nursing
RN Comprehensive Predictor 2019 Form A
1. A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-old. Which of the following
actions should the nurse take?
A. (Unable to read)
B. Tell the child they will feel discomfort during the catheter insertion.
C. Use a mummy restraint to hold the child during the catheter insertion.
D. Require the parents to leave the room during the procedure.
2. A nurse is caring for a client who has arteriovenous fistula Which of the following findings should the
nurse report?
A. Thrill upon palpation.
B. Absence of a bruit.
C. Distended blood vessels
D. Swishing sound upon auscultation.
3. A nurse is providing discharge teaching for a client who has an implantable cardioverter defibrillator
which of the following statements demonstrates understanding of the teaching?
A. “I will soak in the tub rather and showering”
B. “I will wear loose clothing around my ICD”
C. “I will stop using my microwave oven at home because of my ICD”
D. “I can hold my cellphone on the same side of my body as the ICD”
4. A nurse is caring for a client who is at 14 weeks gestation and reports feelings of ambivalence about
being pregnant. Which of the following responses should the nurse make?
A. “Describe your feelings to me about being pregnant”
B. “You should discuss your feelings about being pregnant with your provider”
C. “Have you discussed these feelings with your partner?”
D. “When did you start having these feelings?”
5. A nurse is planning care for a client who has a prescription for a bowel- training program following a
spinal cord injury. Which of the following actions should the nurse include in the plan of care?
A. Encourage a maximum fluid intake of 1,500 ml per day.
B. Increase the amount of refined grains in the client’s diet.
C. Provide the client with a cold drink prior to defecation.
D. Administer a rectal suppository 30 minutes prior to scheduled defecation times.
6. A nurse is caring for a client who is in active labor and requests pain management. Which of the
following actions should the nurse take?
A. Administer ondansetron.
, B. Place the client in a warm shower.
C. Apply fundal pressure during contractions.
D. Assist the client to a supine position.
7. a nurse in an emergency department is performing triage for multiple clients following a disaster in
the community. To which of the following types of injuries should the nurse assign the highest priority?
A. Below-the knee amputation
B. Fractured tibia
C. 95% full-thickness body burn
D. 10cm (4in) laceration to the forearm
9. A nurse is teaching an in-service about nursing leadership. Which of the following information should
the nurse include about an effective leader?
A. Acts as an advocate for the nursing unit.
B. (Unable to read) for the unit
C. Priorities staff request over client needs.
D. Provides routine client care and documentation.
10. A nurse is reviewing the laboratory findings of a client who has diabetes mellitus and reports that she
has been following her (unable to read) care. The nurse should identify which of the following findings
indicates a need to revise the client’s plan of care.
A. Serum sodium 144 mEq/
B. (Unable to read)
C. Hba1c 10 %
D. Random serum glucose 190 mg/dl.
11. A nurse in a provider’s office is reviewing the laboratory results of a group of clients. The nurse
should identify that which of the following sexually transmitted infections is a nationally notifiable
infectious disease that should be reported to the state health department?
A. Chlamydia
B. Human papillomavirus
C. Candidiasis
D. Herps simplex virus
12. A nurse is teaching a newly licensed nurse about therapeutic techniques to use when leading a group
on a mental health unit. Which of the following group facilitation techniques should the nurse include in
the teaching?
A. Share personal opinions to help influence the group’s values
B. Measure the accomplishments of the group against a previous group
C. Yield in situations of conflicts to maintain group harmony
D. Use modeling to help the clients improve their interpersonal skills
13. A nurse is planning for a client who practices Orthodox Judaism. The client tells the nurse that
(Unable to read) Passover holiday. Which of the following action should the nurse include in the plan of
care?
, A. Provide chicken with cream sauce.
B. Avoid serving fish with fins and scales.
C. Provide unleavened bread.
D. Avoid serving foods containing lamb.
14. A nurse is caring for a client who has a pulmonary embolism. The nurse should identify the
effectiveness of the treatment
A. A chest x-ray reveals increased density in all fields.
B. The client reports feeling less anxious.
C. Diminished breath sounds are auscultated bilaterally
D. ABG results include Ph 7.48 PaO2 77 mm Hg and PaCO2 47 mm Hg.
15. A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam
tablets (Unable to read) a respiratory rate of 10/min. After securing the client’s airway and initiating an
IV, which of the following actions should the nurse do next.
A. Monitor the client’s IV site for thrombophlebitis.
B. Administer flumazenil to the client.
C. Evaluate the client for further suicidal behavior.
D. Initiate seizure precautions for the client.
16. A nurse in an emergency department is caring for a client who reports cocaine use 1hr ago. Which of
the following findings should the nurse expect?
