Comprehensive Predictor Review 2026: NCLEX-Style Practice
Questions with Correct Answers
1. A nurse in an emergency department completes an assessment on an adolescent client
that has conduct disorder. The client threatened suicide to teacher at school.Which of the
following statements should the nurse include in the assessment?
• A. Tell me about your siblings
• B. Tell me what kind of music you like
• C. Tell me how often do you drink alcohol
• D. Tell me about your school schedule
2. A nurse is observing bonding to the client her newborn. Which of following actions by
the client requires the nurse to intervene?
• A. Holding the newborn in an en face position
• B. Asking the father to change the newborn's diaper
• C. Requesting the nurse take the newborn nursery so she can rest
• D. Viewing the newborn's actions to be uncooperative
3. A nurse is caring for a newborn who is 1 hour old. Which of the following findings
should the nurse report to the provider?
• A. Respiratory rate of 72/min with nasal flaring
• B. Heart rate of 150/min
• C. Molding of the head
• D. Acrocyanosis
4. A nurse is caring for a client who is at 34 weeks of gestation and reports a sudden gush
of clear fluid from the vagina. Which of the following actions should the nurse take first?
• A. Perform a vaginal examination.
• B. Assess the fetal heart rate.
• C. Obtain a urine specimen.
• D. Administer oxytocin.
,5. A nurse is assessing a client in the PACU. Which of the following findings indicates
decreased cardiac output?
• A. Shivering
• B. Oliguria
• C. Bradypnea
• D. Constricted pupils
6. A nurse is assisting with mass casualty triage: explosion at a local factory. Which of the
following client should the nurse identify as the priority?
• A. A client that has massive head trauma
• B. A client has full thickness burns to faceand trunk
• C. A client with indications of hypovolemic shock
• D. A client with open fracture of the lower extremity
7. A nurse is providing teaching to the parents of a toddler about preventing lead
poisoning. Which of the following instructions should the nurse include?
• A. "Use hot tap water to prepare formula."
• B. "Serve food in imported ceramic dishes."
• C. "Allow your child to play near old painted windows."
• D. "Run tap water for a few minutes before using it for drinking."
8. A nurse is caring for a client just received the first dose of lisinopril. The following is an
appropriate nursing intervention?
• A. Place's cardiac monitoring
• B. Monitor the clients oxygen saturation level
• C. Provide standby assist with the client from bed
• D. Encourage foods high in potassium
,9. A nurse is caring for a client who is in labor and his seat is receiving electronicfetal
monitoring. The nurse is reviewing the monitor tracing and notes early decelerations.
Which the following should the nurse expect?
• A. Feta hypoxia
• B. Abrupto placentae
• C. Post maturity
• D. Head Compression
10. A nurse is caring for a client who has chronic kidney disease. The nurse should identify
which of the following laboratory values as in an indication for hemodialysis?
• A. Glomerular filtration rate of 14 mL/ minute
• B. BUN 16 mg/DL
• C. Serum magnesium 1.8 mg mg/dl
• D. Serum phosphorus 4.0 mg/dL
11. A charge nurse is making client assignments. Which of the following clients should the
charge nurse assign to a licensed practical nurse (LPN)?
• A. A client who requires discharge teaching about a new insulin regimen
• B. A client who requires an initial assessment after a fall
• C. A client who is 2 days postoperative and requires a dressing change
• D. A client who has a new admission with chest pain
12. A nurse is caring for a client who is receiving magnesium sulfate for severe
preeclampsia. Which of the following medications should the nurse have available at the
bedside?
• A. Protamine sulfate
• B. Naloxone
• C. Calcium gluconate
• D. Vitamin K
, 13. A nurse working at the clinic is teaching a group of clients who are pregnant on the
use of nonpharmacological pain management. Which of the following statements by the
nurse is an appropriate description of the use of hypnosis during labor?
• A. Hypnosis focuses on the biofeedback as a relaxation technique
• B. Hypnosis promotes increased control of her pain perception during contractions
• C. Hypnosis uses therapeutic touch to reduce anxiety during labor
• D. Hypnosis provides instruction to minimize pain
14. A nurse is caring for a child who has a suspected epiglottitis. Which of the following
actions should the nurse take?
• A. Obtain a throat culture.
• B. Place the child in a supine position.
• C. Examine the child's throat with a tongue blade.
• D. Keep the child calm and in an upright position.
15. A nurse is obtaining the medical history of a client who has a new prescription
forisosorbide monotitrate. Which of the following should the nurse identify as a
contraindication to medication?
• A. Glaucoma
• B. Hypertension
• C. Polycythemia
• D. Migraine headaches
16. A nurse is caring for a client who is 2 days postpartum and reports pain and redness in
one breast. The client has a temperature of 38.6° C (101.5° F). Which of the following
instructions should the nurse give?
• A. "Limit your fluid intake."
• B. "Continue to breastfeed frequently or pump from both breasts."
• C. "Apply a tight binder to the affected breast."
