RN PROCTORED COMPREHENSIVE
PREDICTOR FORM B
RN-proctored-comprehensive-
predictor-2020-form-b-180-questions-
and-answers
• A nurse in an emergency department completes an assessment on an adolescent client that has conduct
disorder. The client threatenedsuicide to teacher at school. Which of the following statements should the nurse
include in the assessment?
• Tell me about your siblings
• Tell me what kind of music you like
• Tell me how often do you drink alcohol
• Tell me about your school schedule
• *A nurse is observing bonding to the client her newborn. Which of following actions by the client requires the nurse to
intervene?
• Holding the newborn in an en face position
• Asking the father to change the newborn's diaper
• Requesting the nurse take the newborn
nursery so she can restd) Viewing the
newborn’s actions to be uncooperative
• A nurse is caring for client who is taking levothyroxin. Which of the following findings should indicate that the
medication is effective? a) Weight loss (this drug acts as T4 and will normalize the effects of
hypothyroidism)
• Decreased blood pressure
• Absence of seizures
• Decrease inflammation
• A nurse is planning discharge teaching for cord care for the parent of a newborn. Which instructions would you include in
the teaching?
• Contact provider if the cord still turns black (it’s going to turn black)
• Clean the base of the cord with hydrogen peroxide daily (clean
with neutral pH cleanser)c) Keep the cord dry until it falls of f
(cord should be kept clean and dry to prevent infection)
d) The cord stump will fall off in five days (cord falls off in 10-14 days)
• A nurse is assisting with mass casualty triage: explosion at a local factory. Which of the following client should the nurse
identify as the
priority?
• A client that has massive head trauma
, • A client has full thickness
burns to face and trunkc)
A client with indications
of hypovolemic shock
d) A client with open fracture of the lower extremity
• A nurse is a receiving report on four clients. Which of the following clients should the nurse assess first?
• A client who has illeal conduit and mucus in the pouch
• Client pleasant arteriovenous additional vibration palpated
• A client whose chronic kidney disease with cloudy diasylate outflow
• A client was transurethral resection of the prostate with a red tinged urine in the bag
• A nurse is caring for a client just received the first dose of lisinopril. The following is an appropriate nursing intervention?
• Place’s cardiac monitoring
• Monitor the clients oxygen saturation level
• Provide standby assist with the client from bed
1 of 47
• Encourage foods high in potassium
• A nurse is caring for a client who is in labor and his seat is receiving electronic fetal monitoring. The nurse is
reviewing the monitor tracing and notes early decelerations. Which the following should the nurse expect?
• Feta hypoxia
• Abrupto placentae
• Post maturity
• Head Compression
• A nurse is caring for a client who has chronic kidney disease. The nurse should identify which of the following laboratory
values as in an
indication for hemodialysis?
• glomerular filtration rate of 14 mL/ minute
• BUN 16 mg/DL
• serum magnesium 1.8 mg mg/dl
• Serum phosphorus 4.0 mg/dL
• A nurse is caring for an infant who has a prescription for continuous pulse oximetry. The following is an appropriate
action for the nurse to take?
• Placed infant under radiant warmer
• Move the probe site every 3 hours
• Heat the skin one minute prior to placing the program
• Placed a sensor on the index finger
• A nurse in a mental health facility receives a change of shift report on for clients. Which of the following clients should
the nurse plan to assess first?
• Client placed in restraints to the aggressive behavior
• A new limited client pleasures history of 4.5 kg weight loss in the past two months
• Client is receiving a PRN dose of health heard all two hours ago for increased anxiety
• Applied he’ll be receiving his first ECT treatment today
• A nurse working at the clinic is teaching a group of clients who are pregnant on the use of nonpharmacological pain
management. Which ofthe following statements by the nurse is an appropriate description of the use of hypnosis
during labor?
