Page 1 of 82
RN Comprehensive Predictor 2025- 2026 Review GRADED A+ QUESTIONS WIT
H CORRECT ANSWERS GRADED A+
RN Comprehensive Predictor
A nurse is caring for a client who is receiving phenytoin for management of
grand mal seizures and has a new prescription for isoniazid and rifampin .
Which of the following should the nurse conclude if the client develops ataxia
and incoordination?
A. The client is experiencing an adverse reaction to rifampin
B. Te client is showing evidence of phenytoin toxicity
C. The client's seizure disorder is no longer under control
B. Te client is showing evidence of phenytoin toxicity
A nurse is caring for a client who is 1 hr post op following rhinoplasty. which
of the following requires immediate action?
A. Increase frequency of swallowing
B. Moderate sanguineous drainage on the drip pad
C. Bruising to the face
D. Absent gag reflex
A. Increase frequency of swallowing
A nurse is planning care for a preschool-age child who is in the acute phase
Kawasaki disease. Which of the following interventions should the nurse
include in the plan of care?
A. Give scheduled doses of acetaminophen every 6 hr
B. Monitor the child cardiac status
C. Administer antibiotics via intermittent IV bolus for 24 hr
D. Provide stimulation with children of the same age in the playroom
B. Monitor the child cardiac status
A nurse is planning an educational program for high school students about
cigarette smoking. Which of the following potential consequences of smoking
is most likely to discourage adolescents from using tobacco?
, Page 2 of 82
A. Use of tobacco might lead to alcohol and drug abuse
B. Smoking in adolescence increases the risk of developing lung cancer later
in life
C. Use of tobacco decreases the level of athletic ability
C. Use of tobacco decreases the level of athletic ability
A nurse is assessing a client who is prescribed spironolactone. Which of the
following laboratory values should the nurse monitor for this client?
A. Total bilirubin
B. Urine ketones
C. Serum potassium
C. Serum potassium (diuretics that restrain K= hyperkalemia risk)
A nurse has agreed to serve as an interpreter for an older adult client who is
assigned to another nurse. Which of the following statements by the nurse
indicates an understanding of this role?
A. "I will let the client know that I am available as the interpreter."
B. "I will receive a small fee for interpreting for this client."
C. "I am glad I'm available today, but when I'm not, you can use a family
member."
A. "I will let the client know that I am available as the interpreter."
A nurse is performing assessments on newborns in the nursery. Which of the
following findings should the nurse report to the provider?
A. A two day old newborn who has a respiratory rate of 70
B. A 16 hour old new newborn who has yet to pass meconium- you got 24
hours to pass stool
C. A 2 day old newborn who has a small amount of blood tinged vaginal
discharge
D. A 16 hr old newborn whose blood glucose is 45 mg/dl- 40 - 60 is normal
A. A two day old newborn who has a respiratory rate of 70 --> 30 - 60 is normal
A nurse on an acute unit has received change of shift report for 4 clients which
of the following clients should the nurse assess first?
A. A client who has a elevated AST level following administration of
azithromycin
B. A client who is 1 hr postoperative and has hypoactive bowel sounds
, Page 3 of 82
C. A client who has fractured left tibia and pallor in the affected extremity
D. A client who had a cardiac catheterization 3 hr ago and has 3+ pedal pulses
C. A client who has fractured left tibia and pallor in the affected extremity
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. Dry mouth→ anticholinergic effects
C. sedation s/s neuroleptic malignant syndrome??>> life threatening
Sedation
D. Shuffling gait→A/E EPS: is an indication of parkinsonism and should be
reported
D. Shuffling gait→A/E EPS: is an indication of parkinsonism and should be reported
A nurse is planning discharge teaching about cord care for the parents of a
newborn which of the following instructions should the nurse plan to include
in the teaching?
