PREDICTOR FINAL
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Heading 1: Safe & Effective Care Environment (Management of Care)
1. A nurse is preparing to delegate tasks to an LPN and an AP. Which task is most
appropriate for the LPN?
A. Bathe a client with dementia
B. Reinforce teaching on insulin self-administration
C. Insert a Foley catheter in a stable client
D. Ambulate a client post-hip replacement
Correct Answer: B (Reinforce teaching on insulin self-administration)
Rationale: LPNs can reinforce teaching initiated by RNs. Inserting a Foley (C) is
within LPN scope but requires verification of facility policy; however, teaching
reinforcement is a classic LPN task. Bathing (A) and ambulation (D) are AP tasks.
2. A client with do-not-resuscitate (DNR) status develops respiratory arrest. What
should the nurse do first?
A. Call a code blue
B. Provide comfort measures
C. Start chest compressions
D. Notify the healthcare provider
,Correct Answer: B (Provide comfort measures)
Rationale: DNR means no resuscitative measures. The nurse provides comfort and
support. Calling code (A) or CPR (C) violates DNR.
Heading 2: Health Promotion & Maintenance
3. A nurse teaches a prenatal class about signs of true labor. Which finding
indicates true labor?
A. Pain in lower back only
B. Contractions that decrease with walking
C. Cervical dilation and effacement
D. Irregular contraction pattern
Correct Answer: C (Cervical dilation and effacement)
Rationale: True labor causes progressive cervical change. Braxton-Hicks (false
labor) typically irregular, decrease with activity.
4. At what age should an infant first receive the MMR vaccine?
A. Birth
B. 2 months
C. 6 months
D. 12–15 months
Correct Answer: D (12–15 months)
Rationale: CDC schedule: first MMR at 12–15 months, second at 4–6 years.
Heading 3: Psychosocial Integrity
5. A client with major depressive disorder says, “I don’t see the point anymore.”
Which response is most therapeutic?
A. “You have so much to live for.”
B. “Are you thinking of hurting yourself?”
C. “Everyone feels sad sometimes.”
D. “Let’s list three reasons to live.”
Correct Answer: B (Are you thinking of hurting yourself?)
Rationale: Direct suicide assessment is priority. Avoid platitudes or false
reassurance.
, 6. A client with anorexia nervosa refuses to eat. Which intervention is most
appropriate initially?
A. Force feeding if weight drops
B. Allow client to choose meals
C. Sit with client during meals
D. Tube feeding immediately
Correct Answer: C (Sit with client during meals)
Rationale: Supportive presence during meals reduces anxiety. Forcing increases
power struggle.
Heading 4: Basic Care & Comfort
7. A nurse cares for a client with heart failure on fluid restriction. Which action
helps manage thirst?
A. Offer ice chips only once daily
B. Provide hard candy or gum
C. Increase IV fluids
D. Limit oral care
Correct Answer: B (Provide hard candy or gum)
Rationale: Sugar-free candy/gum stimulates saliva without adding fluid. Ice chips
count as fluid.
8. Postoperative day 1 after abdominal surgery, which position best promotes lung
expansion?
A. Supine
B. High Fowler’s
C. Left lateral
D. Trendelenburg
Correct Answer: B (High Fowler’s)
Rationale: Upright position allows diaphragmatic descent and lung expansion.
Heading 5: Pharmacological & Parenteral Therapies
9. A nurse administers digoxin. Which finding requires withholding the next dose?
A. Heart rate 62 bpm