RN Comprehensive Predictor QUESTIONS AND
ANSWERS ALREADY GRADED A+. 100% Verified
Solutions | Updated Per Latest Guidelines |
Graded A+
SECTION 1: MANAGEMENT OF CARE / PRIORITIZATION
Question 1
A nurse is caring for four clients. Which client should be seen first?
A) Client with COPD and SpO₂ 89% on 2L nasal cannula
B) Client post-appendectomy day 2 with temperature 38.3°C (101°F)
C) Client with heart failure and 3+ pitting edema
D) Client with new onset confusion and bounding pulse
Answer: D
Rationale: New onset confusion with bounding pulse suggests hypercapnia or fluid
overload affecting cerebral perfusion. This is a change in neurological status,
which is always the priority. Option A is expected in COPD; Option B is post-op
inflammation; Option C is a chronic finding .
Question 2
A charge nurse is making assignments for the upcoming shift. Which client should
be assigned to an LPN?
A) Client 24 hours post total hip arthroplasty requiring discharge teaching
B) Client admitted 12 hours ago with new onset atrial fibrillation
C) Client with a chronic stage 3 pressure injury requiring a sterile dressing
,change
D) Client returning from PACU following a colon resection
Answer: C
Rationale: Sterile dressing changes on stable, chronic wounds are within LPN
scope. Discharge teaching, new unstable admissions, and immediate
postoperative clients all require RN assessment .
Question 3
A nurse notices another staff nurse taking a dose of oxycodone from the
automated dispensing machine for a client and then placing it in their pocket.
Which action should the nurse take first?
A) Confront the nurse immediately
B) Notify the board of nursing
C) Report the observation to the charge nurse immediately
D) Complete an incident report
Answer: C
Rationale: The first action for suspected diversion is immediate report to the nurse
manager or charge nurse. You do not confront the nurse directly, file an incident
report first, or notify the BON first .
Question 4
A client has a valid living will that states they do not want intubation or
mechanical ventilation. The client's family asks the nurse to intubate the client
when their respiratory status begins to decline. Which action should the nurse
take?
A) Honor the instructions documented in the client's living will
B) Notify the ethics committee
,C) Follow the instructions of the client's healthcare proxy
D) Ask the family to obtain a court order
Answer: A
Rationale: The client's autonomous decision (DNR/living will) supersedes the
family's wishes. The nurse must advocate for the client's choice .
Question 5
A charge nurse is making assignments for a float nurse from the medical unit to
the pediatric unit. Which client is appropriate to assign to the float nurse?
A) A 10-year-old with pneumonia receiving respiratory treatments
B) A 4-year-old with a Wilms tumor receiving chemotherapy
C) An 8-month-old scheduled for surgical repair of a ventricular septal defect
D) A 14-year-old scheduled for discharge following placement of a Harrington rod
Answer: A
Rationale: A float nurse from a medical unit is most competent to care for a client
with pneumonia, a condition commonly managed on medical units. The other
options require specialized pediatric oncology, cardiac, or orthopedic surgical
expertise .
Question 6
A nurse is delegating vital signs to an assistive personnel (AP). Which client should
the AP NOT be assigned to?
A) Client with pneumonia on room air
B) Client post-op day 3 with stable vitals
C) Client with frequent loose stools and orthostatic hypotension
D) Client with hypertension controlled on lisinopril
Answer: C
, Rationale: Orthostatic hypotension requires skilled assessment (measuring lying,
sitting, and standing positions). APs can take routine vital signs but should not
perform orthostatic checks on unstable clients .
Question 7
A nurse is preparing to discharge a client. Which statement indicates
understanding of fall precautions?
A) "I will keep my walker close to my bed at night."
B) "I will wear socks without grippers to bed."
C) "I will dim the lights to reduce glare."
D) "I will remove my bed alarm since I feel safe now."
Answer: A
Rationale: Keeping assistive devices close to the bed prevents falls during
transfers. Socks should have non-skid grips, lights should be adequate (not
dimmed), and bed alarms should remain in place as prescribed .
Question 8
A nurse is caring for a client who decides not to have surgery despite significant
blockages in his coronary arteries. The nurse understands that this client's choice
is an example of which ethical principle?
A) Fidelity
B) Autonomy
C) Justice
D) Nonmaleficence
Answer: B
Rationale: Autonomy is the right to make one's own personal decisions, even
though those decisions might not be in the person's best interest .
