PN COMPREHENSIVE PREDICTOR EXAM WITH
NGN EXAM COMPLETE QUESTIONS AND DETAILED
SOLUTIONS LATEST UPDATE THIS YEAR-JUST
RELEASED.PDF
SECTION 1: SAFETY & INFECTION CONTROL (Questions 1–30)
QUESTION 1
A nurse is reinforcing teaching about advance directives with a client who has
end-stage heart failure. Which of the following statements by the client indicates
an understanding of the teaching?
A) "I should discuss this document with my family after I sign it"
B) "I can only change this document once per year"
C) "My physician will make all decisions once I sign this"
D) "I don't need to tell my family about this document"
ANSWER: A
RATIONALE: Advance directives should be discussed with family and healthcare
providers BEFORE signing to ensure everyone understands the client's wishes.
They can be changed at any time by a competent client. The client retains
decision-making capacity unless deemed incompetent, and family should be
involved to avoid conflicts later.
QUESTION 2
A nurse is caring for a client who has continuous bladder irrigation following a
transurethral resection of the prostate. The nurse notices clots and dark red blood
in the catheter collection bag. Which of the following actions should the nurse
take?
A) Decrease the irrigation flow rate
B) Irrigate the bladder with 20 to 30 mL of 0.9% sodium chloride
C) Remove the indwelling catheter immediately
D) Apply manual pressure to the lower abdomen
1
,ANSWER: B
RATIONALE: Clots and dark red blood indicate possible obstruction. The nurse
should gently irrigate with 20–30 mL of sterile normal saline using a piston syringe
to evacuate clots and restore patency. Decreasing flow would worsen obstruction,
and removing the catheter is not appropriate without a prescription.
QUESTION 3
A nurse is planning to obtain a 12-lead ECG for a client who has a history of
cardiac dysrhythmias. Which of the following actions should the nurse plan to
take?
A) Instruct the client to remain as still as possible during the recording
B) Apply the electrodes over bony prominences for better contact
C) Have the client hold their breath for 30 seconds
D) Place the client in a supine position with legs elevated
ANSWER: A
RATIONALE: Movement creates artifact that can distort ECG interpretation. The
client should lie still and breathe normally. Electrodes should be placed on flat,
fleshy areas, not bony prominences. Breath-holding is not required.
QUESTION 4
A nurse is reinforcing teaching with a client who has genital herpes. Which of the
following information should the nurse include in the teaching?
A) "You should increase fluid intake to relieve dysuria"
B) "You can stop taking antivirals once lesions heal"
C) "This infection is completely curable with antibiotics"
D) "You should apply alcohol to dry out the lesions"
ANSWER: A
2
,RATIONALE: Increasing fluid intake dilutes urine, reducing burning and discomfort
during urination (dysuria). Antivirals suppress but do not cure herpes; they must
be continued as prescribed. Alcohol is irritating and should be avoided.
QUESTION 5
A nurse is preparing to administer a tuberculin skin test. Which of the following
actions is correct?
A) Inject the solution subcutaneously
B) Administer the injection in the deltoid muscle
C) Insert the needle at a 15-degree angle with the bevel up
D) Massage the site after injection
ANSWER: C
RATIONALE: A TB skin test (Mantoux) is given intradermally, usually on the
forearm, with the needle bevel up at a 5-15 degree angle. Massage can cause
irritation and false positives.
QUESTION 6
A nurse is caring for a client on contact precautions for Clostridium difficile. Which
of the following actions is appropriate?
A) Wear an N95 respirator when entering the room
B) Perform hand hygiene with alcohol-based hand rub upon exiting
C) Use soap and water for hand hygiene
D) Place the client in a negative-pressure room
ANSWER: C
RATIONALE: C. diff spores are not killed by alcohol-based hand rubs; soap and
water must be used for mechanical removal. N95 is for airborne precautions;
negative pressure is for airborne infections like TB.
3
, QUESTION 7
A nurse is reinforcing fire safety teaching. If a fire occurs in a client's room, what is
the priority action?
A) Activate the fire alarm
B) Rescue the client
C) Extinguish the fire
D) Close all doors and windows
ANSWER: B
RATIONALE: The RACE protocol: Rescue, Alarm, Contain, Extinguish. Removing the
client from immediate danger is the highest priority.
QUESTION 8
A nurse is preparing to insert a nasogastric tube. Which action best verifies
placement before feeding?
A) Aspirate gastric contents and check pH
B) Observe for coughing or choking
C) Place the end of the tube in water to check for bubbles
D) Measure the external length of the tube
ANSWER: A
RATIONALE: Checking pH of aspirated gastric contents (typically <5.5) is the most
reliable bedside method to confirm gastric placement. Auscultation (whoosh test)
is no longer recommended as primary verification due to false positives.
QUESTION 9
A nurse is caring for a client on fall precautions. Which of the following
interventions should be included?
