Comp Predictor B 2025 Graded And Rated A+
A nurse at an urgent care clinic is assessing a patient with impaired vision in 1 eye. Which
report from the patient should indicate to the nurse that the client has a detached retina?
A) Halos around lights
B) Floating dark spots
C) Pain in the affected eye
D) Cloudy vision - Answer-B) Floating dark spots
A nurse is preparing a client for a paracentesis. What action should the nurse take?
A) Instruct the client to void.
B) Position the client on his left side.
C) Insert an IV catheter.
D) Prepare the client for conscious sedation. - Answer-A) Instruct the client to void.
The nurse should instruct the client to void because an empty bladder decreases the risk of
a bladder puncture and minimizes the client's discomfort from the need to void.
The nurse should position the client upright or in Fowler's position.
,An RN is observing an LPN and an AP move a client up in bed. Which situation should the
nurse intervene?
A) The side rails are lowered before lifting the client up in bed.
B) Prior to lifting the client, the bed is put in high position.
C) The LPN and the AP grasp the client under his arms to lift him up in bed.
D) The LPN and the AP ask the client to flex his knees and push his heels into the bed as they
lift him. - Answer-C) The LPN and the AP grasp the client under his arms to lift him up in
bed.
A nurse on a med-surg unit is assessing a client who had a stroke. Which finding indicates a
need for a referral for occupational therapy?
A) Difficulty performing ADLs
B) Inability to swallow clear liquids
C) Elevated blood glucose levels
D) Unsteady gait when ambulating - Answer-A) Difficulty performing ADLs
A nurse is assessing a client taking propranolol. Which finding should indicate to the nurse
the client is experiencing an adverse reaction to propranolol?
A) Weight loss
B) Coughing at night
C) Blood pressure 146/92 mm Hg
D) Heart rate 110/min - Answer-B) Coughing at night
,A nurse is conducting a visual acuity test using the Snellen letter chart for a school-age
child with eyeglasses. Which instructions should the nurse give to the child?
A) "You should remove your glasses throughout the testing."
B) "You should stand 15 feet away from the chart."
C) "You should get three symbols on a line correct to pass the line."
D) "You should keep both eyes open during the testing." - Answer-D) "You should keep both
eyes open during the testing."
A nurse is caring for a multiparous client following a vacuum-assisted birth. The nurse
should assess the client for which complication related to this birth method?
A) Endometrial infection
B) Intestinal gas
C) Cervical laceration
D) Retained placenta - Answer-C) Cervical laceration
The nurse should assess the client for maternal complications associated with vacuum-
assisted birth such as perineal, vaginal, or cervical lacerations.
A nurse is assessing an infant with hydrocephalus and is 6 hours post-op following
placement of a VP shunt. Which finding should the nurse report to the provider?
A) Heart rate 122/min
B) Irritability when being held
C) Hypoactive bowel sounds
D) Urine specific gravity 1.018 - Answer-B) Irritability when being held
, A nurse is assessing a newborn's HR. Which action should the nurse take?
A) Assess the apical pulse while the newborn is crying to detect cardiac problems.
B) Palpate the radial pulse and determine the rate based on number of beats per minute.
C) Listen to the apical pulse while palpating the radial pulse to detect variance.
D) Auscultate the apical pulse and count beats for at least 1 min. - Answer-D) Auscultate the
apical pulse and count beats for at least 1 min.
A nurse is caring for a client with a fecal impaction. Which action should the nurse take when
digitally evacuating the stool?
A) Place the client in the lithotomy position.
B) Elicit a vagal response by performing gentle rectal stimulation.
C) Administer oral bisacodyl 30 min prior to the procedure.
D) Insert a lubricated gloved finger and advance along the rectal wall. - Answer-D) Insert a
lubricated gloved finger and advance along the rectal wall.
A nurse is preparing to replace a patient's transdermal fentanyl patch after 72 hours of use.
After opening the packet with the new pouch, the patient refuses to accept it. Which action
should the nurse take?
A) Withhold pain medications for 24 hr after the old patch is removed.
B) Ask another nurse to witness the disposal of the new patch.
C) Seal the patches in a plastic bag and place in the client's trash basket.
D) Stick the two patches to each other and place them in the sharps bin. - Answer-B) Ask
another nurse to witness the disposal of the new patch.
