RN Comprehensive Predictor Practice Exam 2026 UPDATE
1. A nurse is planning to delegate tasks to an Unlicensed Assistive Personnel
(UAP). Which task is most appropriate for the nurse to delegate?
A. Collecting a clean-catch urine specimen from a stable client
B. Performing an initial skin assessment on a new admission
C. Administering a scheduled oral medication
D. Evaluating the effectiveness of a client’s pain medication
Answer: A
Rationale: Collecting specimens is within the scope of practice for a UAP. Medication
administration, assessments, and evaluation require the clinical judgment of a licensed
nurse.
2. A nurse is caring for a client with active Pulmonary Tuberculosis. Which
isolation precaution should the nurse implement?
A. Airborne precautions
B. Contact precautions
C. Protective environment
D. Droplet precautions
Answer: A
Rationale: Tuberculosis is transmitted through small droplets that remain suspended in
the air, necessitating airborne precautions including a private, negative-pressure room and
N95 respirator.
,3. A client is receiving Lithium Carbonate for Bipolar Disorder. The nurse should
monitor for which sign of lithium toxicity?
A. Coarse hand tremors
B. Increased appetite
C. Urinary retention
D. Constipation
Answer: A
Rationale: Coarse tremors, vomiting, and diarrhea are signs of lithium toxicity. Fine
tremors are a common side effect, but coarse tremors indicate a toxic level.
4. A nurse is assessing a client with COPD. Which arterial blood gas (ABG) result
would indicate respiratory acidosis?
A. pH 7.48, PaCO2 32, HCO3 24
B. pH 7.32, PaCO2 38, HCO3 18
C. pH 7.30, PaCO2 52, HCO3 26
D. pH 7.50, PaCO2 40, HCO3 30
Answer: C
Rationale: Respiratory acidosis is characterized by a low pH (less than 7.35) and an
elevated PaCO2 (greater than 45 mmHg).
5. A toddler is suspected of having epiglottitis. Which action should the nurse
avoid?
A. Administering humidified oxygen
B. Visualizing the throat with a tongue depressor
C. Monitoring pulse oximetry
D. Placing the child in a tripod position
Answer: B
Rationale: Using a tongue depressor or any instrument in the throat of a child with
suspected epiglottitis can trigger a complete airway obstruction.
, 6. A nurse is preparing to witness an informed consent. The nurse’s signature
implies which of the following?
A. The client fully understands the risks of the procedure
B. The nurse has explained the alternative treatments
C. The client appears competent and signed voluntarily
D. The nurse has verified that the surgeon is board certified
Answer: C
Rationale: The nurse’s signature as a witness verifies that the client is competent, the
signature is authentic, and the consent was given voluntarily.
7. A client has a pressure ulcer with partial-thickness skin loss and a red-pink
wound bed without slough. The nurse identifies this as which stage?
A. Stage I
B. Stage IV
C. Stage III
D. Stage II
Answer: D
Rationale: Stage II pressure ulcers involve partial-thickness loss of the dermis, appearing
as a shallow open ulcer or a ruptured/intact blister.
8. A nurse is teaching a client about sublingual Nitroglycerin for angina. Which
instruction is correct?
A. Discard unused tablets every 12 months
B. Stop taking the medication if you feel a tingling sensation under the tongue
C. Swallow the tablet with a full glass of water
D. Take one tablet every 5 minutes for up to 3 doses if pain persists
Answer: D
1. A nurse is planning to delegate tasks to an Unlicensed Assistive Personnel
(UAP). Which task is most appropriate for the nurse to delegate?
A. Collecting a clean-catch urine specimen from a stable client
B. Performing an initial skin assessment on a new admission
C. Administering a scheduled oral medication
D. Evaluating the effectiveness of a client’s pain medication
Answer: A
Rationale: Collecting specimens is within the scope of practice for a UAP. Medication
administration, assessments, and evaluation require the clinical judgment of a licensed
nurse.
2. A nurse is caring for a client with active Pulmonary Tuberculosis. Which
isolation precaution should the nurse implement?
A. Airborne precautions
B. Contact precautions
C. Protective environment
D. Droplet precautions
Answer: A
Rationale: Tuberculosis is transmitted through small droplets that remain suspended in
the air, necessitating airborne precautions including a private, negative-pressure room and
N95 respirator.
,3. A client is receiving Lithium Carbonate for Bipolar Disorder. The nurse should
monitor for which sign of lithium toxicity?
A. Coarse hand tremors
B. Increased appetite
C. Urinary retention
D. Constipation
Answer: A
Rationale: Coarse tremors, vomiting, and diarrhea are signs of lithium toxicity. Fine
tremors are a common side effect, but coarse tremors indicate a toxic level.
4. A nurse is assessing a client with COPD. Which arterial blood gas (ABG) result
would indicate respiratory acidosis?
A. pH 7.48, PaCO2 32, HCO3 24
B. pH 7.32, PaCO2 38, HCO3 18
C. pH 7.30, PaCO2 52, HCO3 26
D. pH 7.50, PaCO2 40, HCO3 30
Answer: C
Rationale: Respiratory acidosis is characterized by a low pH (less than 7.35) and an
elevated PaCO2 (greater than 45 mmHg).
5. A toddler is suspected of having epiglottitis. Which action should the nurse
avoid?
A. Administering humidified oxygen
B. Visualizing the throat with a tongue depressor
C. Monitoring pulse oximetry
D. Placing the child in a tripod position
Answer: B
Rationale: Using a tongue depressor or any instrument in the throat of a child with
suspected epiglottitis can trigger a complete airway obstruction.
, 6. A nurse is preparing to witness an informed consent. The nurse’s signature
implies which of the following?
A. The client fully understands the risks of the procedure
B. The nurse has explained the alternative treatments
C. The client appears competent and signed voluntarily
D. The nurse has verified that the surgeon is board certified
Answer: C
Rationale: The nurse’s signature as a witness verifies that the client is competent, the
signature is authentic, and the consent was given voluntarily.
7. A client has a pressure ulcer with partial-thickness skin loss and a red-pink
wound bed without slough. The nurse identifies this as which stage?
A. Stage I
B. Stage IV
C. Stage III
D. Stage II
Answer: D
Rationale: Stage II pressure ulcers involve partial-thickness loss of the dermis, appearing
as a shallow open ulcer or a ruptured/intact blister.
8. A nurse is teaching a client about sublingual Nitroglycerin for angina. Which
instruction is correct?
A. Discard unused tablets every 12 months
B. Stop taking the medication if you feel a tingling sensation under the tongue
C. Swallow the tablet with a full glass of water
D. Take one tablet every 5 minutes for up to 3 doses if pain persists
Answer: D
