COMPREHENSIVE PREDICTOR EXAM
2019 LATEST UPDATE 2023/2024 5. A nurse is caring for an older adult client who
has pneumonia. When reinforcing teaching aboutthe
(180 Q & A)
diagnosis age- related changes with the client’s
family, which of the following alterations should the
1. A nurse is reviewing the laboratory results fora nurse include?
client who is at 32 gestation. For which of the a. Increased inflation of the basilar lungs
following results should the nurse notify the b. Increased elasticity of the thoracic cage
provider? c. Hypertrophy of the bronchial mucous gland
a. Hgb 12 g/dL d. Hyperactive cough reflex
b. Platelet count 90,000/mm2
c. Hematocrit 37% 6. A client is participating in an anger
d. Creatinine 0.7 mg/dL management session explain that his recent
behavior are related to his job loss. Which of the
2. After receiving change-of-shift report, which of following mechanism is the client using?
the following clients should the nurse collect data a. Projection
from first? b. Rationalism
a. A client who has a history of pancreatitis c. Repression
and reports severe abdominal pain d. Sublimation
b. A client who has heart failure and reports
severe dyspnea 7. A nurse is reinforcing teaching with the client
c. A client who is scheduled for abdominal who is about to undergo a thoracentesis. Which ifthe
surgery in 1 hrs following statements by the client indicates an
d. A postoperative client who has diabetes understanding of the information?
mellitus and a blood glucose of 280 mg/dK a. “I will have general anesthesia during the
procedure.”
3. A nurse is preparing a client for surgery. The b. “I will lie flat for 6 hours before the
client tells the nurse that he is concerned about the procedure.”
safety of a large sum of money in his wallet. Which c. “I will have the chest x-ray following the
of the following actions is appropriate for the nurse procedure.”
to take? d. “I will breathe deeply through my nose
a. Place the money in an envelope and lock it during the procedure.”
in the client’s medication drawer
b. Contact security personnel to place the 8. A nurse is reviewing the medical record of a
money in the facility safe client who is requesting an oral contraceptive.
c. Hold the money for the client until he Which of the following findings should the nurse
returns from surgery identify as a contraindication to the use of oral
d. Label the money and leave it with the unit contraceptive?
secretary. a. History of renal calculi
b. Migraines with aura
4. A nurse is preparing to instill an otic suspension c. BMI of 26
into an adult client’ ear. Which of the following d. History of cholecystectomy
methods should the nurse plan to use?
a. Pull the auricle upward and outward.
b. Pull the auricle downward and backward.
c. Pull the auricle upward and backward.
d. Pull the auricle downward an outward.
,9. A nurse is reinforcing discharge teaching about 13. A nurse is reinforcing teaching about
transmission precautions with a client who has colostomy care with a client. Which of the
Hepatitis C. Which of the following information following client statements indicate an
should the nurse include? understanding of how to care for the colostomy?
a. Avoid sharing razors with other family a. I will cleanse the stoma site gently with an
members. antiseptic solution.
b. Clean toilet surfaces with bleach after each b. I will contact my doctor right away if my
use stoma is red
c. Advice family members to receive a c. I will cut the water opening 1 inch biggerthan
hepatitis c immunization my stoma.
d. Do not prepare food for other family d. I will empty the colostomy bag when is I
member s while infectious. one half full.
10. A nurse is preparing to administer an IM injection 14. A nurse is reinforcing teaching with a client who
to a client. To reduce the risk of a needlestick injury, has a permanent pacemaker in place. Whichof the
the nurse should take which of the following actions? following statements by the client indicates an
a. Place a cap hold securely on the used needle understanding of the teaching?
a before disposal. a. “I should have my doctor replace the battery
b. Recap the needle using a one-handed scoop in the pacemaker in a year.”
approach before proper disposal. b. “I need to record my pulse rate daily.”
c. Dispose of the used needle immediately ina c. “I should avoid taking tub baths.”
puncture proof sharps container. d. “I will remove my microwave oven from my
d. Detach and dispose of the use needle house.”
promptly following injection.
