an RN Comprehensive Predictor 2026 O e
Time Remaining
Question: 1 of 180 Pause Remaining g |
A nurse is monitoring a client who is receiving a biood transfusion. The nurse identifes that the client has urticaria and wheezing,
Which of the following types of transfusion reactions should the nurse suspect?
Anaphiylacti
Acute hemolytic
Febrlie
slatory overioad
CONTY
Full screen mede 1s in offect durieg yous procorsd teting
Please Noce
3 atl RN Comprehensive Predictor 2026 o cu
Time Remaining: 0757 43
Question: 2 of 180 Pause Remaining ]
A nurse is caring for a client who is postoperative following abdominal surgery and has a wound evisceration
Which of the following actions should the nurse take?
Cover the wound with e. saline-sosked gauze
Hold gentle, direct pressure on the protruding orgar
knees in an extended Postion
angie
CONTY
,Question 1 of 180
A nurse 1s monitoring a client who is receiving a blood transfusion. The nurse identifies that the client has
wheezing. Which of the following types of transfusion reactions should the nurse suspect?
o Acute hemolytic
o Febnle
o Circulatory overload
Correct Answer: A. Anaphylactic
Rationale: Usticaria (hives) and wheezing indicate an allergic or anaphylactic transfusion reaction. Anaphylactic reactions occ
recipient reacts to donor plasma proteins, often causing respiratory distress, hypotension, bronchospasm, itching, and possible :
15 a key sign of arrway iavolvement, making this more serious than a mild allergic reaction. The nurse should stop the transfusi
maintain IV access with normal saline using new tubing, notify the provider and blood bank, and prepare to administer emerge:
such as epinephrine or antihistamines as prescribed.
* B. Acute hemolytic is incorrect because this reaction is associated with fever, chills, low back pamn, hypotension, hex
possible renal failure, not primarily wheezing and urticaria.
® C.Febrile is incorrect because febrile reactions typically present with fever, chills, and discomfort, but not wheezin
« D. Circulatory overload is incorrect because it presents with hypertension, crackles, dyspnea, anc
distention related to fluid volume excess rather than an allergic response.
Question 2 of 180
A nurse 1s caning for a client who 1s postoperative following abdominal surgery and has a wound eviscerz
the following actions should the nurse take?
o Hold gentle, direct pressure on the protruding organ.
o Place the client’s knees in an extended position.
o Raise the head of the bed to a 45° angle.
Correct Answer: A. Cover the wound with sterile, saline-soaked gauze.
Rationale: Wound evisceration occurs when abdominal organs protrude through a surgical incision. The
is 1o protect exposed organs from drying out and contamination. Covering the wound with sterile gauze n
warm saline helps preserve tissue integrity while awaiting immediate surgical intervention.
, at] RN Comprehensive Predictor 2026 © cLo¢
Time Remaining: 03 560
Question: 3 of 180 Pause Remaining 000500 T
A nurse is caring for a client who has a prascription for NPH insulin 10 units and regular insulin 15 units subcutaneously
After injecting 10 units of air into the NPH insulin vial, which of the following actions should the nurse take next?
Inject 15 units of air into the regular insulin vial
Verify the dosage with another nurse
Withdraw 10 units of hir
CONTING
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Pless deste oo r iy - r
an RN Comprehensive Predictor 2026 O cLosE
Time Remaining
Question: 4 of 180 Pause Remaining. 0 Y12050 pa
A nurse is caring for a client who recently gave birth 10 her first child. The newborm is crying and the client states.
"I cant seem to do anything right. What should | do?” Which of the following responses should the nurse make?
1 take him back 1o the nursery, so you can get some rest
1f 1 turm him on his side, maybehe ack to sleep
Babies reed to cry s0on after they are bot
Let me show you how 1o swaddie and cuddie him, then you try "
CONTINUS
Full screen mode a in effect durng yous BoCTored testing
Prense et v
, Question 3 of 180
A nurse is caring for a client who has a prescription for NPH insulin 10 units and regular insulin 15 units
subcutaneously. After injecting 10 units of air into the NPH insulin vial, which of the following actions st
nurse take next?
o Place the cap over the needle.
o Verify the dosage with another nurse.
o Withdraw 10 units of NPH insulin.
Correct Answer: A. Inject 15 units of air into the regular insulin vial.
Rationale: When mixing NPH (cloudy) and regular (clear) insulin, the correct sequence follows “clear be
cloudy.” First, inject air into the cloudy NPH vial without withdrawing medication.
Question 4 of 180
A nurse is caring for a client who recently gave birth to her first child. The newborn is crying and the cli
can'’t seem to do anything right. What should I do?” Which of the following responses should the nurse
“T'll take him back to the nursery, so you can get some rest.”
“If I turn him on his side. maybe he’ll go back to sleep.”
“Babies need to a soon after mi are born to develfi their lfis."
Correct Answer: D. “Let me show you how to swaddle and cuddle him, then you try.”
Rationale: This response promotes maternal confidence, supports learning, and encourages active partic
newborn care. A therapeutic nursing response empowers the new parent by demonstrating a skill and the
the mother to practice it herself.
