PN COMPREHENSIVE PREDICTOR 2025
WITH NGN RATED A+
A charge nurse is observing a newly licensed nurse perform suctioning for a client who
has a tracheostomy. For which of the following actions by the newly licensed nurse
should the charge nurse intervene? - ANSWER-Suction for 30 seconds
A charge nurse is reinforcing teaching with a newly licensed nurse about floating to a
different unit. Which of the following statements by the newly licensed nurse indicates
an understanding of the teaching? - ANSWER-"I will document in the medical record the
support nurse who assists with planning care for my clients"
A charge nurse on a mental health unit is supervising a newly licensed nurse. For which
of the following actions by the newly licensed nurse should the supervising nurse
intervene? - ANSWER-Tells a client he will lose his phone privileges if he does not take
his medication
A charge nurse working in a long-term care facility overhears two AP's in the nurses'
stations discussing a client who was just admitted. Which of the following actions should
the charge nurse take? - ANSWER-Tell the APs to stop the conversation
A client comes to the clinic with reports to nasal congestion. Which of the following
medications should the nurse anticipate that the primary care provider will prescribe? -
ANSWER-Pseudoephedrine (Sufaded)
A client has a large, deep ulcer on her right hip. The primary care provider has
prescribed a woman vacuum to be applied. Which of the following is an appropriate
nursing action? - ANSWER-Maintain hydrophillic material deep into the ulcer
A client is prescribed 2g of ampicillin. The pharmacy dispenses this medication in 500
mg tablets. Which of the following should the nurse give the client? - ANSWER-4 tablets
A client is requesting information from a nurse regarding the appointment of a health
care proxy. Which of the following responses by the nurse is appropriate? - ANSWER-
The person you appoint will make health care decision for you if you cannot do so
yourself
A client who has asthma and is started on montelukast (Singular) returns to the clinic 1
month later. Which of the ff. indicates that the client is complying with this medication
regimen? - ANSWER-The client takes the medication once daily at bedtime
A Client with emphysema asks the nurse why he has difficulty exhaling. Which of the
following statements by the nurse is appropriate? - ANSWER-"Your windpipe is
inflamed and constricted"
,A client's daughter calls the nurse requesting information about her mother's condition.
The client's chart does not specify that information can be released to the daughter.
Which of the following is an appropriate response by the nurse? - ANSWER-"You will
need to contact your mother directly about her condition"
A nurse caring for the mother of a newborn finds the client crying in her room. The client
tells th nurse, "I don't think I can handle caring for a baby." Which of the following
nursing interventions is appropriate? - ANSWER-Encourage the client to share her
feelings
A nurse discovers a fire in the trash can of a client's room. Which of the following
actions should the nurse take first? - ANSWER-Escort the client to a secure area
A nurse enters client's room and sees smoke coming from a wastebasket next to the
bed. Which of the following actions should the nurse first? - ANSWER-Assist the client
to a nearby waiting room
A nurse has administered cephalexin (Keflex) to a client. Which of the following is the
earliest indicator of an anaphylatic reaction? - ANSWER-Wheezes.
Hypotension.
A nurse in a clinic is caring for a client who is at 40 weeks of gestation and experiences
a sudden gush of vaginal fluids. Which of the following findings is evidence of an
obstetric complication? - ANSWER-Appears greenish-brown in color
A nurse in a clinic is obtaining a health history from a client scheduled to un- dergo a
cardiac catheterization in 2 days. Which of the ff. questions is the most im- portant for
the nurse to ask? - ANSWER-"Do you know if you're allergic to iodine?"
A nurse in a long-term care facility has received a change-of-shift report on four clients.
Which of the following clients should the nurse attend to first? - ANSWER-A client who
has COPD and dementia and was agitated during the night shift
A nurse in a long-term care facility is assisting with the admission of a client who
requires oropharyngeal suction. Which of the ff. supplies does the nurse need to
perform this task? - ANSWER-Yankauer catheter
A nurse in a long-term care facility is auscultating the lung sounds of a client who
reports shortness of breath and increase fatigue. Listen to the audio clip. Which of the
following lung sounds should the nurse report to the provider? - ANSWER-Fine crackles
A nurse in a long-term care facility is caring for a client who has spinal cord injury. The
client is demonstrating manifestations of autonomic dysreflexia. Which of the following
actions should the nurse take first? - ANSWER-Check the client for bladder distention.