A. Hypotension
B. Memory loss
C. Slurred speech
D. Elevated temperature
17. 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
18. A nurse in a pediatric clinic is reviewing the laboratory test results of a school age child. Which of
the following findings should the nurse report to the provider?
A. Hgb 12.5 g/dl
B. Platelets 250,000/mm3
C. Hct 40%
D. WBC 14,000/mm3
19. A charge nurse is teaching a newly licensed nurse about clients designating a health care proxy in
situations that require a durable power of attorney for heal care (DPSHC). Which of the following
information should the charge nurse include?
, A. “The proxy should make health care decisions for the client regardless of the client’s ability to
do so.”
B. “The proxy can make financial decisions if the need arises.”
C. “The proxy can make treatment decisions if the client is under anesthesia.”
D. “The proxy should manage legal issues for the client.”
20. A nurse in the PACU is caring for a client who reports nausea. Which of the following actions should
the nurse take first?
A. Turn the client on their side.
B. Administer an analgesic
C. Administer antiemetic
D. Monitor the client’s vital signs.
21. A nurse is caring for a client who has a history of depression and is experiencing a situational crisis.
Which of the following actions should the nurse take first?
A. Confirm the client’s perception of the event
B. Notify the client’s support system
C. Help the client identify personal strengths
D. Teach the client relaxation techniques
24. A charge nurse on a medical-surgical unit is planning assignments for a licensed practical nurse
(LPN) who has been sent from the (Unable to read) unit due to a staffing shortage. Which of the
following client should the nurse delegate to the LPN?
A. A client who has an Hgb of 6.3 g/dl and a prescription for packed RBCs.
B. A client who sustained a concussion and has unequal pupils.
C. A client who is postoperative following a bowel resection with an NG tube set to continuous
suction.
D. A client who fractured his femur yesterday and is experiencing shortness of breath.
25. A nurse is working on a surgical unit is developing a care plan for a client who has paraplegia. The
client has an area of nonblanchable erythema over his ischium. Which of the following interventions
should the nurse include in the care plan?
A. Place the client upright on a donut-shaped cushion
B. Teach the client to shift his weight every 15 min while sitting
C. Turn and reposition the client every 3 hr while in bed
D. Assess pressure points every 24 hr
25. A nurse is caring for a client who is dilated to 10 cm and pushing. Which of the following pain-
management (Unable to read) a safe option for the client?
A. Naloxone hydrochloride.
B. Spinal anesthesia.
C. Pudendal block.
RN Comprehensive Predictor 2019 Form A
1. A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-old. Which of the following
actions should the nurse take?
A. (Unable to read)
B. Tell the child they will feel discomfort during the catheter insertion.
C. Use a mummy restraint to hold the child during the catheter insertion.
D. Require the parents to leave the room during the procedure.
2. A nurse is caring for a client who has arteriovenous fistula Which of the following findings should the
nurse report?
A. Thrill upon palpation.
B. Absence of a bruit.
C. Distended blood vessels
D. Swishing sound upon auscultation.
3. A nurse is providing discharge teaching for a client who has an implantable cardioverter defibrillator
which of the following statements demonstrates understanding of the teaching?
A. “I will soak in the tub rather and showering”
B. “I will wear loose clothing around my ICD”
C. “I will stop using my microwave oven at home because of my ICD”
D. “I can hold my cellphone on the same side of my body as the ICD”
4. A nurse is caring for a client who is at 14 weeks gestation and reports feelings of ambivalence about
being pregnant. Which of the following responses should the nurse make?
A. “Describe your feelings to me about being pregnant”
B. “You should discuss your feelings about being pregnant with your provider”
C. “Have you discussed these feelings with your partner?”
D. “When did you start having these feelings?”
5. A nurse is planning care for a client who has a prescription for a bowel- training program following a
spinal cord injury. Which of the following actions should the nurse include in the plan of care?
A. Encourage a maximum fluid intake of 1,500 ml per day.
B. Increase the amount of refined grains in the client’s diet.
C. Provide the client with a cold drink prior to defecation.
D. Administer a rectal suppository 30 minutes prior to scheduled defecation times.
6. A nurse is caring for a client who is in active labor and requests pain management. Which of the
following actions should the nurse take?
A. Administer ondansetron.
, B. Place the client in a warm shower.
C. Apply fundal pressure during contractions.
D. Assist the client to a supine position.
7. a nurse in an emergency department is performing triage for multiple clients following a disaster in
the community. To which of the following types of injuries should the nurse assign the highest priority?
A. Below-the knee amputation
B. Fractured tibia
C. 95% full-thickness body burn
D. 10cm (4in) laceration to the forearm
9. A nurse is teaching an in-service about nursing leadership. Which of the following information should
the nurse include about an effective leader?
