RN iComprehensive iPredictor i iForm iA
1. A inurse iin ia ipediatric iunit iis ipreparing ito iinsert ian iIV icatheter ifor i7-year-iold.
iWhich iof ithe ifollowing iactions ishould ithe inurse itake?
A. (Unable ito iread)
B. Tell ithe ichild ithey iwill ifeel idiscomfort iduring ithe icatheter
iinsertion.
C. Use ia imummy irestraint ito ihold i the ichild i during ithe i catheter
iinsertion.
D. Require ithe iparents ito ileave ithe iroom iduring ithe iprocedure.
2. A inurse iis icaring ifor ia iclient iwho ihas i arteriovenous ifistula. iWhich iof ithe
ifollowing ifindings ishould ithe inurse ireport?
A. Thrill iupon ipalpation.
B. Absence iof ia ibruit.
C. Distended iblood ivessels
D. Swishing isound iupon iauscultation.
3. A inurse iis iproviding idischarge iteaching ifor ia iclient iwho ihas ian iimplantable
icardioverter idefibrillator. iWhich iof ithe ifollowing istatementsidemonstrates
iunderstanding iof ithe iteaching?
A. “I iwill isoak iin ithe itub irather iand ishowering”
B. “I iwill iwear iloose iclothing iaround imy iICD”
C. “I i will i stop i using i my i microwave i oven i at i home i because i of i my i ICD”
D. “I i can i hold i my i cellphone i on i the i same i side i of i my i body i as i the i ICD”
4. A i nurse i is i caring i for i a i client i who iis i at i 14 i weeks i gestation i and i reportsifeelings
i of i ambivalence i about i being i pregnant. i Which i of i the i following iresponses ishould
ithe inurse imake?
A. “Describe i your i feelings i to i me i about i being i pregnant”
B. “You i should i discuss i your i feelings i about i being i pregnant i with i your
iprovider”
C. “Have iyou idiscussed ithese ifeelings iwith iyour ipartner?”
D. “When idid iyou istartihaving ithese ifeelings?”
5. A inurse iis iplanning icare ifor ia iclient iwho ihas ia iprescription ifor ia ibowel- itraining
iprogram ifollowing ia ispinal icord iinjury. iWhich iof ithe ifollowing iactionsishould ithe inurse
iinclude iin ithe iplan iof icare?
A. Encourageia imaximum ifluid iintake iof i1,500 iml iper iday.
B. Increase ithe iamount iof irefined igrains iin ithe iclient’s idiet.
C. Provide ithe iclient iwith ia icold idrink iprior ito idefecation.
D. Administer ia irectal i suppository i30 iminutes iprior ito
ischeduled idefecation
times. i(MS i97)
6. A inurse iis icaring ifor ia iclient iwho iis iin iactive ilabor iand irequests ipain
imanagement. iWhich iof ithe ifollowing iactions ishould ithe inurse itake?
A. Administer i ondansetron.
B. Place ithe iclient iin ia iwarm ishower.
C. Apply i fundal i pressure i during i contractions. i (counterpressure i notifundal
ipressure)
D. Assist ithe iclient ito ia isupine iposition.
,7. A inurse iin i an iemergency idepartment iis iperforming itriage ifor imultiple iclients
ifollowing ia idisaster iin ithe icommunity. iTo iwhich iof ithe ifollowing itypesiof iinjuries ishould
ithe inurse iassign ithe ihighest ipriority?
A. Below-the iknee iamputation
B. Fractured itibia
C. 95% ifull-thickness ibody iburn
D. 10cm i(4in) ilaceration ito ithe iforearm
8. A inurse i manager i is i updating i protocols i for i the i use i of i belt i restraints. i Whichiof ithe
ifollowing iguidelines ishould ithe inurse iinclude?
A. Remove ithe iclient’s irestraint ievery i4hr
B. Document ithe iclient’s icondition ievery i15 imin
C. Attach ithe irestrain ito ithe ibed’s iside irails
D. Request i a i PRN i restrain i prescription i for i clients i who i are i aggressive
9. A i nurse i is i teaching i an i in-service i about i nursing i leadership. i Which i of i the
ifollowing i information i should i the i nurse i include i about i an i effective i leader?
