PREDICTOR EXAM PREP-Latest
Update 2026 | 80+ Verified Questions
& Rationales||questions and answers
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Instructions: Select the best answer for each question. Correct answers
are highlighted in bold.
Section 1: Management of Care (Prioritization, Delegation, Ethics)
1. A nurse is caring for four clients. Which client should the nurse assess first?
• A. A client with pneumonia who has an oxygen saturation of 94%
• B. A client with diabetes mellitus who has a blood glucose of 180 mg/dL
• C. A client with chest tubes who has sudden cessation of bubbling in the
water seal chamber Rationale: Sudden cessation of bubbling indicates
a possible obstruction or re-expansion of lung but needs immediate
assessment to rule out tension pneumothorax or tube occlusion.
• D. A client with a hip fracture who reports pain of 6/10
2. A charge nurse is delegating tasks to a licensed practical nurse (LPN) and
an assistive personnel (AP). Which task should the charge nurse delegate to
the LPN?
, • A. Administer a tube feeding to a client with a nasogastric
tube Rationale: LPNs can administer enteral feedings and monitor
residuals. APs cannot perform sterile or invasive procedures.
• B. Assist a client with ambulation using a walker
• C. Bathe a client who is on bed rest
• D. Measure intake and output for a client
3. A nurse is reviewing a client’s informed consent for surgery. Which action
should the nurse take?
• A. Explain the surgical procedure in detail
• B. Witness the client’s signature on the consent form Rationale: The
nurse’s role is to witness the signature and ensure the client is competent and
understands information provided by the provider.
• C. Determine if the client understands the risks
• D. Obtain the consent from the family
4. A client tells the nurse, “I don’t want the blood transfusion because of my
religious beliefs.” The nurse should:
• A. Respect the client’s decision and notify the provider Rationale:
Clients have the right to refuse treatment based on autonomy and religious
beliefs.
• B. Administer the blood transfusion without consent
• C. Ask the family to convince the client
• D. Document the refusal but give blood if Hgb drops
5. A nurse is triaging after a disaster. Which client should receive priority
care?
• A. A client with a minor laceration
• B. A client with severe respiratory distress and stridor Rationale:
This is an emergent (red tag) life-threatening airway issue.
• C. A client with a closed femur fracture
, • D. A client walking and talking but bleeding minimally
Section 2: Safety and Infection Control
6. A nurse is caring for a client with Clostridioides difficile. Which infection
control precaution is appropriate?
• A. Droplet precautions
• B. Airborne precautions
• C. Contact precautions Rationale: C. diff spreads via spores on hands
and surfaces. Contact precautions and hand hygiene with soap/water (not
alcohol) are required.
• D. Protective environment
7. A nurse is applying restraints to a confused client who keeps pulling out
their IV. Which action is correct?
• A. Tie restraints to the side rail for easy access
• B. Ensure two fingers can fit between restraint and client’s
wrist Rationale: Prevents circulatory impairment while keeping
restraint secure.
• C. Leave restraints on for 8 hours after provider order
• D. Apply restraints without a provider order for up to 48 hours
8. A client at risk for falls should have which intervention?
• A. Keep bed in high position
• B. Dim lights at night to promote sleep
• C. Place the call light within reach Rationale: Promotes independence
and quick access to help, reducing fall risk.
• D. Apply wrist restraints at night
9. A nurse is preparing to administer a tuberculin skin test. Which needle is
appropriate?
• A. 18-gauge needle