PREDICTOR CRASH REVIEW-
FAST TRACK EXAM PREP – 2026
UPDATE|||Questions And Answers
With Rationales/Graded A+/2026
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85 Questions • Correct Answers Highlighted • Rationales Included
Section 1: Management of Care (10 Questions)
1. A nurse is preparing to discharge a client who requires home oxygen
therapy. Which of the following actions should the nurse take first?
A. Teach the client how to use the oxygen equipment.
B. Assess the client’s home environment for safety.
C. Arrange for a home health nurse visit.
D. Ensure the client has a backup oxygen tank.
Correct Answer: B – Rationale: Assessment is the first step of the nursing
process. The nurse must assess the home environment for fire hazards, electrical
safety, and proper storage before teaching or arranging services.
2. A charge nurse is assigning clients to a registered nurse (RN) and a licensed
practical nurse (LPN). Which client should the charge nurse assign to the RN?
A. A client with a urinary tract infection requiring IV antibiotics.
B. A client with stable diabetes mellitus needing discharge teaching.
C. A client with a stage 2 pressure injury requiring dressing change.
D. A client with pneumonia who has stable vital signs.
Correct Answer: A – Rationale: IV antibiotic administration requires assessment
and monitoring for adverse reactions, which is within the RN scope. LPNs can
,perform dressing changes, stable client care, and reinforce teaching but cannot
initiate complex IV therapy independently.
3. A nurse is caring for a client who refuses a blood transfusion due to
religious beliefs. The client’s family requests the transfusion. Which action
should the nurse take?
A. Administer the transfusion as the family requests.
B. Contact the facility’s ethics committee.
C. Respect the client’s refusal and document it.
D. Ask the provider to speak with the client.
Correct Answer: C – Rationale: A competent adult has the right to refuse
treatment, even if it endangers life. The nurse must respect autonomy and
document refusal; family cannot override client’s decision.
4. A nurse is caring for a client on fall precautions. Which of the following
actions is most important?
A. Place the call light within reach.
B. Keep the bed in the lowest position.
C. Ensure the client wears non-skid socks.
D. Check on the client every hour.
Correct Answer: B – Rationale: Keeping the bed in the lowest position reduces
injury risk from a fall. While all options are correct, low bed position is a primary
fall prevention strategy.
5. A nurse is planning care for a client who is confused and at risk for
elopement. Which intervention is appropriate?
A. Keep the client’s door closed.
B. Use a bed alarm system.
C. Apply wrist restraints at night.
D. Assign a sitter to stay with the client 24/7.
Correct Answer: B – Rationale: A bed alarm alerts staff if the client attempts to
get up, allowing prompt intervention without restraint use. Restraints require
provider order and are last resort.
6. A nurse is delegating tasks to an assistive personnel (AP). Which task is
appropriate?
A. Feeding a client with dysphagia.
B. Measuring a client’s post-void residual via bladder scanner.
, C. Obtaining a sterile urine specimen from a Foley catheter.
D. Assessing a client’s pain level.
Correct Answer: A – Rationale: Feeding a stable client is within AP scope if no
swallowing precautions are violated. Bladder scanning and sterile specimens
require nursing judgment; pain assessment is an RN responsibility.
7. A nurse receives a telephone prescription from a provider for morphine 2
mg IV push. Which of the following is the appropriate nursing action?
A. Administer the medication and then document.
B. Have a second nurse listen to the phone order.
C. Refuse to take verbal orders over the phone.
D. Ask the provider to come write the order.
Correct Answer: B – Rationale: Verbal/telephone orders require a “read-back”
and verification with a second RN to prevent errors. They are acceptable in urgent
situations.
8. A nurse is preparing a client for transfer to a long-term care facility. Which
information must be included in the handoff report?
A. The client’s insurance information.
B. The client’s code status and current medications.
C. The client’s family contact phone number.
D. The client’s admission date to the hospital.
Correct Answer: B – Rationale: Handoff communication (SBAR) must include
critical clinical data: code status, medications, allergies, and recent changes.
Financial or demographic info is not part of clinical handoff.
9. A nurse is triaging clients after a mass casualty event. Which client should
receive priority care?
A. A client with a minor laceration and bleeding controlled.
B. A client with severe head trauma and agonal breathing.
C. A client with a sucking chest wound and confusion.
D. A client with a fractured femur and palpable pulse.
Correct Answer: C – Rationale: In triage, a client with airway/breathing
compromise (sucking chest wound) and altered mental status is emergent (Red
tag). Agonal breathing is expectant (Black tag).