RN COMPREHENSIVE PREDICTOR EXAM
Original Practice Test Bank (Latest 2026)
• 8 Comprehensive Clinical Sections •Questions & Answers
SECTION 1: FUNDAMENTALS & SAFE PRACTICE
1. A nurse is preparing to perform hand hygiene before entering a client's room. Which technique is
CORRECT for routine hand washing with soap and water?
A. Wash hands for at least 5 seconds using cold water
B. Wash hands for at least 20 seconds, covering all surfaces, using warm water and friction
C. Rinse hands only, since soap is optional for routine contact
D. Use only hand sanitizer regardless of visible soiling
Correct Answer: B. Wash hands for at least 20 seconds, covering all surfaces, using warm water
and friction
2. A nurse is using the nursing process to plan client care. Which step occurs immediately after the
nurse formulates nursing diagnoses?
A. Assessment
B. Planning
C. Implementation
D. Evaluation
Correct Answer: B. Planning
3. A nurse is preparing to transfer a client from bed to wheelchair. Which action demonstrates proper
body mechanics?
A. Bending at the waist and lifting with the back muscles
B. Keeping a wide base of support and bending at the knees while lifting with the legs
C. Twisting the torso while holding the client to reduce distance traveled
D. Holding the client at arm's length to avoid personal contact
Correct Answer: B. Keeping a wide base of support and bending at the knees while lifting with
the legs
4. A nurse is applying the principles of standard precautions. Which of the following applies to ALL
client interactions, regardless of diagnosis?
A. Wearing an N95 respirator at all times
B. Performing hand hygiene and using appropriate PPE based on anticipated exposure
C. Placing every client in a private room
D. Using contact precautions for every client encounter
Correct Answer: B. Performing hand hygiene and using appropriate PPE based on anticipated
exposure
RN Comprehensive Predictor Exam — Original Practice Test Bank (2026) | Page 1
,5. A nurse identifies that a client is at high risk for falls. Which intervention is the MOST appropriate
INITIAL action?
A. Apply a vest restraint immediately
B. Implement a standardized fall risk protocol, including a bed alarm and clear pathway
C. Restrict all visitors to reduce confusion
D. Sedate the client to limit mobility
Correct Answer: B. Implement a standardized fall risk protocol, including a bed alarm and clear
pathway
6. A nurse is documenting client care in the medical record. Which charting practice is CORRECT?
A. Document care before it is performed to save time
B. Document objectively, accurately, and as close to the time of care as possible
C. Use subjective opinions about the client's character
D. Leave blank spaces to be filled in later in the shift
Correct Answer: B. Document objectively, accurately, and as close to the time of care as
possible
7. A nurse is using the SBAR communication format to hand off a client. Which component includes the
nurse's specific request or suggested action?
A. Situation
B. Background
C. Assessment
D. Recommendation
Correct Answer: D. Recommendation
8. Which intervention is MOST effective in preventing catheter-associated urinary tract infections
(CAUTIs)?
A. Changing the catheter every 24 hours regardless of need
B. Reviewing catheter necessity daily and removing it as soon as clinically appropriate
C. Irrigating the catheter routinely with antiseptic solution
D. Clamping the catheter intermittently throughout the shift
Correct Answer: B. Reviewing catheter necessity daily and removing it as soon as clinically
appropriate
9. A nurse is caring for a client who requires assistance with activities of daily living. Which task is
MOST appropriate to delegate to an unlicensed assistive personnel (UAP)?
A. Assessing a new onset of confusion
B. Assisting the client with bathing and oral hygiene
C. Evaluating a client's response to pain medication
D. Developing the client's individualized plan of care
Correct Answer: B. Assisting the client with bathing and oral hygiene
RN Comprehensive Predictor Exam — Original Practice Test Bank (2026) | Page 2
,10. A nurse is preparing to apply a sterile dressing to a surgical wound. Which action would
compromise the sterile field?