Time Remaining
Question: 1 of 180 Pause Remaining g |
A nurse is monitoring a client who is receiving a biood transfusion. The nurse identifes that the client has urticaria and wheezing,
Which of the following types of transfusion reactions should the nurse suspect?
Anaphiylacti
Acute hemolytic
Febrlie
slatory overioad
CONTY
Full screen mede 1s in offect durieg yous procorsd teting
Please Noce
3 atl RN Comprehensive Predictor 2026 o cu
Time Remaining: 0757 43
Question: 2 of 180 Pause Remaining ]
A nurse is caring for a client who is postoperative following abdominal surgery and has a wound evisceration
Which of the following actions should the nurse take?
Cover the wound with e. saline-sosked gauze
Hold gentle, direct pressure on the protruding orgar
knees in an extended Postion
angie
CONTY
,Question 1 of 180
A nurse 1s monitoring a client who is receiving a blood transfusion. The nurse identifies that the client has
wheezing. Which of the following types of transfusion reactions should the nurse suspect?
o Acute hemolytic
o Febnle
o Circulatory overload
Correct Answer: A. Anaphylactic
Rationale: Usticaria (hives) and wheezing indicate an allergic or anaphylactic transfusion reaction. Anaphylactic reactions occ
recipient reacts to donor plasma proteins, often causing respiratory distress, hypotension, bronchospasm, itching, and possible :
15 a key sign of arrway iavolvement, making this more serious than a mild allergic reaction. The nurse should stop the transfusi
maintain IV access with normal saline using new tubing, notify the provider and blood bank, and prepare to administer emerge:
such as epinephrine or antihistamines as prescribed.
* B. Acute hemolytic is incorrect because this reaction is associated with fever, chills, low back pamn, hypotension, hex
possible renal failure, not primarily wheezing and urticaria.
® C.Febrile is incorrect because febrile reactions typically present with fever, chills, and discomfort, but not wheezin
« D. Circulatory overload is incorrect because it presents with hypertension, crackles, dyspnea, anc
distention related to fluid volume excess rather than an allergic response.
Question 2 of 180
A nurse 1s caning for a client who 1s postoperative following abdominal surgery and has a wound eviscerz
the following actions should the nurse take?
o Hold gentle, direct pressure on the protruding organ.
o Place the client’s knees in an extended position.
o Raise the head of the bed to a 45° angle.
Correct Answer: A. Cover the wound with sterile, saline-soaked gauze.
Rationale: Wound evisceration occurs when abdominal organs protrude through a surgical incision. The
is 1o protect exposed organs from drying out and contamination. Covering the wound with sterile gauze n
warm saline helps preserve tissue integrity while awaiting immediate surgical intervention.
, at] RN Comprehensive Predictor 2026 © cLo¢
Time Remaining: 03 560
Question: 3 of 180 Pause Remaining 000500 T
A nurse is caring for a client who has a prascription for NPH insulin 10 units and regular insulin 15 units subcutaneously
After injecting 10 units of air into the NPH insulin vial, which of the following actions should the nurse take next?
Inject 15 units of air into the regular insulin vial
Verify the dosage with another nurse
Withdraw 10 units of hir
CONTING
Full scrmam mode is effect during your proctared tesing
Pless deste oo r iy - r
an RN Comprehensive Predictor 2026 O cLosE
Time Remaining
Question: 4 of 180 Pause Remaining. 0 Y12050 pa
A nurse is caring for a client who recently gave birth 10 her first child. The newborm is crying and the client states.
"I cant seem to do anything right. What should | do?” Which of the following responses should the nurse make?
1 take him back 1o the nursery, so you can get some rest
1f 1 turm him on his side, maybehe ack to sleep
Babies reed to cry s0on after they are bot
Let me show you how 1o swaddie and cuddie him, then you try "
CONTINUS
Full screen mode a in effect durng yous BoCTored testing
Prense et v
, Question 3 of 180
A nurse is caring for a client who has a prescription for NPH insulin 10 units and regular insulin 15 units
subcutaneously. After injecting 10 units of air into the NPH insulin vial, which of the following actions st
nurse take next?
o Place the cap over the needle.
o Verify the dosage with another nurse.
o Withdraw 10 units of NPH insulin.
Correct Answer: A. Inject 15 units of air into the regular insulin vial.
Rationale: When mixing NPH (cloudy) and regular (clear) insulin, the correct sequence follows “clear be
cloudy.” First, inject air into the cloudy NPH vial without withdrawing medication.
Question 4 of 180
A nurse is caring for a client who recently gave birth to her first child. The newborn is crying and the cli
can'’t seem to do anything right. What should I do?” Which of the following responses should the nurse
“T'll take him back to the nursery, so you can get some rest.”
“If I turn him on his side. maybe he’ll go back to sleep.”
“Babies need to a soon after mi are born to develfi their lfis."
Correct Answer: D. “Let me show you how to swaddle and cuddle him, then you try.”
Rationale: This response promotes maternal confidence, supports learning, and encourages active partic
newborn care. A therapeutic nursing response empowers the new parent by demonstrating a skill and the
the mother to practice it herself.
