RN COMPREHENSIVE PREDICTOR FORM B AND C QUESTIONS AND ANSWERS ALREADY
GRADED A+| 100% VERIFIED SOLUTIONS………...
Core Domains
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Management of Care
Safety and Infection Control
Basic Care and Comfort
Introduction
This comprehensive predictor examination assesses the candidate's readiness for professional
nursing practice. It evaluates knowledge across fundamental nursing theory, clinical judgment,
regulatory compliance, ethical decision-making, and patient safety standards. The examination
employs multiple-choice and scenario-based questions designed to mirror real-world clinical
situations. Emphasis is placed on prioritization, delegation, critical thinking, and the application of
,evidence-based practice. Candidates must demonstrate competency in managing patient care,
recognizing complications, and making sound clinical decisions under pressure. This assessment
prepares graduates for the NCLEX-RN and entry-level nursing practice.
SECTION ONE: QUESTIONS 1–100
Question 1
A nurse is caring for a patient with a new colostomy. Which finding requires immediate
intervention?
A. Stoma is pink and moist
B. Stoma is dusky and cyanotic
C. Small amount of bleeding at stoma site
D. Patient expresses anxiety about body image
🟢 Correct answer: B. Stoma is dusky and cyanotic
🔴 RATIONALE: A dusky or cyanotic stoma indicates inadequate blood supply and possible
necrosis. This requires immediate notification of the surgeon. A pink, moist stoma is normal.
Slight bleeding is expected. Anxiety is expected and does not require immediate intervention.
Question 2
A nurse is preparing to administer digoxin to a patient with heart failure. Which assessment
finding should the nurse report before administration?
,A. Heart rate of 88 beats per minute
B. Serum potassium of 3.2 mEq/L
C. Blood pressure of 128/76 mm Hg
D. Serum digoxin level of 0.8 ng/mL
🟢 Correct answer: B. Serum potassium of 3.2 mEq/L
🔴 RATIONALE: Hypokalemia increases the risk of digoxin toxicity. The nurse should hold the
medication and notify the provider. A heart rate of 88 is within normal limits for digoxin
administration. The digoxin level is therapeutic.
Question 3
A nurse is delegating tasks to unlicensed assistive personnel (UAP). Which task is appropriate to
delegate?
A. Administering oral medications
B. Assessing a patient's wound
C. Measuring and recording vital signs
D. Teaching a patient about a new diet
🟢 Correct answer: C. Measuring and recording vital signs
🔴 RATIONALE: Measuring and recording vital signs on stable patients is within the scope of
UAP. Medication administration, assessment, and patient teaching require a licensed nurse.
Question 4
, A nurse is caring for a patient receiving heparin infusion. Which laboratory value indicates a
therapeutic response?
A. PT 12 seconds
B. INR 2.5
C. aPTT 65 seconds
D. Platelet count 150,000/mm³
🟢 Correct answer: C. aPTT 65 seconds
🔴 RATIONALE: Therapeutic aPTT for heparin is typically 1.5 to 2.5 times the control value,
approximately 60 to 80 seconds. PT and INR monitor warfarin. Platelet count assesses for
heparin-induced thrombocytopenia.
Question 5
A patient with chronic obstructive pulmonary disease (COPD) is receiving oxygen. What is the
target oxygen saturation range?
A. 85% to 90%
B. 88% to 92%
C. 94% to 98%
D. 95% to 100%
🟢 Correct answer: B. 88% to 92%
GRADED A+| 100% VERIFIED SOLUTIONS………...
Core Domains
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Management of Care
Safety and Infection Control
Basic Care and Comfort
Introduction
This comprehensive predictor examination assesses the candidate's readiness for professional
nursing practice. It evaluates knowledge across fundamental nursing theory, clinical judgment,
regulatory compliance, ethical decision-making, and patient safety standards. The examination
employs multiple-choice and scenario-based questions designed to mirror real-world clinical
situations. Emphasis is placed on prioritization, delegation, critical thinking, and the application of
,evidence-based practice. Candidates must demonstrate competency in managing patient care,
recognizing complications, and making sound clinical decisions under pressure. This assessment
prepares graduates for the NCLEX-RN and entry-level nursing practice.
SECTION ONE: QUESTIONS 1–100
Question 1
A nurse is caring for a patient with a new colostomy. Which finding requires immediate
intervention?
A. Stoma is pink and moist
B. Stoma is dusky and cyanotic
C. Small amount of bleeding at stoma site
D. Patient expresses anxiety about body image
🟢 Correct answer: B. Stoma is dusky and cyanotic
🔴 RATIONALE: A dusky or cyanotic stoma indicates inadequate blood supply and possible
necrosis. This requires immediate notification of the surgeon. A pink, moist stoma is normal.
Slight bleeding is expected. Anxiety is expected and does not require immediate intervention.
Question 2
A nurse is preparing to administer digoxin to a patient with heart failure. Which assessment
finding should the nurse report before administration?
,A. Heart rate of 88 beats per minute
B. Serum potassium of 3.2 mEq/L
C. Blood pressure of 128/76 mm Hg
D. Serum digoxin level of 0.8 ng/mL
🟢 Correct answer: B. Serum potassium of 3.2 mEq/L
🔴 RATIONALE: Hypokalemia increases the risk of digoxin toxicity. The nurse should hold the
medication and notify the provider. A heart rate of 88 is within normal limits for digoxin
administration. The digoxin level is therapeutic.
Question 3
A nurse is delegating tasks to unlicensed assistive personnel (UAP). Which task is appropriate to
delegate?
A. Administering oral medications
B. Assessing a patient's wound
C. Measuring and recording vital signs
D. Teaching a patient about a new diet
🟢 Correct answer: C. Measuring and recording vital signs
🔴 RATIONALE: Measuring and recording vital signs on stable patients is within the scope of
UAP. Medication administration, assessment, and patient teaching require a licensed nurse.
Question 4
, A nurse is caring for a patient receiving heparin infusion. Which laboratory value indicates a
therapeutic response?
A. PT 12 seconds
B. INR 2.5
C. aPTT 65 seconds
D. Platelet count 150,000/mm³
🟢 Correct answer: C. aPTT 65 seconds
🔴 RATIONALE: Therapeutic aPTT for heparin is typically 1.5 to 2.5 times the control value,
approximately 60 to 80 seconds. PT and INR monitor warfarin. Platelet count assesses for
heparin-induced thrombocytopenia.
Question 5
A patient with chronic obstructive pulmonary disease (COPD) is receiving oxygen. What is the
target oxygen saturation range?
A. 85% to 90%
B. 88% to 92%
C. 94% to 98%
D. 95% to 100%
🟢 Correct answer: B. 88% to 92%
