RN Comprehensive Predictor 2026 V2 | Latest 2026/2027 Exam Review | Comprehensive Study
180-Question Practice Examination with Answers &
Rationales
Question 1 of 180
A nurse is providing an in-service about client
evacuation during a fire. Which of the following clients
should the nurse evacuate first?
A. A client who is ambulatory and receiving oxygen.
B. A client who uses a wheelchair and is confused.
C. A client who is bedridden and wears a hearing
aid.
✓ D. A client who has a fracture and is in balance
, suspension traction.
Correct Answer & Rationale:
Answer: D. Using RACE principles, the client in balance
suspension traction cannot self-evacuate and requires special
equipment. They are the most dependent and highest priority
for evacuation planning. Ambulatory clients and those with
hearing aids can self-evacuate with direction.
A nurse in an emergency department is assessing a toddler who accidentally ingested lead. Which of the
following findings should the nurse expect?
✓ A. Cognitive impairment
B. Coughing
C. Hemoptysis
, D. Excessive drooling
Correct Answer & Rationale:
Answer: A. Lead poisoning primarily affects the central nervous system, causing cognitive impairment, developmental
delays, learning difficulties, and behavioral changes. These are the hallmark neurological manifestations of pediatric lead
toxicity.
Question 2 of 180
A nurse in the emergency department is assessing a client who has status asthmaticus. The nurse should
expect which of the following findings?
A. Increase in peak expiratory rate flow
B. Epigastric pain
✓ C. Distended neck veins
D. Bradycardia
, Correct Answer & Rationale:
Answer: C. Status asthmaticus causes severe air trapping and increased intrathoracic pressure, which impedes venous
return and results in distended neck veins. Peak expiratory flow is decreased (not increased). Tachycardia, not
bradycardia, is expected.
180-Question Practice Examination with Answers &
Rationales
Question 1 of 180
A nurse is providing an in-service about client
evacuation during a fire. Which of the following clients
should the nurse evacuate first?
A. A client who is ambulatory and receiving oxygen.
B. A client who uses a wheelchair and is confused.
C. A client who is bedridden and wears a hearing
aid.
✓ D. A client who has a fracture and is in balance
, suspension traction.
Correct Answer & Rationale:
Answer: D. Using RACE principles, the client in balance
suspension traction cannot self-evacuate and requires special
equipment. They are the most dependent and highest priority
for evacuation planning. Ambulatory clients and those with
hearing aids can self-evacuate with direction.
A nurse in an emergency department is assessing a toddler who accidentally ingested lead. Which of the
following findings should the nurse expect?
✓ A. Cognitive impairment
B. Coughing
C. Hemoptysis
, D. Excessive drooling
Correct Answer & Rationale:
Answer: A. Lead poisoning primarily affects the central nervous system, causing cognitive impairment, developmental
delays, learning difficulties, and behavioral changes. These are the hallmark neurological manifestations of pediatric lead
toxicity.
Question 2 of 180
A nurse in the emergency department is assessing a client who has status asthmaticus. The nurse should
expect which of the following findings?
A. Increase in peak expiratory rate flow
B. Epigastric pain
✓ C. Distended neck veins
D. Bradycardia
, Correct Answer & Rationale:
Answer: C. Status asthmaticus causes severe air trapping and increased intrathoracic pressure, which impedes venous
return and results in distended neck veins. Peak expiratory flow is decreased (not increased). Tachycardia, not
bradycardia, is expected.