A. Clean the base of the cord with hydrogen peroxide daily- only with tub and
sponge
baths
B. The cord stump will fall off in 5 days- about 10 - 14 days
C. Contact the provider if the cord stump turns black
D. Keep the cord stump dry until it falls
D. Keep the cord stump dry until it falls
A nurse is teaching dietary guidelines to a client who has celiac disease which
of the following food choices is appropriate for the client?
A. White flour tortillas
B. Potato pancakes
C. Wheat crackers
D. Canned barley soup
B. Potato pancakes
A nurse is working in acute care mental health facility is assessing a client
who has schizophrenia. Which of the following findings should the nurse
expect?
A. All or nothing thinking
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B. Euphoric mood
C. Disorganized speech
C. Disorganized speech
A nurse is caring for a client who is immobile which of the following
interventions is appropriate to prevent contracture?
A. Align a trochanter wedge between the clients legs
B. Place a towel roll under the clients neck
C. Apply an orthotic to the clients foot
C. Apply an orthotic to the clients foot
A public health nurse working in a rural area is developing a program to
improve health for the local population. Which of the following actions should
the nurse plan to take?
A. Provide anticipatory guidance classes to parents through public schools
B. Have a nurse from the outside the community provide health lectures at the
county hospital
C. Encourage rural residents to focus health spending on tertiary health
interventions
D. Launch a media campaign to increase awareness about industrial pollution
A. Provide anticipatory guidance classes to parents through public schools
A nurse in the 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. Bellow the knee amputation→ESI Level 1
B. 10cm (4 in) laceration → ESI Level 4
C. Fractured tibia → ESI Level 2; if pelvis, femur, or hip and other extremity
dislocation then level 1.
D. 95% full thickness body burn →
A. Bellow the knee amputation→ESI Level 1
A nurse is preparing a change of shift report for an adult female client who is
postoperative. Which of the following client information should the nurse
include in the report?
A. Hgb 12.8 g/dl - 12- 16
B. Potassium 4.2 meq/l 3.5 - 5.0 meq
RN Comprehensive Predictor 2025- 2026 Review GRADED A+ QUESTIONS WIT
H CORRECT ANSWERS GRADED A+
RN Comprehensive Predictor
A nurse is caring for a client who is receiving phenytoin for management of
grand mal seizures and has a new prescription for isoniazid and rifampin .
Which of the following should the nurse conclude if the client develops ataxia
and incoordination?
A. The client is experiencing an adverse reaction to rifampin
B. Te client is showing evidence of phenytoin toxicity
C. The client's seizure disorder is no longer under control
B. Te client is showing evidence of phenytoin toxicity
A nurse is caring for a client who is 1 hr post op following rhinoplasty. which
of the following requires immediate action?
A. Increase frequency of swallowing
B. Moderate sanguineous drainage on the drip pad
C. Bruising to the face
D. Absent gag reflex
A. Increase frequency of swallowing
A nurse is planning care for a preschool-age child who is in the acute phase
Kawasaki disease. Which of the following interventions should the nurse
include in the plan of care?
A. Give scheduled doses of acetaminophen every 6 hr
B. Monitor the child cardiac status
C. Administer antibiotics via intermittent IV bolus for 24 hr
D. Provide stimulation with children of the same age in the playroom
B. Monitor the child cardiac status
A nurse is planning an educational program for high school students about
cigarette smoking. Which of the following potential consequences of smoking
is most likely to discourage adolescents from using tobacco?
, Page 2 of 82
A. Use of tobacco might lead to alcohol and drug abuse
B. Smoking in adolescence increases the risk of developing lung cancer later
in life
C. Use of tobacco decreases the level of athletic ability
C. Use of tobacco decreases the level of athletic ability
A nurse is assessing a client who is prescribed spironolactone. Which of the
following laboratory values should the nurse monitor for this client?