A. Keeping the sterile field within direct line of sight at all times
B. Reaching across the sterile field with a non-sterile arm
C. Pouring sterile solution from a height of a few inches
D. Opening sterile packages by peeling away from the body
Correct Answer: B. Reaching across the sterile field with a non-sterile arm
11. Which client teaching is MOST important when instructing a client on the use of a walker for the first
time?
A. 'Move the walker forward, then step into it with both feet at once.'
B. 'Move the walker forward, then step forward with the weaker leg first, followed by the stronger leg.'
C. 'Drag the walker along the floor without lifting it.'
D. 'Hold the walker with one hand and a cane with the other.'
Correct Answer: B. 'Move the walker forward, then step forward with the weaker leg first,
followed by the stronger leg.'
12. A nurse is assessing a client's risk for developing a pressure injury. Which factor places the client at
HIGHEST risk?
A. Adequate nutrition and hydration
B. Immobility combined with incontinence and poor nutritional status
C. Independent ambulation several times daily
D. Use of a pressure-redistribution mattress
Correct Answer: B. Immobility combined with incontinence and poor nutritional status
13. A nurse is preparing to insert a nasogastric (NG) tube. Which action confirms correct placement
BEFORE administering any feeding or medication?
A. Auscultating bowel sounds in all four quadrants
B. Verifying placement with an X-ray or checking gastric aspirate pH as ordered, per facility protocol
C. Asking the client if they feel the tube is in the correct place
D. Observing for the client's gag reflex only
Correct Answer: B. Verifying placement with an X-ray or checking gastric aspirate pH as
ordered, per facility protocol
14. A nurse is caring for a client with an indwelling urinary catheter. Which action is correct for
maintaining a closed drainage system?
A. Keep the drainage bag above the level of the bladder for easier viewing
B. Keep the drainage bag below the level of the bladder at all times
C. Empty the bag only once every 24 hours regardless of volume
D. Disconnect the tubing routinely to inspect for kinks
Correct Answer: B. Keep the drainage bag below the level of the bladder at all times
RN Comprehensive Predictor Exam — Original Practice Test Bank (2026) | Page 3
, 15. A nurse is teaching a client about a low-sodium diet. Which food choice indicates the client
UNDERSTOOD the teaching?
A. Canned soup
B. Deli meat
C. Fresh grilled chicken with herbs
D. Frozen pre-packaged dinners
Correct Answer: C. Fresh grilled chicken with herbs
16. A nurse is preparing to administer an intramuscular (IM) injection to an adult client. Which site is
generally preferred for a larger volume IM injection due to fewer major nerves and blood vessels?
A. Deltoid muscle
B. Ventrogluteal muscle
C. Dorsogluteal muscle
D. Vastus lateralis only in adults
Correct Answer: B. Ventrogluteal muscle
17. Which nursing action BEST reflects the principle of beneficence in client care?
A. Allowing a competent client to refuse a recommended treatment
B. Acting to promote the client's well-being and best interest
C. Withholding information the client has a right to know
D. Treating every client identically regardless of individual needs
Correct Answer: B. Acting to promote the client's well-being and best interest
18. A nurse notes a client's oxygen saturation is 91% on room air, with the client appearing slightly
short of breath. What is the MOST appropriate INITIAL action?
A. Document the finding and reassess at the next scheduled vital sign check
B. Assess the client further, apply supplemental oxygen as ordered, and notify the provider if indicated
C. Immediately call a rapid response without further assessment
D. Reposition the pulse oximeter and ignore the reading
Correct Answer: B. Assess the client further, apply supplemental oxygen as ordered, and notify
the provider if indicated
19. A nurse is preparing to discharge a client with a new prescription. Which action is ESSENTIAL
before the client leaves the facility?
A. Provide written instructions only, without verbal reinforcement
B. Verify the client's understanding of the medication regimen, including dose, timing, and potential side
effects
C. Assume the pharmacist will cover all necessary teaching
D. Skip teaching if the client has taken similar medications before
Correct Answer: B. Verify the client's understanding of the medication regimen, including dose,
timing, and potential side effects
RN Comprehensive Predictor Exam — Original Practice Test Bank (2026) | Page 4
Original Practice Test Bank (Latest 2026)
• 8 Comprehensive Clinical Sections •Questions & Answers
SECTION 1: FUNDAMENTALS & SAFE PRACTICE
1. A nurse is preparing to perform hand hygiene before entering a client's room. Which technique is
CORRECT for routine hand washing with soap and water?