A. Acts i as ian i advocate ifor i the i nursing i unit.
B. (Unable ito iread) ifor ithe iunit
C. Priorities istaff irequest iover iclient ineeds.
D. Provides iroutine iclient icare iand idocumentation.
10. A i nurse i is i reviewing i the i laboratory i findings i of ia i client i who i has i diabetesimellitus
i and i reports i that i she ihas i been ifollowing i her i (unable i to i read) i care. iThe i nurse i should
i identify i which i of i the i following i findings iindicates i a i need i toirevise ithe iclient’s iplan iof
icare.
A. Serum isodium i144
B. (Unable ito iread)
C. Hba1c i10 i%
D. Random iserum iglucose i190 img/dl.
11. A inurse iin ia iprovider’s ioffice iis ireviewing ithe ilaboratory iresults iof ia igroup iof
iclients. iThe inurse ishould iidentify ithat iwhich iof ithe ifollowing isexually i transmitted
i infections i is i a i nationally i notifiable i infectious i diseaseithat ishould ibe ireported ito ithe
istate ihealth idepartment?
A. Chlamydia
B. Human ipapillomavirus
C. Candidiasis
D. Herps isimplex ivirus
12. A inurse iis iteaching ia inewly ilicensed inurse iabout itherapeutic itechniquesito iuse iwhen
ileading ia igroup ion ia imental ihealth iunit. iWhich iof ithe ifollowing igroup ifacilitation
itechniques ishould ithe inurse iinclude iin ithe iteaching?
A. Share i personal i opinions i to i help i influence i the i group’s i values
B. Measure ithe iaccomplishments iof ithe igroup iagainst ia iprevious igroup
C. Yield iin isituations iof iconflicts ito imaintain igroup iharmony
D. Use imodeling ito ihelp ithe iclients iimprove itheir iinterpersonal
skills
13. A inurse iis i planning ifor ia iclient iwho ipractices iOrthodox iJudaism. iThe iclient
itells ithe inurse ithat i(Unable ito iread) iPassover iholiday. iWhich iof ithe
,following iaction ishould ithe inurse iinclude iin ithe iplan iof icare?
A. Provide ichicken iwith icream isauce.
B. Avoid i serving i fish i with i fins i and i scales.
C. Provide iunleavened ibread
D. Avoid iserving ifoods icontaining ilam
14. A i nurse i is i caring i for i a i client i who i has i a i pulmonary i embolism. i The i nurseishould
iidentify ithe ieffectiveness iof ithe itreatment
A. A ichest ix-ray ireveals iincreased idensity iin iall ifields.
B. The iclient ireports ifeeling iless ianxious.
C. Diminished i breath i sounds i are i auscultated i bilaterally
D. ABG iresults iinclude iPh i7.48 iPaO2 i77 imm iHg iand iPaCO2 i47 imm iHg.
15. A i nurse i in i an i emergency i department i is i assessing i a i client i who i reports
iingesting ithirty i diazepam itablets i(Unable ito iread) ia i respiratory irate i of i10/min. iAfter
isecuring ithe iclient’s iairway iand iinitiating ian iIV, iwhich iof itheifollowing iactions ishould
ithe inurse ido inext.
A. Monitor ithe iclient’s iIV isite ifor ithrombophlebitis.
B. Administer iflumazenil ito ithe iclient.
C. Evaluate ithe iclient ifor ifurther isuicidal ibehavior.
D. Initiate iseizure iprecautions ifor ithe iclient.
16. A i nurse i in i an i emergency i department i is i caring i for i a i client i who i reportsicocaine
i use i 1hr i ago. i Which i of i the i following i findings i should i the i nurse iexpect?
A. Hypotension
B. Memory iloss
C. Slurred ispeech
D. Elevated itemperature
17. A i nurse i is i assessing i a i newborn i who i has i a i blood i glucose i level i of i 30
img/dl. i Which i of ithe i following i manifestations i should i the i nurse i expect?
