A. Remove the client from the room.
• B. Activate the fire alarm.
• C. Use the fire extinguisher.
• D. Close all doors on the unit.
Rationale: The mnemonic RACE guides fire response: Rescue clients in
immediate danger, Alarm, Contain/Close doors, Extinguish .
,3. Which of the following requires soap and water hand hygiene rather than
alcohol-based rub?
• A. MRSA
• B. Clostridioides difficile (C. diff)
• C. Influenza
• D. Tuberculosis
Rationale: Alcohol-based hand rubs are ineffective against C. diff spores.
Mechanical friction and washing with soap and water are required to physically
remove the spores .
4. A charge nurse is assigning rooms for clients. Which client requires droplet
precautions?
• A. A client with Tuberculosis.
• B. A child with Pertussis (Whooping cough).
• C. A client with MRSA.
• D. A child with Varicella (Chickenpox).
Rationale: Pertussis requires Droplet precautions (MMR—Measles, Meningitis,
Rubella; Pertussis; Influenza). TB and Varicella require Airborne; MRSA requires
Contact .
5. A client is placed on fall precautions. Which task is appropriate to delegate
to an Unlicensed Assistive Personnel (UAP)?
• A. Assessing the client's gait stability.
• B. Ensuring the call light is within reach.
• C. Teaching the family about bed alarms.
• D. Evaluating the effectiveness of a sedative.
Rationale: Ensuring the environment is safe (e.g., call light placement) is a routine
task for UAPs. Assessment, Teaching, and Evaluation are the responsibility of
the RN .
, Domain 2: Health Promotion & Maintenance (Questions 6-16)
6. A nurse is providing teaching to a parent about introducing solid foods to a
6-month-old infant. Which instruction is correct?
• A. Begin with iron-fortified rice cereal mixed with formula.
• B. Introduce honey to soothe the infant.
• C. Start with whole cow's milk.
• D. Begin with chopped table foods.
Rationale: Rice cereal is the typical first food. Honey is avoided until age 1 due to
botulism risk. Cow's milk is introduced after 12 months.
7. A nurse is assessing a client at 14 weeks of gestation. Which statement by
the client requires immediate follow-up?
• A. "I feel ambivalent about being pregnant."
• B. "I have noticed swelling in my face and hands."
• C. "I urinate frequently during the night."
• D. "I don't like the smell of bacon anymore."
Rationale: Swelling of the face or hands (edema) can indicate preeclampsia,
especially in the second trimester (after 14 weeks).
8. A nurse is teaching a client who is 28 weeks pregnant about signs of preterm
labor. Which finding should prompt a call to the provider?
• A. Heartburn after eating.
• B. Mild backache.
• C. Menstrual-like cramps.
• D. Fetal hiccups.
Rationale: Menstrual-like cramping is a classic sign of preterm labor, along with
lower back pain, pelvic pressure, and changes in vaginal discharge.
9. A nurse is educating a group of older adults about fall prevention. Which
finding is a primary risk factor for falls?
• A. BMI of 24.