A) Keep the bed in the highest position
B) Apply wrist restraints at night
C) Place the call light within reach
4
NGN EXAM COMPLETE QUESTIONS AND DETAILED
SOLUTIONS LATEST UPDATE THIS YEAR-JUST
RELEASED.PDF
SECTION 1: SAFETY & INFECTION CONTROL (Questions 1–30)
QUESTION 1
A nurse is reinforcing teaching about advance directives with a client who has
end-stage heart failure. Which of the following statements by the client indicates
an understanding of the teaching?
A) "I should discuss this document with my family after I sign it"
B) "I can only change this document once per year"
C) "My physician will make all decisions once I sign this"
D) "I don't need to tell my family about this document"
ANSWER: A
RATIONALE: Advance directives should be discussed with family and healthcare
providers BEFORE signing to ensure everyone understands the client's wishes.
They can be changed at any time by a competent client. The client retains
decision-making capacity unless deemed incompetent, and family should be
involved to avoid conflicts later.
QUESTION 2
A nurse is caring for a client who has continuous bladder irrigation following a
transurethral resection of the prostate. The nurse notices clots and dark red blood
in the catheter collection bag. Which of the following actions should the nurse
take?
A) Decrease the irrigation flow rate
B) Irrigate the bladder with 20 to 30 mL of 0.9% sodium chloride
C) Remove the indwelling catheter immediately
D) Apply manual pressure to the lower abdomen
1
,ANSWER: B
RATIONALE: Clots and dark red blood indicate possible obstruction. The nurse
should gently irrigate with 20–30 mL of sterile normal saline using a piston syringe
to evacuate clots and restore patency. Decreasing flow would worsen obstruction,
and removing the catheter is not appropriate without a prescription.
QUESTION 3
A nurse is planning to obtain a 12-lead ECG for a client who has a history of
cardiac dysrhythmias. Which of the following actions should the nurse plan to
take?
A) Instruct the client to remain as still as possible during the recording
B) Apply the electrodes over bony prominences for better contact
C) Have the client hold their breath for 30 seconds
D) Place the client in a supine position with legs elevated
ANSWER: A
RATIONALE: Movement creates artifact that can distort ECG interpretation. The
client should lie still and breathe normally. Electrodes should be placed on flat,
fleshy areas, not bony prominences. Breath-holding is not required.
QUESTION 4
A nurse is reinforcing teaching with a client who has genital herpes. Which of the
following information should the nurse include in the teaching?
A) "You should increase fluid intake to relieve dysuria"
B) "You can stop taking antivirals once lesions heal"
C) "This infection is completely curable with antibiotics"
D) "You should apply alcohol to dry out the lesions"
ANSWER: A
2
,RATIONALE: Increasing fluid intake dilutes urine, reducing burning and discomfort
during urination (dysuria). Antivirals suppress but do not cure herpes; they must
be continued as prescribed. Alcohol is irritating and should be avoided.
QUESTION 5
A nurse is preparing to administer a tuberculin skin test. Which of the following
actions is correct?
A) Inject the solution subcutaneously
B) Administer the injection in the deltoid muscle
C) Insert the needle at a 15-degree angle with the bevel up
D) Massage the site after injection
ANSWER: C
RATIONALE: A TB skin test (Mantoux) is given intradermally, usually on the
forearm, with the needle bevel up at a 5-15 degree angle. Massage can cause
irritation and false positives.
QUESTION 6
A nurse is caring for a client on contact precautions for Clostridium difficile. Which
of the following actions is appropriate?
A) Wear an N95 respirator when entering the room
B) Perform hand hygiene with alcohol-based hand rub upon exiting
C) Use soap and water for hand hygiene
D) Place the client in a negative-pressure room
ANSWER: C
RATIONALE: C. diff spores are not killed by alcohol-based hand rubs; soap and
water must be used for mechanical removal. N95 is for airborne precautions;
negative pressure is for airborne infections like TB.
3
, QUESTION 7
A nurse is reinforcing fire safety teaching. If a fire occurs in a client's room, what is
the priority action?
A) Activate the fire alarm
B) Rescue the client
C) Extinguish the fire
D) Close all doors and windows
ANSWER: B
RATIONALE: The RACE protocol: Rescue, Alarm, Contain, Extinguish. Removing the
client from immediate danger is the highest priority.
QUESTION 8
A nurse is preparing to insert a nasogastric tube. Which action best verifies
placement before feeding?
A) Aspirate gastric contents and check pH
B) Observe for coughing or choking
C) Place the end of the tube in water to check for bubbles
D) Measure the external length of the tube
ANSWER: A
RATIONALE: Checking pH of aspirated gastric contents (typically <5.5) is the most
reliable bedside method to confirm gastric placement. Auscultation (whoosh test)
is no longer recommended as primary verification due to false positives.
QUESTION 9
A nurse is caring for a client on fall precautions. Which of the following
interventions should be included?
A) Keep the bed in the highest position
B) Apply wrist restraints at night
C) Place the call light within reach
4
