TEST BANK
PN Comprehensive Predictor 2023 with NGN (Latest
2023–2025) | Actual Exam Questions & Correct Detailed
Answers with Rationales | Verified A+
QUESTION
A nurse is caring for a client who is 2 days postoperative following a partial bowel
resection. The client reports that he "felt something pop" when he sneezed. The
nurse observes an evisceration. After calling for assistance, which of the following
actions should the nurse take first?
,Correct Answer: Cover the wound with sterile saline-soaked gauze
Rationale: The priority is to protect exposed abdominal contents by keeping them
moist and reducing the risk of infection until surgery can be performed.
QUESTION
A nurse is caring for a client who is in balanced skeletal traction for a leg fracture.
Which of the following should the nurse expect to be included in the care plan?
Correct Answer: Inspect the ropes, knots, and pulleys every 8 hours
Rationale: In traction, proper alignment and equipment integrity are essential to
ensure effective immobilization and prevent complications.
QUESTION
A nurse is using contact precautions while caring for a toddler. Which of the
following actions should the nurse take?
Correct Answer: Use a designated stethoscope for the toddler
Rationale: Dedicated equipment prevents cross-contamination between patients
when contact precautions are in place.
QUESTION
A client’s daughter calls the nurse requesting information about her mother’s
condition. The client’s chart does not specify that information can be released to
the daughter. Which of the following is an appropriate response by the nurse?
Correct Answer: "You will need to contact your mother directly about her
condition."
Rationale: HIPAA regulations prohibit disclosure of medical information without
patient consent.
,QUESTION
A nurse is reviewing the immunization record of a 9-year-old child during a routine
physical exam. Which of the following findings should indicate to the nurse that
the child is not current with required immunizations?
Correct Answer: One MMR vaccine
Rationale: Two doses of MMR are required, the first at 12–15 months and the
second at 4–6 years of age.
QUESTION
A nurse is reinforcing teaching with a new mother on facility security measures.
Which statement by the mother indicates understanding of the teaching?
Correct Answer: "I will have an identification band that matches the one my
baby wears."
Rationale: Matching ID bands prevent infant abduction and ensure safety during
hospitalization.
QUESTION
A nurse is reinforcing teaching with a client who is 10 weeks gestation and has a
history of mild hypertension. The nurse should instruct the client to call the clinic
if she develops which condition?
Correct Answer: Edema of the ankles
Rationale: Edema can indicate complications such as preeclampsia and requires
prompt evaluation.
QUESTION
A nurse is caring for a client who has been placed in restraints. Which of the
following interventions is appropriate?
, Correct Answer: Monitor the client’s skin integrity on a regular schedule
Rationale: Clients in restraints are at risk for impaired circulation and skin
breakdown; frequent checks are mandatory.
QUESTION
A nurse working on a mental health unit is reviewing policies for client seclusion.
For which of the following situations is seclusion appropriate?
Correct Answer: Aggressive behavior
Rationale: Seclusion may be used as a last resort to protect the client and others
from harm during violent or aggressive behavior.
QUESTION
A nurse in a long-term care facility has received change-of-shift report on four
clients. Which of the following clients should the nurse attend to first?
Correct Answer: A client who has COPD and dementia and was agitated
during the night shift
Rationale: Clients with COPD are at risk for impaired oxygenation; agitation
increases oxygen demand, making this client the priority.
QUESTION
A nurse is caring for a client who has terminal cancer. Which of the following
actions should the nurse take to promote the client’s autonomy?
Correct Answer: Allow the client to choose treatment times
QUESTION
A nurse in a clinic is caring for a client who is at 40 weeks of gestation and
PN Comprehensive Predictor 2023 with NGN (Latest
2023–2025) | Actual Exam Questions & Correct Detailed
Answers with Rationales | Verified A+
QUESTION
A nurse is caring for a client who is 2 days postoperative following a partial bowel
resection. The client reports that he "felt something pop" when he sneezed. The
nurse observes an evisceration. After calling for assistance, which of the following
actions should the nurse take first?
,Correct Answer: Cover the wound with sterile saline-soaked gauze
Rationale: The priority is to protect exposed abdominal contents by keeping them
moist and reducing the risk of infection until surgery can be performed.
QUESTION
A nurse is caring for a client who is in balanced skeletal traction for a leg fracture.
Which of the following should the nurse expect to be included in the care plan?
Correct Answer: Inspect the ropes, knots, and pulleys every 8 hours
Rationale: In traction, proper alignment and equipment integrity are essential to
ensure effective immobilization and prevent complications.
QUESTION
A nurse is using contact precautions while caring for a toddler. Which of the
following actions should the nurse take?
Correct Answer: Use a designated stethoscope for the toddler
Rationale: Dedicated equipment prevents cross-contamination between patients
when contact precautions are in place.
QUESTION
A client’s daughter calls the nurse requesting information about her mother’s
condition. The client’s chart does not specify that information can be released to
the daughter. Which of the following is an appropriate response by the nurse?
Correct Answer: "You will need to contact your mother directly about her
condition."
Rationale: HIPAA regulations prohibit disclosure of medical information without
patient consent.
,QUESTION
A nurse is reviewing the immunization record of a 9-year-old child during a routine
physical exam. Which of the following findings should indicate to the nurse that
the child is not current with required immunizations?
Correct Answer: One MMR vaccine
Rationale: Two doses of MMR are required, the first at 12–15 months and the
second at 4–6 years of age.
QUESTION
A nurse is reinforcing teaching with a new mother on facility security measures.
Which statement by the mother indicates understanding of the teaching?
Correct Answer: "I will have an identification band that matches the one my
baby wears."
Rationale: Matching ID bands prevent infant abduction and ensure safety during
hospitalization.
QUESTION
A nurse is reinforcing teaching with a client who is 10 weeks gestation and has a
history of mild hypertension. The nurse should instruct the client to call the clinic
if she develops which condition?
Correct Answer: Edema of the ankles
Rationale: Edema can indicate complications such as preeclampsia and requires
prompt evaluation.
QUESTION
A nurse is caring for a client who has been placed in restraints. Which of the
following interventions is appropriate?
, Correct Answer: Monitor the client’s skin integrity on a regular schedule
Rationale: Clients in restraints are at risk for impaired circulation and skin
breakdown; frequent checks are mandatory.
QUESTION
A nurse working on a mental health unit is reviewing policies for client seclusion.
For which of the following situations is seclusion appropriate?
Correct Answer: Aggressive behavior
Rationale: Seclusion may be used as a last resort to protect the client and others
from harm during violent or aggressive behavior.
QUESTION
A nurse in a long-term care facility has received change-of-shift report on four
clients. Which of the following clients should the nurse attend to first?
Correct Answer: A client who has COPD and dementia and was agitated
during the night shift
Rationale: Clients with COPD are at risk for impaired oxygenation; agitation
increases oxygen demand, making this client the priority.
QUESTION
A nurse is caring for a client who has terminal cancer. Which of the following
actions should the nurse take to promote the client’s autonomy?
Correct Answer: Allow the client to choose treatment times
QUESTION
A nurse in a clinic is caring for a client who is at 40 weeks of gestation and