A. Total bilirubin
B. Urine ketones
C. Serum potassium
C. Serum potassium (diuretics that restrain K= hyperkalemia risk)
A nurse has agreed to serve as an interpreter for an older adult client who is
assigned to another nurse. Which of the following statements by the nurse
indicates an understanding of this role?
A. "I will let the client know that I am available as the interpreter."
B. "I will receive a small fee for interpreting for this client."
C. "I am glad I'm available today, but when I'm not, you can use a family
member."
A. "I will let the client know that I am available as the interpreter."
A nurse is performing assessments on newborns in the nursery. Which of the
following findings should the nurse report to the provider?
A. A two day old newborn who has a respiratory rate of 70
B. A 16 hour old new newborn who has yet to pass meconium- you got 24
hours to pass stool
C. A 2 day old newborn who has a small amount of blood tinged vaginal
discharge
D. A 16 hr old newborn whose blood glucose is 45 mg/dl- 40 - 60 is normal
A. A two day old newborn who has a respiratory rate of 70 --> 30 - 60 is normal
A nurse on an acute unit has received change of shift report for 4 clients which
of the following clients should the nurse assess first?
A. A client who has a elevated AST level following administration of
azithromycin
B. A client who is 1 hr postoperative and has hypoactive bowel sounds
, Page 3 of 82
C. A client who has fractured left tibia and pallor in the affected extremity
D. A client who had a cardiac catheterization 3 hr ago and has 3+ pedal pulses
C. A client who has fractured left tibia and pallor in the affected extremity
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. Dry mouth→ anticholinergic effects
C. sedation s/s neuroleptic malignant syndrome??>> life threatening
Sedation
D. Shuffling gait→A/E EPS: is an indication of parkinsonism and should be
reported
D. Shuffling gait→A/E EPS: is an indication of parkinsonism and should be reported
A nurse is planning discharge teaching about cord care for the parents of a
newborn which of the following instructions should the nurse plan to include
in the teaching?
A. Clean the base of the cord with hydrogen peroxide daily- only with tub and
sponge
baths
B. The cord stump will fall off in 5 days- about 10 - 14 days
C. Contact the provider if the cord stump turns black
D. Keep the cord stump dry until it falls
D. Keep the cord stump dry until it falls
A nurse is teaching dietary guidelines to a client who has celiac disease which
of the following food choices is appropriate for the client?
A. White flour tortillas
B. Potato pancakes
C. Wheat crackers
D. Canned barley soup
B. Potato pancakes
A nurse is working in acute care mental health facility is assessing a client
who has schizophrenia. Which of the following findings should the nurse
expect?
A. All or nothing thinking
, Page 4 of 82
B. Euphoric mood
C. Disorganized speech
C. Disorganized speech
A nurse is caring for a client who is immobile which of the following
interventions is appropriate to prevent contracture?
A. Align a trochanter wedge between the clients legs
B. Place a towel roll under the clients neck
C. Apply an orthotic to the clients foot
C. Apply an orthotic to the clients foot
A public health nurse working in a rural area is developing a program to
improve health for the local population. Which of the following actions should
the nurse plan to take?
A. Provide anticipatory guidance classes to parents through public schools
B. Have a nurse from the outside the community provide health lectures at the
county hospital
C. Encourage rural residents to focus health spending on tertiary health
interventions
D. Launch a media campaign to increase awareness about industrial pollution
A. Provide anticipatory guidance classes to parents through public schools
A nurse in the 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. Bellow the knee amputation→ESI Level 1
B. 10cm (4 in) laceration → ESI Level 4
C. Fractured tibia → ESI Level 2; if pelvis, femur, or hip and other extremity
dislocation then level 1.
D. 95% full thickness body burn →
A. Bellow the knee amputation→ESI Level 1
A nurse is preparing a change of shift report for an adult female client who is
postoperative. Which of the following client information should the nurse
include in the report?
A. Hgb 12.8 g/dl - 12- 16
B. Potassium 4.2 meq/l 3.5 - 5.0 meq