A. Wash hands for at least 5 seconds using cold water
B. Wash hands for at least 20 seconds, covering all surfaces, using warm water and friction
C. Rinse hands only, since soap is optional for routine contact
D. Use only hand sanitizer regardless of visible soiling
Correct Answer: B. Wash hands for at least 20 seconds, covering all surfaces, using warm water
and friction
2. A nurse is using the nursing process to plan client care. Which step occurs immediately after the
nurse formulates nursing diagnoses?
A. Assessment
B. Planning
C. Implementation
D. Evaluation
Correct Answer: B. Planning
3. A nurse is preparing to transfer a client from bed to wheelchair. Which action demonstrates proper
body mechanics?
A. Bending at the waist and lifting with the back muscles
B. Keeping a wide base of support and bending at the knees while lifting with the legs
C. Twisting the torso while holding the client to reduce distance traveled
D. Holding the client at arm's length to avoid personal contact
Correct Answer: B. Keeping a wide base of support and bending at the knees while lifting with
the legs
4. A nurse is applying the principles of standard precautions. Which of the following applies to ALL
client interactions, regardless of diagnosis?
A. Wearing an N95 respirator at all times
B. Performing hand hygiene and using appropriate PPE based on anticipated exposure
C. Placing every client in a private room
D. Using contact precautions for every client encounter
Correct Answer: B. Performing hand hygiene and using appropriate PPE based on anticipated
exposure
RN Comprehensive Predictor Exam — Original Practice Test Bank (2026) | Page 1
,5. A nurse identifies that a client is at high risk for falls. Which intervention is the MOST appropriate
INITIAL action?
A. Apply a vest restraint immediately
B. Implement a standardized fall risk protocol, including a bed alarm and clear pathway
C. Restrict all visitors to reduce confusion
D. Sedate the client to limit mobility
Correct Answer: B. Implement a standardized fall risk protocol, including a bed alarm and clear
pathway
6. A nurse is documenting client care in the medical record. Which charting practice is CORRECT?
A. Document care before it is performed to save time
B. Document objectively, accurately, and as close to the time of care as possible
C. Use subjective opinions about the client's character
D. Leave blank spaces to be filled in later in the shift
Correct Answer: B. Document objectively, accurately, and as close to the time of care as
possible
7. A nurse is using the SBAR communication format to hand off a client. Which component includes the
nurse's specific request or suggested action?
A. Situation
B. Background
C. Assessment
D. Recommendation
Correct Answer: D. Recommendation
8. Which intervention is MOST effective in preventing catheter-associated urinary tract infections
(CAUTIs)?
A. Changing the catheter every 24 hours regardless of need
B. Reviewing catheter necessity daily and removing it as soon as clinically appropriate
C. Irrigating the catheter routinely with antiseptic solution
D. Clamping the catheter intermittently throughout the shift
Correct Answer: B. Reviewing catheter necessity daily and removing it as soon as clinically
appropriate
9. A nurse is caring for a client who requires assistance with activities of daily living. Which task is
MOST appropriate to delegate to an unlicensed assistive personnel (UAP)?
A. Assessing a new onset of confusion
B. Assisting the client with bathing and oral hygiene
C. Evaluating a client's response to pain medication
D. Developing the client's individualized plan of care
Correct Answer: B. Assisting the client with bathing and oral hygiene
RN Comprehensive Predictor Exam — Original Practice Test Bank (2026) | Page 2
,10. A nurse is preparing to apply a sterile dressing to a surgical wound. Which action would
compromise the sterile field?