Loosen the client's clothing.
, A nurse in a long-term care facility is caring for a client who uses a continuous positive
airway pressure (CPAP) machine at night for sleep apnea. The client reports daytime
sleepiness. Which of the following actions should the nurse take first? - ANSWER-
Check for proper fit of the mask on the CPAP machine.
Provide activities during the day to stimulate the client.
A nurse in a provider's office is collecting data from a client who has psoriasis. Which of
the following statements made by the client should she report to the provider? -
ANSWER-"I try not to look at the scales on my body"
A nurse in a provider's office is reinforcing teaching with a client who has a new
prescription for ferrous sulfate elixir. Which of the ff. statements by the client
demonstrates understanding of the teaching? - ANSWER-"I will rinse my mouth after
taking this medication"
A nurse in a provider's office is reinforcing teaching with the parents of a school-age
child who has an active case of pediculosis capitis. Which of the following should be
included in the teaching? - ANSWER-Wash the bed linens in hot water.
Clean the child's toys with 1:10 bleach solution.
A nurse in an acute care setting is preparing to administer medications to a client.
Which of the following actions should the nurse verify the client's identity? - ANSWER-
Verify the client's identity using a photograph
A nurse in an acute mental health facility is caring for a newly admitted client. Which of
the following should occur during the orientation phase of the nurse-client relationship? -
ANSWER-Defining responsibilities
A nurse in an urgent-care facility is collecting data from a client who is scheduled for a
procedure. Which of the ff. clinical manifestations indicates a possi- ble latex allergy? -
ANSWER-Rhinorrhea
A nurse is administering hydromorphone (Dilaudid) to a client who is experiencing
postoperative pain. Which of the following is an adverse effect of this medication? -
ANSWER-Urinary Retention
A nurse is administering medication to a client. Which of the following actions is
appropriate for the nurse to take? - ANSWER-Verify with another nurse when
calculating a new dose of medication
A nurse is administering medication. A client states, "I know that the Inderal helps my
blood pressure, but I don't like the way it makes me feel. I don't think I'll take it today."
Which of the following actions should the nurse take? - ANSWER-Asks the client to
describe what he is experiencing
WITH NGN RATED A+
A charge nurse is observing a newly licensed nurse perform suctioning for a client who
has a tracheostomy. For which of the following actions by the newly licensed nurse
should the charge nurse intervene? - ANSWER-Suction for 30 seconds
A charge nurse is reinforcing teaching with a newly licensed nurse about floating to a
different unit. Which of the following statements by the newly licensed nurse indicates
an understanding of the teaching? - ANSWER-"I will document in the medical record the
support nurse who assists with planning care for my clients"
A charge nurse on a mental health unit is supervising a newly licensed nurse. For which
of the following actions by the newly licensed nurse should the supervising nurse
intervene? - ANSWER-Tells a client he will lose his phone privileges if he does not take
his medication
A charge nurse working in a long-term care facility overhears two AP's in the nurses'
stations discussing a client who was just admitted. Which of the following actions should
the charge nurse take? - ANSWER-Tell the APs to stop the conversation
A client comes to the clinic with reports to nasal congestion. Which of the following
medications should the nurse anticipate that the primary care provider will prescribe? -
ANSWER-Pseudoephedrine (Sufaded)
A client has a large, deep ulcer on her right hip. The primary care provider has
prescribed a woman vacuum to be applied. Which of the following is an appropriate
nursing action? - ANSWER-Maintain hydrophillic material deep into the ulcer
A client is prescribed 2g of ampicillin. The pharmacy dispenses this medication in 500
mg tablets. Which of the following should the nurse give the client? - ANSWER-4 tablets
A client is requesting information from a nurse regarding the appointment of a health
care proxy. Which of the following responses by the nurse is appropriate? - ANSWER-
The person you appoint will make health care decision for you if you cannot do so
yourself
A client who has asthma and is started on montelukast (Singular) returns to the clinic 1
month later. Which of the ff. indicates that the client is complying with this medication
regimen? - ANSWER-The client takes the medication once daily at bedtime
A Client with emphysema asks the nurse why he has difficulty exhaling. Which of the
following statements by the nurse is appropriate? - ANSWER-"Your windpipe is
inflamed and constricted"
,A client's daughter calls the nurse requesting information about her mother's condition.
