Page 1 of 58
13 RN Comprehensive Predictor 2025 EXAM 2025- 2026 Review GRADED A+
QUESTIONS WIT H CORRECT ANSWERS GRADED A+
A nurse is providing teaching about home safety to the adult child of an older
adult client who is postoperative following knee replacement surgery. Which
of the following instructions should the nurse include?
A. Encourage the client to avoid wearing shoes at home.
B. Place a throw rug over electrical cords.
C. Ensure that area rugs have rubber backs.
D. Mark the edges of the doorway to the house with tape.
Ensure that area rugs have rubber backs.
Area rugs with rubber backs prevent slipping, reducing the risk of falls in a
postoperative client.
A nurse is assessing a client who has a chest tube with a water seal drainage
system. Upon assessment, the nurse notes tidaling in the water seal. Which of
the following is an explanation for the tidaling?
A. The system is working properly.
B. The lung has re-expanded.
C. There is a loop of tubing below the drainage system.
D. The tubing is partially obstructed by clots
A. The system is working properly.
Tidaling in the water seal chamber indicates normal fluctuations in pressure as the
client inhales and exhales, signifying that the system is functioning properly.
A nurse is providing discharge instructions to a client who has a new
prescription for haloperidol. Which of the following adverse effects should the
nurse instruct the client to report to the provider?
A. Weight gain
B. Shuffling gait
C. Dry mouth
D. Sedation
, Page 2 of 58
B. Shuffling gait
Shuffling gait is a sign of extrapyramidal symptoms (EPS), which can lead to tardive
dyskinesia and requires prompt evaluation.
A nurse is caring for an adolescent client who has cystic fibrosis. Which of the
following actions should the nurse instruct the client to take prior to initiating
postural drainage?
A. Complete oral hygiene.
B. Use an albuterol inhaler.
C. Eat a meal.
D. Take pancrelipase
Use an albuterol inhaler.
Using a bronchodilator such as albuterol before postural drainage helps open the
airways, making it easier to clear mucus.
A nurse is providing care for a client following a thoracentesis. If the client
develops a pneumothorax, which of the following assessment findings should
the nurse expect?
A. Pain on inhalation
B. Bradycardia
C. Friction rub
D. Stridor
A. Pain on inhalation
Pain on inhalation is a common symptom of pneumothorax due to pleural irritation
and collapse of the lung.
A hospice nurse is visiting with the son of a client who has terminal cancer.
The son reports sleeping very little during the past week due to caring for his
mother. Which of the following responses should the nurse make?
A. "You should consider taking a sleeping pill before bed each night."
B. "It is always difficult caring for someone who is terminally ill."
C. "I can give you information about respite care if you are interested."
D. "I am sure you're doing a great job taking care of your mother."
C. "I can give you information about respite care if you are interested."
Respite care provides relief for caregivers by allowing them to take time off, which is
appropriate for this situation
, Page 3 of 58
A nurse is caring for a client who is receiving brachytherapy for endometrial
cancer. Which of the following actions should the nurse take?
A. Place the client's soiled bed linens in a biohazard bag outside the client's
room.
B. Discard the radioactive source in the client's trash can.
C. Wear an isolation gown when caring for the client.
D. Keep visitors at least 6 feet (1.8 m) away from the client
Keep visitors at least 6 feet (1.8 m) away from the client.
Keeping visitors at least 6 feet away is a precaution to limit exposure to radiation
from the brachytherapy source
A nurse is assessing a client who received hydromorphone 4 mg IV 15 min
ago. The client has a respiratory rate of 10/min. The nurse should prepare to
administer which of the following medications?
A. Flumazenil
B. Naloxone
C. Acetylcysteine
D. Protamine
B. Naloxone
Naloxone is the antidote for opioid overdose and is indicated here due to the low
respiratory rate and recent administration of hydromorphone.
A nurse and an assistive personnel (AP) are assigned a group of clients on the
unit. Which of the following clients should the nurse instruct the AP to report
to the nurse?