A nurse at an urgent care clinic is assessing a patient with impaired vision in 1 eye. Which
report from the patient should indicate to the nurse that the client has a detached retina?
A) Halos around lights
B) Floating dark spots
C) Pain in the affected eye
D) Cloudy vision - Answer-B) Floating dark spots
A nurse is preparing a client for a paracentesis. What action should the nurse take?
A) Instruct the client to void.
B) Position the client on his left side.
C) Insert an IV catheter.
D) Prepare the client for conscious sedation. - Answer-A) Instruct the client to void.
The nurse should instruct the client to void because an empty bladder decreases the risk of
a bladder puncture and minimizes the client's discomfort from the need to void.
The nurse should position the client upright or in Fowler's position.
,An RN is observing an LPN and an AP move a client up in bed. Which situation should the
nurse intervene?
A) The side rails are lowered before lifting the client up in bed.
B) Prior to lifting the client, the bed is put in high position.
C) The LPN and the AP grasp the client under his arms to lift him up in bed.
D) The LPN and the AP ask the client to flex his knees and push his heels into the bed as they
lift him. - Answer-C) The LPN and the AP grasp the client under his arms to lift him up in
bed.
A nurse on a med-surg unit is assessing a client who had a stroke. Which finding indicates a
need for a referral for occupational therapy?
A) Difficulty performing ADLs
B) Inability to swallow clear liquids
C) Elevated blood glucose levels
D) Unsteady gait when ambulating - Answer-A) Difficulty performing ADLs
A nurse is assessing a client taking propranolol. Which finding should indicate to the nurse
the client is experiencing an adverse reaction to propranolol?
A) Weight loss
B) Coughing at night
C) Blood pressure 146/92 mm Hg
D) Heart rate 110/min - Answer-B) Coughing at night
,A nurse is conducting a visual acuity test using the Snellen letter chart for a school-age
child with eyeglasses. Which instructions should the nurse give to the child?
A) "You should remove your glasses throughout the testing."
B) "You should stand 15 feet away from the chart."
C) "You should get three symbols on a line correct to pass the line."
D) "You should keep both eyes open during the testing." - Answer-D) "You should keep both
eyes open during the testing."
A nurse is caring for a multiparous client following a vacuum-assisted birth. The nurse
should assess the client for which complication related to this birth method?
A) Endometrial infection
B) Intestinal gas
C) Cervical laceration
D) Retained placenta - Answer-C) Cervical laceration
The nurse should assess the client for maternal complications associated with vacuum-
assisted birth such as perineal, vaginal, or cervical lacerations.
A nurse is assessing an infant with hydrocephalus and is 6 hours post-op following
placement of a VP shunt. Which finding should the nurse report to the provider?
A) Heart rate 122/min
B) Irritability when being held
C) Hypoactive bowel sounds
D) Urine specific gravity 1.018 - Answer-B) Irritability when being held
, A nurse is assessing a newborn's HR. Which action should the nurse take?
A) Assess the apical pulse while the newborn is crying to detect cardiac problems.
B) Palpate the radial pulse and determine the rate based on number of beats per minute.
C) Listen to the apical pulse while palpating the radial pulse to detect variance.
D) Auscultate the apical pulse and count beats for at least 1 min. - Answer-D) Auscultate the
apical pulse and count beats for at least 1 min.
A nurse is caring for a client with a fecal impaction. Which action should the nurse take when
digitally evacuating the stool?
A) Place the client in the lithotomy position.
B) Elicit a vagal response by performing gentle rectal stimulation.
C) Administer oral bisacodyl 30 min prior to the procedure.
D) Insert a lubricated gloved finger and advance along the rectal wall. - Answer-D) Insert a
lubricated gloved finger and advance along the rectal wall.
A nurse is preparing to replace a patient's transdermal fentanyl patch after 72 hours of use.
After opening the packet with the new pouch, the patient refuses to accept it. Which action
should the nurse take?
A) Withhold pain medications for 24 hr after the old patch is removed.
B) Ask another nurse to witness the disposal of the new patch.
C) Seal the patches in a plastic bag and place in the client's trash basket.
D) Stick the two patches to each other and place them in the sharps bin. - Answer-B) Ask
another nurse to witness the disposal of the new patch.
