I. A nurse is caring for a client who is comatose and has advance directives that indicate the client does not
want life-sustaining measures. The client’s family want the client to have life-sustaining measures. Which of the
following action should the nurse take?
A. Arrange for an ethics committee meeting to address the family’s concerns.
B. Support the family’s decision and initiate life-sustaining measures.
C. Complete an incident report.
D. Encourage the family to contact an attorney.
II. A nurse is caring for a client who wears glasses. Which of the following actions should the nurse
take? A. Store the glasses in a labeled case.
B. Clean the glasses with hot water.
C. Clean the glasses with a paper towel.
D. Store the glasses on the bedside table.
III. A nurse is teaching a group of newly licensed nurses about measures to take when caring for a client who is
on contact precautions. Which of the following should the nurse include in the teaching?
A. Remove the protective gown after the client’s room.
B. Place the client in a room with negative
pressure. C. Wear gloves when providing care to
the client.
D. Wear a mask when changing the linens in the client’s room.
, RN COMPREHENSIVE PREDICTOR EXAM Q & A
IV. A nurse is planning on care for a client who is recovering from an acute myocardial infarction that occurred 3
days ago. Which of the following instructions should the nurse include?
A. Perform an ECG every 12 hr.
B. Place the client in a supine position while resting.
C. Draw a troponin level every 4hr.
D. Obtain a cardiac rehabilitation consultation.
V. The nurse is reviewing the medical record of a client who is requesting combination oral contraceptives.
Which of the following conditions in the client’s history is a contradiction to the use of oral contraceptives?
A. Hyperthyroidism.
B. Thrombophlebitis.
C. Diverticulosis.
D. Hypocalcemia.
1. A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the following
manifestations should the nurse expect?
A. Loose stools
B. Jitteriness
C. Hypertonia
D. Abdominal distention
, RN COMPREHENSIVE PREDICTOR EXAM Q & A
2. A nurse is assessing a client who is immediately post-operative following hip arthroplasty, which of the
following considerations should the nurse take when positioning the client?
A. Place the client’s heels directly against the bed mattress
B. Ensure that the client’s hips remain in an abducted position.
C. Maintain the client in a supine position for the first 24 hr. after surgery.
D. Flex the client’s hip up to 120° when sitting in a chair.
3. A nurse is assessing a client who is immediately postoperative following a subtotal thyroidectomy. Which
of the following should the nurse expect to administer?
A. Calcium gluconate.
B. Sodium bicarbonate.
C. Potassium chloride.
D. Sodium phosphate.
4. A nurse is caring for an adult client who has prescriptions for multiple medications. Which of the following
(Unable to read) as an age-related change that increases the risk for adverse effects from this medication?
A. Rapid gastric emptying.
B. Prolonged medication half-life.
C. Increased medication elimination.
, RN COMPREHENSIVE PREDICTOR EXAM Q & A
D. Decreased medication sensitivity.