A. Keeping the sterile field within direct line of sight at all times
B. Reaching across the sterile field with a non-sterile arm
C. Pouring sterile solution from a height of a few inches
D. Opening sterile packages by peeling away from the body
Correct Answer: B. Reaching across the sterile field with a non-sterile arm
11. Which client teaching is MOST important when instructing a client on the use of a walker for the first
time?
A. 'Move the walker forward, then step into it with both feet at once.'
B. 'Move the walker forward, then step forward with the weaker leg first, followed by the stronger leg.'
C. 'Drag the walker along the floor without lifting it.'
D. 'Hold the walker with one hand and a cane with the other.'
Correct Answer: B. 'Move the walker forward, then step forward with the weaker leg first,
followed by the stronger leg.'
12. A nurse is assessing a client's risk for developing a pressure injury. Which factor places the client at
HIGHEST risk?
A. Adequate nutrition and hydration
B. Immobility combined with incontinence and poor nutritional status
C. Independent ambulation several times daily
D. Use of a pressure-redistribution mattress
Correct Answer: B. Immobility combined with incontinence and poor nutritional status
13. A nurse is preparing to insert a nasogastric (NG) tube. Which action confirms correct placement
BEFORE administering any feeding or medication?
A. Auscultating bowel sounds in all four quadrants
B. Verifying placement with an X-ray or checking gastric aspirate pH as ordered, per facility protocol
C. Asking the client if they feel the tube is in the correct place
D. Observing for the client's gag reflex only
Correct Answer: B. Verifying placement with an X-ray or checking gastric aspirate pH as
ordered, per facility protocol
14. A nurse is caring for a client with an indwelling urinary catheter. Which action is correct for
maintaining a closed drainage system?
A. Keep the drainage bag above the level of the bladder for easier viewing
B. Keep the drainage bag below the level of the bladder at all times
C. Empty the bag only once every 24 hours regardless of volume
D. Disconnect the tubing routinely to inspect for kinks
Correct Answer: B. Keep the drainage bag below the level of the bladder at all times
RN Comprehensive Predictor Exam — Original Practice Test Bank (2026) | Page 3
, 15. A nurse is teaching a client about a low-sodium diet. Which food choice indicates the client
UNDERSTOOD the teaching?
A. Canned soup
B. Deli meat
C. Fresh grilled chicken with herbs
D. Frozen pre-packaged dinners
Correct Answer: C. Fresh grilled chicken with herbs
16. A nurse is preparing to administer an intramuscular (IM) injection to an adult client. Which site is
generally preferred for a larger volume IM injection due to fewer major nerves and blood vessels?
A. Deltoid muscle
B. Ventrogluteal muscle
C. Dorsogluteal muscle
D. Vastus lateralis only in adults
Correct Answer: B. Ventrogluteal muscle
17. Which nursing action BEST reflects the principle of beneficence in client care?
A. Allowing a competent client to refuse a recommended treatment
B. Acting to promote the client's well-being and best interest
C. Withholding information the client has a right to know
D. Treating every client identically regardless of individual needs
Correct Answer: B. Acting to promote the client's well-being and best interest
18. A nurse notes a client's oxygen saturation is 91% on room air, with the client appearing slightly
short of breath. What is the MOST appropriate INITIAL action?
A. Document the finding and reassess at the next scheduled vital sign check
B. Assess the client further, apply supplemental oxygen as ordered, and notify the provider if indicated
C. Immediately call a rapid response without further assessment
D. Reposition the pulse oximeter and ignore the reading
Correct Answer: B. Assess the client further, apply supplemental oxygen as ordered, and notify
the provider if indicated
19. A nurse is preparing to discharge a client with a new prescription. Which action is ESSENTIAL
before the client leaves the facility?
A. Provide written instructions only, without verbal reinforcement
B. Verify the client's understanding of the medication regimen, including dose, timing, and potential side
effects
C. Assume the pharmacist will cover all necessary teaching
D. Skip teaching if the client has taken similar medications before
Correct Answer: B. Verify the client's understanding of the medication regimen, including dose,
timing, and potential side effects
RN Comprehensive Predictor Exam — Original Practice Test Bank (2026) | Page 4
