Page 1 of 51
14 RN Comprehensive Predictor 2025 EXAM 2025- 2026 Review GRADED A+
QUESTIONS WIT H CORRECT ANSWERS GRADED A+
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. Provide the client with a cold drink prior to defecation.
B. Administer a cathartic suppository 30 min prior to scheduled defecation
times.
C. Increase the amount of refined grains in the client's diet.
D. Encourage a maximum fluid intake of 1,500 mL per day.
B. Administer a cathartic suppository 30 min prior to scheduled defecation
times.
A cathartic suppository (e.g., bisacodyl) stimulates peristalsis and should be given 30
minutes before scheduled defecation to promote bowel evacuation
A nurse in a provider's office is caring for a client who asks about using
acupuncture to manage his osteoarthritis pain. The nurse should identify
which of the following conditions as a contraindication for receiving this
treatment?
A. Herpes zoster
B. Hypothyroidism
C. Obesity
D. Hypertension
A. Herpes zoster
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Acupuncture involves inserting needles into the skin, which can introduce infections.
Herpes zoster (shingles) causes skin lesions and nerve pain, making acupuncture
unsafe due to the risk of exacerbating the condition or spreading the
A charge nurse is observing a conflict between two nurses who both insist
that the charge nurse favors the other when making assignments. Which of the
following conflict-resolution strategies should the charge nurse use?
A. Tell the nurses that the assignments will be more equitable in the future.
B. Ask each nurse to take turns making the assignments.
C. Encourage collaboration between the two nurses when making the
assignments.
D. Arrange for the nurses to have as few shifts together as possible
C. Encourage collaboration between the two nurses when making the
assignments.
Encouraging collaboration allows both nurses to have input, promoting fairness and
reducing conflict. This approach supports teamwork and transparency
A nurse is admitting a client who has schizophrenia. The client states, "I'm
hearing voices." Which of the following responses is the priority for the nurse
to state?
A. "Have you taken your medication today?"
B. "How long have you been hearing the voices?"
C. "What are the voices telling you?"
D. "I realize the voices are real to you, but I don't hear anything
c
A nurse is assessing a client who is taking haloperidol and is experiencing
pseudoparkinsonism. Which of the following findings should the nurse
document as a manifestation of pseudoparkinsonism?
A. Smacking lips
B. Serpentine limb movement
C. Shuffling gait
D. Nonreactive pupils
c
A home health nurse is caring for a child who has Lyme disease. Which of the
following is an appropriate action for the nurse to take?
A. Administer antitoxin
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B. Educate the family to avoid sharing personal belongings.
C. Assess for skin necrosis
D. Ensure the state health department has been notified.
D. Ensure the state health department has been notified.
Lyme disease is a reportable condition in many states, and health authorities track
cases to monitor disease spread
A nurse is assessing a client who is in active labor. Which of the following
findings should the nurse report to the provider?
A. FHR baseline 170/min
B. Early decelerations in the FHR
C. Temperature 37.4" C (99.3° F)
D. Contractions lasting 80 seconds
a
A nurse is caring for a client who has a placenta previa. Which of the following
findings should the nurse expect?
A. Polyhydramnios
B. Nausea
C. Spotting
D. Uterine tenderness
C. Spotting
Placenta previa is a condition where the placenta partially or completely covers the
cervix, leading to painless vaginal bleeding (spotting or heavy bleeding).
A nurse is reporting a client's laboratory tests to the provider to obtain a
prescription for the client's daily warfarin. Which of the following laboratory
tests should the nurse plan to report to obtain the prescription for the
warfarin?
A. INR
B. Fibrinogen level
C. aPTT
D. Platelet count
a. INR
A nurse is administering furosemide IV bolus to a client who has fluid volume
excess. The nurse should recognize which of the following findings as an
indication that the medication has been effective?
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A. Decreased pain
B. Weight loss
C. Increased blood pressure
D. Decreased inflammation
B. weight loss
0400:
Client brought in by emergency medical services (EMS) after being found
roaming around the college and yelling. Client ran from EMS shouting, "No,
you are not goin to kill me," and only agreed to seek assistance when another
student agreed to accompany the client to the emergency department.
Acquaintance reports hearing rumors that the client had odd behaviors like
mumbling and talking when no one else was there and always seemed
suspicious of everyone. Client appears disheveled and states, "I feel hot."
Informed client that they were in the emergency department. Assisted client in
changing into a hospital gown. Client was cooperative and appears less
anxious.
0415:
Client tearfully agreed to be admitted to the mental health unit.
Day 2
1000:
Client states, "I feel a bit better. I get these thoughts sometimes when I am
stressed. Smoking sometimes helps, but not yesterday. I have not been
sleeping well."
Reduce external stimuli
Engage with the client several times each day to establish trust.
Brief psychotic disorder
Ability to care for self
Suicide risk
1200:
58-year-old client reporting chest pain is admitted to the emergency
department. Client states chest pain began this morning after breakfast and
chest pain radiates to left arm. Client rates chest pain as 4 on a scale of 0 to
10. Client has medical history of hypertension, type 2 diabetes mellitus, and
hyperlipidemia.
