Page 1 of 78
Ultimate testbank for RN
Comprehensive Predictor (NGN Edition)
NCLEX Predictor Questions +
Rationales
Question 1
Scenario: A nurse is planning care for a client who has a new
diagnosis of terminal cancer and has decided to stop treatment.
The client tells the nurse, “I just want to go home and be with my
family.” Which of the following responses by the nurse
demonstrates advocacy?
A) “You should discuss this with your oncologist before making
any decisions.”
B) “I will make sure your healthcare team knows your wishes and
supports your decision.”
,Page 2 of 78
C) “Let’s wait until your family arrives so they can help you
decide.”
D) “I think you should reconsider because there are still treatment
options available.”
Answer: B
Rationale: Advocacy means supporting the client’s right to make
informed decisions and communicating those wishes to the
healthcare team. The nurse should not delay or persuade.
Question 2
Scenario: A charge nurse is making client assignments for a
medical-surgical unit. Which client should be assigned to an RN
rather than an LPN?
A) A client with dehydration receiving IV fluids at 125 mL/hr
B) A client with diabetes mellitus requiring a fingerstick blood
,Page 3 of 78
glucose check
C) A client with pneumonia who requires frequent suctioning of
oral secretions
D) A client with a new tracheostomy who requires tracheostomy
care and monitoring
Answer: D
Rationale: A client with a new tracheostomy requires complex
assessment and skilled care that typically requires RN scope.
LPNs can perform routine tracheostomy care for stable,
established ones.
Question 3
Scenario: A nurse is caring for a client who has a new colostomy.
The client states, “I am so embarrassed. I don’t want my spouse to
see me like this.” Which nursing diagnosis is the priority?
, Page 4 of 78
A) Disturbed body image
B) Impaired skin integrity
C) Risk for social isolation
D) Ineffective coping
Answer: A
Rationale: The client’s statement directly indicates disturbed
body image (embarrassment about the colostomy). While other
diagnoses may apply, body image is the client’s expressed
concern.
Question 4
Scenario: A nurse is participating in a disaster drill. The hospital
has received multiple casualties. Using triage, which client should
receive priority care?
Ultimate testbank for RN
Comprehensive Predictor (NGN Edition)
NCLEX Predictor Questions +
Rationales
Question 1
Scenario: A nurse is planning care for a client who has a new
diagnosis of terminal cancer and has decided to stop treatment.
The client tells the nurse, “I just want to go home and be with my
family.” Which of the following responses by the nurse
demonstrates advocacy?
A) “You should discuss this with your oncologist before making
any decisions.”
B) “I will make sure your healthcare team knows your wishes and
supports your decision.”
,Page 2 of 78
C) “Let’s wait until your family arrives so they can help you
decide.”
D) “I think you should reconsider because there are still treatment
options available.”
Answer: B
Rationale: Advocacy means supporting the client’s right to make
informed decisions and communicating those wishes to the
healthcare team. The nurse should not delay or persuade.
Question 2
Scenario: A charge nurse is making client assignments for a
medical-surgical unit. Which client should be assigned to an RN
rather than an LPN?
A) A client with dehydration receiving IV fluids at 125 mL/hr
B) A client with diabetes mellitus requiring a fingerstick blood
,Page 3 of 78
glucose check
C) A client with pneumonia who requires frequent suctioning of
oral secretions
D) A client with a new tracheostomy who requires tracheostomy
care and monitoring
Answer: D
Rationale: A client with a new tracheostomy requires complex
assessment and skilled care that typically requires RN scope.
LPNs can perform routine tracheostomy care for stable,
established ones.
Question 3
Scenario: A nurse is caring for a client who has a new colostomy.
The client states, “I am so embarrassed. I don’t want my spouse to
see me like this.” Which nursing diagnosis is the priority?
, Page 4 of 78
A) Disturbed body image
B) Impaired skin integrity
C) Risk for social isolation
D) Ineffective coping
Answer: A
Rationale: The client’s statement directly indicates disturbed
body image (embarrassment about the colostomy). While other
diagnoses may apply, body image is the client’s expressed
concern.
Question 4
Scenario: A nurse is participating in a disaster drill. The hospital
has received multiple casualties. Using triage, which client should
receive priority care?