A. Loose istools
B. Jitteriness
C. Hypertonia
D. Abdominal i distention
18. A inurse iin ia ipediatric iclinic iis ireviewing ithe ilaboratory itest iresults iof ia ischool
iage ichild. iWhich iof ithe ifollowing ifindings ishould ithe inurse ireport ito ithe iprovider?
A. Hgb i12.5 ig/dl
B. Platelets i 250,000/mm3
C. Hct i40%
D. i WBC i 14,000/mm3
19. A icharge inurse iis iteaching ia inewly ilicensed inurse iabout iclients idesignating ia
i health i care i proxy i in i situations i that i require i a i durable i power i of iattorney i for iheal icare
i(DPSHC). i Which iof ithe ifollowing i information i should itheicharge inurse iinclude?
A. “The iproxy ishould imake ihealth icare idecisions ifor ithe iclient
iregardless iof ithe iclient’s iability ito ido iso.”
B. “The iproxy ican imake ifinancial idecisions iif ithe ineed iarises.”
, C. . i“The iproxy ican imake itreatment idecisions iif ithe iclient iisiunder
ianesthesia”
D. “The iproxy ishould imanage ilegal iissues i for ithe iclient.”
20. A inurse iin ithe iPACU iis icaring ifor ia iclient iwho ireports inausea. iWhich iofithe
ifollowing iactions ishould ithe inurse itake ifirst?
A. Turn ithe iclient ion itheir iside.
B. Administer ian ianalgesic
C. Administer iantiemetic
D. Monitor ithe iclient’s ivital isigns.
21. A i nurse iis i caring i for ia iclient i who ihas i a ihistory iof idepression i and iis
iexperiencing i a i situational i crisis. i Which i of i the i following i actions i should i theinurse
itake ifirst?
A. Confirm ithe iclient’s iperception iof ithe ievent
B. Notify ithe iclient’s isupport isystem
C. Help ithe iclient iidentify ipersonal istrengths
D. Teach ithe iclient irelaxation itechniques
22. A i nurse i is i caring i for i a i client i who i has i bipolar i disorder i and i is i experiencingiacute
i mania. i The i nurse i obtained i a i verbal i prescription i for i restraints. i Which iof ithe ifollowing
ishould ithe iactions ishould ithe inurse itake?
A. Request ia irenewal iof ithe iprescription ievery i8 ihr.
B. Check ithe i client’s i peripheral ipulse irate i every i30 i min
C. Obtain ia iprescription ifor irestraint iwithin i4 ihr.
D. Document ithe iclient’s icondition ievery i15 iminutes.
23. A inurse iis i caring i for i a iclient i who ihas i end-stage iof ikidney idisease. iThe iclient iadult
ichild iasked iabout ibecoming ia iliving i donor ifor ihis ifather. i Which iofithe i following
i conditions i in i the i child's i medical i history i should i the i nurse iidentify ias ia icontraindication
ito ithe iprocedure?
A. Amputation
B. Osteoarthritis
C. Hypertension
D. Primary i glaucoma
24. A i charge i nurse i on i a i medical-surgical i unit i is i planning i assignments i for i a ilicensed
i practical i nurse i (LPN) i who i has i been i sent i from i the i (Unable i to i read) i unit i due ito i a i staffing
ishortage. iWhich i of i the i following iclient ishould i the i nurseidelegate ito ithe iLPN?
A. A iclient iwho ihas ian iHgb iof i6.3 ig/dl iand ia iprescription ifor ipacked
RBCs
. B. A iclient iwho isustained ia iconcussion iand ihas iunequal ipupils.
C. A iclient iwho iis ipostoperative ifollowing ia ibowel iresectioniwith
ian iNG itube iset ito icontinuous isuction.
D. A i client i who i fractured i his i femur i yesterday i and i is i experiencing
ishortness iof ibreath.
25. A i nurse iis i working i on ia i surgical iunit iis i developing i a icare iplan i for i a iclientiwho i has
i paraplegia. i The i client i has i an i area i of i non-blanchable i erythema i overihis i ischium.
i Which i of i the i following i interventions i should i the i nurse i include i in ithe icare iplan?
