COMPREHENSIVE FINAL QUIZ, RN
COMPREHENSIVE PREDICTOR
2026/2027 A, RN COMPREHENSIVE
PREDICTOR 2026/2027 FORM B AND C
(LATEST UPDATE)
A nurse is assessing a client who received 2 units of packed RBCs 48 hrs ago. Which of the following fin
dings should indicate to the nurse that the therapy has been effective? - correct answer-
hemoglobin 14.9 g/dL
a nurse working in an emergency department is triaging four clients. which of the following clients should
the nurse recommend for treatment first? - correct answer-
a middle adult client who has unstable vital signs
a nurse is caring for aSclient who has fluidSvolume overload. which of the following tasks should the nurse
delegate to an assistive personnel? - correct answer-measure the client's daily weight
a nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as a test dose to a clientSwho has
severe oliguria. The client weighs 198 lb. what is the amount in grams the nurse should administer? -
correct answer-18 g
a nurse is conductingSa physical examination forSan adolescent and is assessing the rang of motion of the l
egs, which of the following images indicates the adolescent is abducting the hip joint? - correct answer-
Moving the leg away from the midline of theSbody (off to the side, not to the front)
a nurse is caring for aSclient who has hyperthyroidism. which of the following findings shouldSthe nurse e
xpect? - correct answer-tremors
tachycardia, diaphoresis, weight loss, insomnia, exopthalmia
hypothyroidism has dry corase hair, bradycardia, and periorbital edema
,a nurse is assessing a school age child who has bacterial meningitis. which of the following findings shoul
d the nurse expect? - correct answer-nuchal rigidity
also weight loss
a nurse is assessing a newborn's heart rate. which of the following actions should the nurse take? -
correct answer-auscultate the apical pulse at least 1 min
a nurse is preparing to assist with a thoracentesis for a client who has pleurisy. the nurse should plan to pe
rform which of the following actions? - correct answer-
instruct the client to avoid coughing duringSthe procedure
a nurse is the emergency department is assessing a preschooler who has a facial laceration. the nurseSshou
ld identify which of the following findings as a potential indication of child sexual abuse? -
correct answer-the child exhibits discomfort while walking
a nurse is preparing to teach about dietary management to a client who has crohn's disease and an enteroe
nteric fistula. which of the following nutrients should the nurse instruct the client to decrease in their diet?
- correct answer-fiber - reduce diarrhea and inflammation
a nurse is caring for aSclient who has aSprescription for a continuous passive motion CPM machine follow
ing a total knee arthroplasty. which of the following actions should the nurse take? - correct answer-
Turn off the CPM machine during mealtime
promote client comfort and dietary intake
a nurse is preparing to initiate IV access for an older adult client. Which of the following sites should the
nurse select when initiating the IV for this client? - correct answer-radial vein of the inner arm
a nurse is developing a client education program about osteoporosis for older adult clients. the nurse shou
ld include which of the following variables as a risk factor for osteoporosis? - correct answer-
sedentary lifestyle
also, small framed body with a thin build, estrogen deficiency
,a nurse in an emergency department is caring for a child who has a fever and fluid filled vesicles on the tr
unk and extremities. which of the following interventions should the nurse identify as the priority? -
correct answer-initiate transmission based precautions
a nurse is caring for a client who has aSclogged percutaneous gastrostomy feeding tube. which of the follo
wing actions should the nurse take first? - correct answer-change the position of the client
a home health care nurse is developingSa teaching plan for a client who has a new ileostomy. which of the
following instructions should the nurse include? - correct answer-
empty the appliance when it is one third to one half full
a nurse is reviewing the laboratory report of a client who has end stage kidney disease and received hemo
dialysis 24 hr ago. Which of the following laboratory values should the nurse report to the provider? -
correct answer-sodium 148 mEq/L
a nurse is caring for four clients. which of the following tasks should the nurse delegate to an assistive per
sonnel? - correct answer-Arrange the lunch tray for a client who has a hip fracture
a nurse is preparing aSclient for a paracentesis. which of the following actions should the nurse take? -
correct answer-instruct the client to void
a nurse has received change of shift report on four assigned clients. for which of the following clients sho
uld the nurse intervene to prevent a potential food and medication interaction? - correct answer-
a client who is receiving an MAOI and is requesting a cheeseburger for dinner
a nurse is planning care for a client who has rheumatoid arthritis and has moderateSto severe pain in multi
ple joints. which of theSfollowing actions should the nurse plan to take? - correct answer-
allow for frequent rest periods throughout the day
a nurse is caring for aSclient who is receiving continuous bladder irrigation following a transurethral resec
tion of the prostate. the client reports bladder spasms, and the nurse observes a decreased urinary output.
which of the following actions should the nurse take? - correct answer-
irrigate the catheter with 0.9% sodium chloride irrigation
, a nurse is assessing a client who has COPD. which of the following findings should the nurse expect? -
correct answer-pH 7.31
a nurse in a community centerSis providing an educational session to a group of client about ovarian cance
r. which of the following manifestations of ovarian cancer should the nurse include in the teaching? -
correct answer-abdominal bloating
increase in abdominal girth, pelvic or abdominal pain, early satiety, urinary frequency of urgency
a nurse is caring for a client who has active tuberculosis TB. which of the following actions should the nu
rse plan to take to prevent the transmission of the disease? - correct answer-
Have the client wear a surgical mask while being transported outside the room
a nurse is caring for aSgroup of clients. which of the following clients should the nurse attendSto first? -
correct answer-an older adult client who is anxious and attempting to pull out an IV line
an RN is observing a licensed practical nurse LPN and an assistive personnel AP move aSclient up in bed.
for which of the following situations should the nurse intervene? - correct answer-
The LPN and the AP grasp theSclient under his arms to lift him up in bed
a nurse is preparing to administer insulin to a client via a pen device. which of the followingSactions shoul
d the nurse take? - correct answer-
hold the insulin pen device perpendicular to the client's skin to inject the medication
a nurse is caring for aSclient who has immunosuppression and aScontinuous IV infusion. which of the follo
wing actions should theSnurse take? - correct answer-monitor the client's mouth every 8 hours
a nurse is providing teaching about advance directives to a middle adult client. which of the following clie
nt responses indicates an understanding of the teaching? - correct answer-
"I can designate my partnerSas my health care surrogate"
a nurse is assessing a client following a vaginal delivery and notes heavy lochia and a boggy fundus. whic
h of the following medications should the nurse expect to administer? - correct answer-oxytocin