PN COMPREHENSIVE PREDICTOR 2024 with NGN
1. An assistive personnel tells the charge Ask the AP to discuss the issue
nurse that her assignment is too de- in a private area
manding. She angrily tells the nurse to
reassign one of her tasks to another AP.
Which of the following actions should the
nurse take to resolve the conflict?
2. A nurse is supervising an assistive per- Oral Suction Equipment
sonnel (AP) obtain supplies for a client
who is on seizure precautions. Which of
the following materials should the AP
place in the client's room?
3. A charge nurse on a mental health unit Tells a client he will lose his
is supervising a newly licensed nurse. phone privileges if he does not
For which of the following actions by the take his medication
newly licensed nurse should the super-
vising nurse intervene?
4. A nurse is caring for a client who fol- Roasted Salmon
lows a kosher diet. Which of the following
menu items should the nurse include in
the meal tray?
5. A nurse is reviewing information about "Advance directives include a
advance directives with a newly admitted living will"
client. Which of the following statements
by the client indicates an understanding
of the information?
6. A nurse is collecting data from the care- Encourage the client to take fre-
giver of a client who has Alzheimer's quent walks during the day
disease. The caregiver reports the client
has difficulty sleeping at night and wan-
ders throughout the house. Which of the
following interventions should the nurse
recommend?
7.
, PN COMPREHENSIVE PREDICTOR 2024 with NGN
A nurse is assisting in the care of a client Assist the client to empty her
who is 8hr postpartum and has uterine bladder
atony with increased bleeding. Which of
the following actions should the nurse
take? (Select all that apply)
8. A nurse is reinforcing teaching with the "Gently stroke her abdomen
support person of a client who is in the during contractions"
first stage of labor. Which of the following
instructions should the nurse include re-
garding effleurage?
9. A nurse is caring for an older adult client Use a moisture barrier on the
who is postoperative following a total hip client's skin
arthroplasty. The client is incontinent of
stool and urine. Which of the following
actions should the nurse take to prevent
skin breakdown?
10. A nurse is caring for a client who has Allow the client to choose treat-
terminal cancer. Which of the following ment times
actions should the nurse take to promote
the client's autonomy?
11. A nurse in a clinic is caring for a client Appears greenish-brown in col-
who is at 40 weeks of gestation and expe- or
riences a sudden gush of vaginal fluids.
Which of the following findings is evi-
dence of an obstetric complication?
12. A nurse is assisting with the care of an Inform the adolescent that he
adolescent client immediately following might experience a headache
a lumbar puncture. Which of the follow-
ing actions should the nurse take?
13. A nurse is reinforcing teaching about ad- "I should discuss this document
vance directives with a client who has with my family after I sign it"
end-stage heart failure. Which of the fol-
lowing statements by the client indicates
an understanding of the teaching?
, PN COMPREHENSIVE PREDICTOR 2024 with NGN
14. A nurse is caring for a client who has Irrigate the bladder with 20 to 30
continuous bladder irrigation following a mL of 0.9% sodium chloride
transurethral resection of the prostate.
The nurse notices clots and dark red
blood in the catheter collection bag.
Which of the following actions should the
nurse take?
15. A nurse is planning to obtain a 12-lead Instruct the client to remain
ECG for a client who has a history of as still as possible during the
cardiac dysrhythmias. Which of the fol- recording
lowing actions should the nurse plan to
take?
16. A nurse is reinforcing teaching with a "You should increase fluid in-
client who has genital herpes. Which take to relieve dysuria"
of the following information should the
nurse include in the teaching?
17. A nurse is preparing to empty a postop- Compress the container before
erative client's closed-wound drainage replacing the drainage plug
system. Which of the following actions
should the nurse plan to take?
18. A nurse is reinforcing teaching with the Administer the medication to
parents of a toddler who has a new di- the toddler each evening
agnosis of asthma and a prescription for
montelukast. Which of the following in-
structions should the nurse include in
the teaching?
19. A nurse in an acute mental health fa- Defining responsibilities
cility is caring for a newly admitted
client. Which of the following should oc-
cur during the orientation phase of the
nurse-client relationship?