1. A inurse iin ia ipediatric iunit iis ipreparing ito iinsert ian iIV icatheter ifor i7-year-iold.
iWhich iof ithe ifollowing iactions ishould ithe inurse itake?
A. (Unable ito iread)
B. Tell ithe ichild ithey iwill ifeel idiscomfort iduring ithe icatheter
iinsertion.
C. Use ia imummy irestraint ito ihold i the ichild i during ithe i catheter
iinsertion.
D. Require ithe iparents ito ileave ithe iroom iduring ithe iprocedure.
2. A inurse iis icaring ifor ia iclient iwho ihas i arteriovenous ifistula. iWhich iof ithe
ifollowing ifindings ishould ithe inurse ireport?
A. Thrill iupon ipalpation.
B. Absence iof ia ibruit.
C. Distended iblood ivessels
D. Swishing isound iupon iauscultation.
3. A inurse iis iproviding idischarge iteaching ifor ia iclient iwho ihas ian iimplantable
icardioverter idefibrillator. iWhich iof ithe ifollowing istatementsidemonstrates
iunderstanding iof ithe iteaching?
A. “I iwill isoak iin ithe itub irather iand ishowering”
B. “I iwill iwear iloose iclothing iaround imy iICD”
C. “I i will i stop i using i my i microwave i oven i at i home i because i of i my i ICD”
D. “I i can i hold i my i cellphone i on i the i same i side i of i my i body i as i the i ICD”
4. A i nurse i is i caring i for i a i client i who iis i at i 14 i weeks i gestation i and i reportsifeelings
i of i ambivalence i about i being i pregnant. i Which i of i the i following iresponses ishould
ithe inurse imake?
A. “Describe i your i feelings i to i me i about i being i pregnant”
B. “You i should i discuss i your i feelings i about i being i pregnant i with i your
iprovider”
C. “Have iyou idiscussed ithese ifeelings iwith iyour ipartner?”
D. “When idid iyou istartihaving ithese ifeelings?”
5. A inurse iis iplanning icare ifor ia iclient iwho ihas ia iprescription ifor ia ibowel- itraining
iprogram ifollowing ia ispinal icord iinjury. iWhich iof ithe ifollowing iactionsishould ithe inurse
iinclude iin ithe iplan iof icare?
A. Encourageia imaximum ifluid iintake iof i1,500 iml iper iday.
B. Increase ithe iamount iof irefined igrains iin ithe iclient’s idiet.
C. Provide ithe iclient iwith ia icold idrink iprior ito idefecation.
D. Administer ia irectal i suppository i30 iminutes iprior ito
ischeduled idefecation
times. i(MS i97)
6. A inurse iis icaring ifor ia iclient iwho iis iin iactive ilabor iand irequests ipain
imanagement. iWhich iof ithe ifollowing iactions ishould ithe inurse itake?
A. Administer i ondansetron.
B. Place ithe iclient iin ia iwarm ishower.
C. Apply i fundal i pressure i during i contractions. i (counterpressure i notifundal
ipressure)
D. Assist ithe iclient ito ia isupine iposition.
,7. A inurse iin i an iemergency idepartment iis iperforming itriage ifor imultiple iclients
ifollowing ia idisaster iin ithe icommunity. iTo iwhich iof ithe ifollowing itypesiof iinjuries ishould
ithe inurse iassign ithe ihighest ipriority?
A. Below-the iknee iamputation
B. Fractured itibia
C. 95% ifull-thickness ibody iburn
D. 10cm i(4in) ilaceration ito ithe iforearm
8. A inurse i manager i is i updating i protocols i for i the i use i of i belt i restraints. i Whichiof ithe
ifollowing iguidelines ishould ithe inurse iinclude?
A. Remove ithe iclient’s irestraint ievery i4hr
B. Document ithe iclient’s icondition ievery i15 imin
C. Attach ithe irestrain ito ithe ibed’s iside irails
D. Request i a i PRN i restrain i prescription i for i clients i who i are i aggressive
9. A i nurse i is i teaching i an i in-service i about i nursing i leadership. i Which i of i the
ifollowing i information i should i the i nurse i include i about i an i effective i leader?