• Hypnosis focuses on the biofeedback as a relaxation technique
• Hypnosis promotes increased control of her pain perception during contractions
• Hypnosis uses therapeutic touch to reduce anxiety during labor
• Hypnosis provides instruction to minimize pain
, • A nurse in a County Jail health clinic is leading group therapy session. A client who was incarcerated for theft is
addressing the group. Which ofthe following is an example of reaction formation? (rxn formation is when you use
opposite feelings; ex: being super nice to someone you dislike)
• I steal things because it’s the only way I can keep my mind off my bad marriage
• I can’t believe I was accused of something I didn’t do
• I don’t want talk about my feelings right now. We will talk more next time
• I think that people just you’re just lazy and should earn money honestly
• A nurse is obtaining the medical history of a client who has a new prescription for isosorbide monotitrate. Which of
the following should the nurse identify as a contraindication to medication?
• Glaucoma
• Hypertension
• Polycythemia
• Migraine headaches
16) ?
• The nurses is caring for a client recovering from an acute myocardial infarction. Which following intervention should
the nurse include in the point of care?
• Draw a troponin level every four hours
• Performance EKG every 12 hours
• Plant oxygen tent fell over
minutes via rebreather maskd)
Obtain a cardiac rehabilitation
consult
• of 47
• A Nurses caring for client who has breast cancer and has been covering receiving chemotherapy. Which of the
following laboratory valuesshould nurse report to provider?
• WBC 3,000/mm3
• Hemoglobin 14 g/dl
• Platelet 250,000/mm3
• aPTT 30 seconds
• Home health nurse is carefully planned for Alzheimer’sdisease.To the following action should the nurse
include in the plan of care a) Place a daily calendar in the kitchen
• Replace button clothing with zippered items
• Replace the carpet with hardwood floors
• Create variation in daily routine
• Nurse is performing change of shift assessments on 4 clients. Which of the following findings should the nurse report to
provider first?
• The client was cystic fibrosis and has a thick productive clock and reports thirst
• Client who has gastroenteritis and is lethargic and confused
• The Client has diabetes mellitus has morning fasting Legal cost of 185 mg over deal
• The client was sick of signing it reports pain 15 minutes after receiving oral analgesic
• A nurse is caring for a client was in the second trimester of pregnancy and asks how to treat constipation. Which of
the following statements by the nurse is appropriate?
• Decrease taking vitamins and supplements to every other day
• Eat 15 g of fiber per day
• Consume 48 ounces of water each day (need at least 64 oz)
• Drink hot water with lemon juice each morning when you wake up
, 22) ?
• A nurse is caring for a client who is preparing his advance directives. Which is the following statements by
the client indicates an understanding of advanced directives? select all that apply
• I can’t change my instructions once a minute
• My doctor will need to approve my advance directives
• I need an attorney to witness my signature on
the advance directivesd) I have the right to
refuse treatment
e) My health care proxy can make medical decisions for me
• A nurse is caring for a client who is at 32 weeks gestation and has a history of cardiacdisease. Which of the
following positions should the nurse place the client to best promoteoptimalcardiacoutput?
• The chest
• Standing
• Supine
• Left lateral
• A nurse is caring for a group of clients. Which of the following clients should the
nurse assign to an AP?
• Client who has chronic obstructive pulmonary disease and needs guidance on
incentive spirometry
• Client who has awoken following a bronchoscopy and requests a drink
• Client who had a myocardial infarction 3 days ago reports chest discomfort
• Client who had a cerebrovascular accident two days ago and needs help toileting
• Nurse providing discharge teaching to the client who has schizophrenia and is starting therapy with clozapine.
Which of the following is the highestpriority for the client toreport to the provider?
• Constipation
• blurred vision
• Fever
• Dry Mouth
• A nurse observes an AP providing care to a child who is in skeletal traction. Which of the following action requires
intervention?
• Providing a high protein snack
• Assisting the child to reposition
• Placing weights as a child’s bed
• Massaging pressure points-causes skin breakdown
• of 47
• A nurse is planning to delegate to an AP the fasting blood glucose testing for a client who has diabetes mellitus. Which
of the following action should the nurse take?
• Determine if the AP is qualified to perform the test.
• Help the AP performed the blood glucose test
• Assign the AP to ask the client is taking his diabetic medication today
• Have AP check the medical record for prior blood glucose test results
• A nurse is assessing client brought to the hospital psychiatric emergency services by a law enforcement officer. The
client has disorganized, incoherentspeech with looseassociations and religiouscontent. You should recognize the
signs and symptoms as being consistent with which of the following?