The client's chart does not specify that information can be released to the daughter.
Which of the following is an appropriate response by the nurse? - ANSWER-"You will
need to contact your mother directly about her condition"
A nurse caring for the mother of a newborn finds the client crying in her room. The client
tells th nurse, "I don't think I can handle caring for a baby." Which of the following
nursing interventions is appropriate? - ANSWER-Encourage the client to share her
feelings
A nurse discovers a fire in the trash can of a client's room. Which of the following
actions should the nurse take first? - ANSWER-Escort the client to a secure area
A nurse enters client's room and sees smoke coming from a wastebasket next to the
bed. Which of the following actions should the nurse first? - ANSWER-Assist the client
to a nearby waiting room
A nurse has administered cephalexin (Keflex) to a client. Which of the following is the
earliest indicator of an anaphylatic reaction? - ANSWER-Wheezes.
Hypotension.
A nurse in a clinic is caring for a client who is at 40 weeks of gestation and experiences
a sudden gush of vaginal fluids. Which of the following findings is evidence of an
obstetric complication? - ANSWER-Appears greenish-brown in color
A nurse in a clinic is obtaining a health history from a client scheduled to un- dergo a
cardiac catheterization in 2 days. Which of the ff. questions is the most im- portant for
the nurse to ask? - ANSWER-"Do you know if you're allergic to iodine?"
A nurse in a long-term care facility has received a change-of-shift report on four clients.
Which of the following clients should the nurse attend to first? - ANSWER-A client who
has COPD and dementia and was agitated during the night shift
A nurse in a long-term care facility is assisting with the admission of a client who
requires oropharyngeal suction. Which of the ff. supplies does the nurse need to
perform this task? - ANSWER-Yankauer catheter
A nurse in a long-term care facility is auscultating the lung sounds of a client who
reports shortness of breath and increase fatigue. Listen to the audio clip. Which of the
following lung sounds should the nurse report to the provider? - ANSWER-Fine crackles
A nurse in a long-term care facility is caring for a client who has spinal cord injury. The
client is demonstrating manifestations of autonomic dysreflexia. Which of the following
actions should the nurse take first? - ANSWER-Check the client for bladder distention.
Loosen the client's clothing.
, A nurse in a long-term care facility is caring for a client who uses a continuous positive
airway pressure (CPAP) machine at night for sleep apnea. The client reports daytime
sleepiness. Which of the following actions should the nurse take first? - ANSWER-
Check for proper fit of the mask on the CPAP machine.
Provide activities during the day to stimulate the client.
A nurse in a provider's office is collecting data from a client who has psoriasis. Which of
the following statements made by the client should she report to the provider? -
ANSWER-"I try not to look at the scales on my body"
A nurse in a provider's office is reinforcing teaching with a client who has a new
prescription for ferrous sulfate elixir. Which of the ff. statements by the client
demonstrates understanding of the teaching? - ANSWER-"I will rinse my mouth after
taking this medication"
A nurse in a provider's office is reinforcing teaching with the parents of a school-age
child who has an active case of pediculosis capitis. Which of the following should be
included in the teaching? - ANSWER-Wash the bed linens in hot water.
Clean the child's toys with 1:10 bleach solution.
A nurse in an acute care setting is preparing to administer medications to a client.
Which of the following actions should the nurse verify the client's identity? - ANSWER-
Verify the client's identity using a photograph
A nurse in an acute mental health facility is caring for a newly admitted client. Which of
the following should occur during the orientation phase of the nurse-client relationship? -
ANSWER-Defining responsibilities
A nurse in an urgent-care facility is collecting data from a client who is scheduled for a
procedure. Which of the ff. clinical manifestations indicates a possi- ble latex allergy? -
ANSWER-Rhinorrhea
A nurse is administering hydromorphone (Dilaudid) to a client who is experiencing
postoperative pain. Which of the following is an adverse effect of this medication? -
ANSWER-Urinary Retention
A nurse is administering medication to a client. Which of the following actions is
appropriate for the nurse to take? - ANSWER-Verify with another nurse when
calculating a new dose of medication
A nurse is administering medication. A client states, "I know that the Inderal helps my
blood pressure, but I don't like the way it makes me feel. I don't think I'll take it today."
Which of the following actions should the nurse take? - ANSWER-Asks the client to
describe what he is experiencing