20. A nurse is caring for a client who reports Lower left
having a decrease in fetal movement fol-
1. An assistive personnel tells the charge Ask the AP to discuss the issue
nurse that her assignment is too de- in a private area
manding. She angrily tells the nurse to
reassign one of her tasks to another AP.
Which of the following actions should the
nurse take to resolve the conflict?
2. A nurse is supervising an assistive per- Oral Suction Equipment
sonnel (AP) obtain supplies for a client
who is on seizure precautions. Which of
the following materials should the AP
place in the client's room?
3. A charge nurse on a mental health unit Tells a client he will lose his
is supervising a newly licensed nurse. phone privileges if he does not
For which of the following actions by the take his medication
newly licensed nurse should the super-
vising nurse intervene?
4. A nurse is caring for a client who fol- Roasted Salmon
lows a kosher diet. Which of the following
menu items should the nurse include in
the meal tray?
5. A nurse is reviewing information about "Advance directives include a
advance directives with a newly admitted living will"
client. Which of the following statements
by the client indicates an understanding
of the information?
6. A nurse is collecting data from the care- Encourage the client to take fre-
giver of a client who has Alzheimer's quent walks during the day
disease. The caregiver reports the client
has difficulty sleeping at night and wan-
ders throughout the house. Which of the
following interventions should the nurse
recommend?
7.
, PN COMPREHENSIVE PREDICTOR 2024 with NGN
A nurse is assisting in the care of a client Assist the client to empty her
who is 8hr postpartum and has uterine bladder
atony with increased bleeding. Which of
the following actions should the nurse
take? (Select all that apply)
8. A nurse is reinforcing teaching with the "Gently stroke her abdomen
support person of a client who is in the during contractions"
first stage of labor. Which of the following
instructions should the nurse include re-
garding effleurage?
9. A nurse is caring for an older adult client Use a moisture barrier on the
who is postoperative following a total hip client's skin
arthroplasty. The client is incontinent of
stool and urine. Which of the following
actions should the nurse take to prevent
skin breakdown?
10. A nurse is caring for a client who has Allow the client to choose treat-
terminal cancer. Which of the following ment times
actions should the nurse take to promote
the client's autonomy?
11. A nurse in a clinic is caring for a client Appears greenish-brown in col-
who is at 40 weeks of gestation and expe- or
riences a sudden gush of vaginal fluids.
Which of the following findings is evi-
dence of an obstetric complication?
12. A nurse is assisting with the care of an Inform the adolescent that he
adolescent client immediately following might experience a headache
a lumbar puncture. Which of the follow-
ing actions should the nurse take?
13. A nurse is reinforcing teaching about ad- "I should discuss this document
vance directives with a client who has with my family after I sign it"
end-stage heart failure. Which of the fol-
lowing statements by the client indicates
an understanding of the teaching?
, PN COMPREHENSIVE PREDICTOR 2024 with NGN
14. A nurse is caring for a client who has Irrigate the bladder with 20 to 30
continuous bladder irrigation following a mL of 0.9% sodium chloride
transurethral resection of the prostate.
The nurse notices clots and dark red
blood in the catheter collection bag.
Which of the following actions should the
nurse take?
15. A nurse is planning to obtain a 12-lead Instruct the client to remain
ECG for a client who has a history of as still as possible during the
cardiac dysrhythmias. Which of the fol- recording
lowing actions should the nurse plan to
take?
16. A nurse is reinforcing teaching with a "You should increase fluid in-
client who has genital herpes. Which take to relieve dysuria"
of the following information should the
nurse include in the teaching?
17. A nurse is preparing to empty a postop- Compress the container before
erative client's closed-wound drainage replacing the drainage plug
system. Which of the following actions
should the nurse plan to take?
18. A nurse is reinforcing teaching with the Administer the medication to
parents of a toddler who has a new di- the toddler each evening
agnosis of asthma and a prescription for
montelukast. Which of the following in-
structions should the nurse include in
the teaching?
19. A nurse in an acute mental health fa- Defining responsibilities
cility is caring for a newly admitted
client. Which of the following should oc-
cur during the orientation phase of the
nurse-client relationship?
20. A nurse is caring for a client who reports Lower left
having a decrease in fetal movement fol-