ANSWERS ALREADY GRADED A+. 100% Verified
Solutions | Updated Per Latest Guidelines |
Graded A+
SECTION 1: MANAGEMENT OF CARE / PRIORITIZATION
Question 1
A nurse is caring for four clients. Which client should be seen first?
A) Client with COPD and SpO₂ 89% on 2L nasal cannula
B) Client post-appendectomy day 2 with temperature 38.3°C (101°F)
C) Client with heart failure and 3+ pitting edema
D) Client with new onset confusion and bounding pulse
Answer: D
Rationale: New onset confusion with bounding pulse suggests hypercapnia or fluid
overload affecting cerebral perfusion. This is a change in neurological status,
which is always the priority. Option A is expected in COPD; Option B is post-op
inflammation; Option C is a chronic finding .
Question 2
A charge nurse is making assignments for the upcoming shift. Which client should
be assigned to an LPN?
A) Client 24 hours post total hip arthroplasty requiring discharge teaching
B) Client admitted 12 hours ago with new onset atrial fibrillation
C) Client with a chronic stage 3 pressure injury requiring a sterile dressing
,change
D) Client returning from PACU following a colon resection
Answer: C
Rationale: Sterile dressing changes on stable, chronic wounds are within LPN
scope. Discharge teaching, new unstable admissions, and immediate
postoperative clients all require RN assessment .
Question 3
A nurse notices another staff nurse taking a dose of oxycodone from the
automated dispensing machine for a client and then placing it in their pocket.
Which action should the nurse take first?
A) Confront the nurse immediately
B) Notify the board of nursing
C) Report the observation to the charge nurse immediately
D) Complete an incident report
Answer: C
Rationale: The first action for suspected diversion is immediate report to the nurse
manager or charge nurse. You do not confront the nurse directly, file an incident
report first, or notify the BON first .
Question 4
A client has a valid living will that states they do not want intubation or
mechanical ventilation. The client's family asks the nurse to intubate the client
when their respiratory status begins to decline. Which action should the nurse
take?
A) Honor the instructions documented in the client's living will
B) Notify the ethics committee
,C) Follow the instructions of the client's healthcare proxy
D) Ask the family to obtain a court order
Answer: A
Rationale: The client's autonomous decision (DNR/living will) supersedes the
family's wishes. The nurse must advocate for the client's choice .
Question 5
A charge nurse is making assignments for a float nurse from the medical unit to
the pediatric unit. Which client is appropriate to assign to the float nurse?
A) A 10-year-old with pneumonia receiving respiratory treatments
B) A 4-year-old with a Wilms tumor receiving chemotherapy
C) An 8-month-old scheduled for surgical repair of a ventricular septal defect
D) A 14-year-old scheduled for discharge following placement of a Harrington rod
Answer: A
Rationale: A float nurse from a medical unit is most competent to care for a client
with pneumonia, a condition commonly managed on medical units. The other
options require specialized pediatric oncology, cardiac, or orthopedic surgical
expertise .
Question 6
A nurse is delegating vital signs to an assistive personnel (AP). Which client should
the AP NOT be assigned to?
A) Client with pneumonia on room air
B) Client post-op day 3 with stable vitals
C) Client with frequent loose stools and orthostatic hypotension
D) Client with hypertension controlled on lisinopril
Answer: C
, Rationale: Orthostatic hypotension requires skilled assessment (measuring lying,
sitting, and standing positions). APs can take routine vital signs but should not
perform orthostatic checks on unstable clients .
Question 7
A nurse is preparing to discharge a client. Which statement indicates
understanding of fall precautions?
A) "I will keep my walker close to my bed at night."
B) "I will wear socks without grippers to bed."
C) "I will dim the lights to reduce glare."
D) "I will remove my bed alarm since I feel safe now."
Answer: A
Rationale: Keeping assistive devices close to the bed prevents falls during
transfers. Socks should have non-skid grips, lights should be adequate (not
dimmed), and bed alarms should remain in place as prescribed .
Question 8
A nurse is caring for a client who decides not to have surgery despite significant
blockages in his coronary arteries. The nurse understands that this client's choice
is an example of which ethical principle?
A) Fidelity
B) Autonomy
C) Justice
D) Nonmaleficence
Answer: B
Rationale: Autonomy is the right to make one's own personal decisions, even
though those decisions might not be in the person's best interest .