A. Acts i as ian i advocate ifor i the i nursing i unit.
B. (Unable ito iread) ifor ithe iunit
C. Priorities istaff irequest iover iclient ineeds.
D. Provides iroutine iclient icare iand idocumentation.
10. A i nurse i is i reviewing i the i laboratory i findings i of ia i client i who i has i diabetesimellitus
i and i reports i that i she ihas i been ifollowing i her i (unable i to i read) i care. iThe i nurse i should
i identify i which i of i the i following i findings iindicates i a i need i toirevise ithe iclient’s iplan iof
icare.
A. Serum isodium i144
B. (Unable ito iread)
C. Hba1c i10 i%
D. Random iserum iglucose i190 img/dl.
11. A inurse iin ia iprovider’s ioffice iis ireviewing ithe ilaboratory iresults iof ia igroup iof
iclients. iThe inurse ishould iidentify ithat iwhich iof ithe ifollowing isexually i transmitted
i infections i is i a i nationally i notifiable i infectious i diseaseithat ishould ibe ireported ito ithe
istate ihealth idepartment?
A. Chlamydia
B. Human ipapillomavirus
C. Candidiasis
D. Herps isimplex ivirus
12. A inurse iis iteaching ia inewly ilicensed inurse iabout itherapeutic itechniquesito iuse iwhen
ileading ia igroup ion ia imental ihealth iunit. iWhich iof ithe ifollowing igroup ifacilitation
itechniques ishould ithe inurse iinclude iin ithe iteaching?
A. Share i personal i opinions i to i help i influence i the i group’s i values
B. Measure ithe iaccomplishments iof ithe igroup iagainst ia iprevious igroup
C. Yield iin isituations iof iconflicts ito imaintain igroup iharmony
D. Use imodeling ito ihelp ithe iclients iimprove itheir iinterpersonal
skills
13. A inurse iis i planning ifor ia iclient iwho ipractices iOrthodox iJudaism. iThe iclient
itells ithe inurse ithat i(Unable ito iread) iPassover iholiday. iWhich iof ithe
,following iaction ishould ithe inurse iinclude iin ithe iplan iof icare?
A. Provide ichicken iwith icream isauce.
B. Avoid i serving i fish i with i fins i and i scales.
C. Provide iunleavened ibread
D. Avoid iserving ifoods icontaining ilam
14. A i nurse i is i caring i for i a i client i who i has i a i pulmonary i embolism. i The i nurseishould
iidentify ithe ieffectiveness iof ithe itreatment
A. A ichest ix-ray ireveals iincreased idensity iin iall ifields.
B. The iclient ireports ifeeling iless ianxious.
C. Diminished i breath i sounds i are i auscultated i bilaterally
D. ABG iresults iinclude iPh i7.48 iPaO2 i77 imm iHg iand iPaCO2 i47 imm iHg.
15. A i nurse i in i an i emergency i department i is i assessing i a i client i who i reports
iingesting ithirty i diazepam itablets i(Unable ito iread) ia i respiratory irate i of i10/min. iAfter
isecuring ithe iclient’s iairway iand iinitiating ian iIV, iwhich iof itheifollowing iactions ishould
ithe inurse ido inext.
A. Monitor ithe iclient’s iIV isite ifor ithrombophlebitis.
B. Administer iflumazenil ito ithe iclient.
C. Evaluate ithe iclient ifor ifurther isuicidal ibehavior.
D. Initiate iseizure iprecautions ifor ithe iclient.
16. A i nurse i in i an i emergency i department i is i caring i for i a i client i who i reportsicocaine
i use i 1hr i ago. i Which i of i the i following i findings i should i the i nurse iexpect?
A. Hypotension
B. Memory iloss
C. Slurred ispeech
D. Elevated itemperature
17. A i nurse i is i assessing i a i newborn i who i has i a i blood i glucose i level i of i 30
img/dl. i Which i of ithe i following i manifestations i should i the i nurse i expect?