A. A client who requests to sit in the bedside chair while watching TV.
B. A client who consumes all the food from their meal tray.
C. A client who requests assistance to use the bedside commode.
D. A client who has a prescription for compression stockings and did not
receive them
D. A client who has a prescription for compression stockings and did not
receive them.
Failing to receive prescribed compression stockings is an important issue because it
can increase the risk of deep vein thrombosis (DVT), and it needs to be reported
, Page 4 of 58
A nurse is caring for a client who is postoperative following total hip
arthroplasty. Which of the following actions should the nurse take to prevent
dislocation of the prosthesis?
A. Position the client's knees slightly higher than the hips when up in a chair.
B. Keep an abduction pillow between the client's legs.
C. Raise the head of the client's bed to a high-Fowler's position.
D. Elevate the client's affected leg on a pillow when in bed.
B. Keep an abduction pillow between the client's legs.
Keeping an abduction pillow between the legs helps maintain the hip in the correct
position and prevents dislocation.
A nurse in a PACU is transferring care of a client to a nurse on the medical-
surgical unit. Which of the following statements should the nurse include in
the hand-off report?
A. "There was a total of 10 sponges used during the procedure."
B. "The client was intubated without complications."
C. "The estimated blood loss was 250 milliliters."
D. "The client is a member of the board of directors."
C. "The estimated blood loss was 250 milliliters."
Estimated blood loss is an important clinical detail to convey during hand-off, as it
may impact the client's recovery and need for monitoring.
history and PhysicalNurses' NotesVital SignsDiagnostic ResultsProvider
Prescriptions
Day 1, 1030:
No known allergies
COPD
Hypertension
Hypothyroidism
Dermatitis
Type 2 diabetes mellitus
Smokes 1 pack of cigarettes per day
Client reports feeling short of breath, productive cough with yellow sputum,
and pleuritic chest pain. Runny nose, myalgia along with headache for the past
3 days. "I woke up feeling worse and started to feel nauseated and couldn't eat
my breakfast, so I thought I should come in." Client reports pleuritic chest pain
13 RN Comprehensive Predictor 2025 EXAM 2025- 2026 Review GRADED A+
QUESTIONS WIT H CORRECT ANSWERS GRADED A+
A nurse is providing teaching about home safety to the adult child of an older
adult client who is postoperative following knee replacement surgery. Which
of the following instructions should the nurse include?
A. Encourage the client to avoid wearing shoes at home.
B. Place a throw rug over electrical cords.
C. Ensure that area rugs have rubber backs.
D. Mark the edges of the doorway to the house with tape.
Ensure that area rugs have rubber backs.
Area rugs with rubber backs prevent slipping, reducing the risk of falls in a
postoperative client.
A nurse is assessing a client who has a chest tube with a water seal drainage
system. Upon assessment, the nurse notes tidaling in the water seal. Which of
the following is an explanation for the tidaling?
A. The system is working properly.
B. The lung has re-expanded.
C. There is a loop of tubing below the drainage system.
D. The tubing is partially obstructed by clots
A. The system is working properly.
Tidaling in the water seal chamber indicates normal fluctuations in pressure as the
client inhales and exhales, signifying that the system is functioning properly.
A nurse is providing discharge instructions to a client who has a new
prescription for haloperidol. Which of the following adverse effects should the
nurse instruct the client to report to the provider?
A. Weight gain
B. Shuffling gait
C. Dry mouth
D. Sedation
, Page 2 of 58
B. Shuffling gait
Shuffling gait is a sign of extrapyramidal symptoms (EPS), which can lead to tardive
dyskinesia and requires prompt evaluation.
A nurse is caring for an adolescent client who has cystic fibrosis. Which of the
following actions should the nurse instruct the client to take prior to initiating
postural drainage?
A. Complete oral hygiene.
B. Use an albuterol inhaler.
C. Eat a meal.
D. Take pancrelipase
Use an albuterol inhaler.
Using a bronchodilator such as albuterol before postural drainage helps open the
airways, making it easier to clear mucus.