• D. "Stop breastfeeding until the infection clears."
Questions with Correct Answers
1. A nurse in an emergency department completes an assessment on an adolescent client
that has conduct disorder. The client threatened suicide to teacher at school.Which of the
following statements should the nurse include in the assessment?
• A. Tell me about your siblings
• B. Tell me what kind of music you like
• C. Tell me how often do you drink alcohol
• D. Tell me about your school schedule
2. A nurse is observing bonding to the client her newborn. Which of following actions by
the client requires the nurse to intervene?
• A. Holding the newborn in an en face position
• B. Asking the father to change the newborn's diaper
• C. Requesting the nurse take the newborn nursery so she can rest
• D. Viewing the newborn's actions to be uncooperative
3. A nurse is caring for a newborn who is 1 hour old. Which of the following findings
should the nurse report to the provider?
• A. Respiratory rate of 72/min with nasal flaring
• B. Heart rate of 150/min
• C. Molding of the head
• D. Acrocyanosis
4. A nurse is caring for a client who is at 34 weeks of gestation and reports a sudden gush
of clear fluid from the vagina. Which of the following actions should the nurse take first?
• A. Perform a vaginal examination.
• B. Assess the fetal heart rate.
• C. Obtain a urine specimen.
• D. Administer oxytocin.
,5. A nurse is assessing a client in the PACU. Which of the following findings indicates
decreased cardiac output?
• A. Shivering
• B. Oliguria
• C. Bradypnea
• D. Constricted pupils
6. A nurse is assisting with mass casualty triage: explosion at a local factory. Which of the
following client should the nurse identify as the priority?
• A. A client that has massive head trauma
• B. A client has full thickness burns to faceand trunk
• C. A client with indications of hypovolemic shock
• D. A client with open fracture of the lower extremity
7. A nurse is providing teaching to the parents of a toddler about preventing lead
poisoning. Which of the following instructions should the nurse include?
• A. "Use hot tap water to prepare formula."
• B. "Serve food in imported ceramic dishes."
• C. "Allow your child to play near old painted windows."
• D. "Run tap water for a few minutes before using it for drinking."
8. A nurse is caring for a client just received the first dose of lisinopril. The following is an
appropriate nursing intervention?
• A. Place's cardiac monitoring
• B. Monitor the clients oxygen saturation level
• C. Provide standby assist with the client from bed
• D. Encourage foods high in potassium
,9. A nurse is caring for a client who is in labor and his seat is receiving electronicfetal
monitoring. The nurse is reviewing the monitor tracing and notes early decelerations.
Which the following should the nurse expect?
• A. Feta hypoxia
• B. Abrupto placentae
• C. Post maturity
• D. Head Compression
10. A nurse is caring for a client who has chronic kidney disease. The nurse should identify
which of the following laboratory values as in an indication for hemodialysis?
• A. Glomerular filtration rate of 14 mL/ minute
• B. BUN 16 mg/DL
• C. Serum magnesium 1.8 mg mg/dl
• D. Serum phosphorus 4.0 mg/dL
11. A charge nurse is making client assignments. Which of the following clients should the
charge nurse assign to a licensed practical nurse (LPN)?
• A. A client who requires discharge teaching about a new insulin regimen
• B. A client who requires an initial assessment after a fall
• C. A client who is 2 days postoperative and requires a dressing change
• D. A client who has a new admission with chest pain
12. A nurse is caring for a client who is receiving magnesium sulfate for severe
preeclampsia. Which of the following medications should the nurse have available at the
bedside?
• A. Protamine sulfate
• B. Naloxone
• C. Calcium gluconate
• D. Vitamin K
, 13. A nurse working at the clinic is teaching a group of clients who are pregnant on the
use of nonpharmacological pain management. Which of the following statements by the
nurse is an appropriate description of the use of hypnosis during labor?
• A. Hypnosis focuses on the biofeedback as a relaxation technique
• B. Hypnosis promotes increased control of her pain perception during contractions
• C. Hypnosis uses therapeutic touch to reduce anxiety during labor
• D. Hypnosis provides instruction to minimize pain
14. A nurse is caring for a child who has a suspected epiglottitis. Which of the following
actions should the nurse take?
• A. Obtain a throat culture.
• B. Place the child in a supine position.
• C. Examine the child's throat with a tongue blade.
• D. Keep the child calm and in an upright position.
15. A nurse is obtaining the medical history of a client who has a new prescription
forisosorbide monotitrate. Which of the following should the nurse identify as a
contraindication to medication?
• A. Glaucoma
• B. Hypertension
• C. Polycythemia
• D. Migraine headaches
16. A nurse is caring for a client who is 2 days postpartum and reports pain and redness in
one breast. The client has a temperature of 38.6° C (101.5° F). Which of the following
instructions should the nurse give?
• A. "Limit your fluid intake."
• B. "Continue to breastfeed frequently or pump from both breasts."
• C. "Apply a tight binder to the affected breast."
• D. "Stop breastfeeding until the infection clears."