A. Loose istools
B. Jitteriness
C. Hypertonia
D. Abdominal i distention
18. A inurse iin ia ipediatric iclinic iis ireviewing ithe ilaboratory itest iresults iof ia ischool
iage ichild. iWhich iof ithe ifollowing ifindings ishould ithe inurse ireport ito ithe iprovider?
A. Hgb i12.5 ig/dl
B. Platelets i 250,000/mm3
C. Hct i40%
D. i WBC i 14,000/mm3
19. A icharge inurse iis iteaching ia inewly ilicensed inurse iabout iclients idesignating ia
i health i care i proxy i in i situations i that i require i a i durable i power i of iattorney i for iheal icare
i(DPSHC). i Which iof ithe ifollowing i information i should itheicharge inurse iinclude?
A. “The iproxy ishould imake ihealth icare idecisions ifor ithe iclient
iregardless iof ithe iclient’s iability ito ido iso.”
B. “The iproxy ican imake ifinancial idecisions iif ithe ineed iarises.”
, C. . i“The iproxy ican imake itreatment idecisions iif ithe iclient iisiunder
ianesthesia”
D. “The iproxy ishould imanage ilegal iissues i for ithe iclient.”
20. A inurse iin ithe iPACU iis icaring ifor ia iclient iwho ireports inausea. iWhich iofithe
ifollowing iactions ishould ithe inurse itake ifirst?
A. Turn ithe iclient ion itheir iside.
B. Administer ian ianalgesic
C. Administer iantiemetic
D. Monitor ithe iclient’s ivital isigns.
21. A i nurse iis i caring i for ia iclient i who ihas i a ihistory iof idepression i and iis
iexperiencing i a i situational i crisis. i Which i of i the i following i actions i should i theinurse
itake ifirst?
A. Confirm ithe iclient’s iperception iof ithe ievent
B. Notify ithe iclient’s isupport isystem
C. Help ithe iclient iidentify ipersonal istrengths
D. Teach ithe iclient irelaxation itechniques
22. A i nurse i is i caring i for i a i client i who i has i bipolar i disorder i and i is i experiencingiacute
i mania. i The i nurse i obtained i a i verbal i prescription i for i restraints. i Which iof ithe ifollowing
ishould ithe iactions ishould ithe inurse itake?
A. Request ia irenewal iof ithe iprescription ievery i8 ihr.
B. Check ithe i client’s i peripheral ipulse irate i every i30 i min
C. Obtain ia iprescription ifor irestraint iwithin i4 ihr.
D. Document ithe iclient’s icondition ievery i15 iminutes.
23. A inurse iis i caring i for i a iclient i who ihas i end-stage iof ikidney idisease. iThe iclient iadult
ichild iasked iabout ibecoming ia iliving i donor ifor ihis ifather. i Which iofithe i following
i conditions i in i the i child's i medical i history i should i the i nurse iidentify ias ia icontraindication
ito ithe iprocedure?
A. Amputation
B. Osteoarthritis
C. Hypertension
D. Primary i glaucoma
24. A i charge i nurse i on i a i medical-surgical i unit i is i planning i assignments i for i a ilicensed
i practical i nurse i (LPN) i who i has i been i sent i from i the i (Unable i to i read) i unit i due ito i a i staffing
ishortage. iWhich i of i the i following iclient ishould i the i nurseidelegate ito ithe iLPN?
A. A iclient iwho ihas ian iHgb iof i6.3 ig/dl iand ia iprescription ifor ipacked
RBCs
. B. A iclient iwho isustained ia iconcussion iand ihas iunequal ipupils.
C. A iclient iwho iis ipostoperative ifollowing ia ibowel iresectioniwith
ian iNG itube iset ito icontinuous isuction.
D. A i client i who i fractured i his i femur i yesterday i and i is i experiencing
ishortness iof ibreath.
25. A i nurse iis i working i on ia i surgical iunit iis i developing i a icare iplan i for i a iclientiwho i has
i paraplegia. i The i client i has i an i area i of i non-blanchable i erythema i overihis i ischium.
i Which i of i the i following i interventions i should i the i nurse i include i in ithe icare iplan?