A nurse is providing care for a client following a thoracentesis. If the client
develops a pneumothorax, which of the following assessment findings should
the nurse expect?
A. Pain on inhalation
B. Bradycardia
C. Friction rub
D. Stridor
A. Pain on inhalation
Pain on inhalation is a common symptom of pneumothorax due to pleural irritation
and collapse of the lung.
A hospice nurse is visiting with the son of a client who has terminal cancer.
The son reports sleeping very little during the past week due to caring for his
mother. Which of the following responses should the nurse make?
A. "You should consider taking a sleeping pill before bed each night."
B. "It is always difficult caring for someone who is terminally ill."
C. "I can give you information about respite care if you are interested."
D. "I am sure you're doing a great job taking care of your mother."
C. "I can give you information about respite care if you are interested."
Respite care provides relief for caregivers by allowing them to take time off, which is
appropriate for this situation
, Page 3 of 58
A nurse is caring for a client who is receiving brachytherapy for endometrial
cancer. Which of the following actions should the nurse take?
A. Place the client's soiled bed linens in a biohazard bag outside the client's
room.
B. Discard the radioactive source in the client's trash can.
C. Wear an isolation gown when caring for the client.
D. Keep visitors at least 6 feet (1.8 m) away from the client
Keep visitors at least 6 feet (1.8 m) away from the client.
Keeping visitors at least 6 feet away is a precaution to limit exposure to radiation
from the brachytherapy source
A nurse is assessing a client who received hydromorphone 4 mg IV 15 min
ago. The client has a respiratory rate of 10/min. The nurse should prepare to
administer which of the following medications?
A. Flumazenil
B. Naloxone
C. Acetylcysteine
D. Protamine
B. Naloxone
Naloxone is the antidote for opioid overdose and is indicated here due to the low
respiratory rate and recent administration of hydromorphone.
A nurse and an assistive personnel (AP) are assigned a group of clients on the
unit. Which of the following clients should the nurse instruct the AP to report
to the nurse?
A. A client who requests to sit in the bedside chair while watching TV.
B. A client who consumes all the food from their meal tray.
C. A client who requests assistance to use the bedside commode.
D. A client who has a prescription for compression stockings and did not
receive them
D. A client who has a prescription for compression stockings and did not
receive them.
Failing to receive prescribed compression stockings is an important issue because it
can increase the risk of deep vein thrombosis (DVT), and it needs to be reported
, Page 4 of 58
A nurse is caring for a client who is postoperative following total hip
arthroplasty. Which of the following actions should the nurse take to prevent
dislocation of the prosthesis?
A. Position the client's knees slightly higher than the hips when up in a chair.
B. Keep an abduction pillow between the client's legs.
C. Raise the head of the client's bed to a high-Fowler's position.
D. Elevate the client's affected leg on a pillow when in bed.
B. Keep an abduction pillow between the client's legs.
Keeping an abduction pillow between the legs helps maintain the hip in the correct
position and prevents dislocation.
A nurse in a PACU is transferring care of a client to a nurse on the medical-
surgical unit. Which of the following statements should the nurse include in
the hand-off report?
A. "There was a total of 10 sponges used during the procedure."
B. "The client was intubated without complications."
C. "The estimated blood loss was 250 milliliters."
D. "The client is a member of the board of directors."
C. "The estimated blood loss was 250 milliliters."
Estimated blood loss is an important clinical detail to convey during hand-off, as it
may impact the client's recovery and need for monitoring.
history and PhysicalNurses' NotesVital SignsDiagnostic ResultsProvider
Prescriptions
Day 1, 1030:
No known allergies
COPD
Hypertension
Hypothyroidism
Dermatitis
Type 2 diabetes mellitus
Smokes 1 pack of cigarettes per day
Client reports feeling short of breath, productive cough with yellow sputum,
and pleuritic chest pain. Runny nose, myalgia along with headache for the past
3 days. "I woke up feeling worse and started to feel nauseated and couldn't eat
my breakfast, so I thought I should come in." Client reports pleuritic chest pain