A. Acts as an advocate for the nursing unit.
B. (Unable to read) for the unit
C. Priorities staff request over client needs.
D. Provides routine client care and documentation.
10. A nurse is reviewing the laboratory findings of a client who has diabetes mellitus and reports that she
has been following her (unable to read) care. The nurse should identify which of the following findings
indicates a need to revise the client’s plan of care.
A. Serum sodium 144 mEq/
B. (Unable to read)
C. Hba1c 10 %
D. Random serum glucose 190 mg/dl.
11. A nurse in a provider’s office is reviewing the laboratory results of a group of clients. The nurse
should identify that which of the following sexually transmitted infections is a nationally notifiable
infectious disease that should be reported to the state health department?
A. Chlamydia
B. Human papillomavirus
C. Candidiasis
D. Herps simplex virus
12. A nurse is teaching a newly licensed nurse about therapeutic techniques to use when leading a group
on a mental health unit. Which of the following group facilitation techniques should the nurse include in
the teaching?
A. Share personal opinions to help influence the group’s values
B. Measure the accomplishments of the group against a previous group
C. Yield in situations of conflicts to maintain group harmony
D. Use modeling to help the clients improve their interpersonal skills
13. A nurse is planning for a client who practices Orthodox Judaism. The client tells the nurse that
(Unable to read) Passover holiday. Which of the following action should the nurse include in the plan of
care?
, A. Provide chicken with cream sauce.
B. Avoid serving fish with fins and scales.
C. Provide unleavened bread.
D. Avoid serving foods containing lamb.
14. A nurse is caring for a client who has a pulmonary embolism. The nurse should identify the
effectiveness of the treatment
A. A chest x-ray reveals increased density in all fields.
B. The client reports feeling less anxious.
C. Diminished breath sounds are auscultated bilaterally
D. ABG results include Ph 7.48 PaO2 77 mm Hg and PaCO2 47 mm Hg.
15. A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam
tablets (Unable to read) a respiratory rate of 10/min. After securing the client’s airway and initiating an
IV, which of the following actions should the nurse do next.
A. Monitor the client’s IV site for thrombophlebitis.
B. Administer flumazenil to the client.
C. Evaluate the client for further suicidal behavior.
D. Initiate seizure precautions for the client.
16. A nurse in an emergency department is caring for a client who reports cocaine use 1hr ago. Which of
the following findings should the nurse expect?
A. Hypotension
B. Memory loss
C. Slurred speech
D. Elevated temperature
17. 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
18. A nurse in a pediatric clinic is reviewing the laboratory test results of a school age child. Which of
the following findings should the nurse report to the provider?
A. Hgb 12.5 g/dl
B. Platelets 250,000/mm3
C. Hct 40%
D. WBC 14,000/mm3
19. A charge nurse is teaching a newly licensed nurse about clients designating a health care proxy in
situations that require a durable power of attorney for heal care (DPSHC). Which of the following
information should the charge nurse include?
, A. “The proxy should make health care decisions for the client regardless of the client’s ability to
do so.”
B. “The proxy can make financial decisions if the need arises.”
C. “The proxy can make treatment decisions if the client is under anesthesia.”
D. “The proxy should manage legal issues for the client.”
20. A nurse in the PACU is caring for a client who reports nausea. Which of the following actions should
the nurse take first?
A. Turn the client on their side.
B. Administer an analgesic
C. Administer antiemetic
D. Monitor the client’s vital signs.
21. A nurse is caring for a client who has a history of depression and is experiencing a situational crisis.
Which of the following actions should the nurse take first?
A. Confirm the client’s perception of the event
B. Notify the client’s support system
C. Help the client identify personal strengths
D. Teach the client relaxation techniques
24. A charge nurse on a medical-surgical unit is planning assignments for a licensed practical nurse
(LPN) who has been sent from the (Unable to read) unit due to a staffing shortage. Which of the
following client should the nurse delegate to the LPN?
A. A client who has an Hgb of 6.3 g/dl and a prescription for packed RBCs.
B. A client who sustained a concussion and has unequal pupils.
C. A client who is postoperative following a bowel resection with an NG tube set to continuous
suction.
D. A client who fractured his femur yesterday and is experiencing shortness of breath.
25. A nurse is working on a surgical unit is developing a care plan for a client who has paraplegia. The
client has an area of nonblanchable erythema over his ischium. Which of the following interventions
should the nurse include in the care plan?
A. Place the client upright on a donut-shaped cushion
B. Teach the client to shift his weight every 15 min while sitting
C. Turn and reposition the client every 3 hr while in bed
D. Assess pressure points every 24 hr
25. A nurse is caring for a client who is dilated to 10 cm and pushing. Which of the following pain-
management (Unable to read) a safe option for the client?
A. Naloxone hydrochloride.
B. Spinal anesthesia.
C. Pudendal block.