• Alzheimer’s disease
• Schizophrenia
• Substance intoxication
• Depression
PREDICTOR FORM B
RN-proctored-comprehensive-
predictor-2020-form-b-180-questions-
and-answers
• A nurse in an emergency department completes an assessment on an adolescent client that has conduct
disorder. The client threatenedsuicide to teacher at school. Which of the following statements should the nurse
include in the assessment?
• Tell me about your siblings
• Tell me what kind of music you like
• Tell me how often do you drink alcohol
• Tell me about your school schedule
• *A nurse is observing bonding to the client her newborn. Which of following actions by the client requires the nurse to
intervene?
• Holding the newborn in an en face position
• Asking the father to change the newborn's diaper
• Requesting the nurse take the newborn
nursery so she can restd) Viewing the
newborn’s actions to be uncooperative
• A nurse is caring for client who is taking levothyroxin. Which of the following findings should indicate that the
medication is effective? a) Weight loss (this drug acts as T4 and will normalize the effects of
hypothyroidism)
• Decreased blood pressure
• Absence of seizures
• Decrease inflammation
• A nurse is planning discharge teaching for cord care for the parent of a newborn. Which instructions would you include in
the teaching?
• Contact provider if the cord still turns black (it’s going to turn black)
• Clean the base of the cord with hydrogen peroxide daily (clean
with neutral pH cleanser)c) Keep the cord dry until it falls of f
(cord should be kept clean and dry to prevent infection)
d) The cord stump will fall off in five days (cord falls off in 10-14 days)
• A nurse is assisting with mass casualty triage: explosion at a local factory. Which of the following client should the nurse
identify as the
priority?
• A client that has massive head trauma
, • A client has full thickness
burns to face and trunkc)
A client with indications
of hypovolemic shock
d) A client with open fracture of the lower extremity
• A nurse is a receiving report on four clients. Which of the following clients should the nurse assess first?
• A client who has illeal conduit and mucus in the pouch
• Client pleasant arteriovenous additional vibration palpated
• A client whose chronic kidney disease with cloudy diasylate outflow
• A client was transurethral resection of the prostate with a red tinged urine in the bag
• A nurse is caring for a client just received the first dose of lisinopril. The following is an appropriate nursing intervention?
• Place’s cardiac monitoring
• Monitor the clients oxygen saturation level
• Provide standby assist with the client from bed
1 of 47
• Encourage foods high in potassium
• A nurse is caring for a client who is in labor and his seat is receiving electronic fetal monitoring. The nurse is
reviewing the monitor tracing and notes early decelerations. Which the following should the nurse expect?
• Feta hypoxia
• Abrupto placentae
• Post maturity
• Head Compression
• A nurse is caring for a client who has chronic kidney disease. The nurse should identify which of the following laboratory
values as in an
indication for hemodialysis?
• glomerular filtration rate of 14 mL/ minute
• BUN 16 mg/DL
• serum magnesium 1.8 mg mg/dl
• Serum phosphorus 4.0 mg/dL
• A nurse is caring for an infant who has a prescription for continuous pulse oximetry. The following is an appropriate
action for the nurse to take?
• Placed infant under radiant warmer
• Move the probe site every 3 hours
• Heat the skin one minute prior to placing the program
• Placed a sensor on the index finger
• A nurse in a mental health facility receives a change of shift report on for clients. Which of the following clients should
the nurse plan to assess first?
• Client placed in restraints to the aggressive behavior
• A new limited client pleasures history of 4.5 kg weight loss in the past two months
• Client is receiving a PRN dose of health heard all two hours ago for increased anxiety
• Applied he’ll be receiving his first ECT treatment today
• A nurse working at the clinic is teaching a group of clients who are pregnant on the use of nonpharmacological pain
management. Which ofthe following statements by the nurse is an appropriate description of the use of hypnosis
during labor?
• Hypnosis focuses on the biofeedback as a relaxation technique
• Hypnosis promotes increased control of her pain perception during contractions
• Hypnosis uses therapeutic touch to reduce anxiety during labor
• Hypnosis provides instruction to minimize pain
, • A nurse in a County Jail health clinic is leading group therapy session. A client who was incarcerated for theft is
addressing the group. Which ofthe following is an example of reaction formation? (rxn formation is when you use
opposite feelings; ex: being super nice to someone you dislike)
• I steal things because it’s the only way I can keep my mind off my bad marriage
• I can’t believe I was accused of something I didn’t do
• I don’t want talk about my feelings right now. We will talk more next time
• I think that people just you’re just lazy and should earn money honestly
• A nurse is obtaining the medical history of a client who has a new prescription for isosorbide monotitrate. Which of
the following should the nurse identify as a contraindication to medication?