15. A nurse is collecting data from a parent of a
11. A nurse is reinforcing teaching with a client preschooler at a well-child visit. Which of the
who has new prescription for levothyroxine. following findings is a contraindication to a
Which of the following statements indicates measles, mumps and rubella (MMR)
understanding of the instructions? immunization?
a. “I should take this medication with meals.” a. Family history of allergies to penicillin
b. This medication will take 2 weeks to reach b. Erythema at injection site with previous
full effectiveness.” immunization.
c. “I need to take this medication for therest c. Long-term use of immunosuppressants
of my life.” d. Current use of antimicrobial therapy.
d. “If I forget to take the medication, I can
double the next dose.” 16. A nurse is reinforcing teaching with a client who
has a vitamin C deficiency. Which of the following
12. A nurse is caring for a client who is receiving foods should the nurse include as havingthe highest
prazosin. The client’s blood pressure is 100/60 mm vitamin C content?
Hg. which of the following actions should the nurse a. 1 cup yogurt
take? b. 1 cup raw broccoli
a. Administer a reversal agent c. 1 large baked potato
b. Initiate cardiac monitoring d. 1 cup boiled carrots
c. Instruct the client to stand up slowly
d. Inform the client to report urinary retention
, 17. A nurse is checking the home environment of a 22. A nurse is collecting data from a client who has
client for safety hazards. Which of the followingitems diabetes mellitus. Which of the following indicates
require intervention by the nurse? the client might be experiencing diabetic
a. The television set is turned to a loud volume ketoacidosis?
b. The dining room table has low chairs withno a. Negative urine ketones
armrests b. Kussmaul respirations
c. The bedroom extension cord is placed undera c. Hypoglycemia
heavy nightstand d. Anuria
d. The living room contains wall to wall
carpeting. 23. A nurse receives a verbal order for a client to
receive a stat dose of meperidine 100 mg PO. She
18. A nurse is caring for a 17-yr. old client who is administers the medication, charts the
admitted for an emergency appendectomy. Whichof administration and then realizes she has
the following is an appropriate action by the nurse in administered phenytoin 100 mg. which of the
obtaining informed consent? following actions should the nurse take first?
a. Have the client’s older sibling give a. Check client’s vital signs.
consent if parent is not available. b. Complete an incident report.
b. Delay the procedure if the provider cannot c. Notify the provider
contact the parents. d. Administer the meperidine.
c. Witness the signature of the client’s parents
when he arrives. 24. A nurse is caring for a client and begins to
d. Obtain verbal consent from the client while suspect he is experiencing transference. Which of
waiting for the parents to arrive. the following client statements should the nurse
identify as an indicator of transference?
19. A nurse is reinforcing teaching with a parent a. I’m going to inform my provider that I’m
about appropriate snacks for a toddler. Which ofthe going to quit taking my medication
following food should the nurse include? b. I don’t want to talk to you about how I’m
a. Marshmallows feeling right now
b. Graham crackers c. I feel really close to you because you
c. Almonds remind me of my ex-boyfriend.
d. Carrot sticks d. I feel happy about the progress I have been
making in my life.
20. A nurse is preparing to catheterize a client’s
bladder to check for residual urine. The nurse 25. A nurse is reinforcing teaching about self-
should schedule this procedure at which of the administration of nasal drops with a client. Whichof
following times? the following position should the nurse recommend
a. Right after the client void for installation of the drops?
b. When the client feels an urge to void a. Sims’
c. While voiding on a bedpan b. Prone
d. Before obtaining a bladder scan. c. Supine
d. Orthopneic
21. A nurse is caring for a client who has viral
pneumonia. Which of the following actions shouldthe
nurse take?
a. Place the client in a private room
b. Administer azithromycin
c. Recommend a pneumococcal immunization.
d. Limit fluid intake to 1L per day.