14 RN Comprehensive Predictor 2025 EXAM 2025- 2026 Review GRADED A+
QUESTIONS WIT H CORRECT ANSWERS GRADED A+
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. Provide the client with a cold drink prior to defecation.
B. Administer a cathartic suppository 30 min prior to scheduled defecation
times.
C. Increase the amount of refined grains in the client's diet.
D. Encourage a maximum fluid intake of 1,500 mL per day.
B. Administer a cathartic suppository 30 min prior to scheduled defecation
times.
A cathartic suppository (e.g., bisacodyl) stimulates peristalsis and should be given 30
minutes before scheduled defecation to promote bowel evacuation
A nurse in a provider's office is caring for a client who asks about using
acupuncture to manage his osteoarthritis pain. The nurse should identify
which of the following conditions as a contraindication for receiving this
treatment?
A. Herpes zoster
B. Hypothyroidism
C. Obesity
D. Hypertension
A. Herpes zoster
, Page 2 of 51
Acupuncture involves inserting needles into the skin, which can introduce infections.
Herpes zoster (shingles) causes skin lesions and nerve pain, making acupuncture
unsafe due to the risk of exacerbating the condition or spreading the
A charge nurse is observing a conflict between two nurses who both insist
that the charge nurse favors the other when making assignments. Which of the
following conflict-resolution strategies should the charge nurse use?
A. Tell the nurses that the assignments will be more equitable in the future.
B. Ask each nurse to take turns making the assignments.
C. Encourage collaboration between the two nurses when making the
assignments.
D. Arrange for the nurses to have as few shifts together as possible
C. Encourage collaboration between the two nurses when making the
assignments.
Encouraging collaboration allows both nurses to have input, promoting fairness and
reducing conflict. This approach supports teamwork and transparency
A nurse is admitting a client who has schizophrenia. The client states, "I'm
hearing voices." Which of the following responses is the priority for the nurse
to state?
A. "Have you taken your medication today?"
B. "How long have you been hearing the voices?"
C. "What are the voices telling you?"
D. "I realize the voices are real to you, but I don't hear anything
c
A nurse is assessing a client who is taking haloperidol and is experiencing
pseudoparkinsonism. Which of the following findings should the nurse
document as a manifestation of pseudoparkinsonism?
A. Smacking lips
B. Serpentine limb movement
C. Shuffling gait
D. Nonreactive pupils
c
A home health nurse is caring for a child who has Lyme disease. Which of the
following is an appropriate action for the nurse to take?
A. Administer antitoxin
, Page 3 of 51
B. Educate the family to avoid sharing personal belongings.
C. Assess for skin necrosis
D. Ensure the state health department has been notified.
D. Ensure the state health department has been notified.
Lyme disease is a reportable condition in many states, and health authorities track
cases to monitor disease spread
A nurse is assessing a client who is in active labor. Which of the following
findings should the nurse report to the provider?
A. FHR baseline 170/min
B. Early decelerations in the FHR
C. Temperature 37.4" C (99.3° F)
D. Contractions lasting 80 seconds
a
A nurse is caring for a client who has a placenta previa. Which of the following
findings should the nurse expect?
A. Polyhydramnios
B. Nausea
C. Spotting
D. Uterine tenderness
C. Spotting
Placenta previa is a condition where the placenta partially or completely covers the
cervix, leading to painless vaginal bleeding (spotting or heavy bleeding).
A nurse is reporting a client's laboratory tests to the provider to obtain a
prescription for the client's daily warfarin. Which of the following laboratory
tests should the nurse plan to report to obtain the prescription for the
warfarin?
A. INR
B. Fibrinogen level
C. aPTT
D. Platelet count
a. INR
A nurse is administering furosemide IV bolus to a client who has fluid volume
excess. The nurse should recognize which of the following findings as an
indication that the medication has been effective?
, Page 4 of 51
A. Decreased pain
B. Weight loss
C. Increased blood pressure
D. Decreased inflammation
B. weight loss
0400:
Client brought in by emergency medical services (EMS) after being found
roaming around the college and yelling. Client ran from EMS shouting, "No,
you are not goin to kill me," and only agreed to seek assistance when another
student agreed to accompany the client to the emergency department.
Acquaintance reports hearing rumors that the client had odd behaviors like
mumbling and talking when no one else was there and always seemed
suspicious of everyone. Client appears disheveled and states, "I feel hot."
Informed client that they were in the emergency department. Assisted client in
changing into a hospital gown. Client was cooperative and appears less
anxious.
0415:
Client tearfully agreed to be admitted to the mental health unit.
Day 2
1000:
Client states, "I feel a bit better. I get these thoughts sometimes when I am
stressed. Smoking sometimes helps, but not yesterday. I have not been
sleeping well."
Reduce external stimuli
Engage with the client several times each day to establish trust.
Brief psychotic disorder
Ability to care for self
Suicide risk
1200:
58-year-old client reporting chest pain is admitted to the emergency
department. Client states chest pain began this morning after breakfast and
chest pain radiates to left arm. Client rates chest pain as 4 on a scale of 0 to
10. Client has medical history of hypertension, type 2 diabetes mellitus, and
hyperlipidemia.