• Glaucoma
• Hypertension
• Polycythemia
• Migraine headaches
16) ?
• The nurses is caring for a client recovering from an acute myocardial infarction. Which following intervention should
the nurse include in the point of care?
• Draw a troponin level every four hours
• Performance EKG every 12 hours
• Plant oxygen tent fell over
minutes via rebreather maskd)
Obtain a cardiac rehabilitation
consult
• of 47
• A Nurses caring for client who has breast cancer and has been covering receiving chemotherapy. Which of the
following laboratory valuesshould nurse report to provider?
• WBC 3,000/mm3
• Hemoglobin 14 g/dl
• Platelet 250,000/mm3
• aPTT 30 seconds
• Home health nurse is carefully planned for Alzheimer’sdisease.To the following action should the nurse
include in the plan of care a) Place a daily calendar in the kitchen
• Replace button clothing with zippered items
• Replace the carpet with hardwood floors
• Create variation in daily routine
• Nurse is performing change of shift assessments on 4 clients. Which of the following findings should the nurse report to
provider first?
• The client was cystic fibrosis and has a thick productive clock and reports thirst
• Client who has gastroenteritis and is lethargic and confused
• The Client has diabetes mellitus has morning fasting Legal cost of 185 mg over deal
• The client was sick of signing it reports pain 15 minutes after receiving oral analgesic
• A nurse is caring for a client was in the second trimester of pregnancy and asks how to treat constipation. Which of
the following statements by the nurse is appropriate?
• Decrease taking vitamins and supplements to every other day
• Eat 15 g of fiber per day
• Consume 48 ounces of water each day (need at least 64 oz)
• Drink hot water with lemon juice each morning when you wake up
, 22) ?
• A nurse is caring for a client who is preparing his advance directives. Which is the following statements by
the client indicates an understanding of advanced directives? select all that apply
• I can’t change my instructions once a minute
• My doctor will need to approve my advance directives
• I need an attorney to witness my signature on
the advance directivesd) I have the right to
refuse treatment
e) My health care proxy can make medical decisions for me
• A nurse is caring for a client who is at 32 weeks gestation and has a history of cardiacdisease. Which of the
following positions should the nurse place the client to best promoteoptimalcardiacoutput?
• The chest
• Standing
• Supine
• Left lateral
• A nurse is caring for a group of clients. Which of the following clients should the
nurse assign to an AP?
• Client who has chronic obstructive pulmonary disease and needs guidance on
incentive spirometry
• Client who has awoken following a bronchoscopy and requests a drink
• Client who had a myocardial infarction 3 days ago reports chest discomfort
• Client who had a cerebrovascular accident two days ago and needs help toileting
• Nurse providing discharge teaching to the client who has schizophrenia and is starting therapy with clozapine.
Which of the following is the highestpriority for the client toreport to the provider?
• Constipation
• blurred vision
• Fever
• Dry Mouth
• A nurse observes an AP providing care to a child who is in skeletal traction. Which of the following action requires
intervention?
• Providing a high protein snack
• Assisting the child to reposition
• Placing weights as a child’s bed
• Massaging pressure points-causes skin breakdown
• of 47
• A nurse is planning to delegate to an AP the fasting blood glucose testing for a client who has diabetes mellitus. Which
of the following action should the nurse take?
• Determine if the AP is qualified to perform the test.
• Help the AP performed the blood glucose test
• Assign the AP to ask the client is taking his diabetic medication today
• Have AP check the medical record for prior blood glucose test results
• A nurse is assessing client brought to the hospital psychiatric emergency services by a law enforcement officer. The
client has disorganized, incoherentspeech with looseassociations and religiouscontent. You should recognize the
signs and symptoms as being consistent with which of the following?
• Alzheimer’s disease
• Schizophrenia
• Substance intoxication
• Depression