2019 LATEST UPDATE 2023/2024 5. A nurse is caring for an older adult client who
has pneumonia. When reinforcing teaching aboutthe
(180 Q & A)
diagnosis age- related changes with the client’s
family, which of the following alterations should the
1. A nurse is reviewing the laboratory results fora nurse include?
client who is at 32 gestation. For which of the a. Increased inflation of the basilar lungs
following results should the nurse notify the b. Increased elasticity of the thoracic cage
provider? c. Hypertrophy of the bronchial mucous gland
a. Hgb 12 g/dL d. Hyperactive cough reflex
b. Platelet count 90,000/mm2
c. Hematocrit 37% 6. A client is participating in an anger
d. Creatinine 0.7 mg/dL management session explain that his recent
behavior are related to his job loss. Which of the
2. After receiving change-of-shift report, which of following mechanism is the client using?
the following clients should the nurse collect data a. Projection
from first? b. Rationalism
a. A client who has a history of pancreatitis c. Repression
and reports severe abdominal pain d. Sublimation
b. A client who has heart failure and reports
severe dyspnea 7. A nurse is reinforcing teaching with the client
c. A client who is scheduled for abdominal who is about to undergo a thoracentesis. Which ifthe
surgery in 1 hrs following statements by the client indicates an
d. A postoperative client who has diabetes understanding of the information?
mellitus and a blood glucose of 280 mg/dK a. “I will have general anesthesia during the
procedure.”
3. A nurse is preparing a client for surgery. The b. “I will lie flat for 6 hours before the
client tells the nurse that he is concerned about the procedure.”
safety of a large sum of money in his wallet. Which c. “I will have the chest x-ray following the
of the following actions is appropriate for the nurse procedure.”
to take? d. “I will breathe deeply through my nose
a. Place the money in an envelope and lock it during the procedure.”
in the client’s medication drawer
b. Contact security personnel to place the 8. A nurse is reviewing the medical record of a
money in the facility safe client who is requesting an oral contraceptive.
c. Hold the money for the client until he Which of the following findings should the nurse
returns from surgery identify as a contraindication to the use of oral
d. Label the money and leave it with the unit contraceptive?
secretary. a. History of renal calculi
b. Migraines with aura
4. A nurse is preparing to instill an otic suspension c. BMI of 26
into an adult client’ ear. Which of the following d. History of cholecystectomy
methods should the nurse plan to use?
a. Pull the auricle upward and outward.
b. Pull the auricle downward and backward.
c. Pull the auricle upward and backward.
d. Pull the auricle downward an outward.
,9. A nurse is reinforcing discharge teaching about 13. A nurse is reinforcing teaching about
transmission precautions with a client who has colostomy care with a client. Which of the
Hepatitis C. Which of the following information following client statements indicate an
should the nurse include? understanding of how to care for the colostomy?
a. Avoid sharing razors with other family a. I will cleanse the stoma site gently with an
members. antiseptic solution.
b. Clean toilet surfaces with bleach after each b. I will contact my doctor right away if my
use stoma is red
c. Advice family members to receive a c. I will cut the water opening 1 inch biggerthan
hepatitis c immunization my stoma.
d. Do not prepare food for other family d. I will empty the colostomy bag when is I
member s while infectious. one half full.
10. A nurse is preparing to administer an IM injection 14. A nurse is reinforcing teaching with a client who
to a client. To reduce the risk of a needlestick injury, has a permanent pacemaker in place. Whichof the
the nurse should take which of the following actions? following statements by the client indicates an
a. Place a cap hold securely on the used needle understanding of the teaching?
a before disposal. a. “I should have my doctor replace the battery
b. Recap the needle using a one-handed scoop in the pacemaker in a year.”
approach before proper disposal. b. “I need to record my pulse rate daily.”
c. Dispose of the used needle immediately ina c. “I should avoid taking tub baths.”
puncture proof sharps container. d. “I will remove my microwave oven from my
d. Detach and dispose of the use needle house.”
promptly following injection.
15. A nurse is collecting data from a parent of a
11. A nurse is reinforcing teaching with a client preschooler at a well-child visit. Which of the
who has new prescription for levothyroxine. following findings is a contraindication to a
Which of the following statements indicates measles, mumps and rubella (MMR)
understanding of the instructions? immunization?
a. “I should take this medication with meals.” a. Family history of allergies to penicillin
b. This medication will take 2 weeks to reach b. Erythema at injection site with previous
full effectiveness.” immunization.
c. “I need to take this medication for therest c. Long-term use of immunosuppressants
of my life.” d. Current use of antimicrobial therapy.
d. “If I forget to take the medication, I can
double the next dose.” 16. A nurse is reinforcing teaching with a client who
has a vitamin C deficiency. Which of the following
12. A nurse is caring for a client who is receiving foods should the nurse include as havingthe highest
prazosin. The client’s blood pressure is 100/60 mm vitamin C content?
Hg. which of the following actions should the nurse a. 1 cup yogurt
take? b. 1 cup raw broccoli
a. Administer a reversal agent c. 1 large baked potato
b. Initiate cardiac monitoring d. 1 cup boiled carrots
c. Instruct the client to stand up slowly
d. Inform the client to report urinary retention
, 17. A nurse is checking the home environment of a 22. A nurse is collecting data from a client who has
client for safety hazards. Which of the followingitems diabetes mellitus. Which of the following indicates
require intervention by the nurse? the client might be experiencing diabetic
a. The television set is turned to a loud volume ketoacidosis?
b. The dining room table has low chairs withno a. Negative urine ketones
armrests b. Kussmaul respirations
c. The bedroom extension cord is placed undera c. Hypoglycemia
heavy nightstand d. Anuria
d. The living room contains wall to wall
carpeting. 23. A nurse receives a verbal order for a client to
receive a stat dose of meperidine 100 mg PO. She
18. A nurse is caring for a 17-yr. old client who is administers the medication, charts the
admitted for an emergency appendectomy. Whichof administration and then realizes she has
the following is an appropriate action by the nurse in administered phenytoin 100 mg. which of the
obtaining informed consent? following actions should the nurse take first?
a. Have the client’s older sibling give a. Check client’s vital signs.
consent if parent is not available. b. Complete an incident report.
b. Delay the procedure if the provider cannot c. Notify the provider
contact the parents. d. Administer the meperidine.
c. Witness the signature of the client’s parents
when he arrives. 24. A nurse is caring for a client and begins to
d. Obtain verbal consent from the client while suspect he is experiencing transference. Which of
waiting for the parents to arrive. the following client statements should the nurse
identify as an indicator of transference?
19. A nurse is reinforcing teaching with a parent a. I’m going to inform my provider that I’m
about appropriate snacks for a toddler. Which ofthe going to quit taking my medication
following food should the nurse include? b. I don’t want to talk to you about how I’m
a. Marshmallows feeling right now
b. Graham crackers c. I feel really close to you because you
c. Almonds remind me of my ex-boyfriend.
d. Carrot sticks d. I feel happy about the progress I have been
making in my life.
20. A nurse is preparing to catheterize a client’s
bladder to check for residual urine. The nurse 25. A nurse is reinforcing teaching about self-
should schedule this procedure at which of the administration of nasal drops with a client. Whichof
following times? the following position should the nurse recommend
a. Right after the client void for installation of the drops?
b. When the client feels an urge to void a. Sims’
c. While voiding on a bedpan b. Prone
d. Before obtaining a bladder scan. c. Supine
d. Orthopneic
21. A nurse is caring for a client who has viral
pneumonia. Which of the following actions shouldthe
nurse take?
a. Place the client in a private room
b. Administer azithromycin
c. Recommend a pneumococcal immunization.
d. Limit fluid intake to 1L per day.
