RN Comprehensive Predictor 2026 v2
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RN Comprehensive Predictor 2026
180-Question Practice Examination with Answers & Rationales
Question 1 of 180
A nurse is providing an in-service about client evacuation during a fire. Which of the following
clients should the nurse evacuate first?
A. A client who is ambulatory and receiving oxygen.
B. A client who uses a wheelchair and is confused.
C. A client who is bedridden and wears a hearing aid.
✓ D. A client who has a fracture and is in balance suspension traction.
Correct Answer & Rationale:
Answer: D. Using RACE principles, the client in balance suspension traction cannot self-evacuate and requires
special equipment. They are the most dependent and highest priority for evacuation planning. Ambulatory clients and
those with hearing aids can self-evacuate with direction.
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Question 2 of 180
A nurse in an emergency department is assessing a toddler who accidentally ingested lead.
Which of the following findings should the nurse expect?
✓ A. Cognitive impairment
B. Coughing
C. Hemoptysis
D. Excessive drooling
Correct Answer & Rationale:
Answer: A. Lead poisoning primarily affects the central nervous system, causing cognitive impairment,
developmental delays, learning difficulties, and behavioral changes. These are the hallmark neurological
manifestations of pediatric lead toxicity.
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Question 3 of 180
A nurse in the emergency department is assessing a client who has status asthmaticus. The
nurse should expect which of the following findings?
A. Increase in peak expiratory rate flow
B. Epigastric pain
✓ C. Distended neck veins
D. Bradycardia
Correct Answer & Rationale:
Answer: C. Status asthmaticus causes severe air trapping and increased intrathoracic pressure, which impedes
venous return and results in distended neck veins. Peak expiratory flow is decreased (not increased). Tachycardia,
not bradycardia, is expected.
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written by
Stay Guided
ClassMerit
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notes?
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classmerit.com
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RN Comprehensive Predictor 2026
180-Question Practice Examination with Answers & Rationales
Question 1 of 180
A nurse is providing an in-service about client evacuation during a fire. Which of the following
clients should the nurse evacuate first?
A. A client who is ambulatory and receiving oxygen.
B. A client who uses a wheelchair and is confused.
C. A client who is bedridden and wears a hearing aid.
✓ D. A client who has a fracture and is in balance suspension traction.
Correct Answer & Rationale:
Answer: D. Using RACE principles, the client in balance suspension traction cannot self-evacuate and requires
special equipment. They are the most dependent and highest priority for evacuation planning. Ambulatory clients and
those with hearing aids can self-evacuate with direction.
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Question 2 of 180
A nurse in an emergency department is assessing a toddler who accidentally ingested lead.
Which of the following findings should the nurse expect?
✓ A. Cognitive impairment
B. Coughing
C. Hemoptysis
D. Excessive drooling
Correct Answer & Rationale:
Answer: A. Lead poisoning primarily affects the central nervous system, causing cognitive impairment,
developmental delays, learning difficulties, and behavioral changes. These are the hallmark neurological
manifestations of pediatric lead toxicity.
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Question 3 of 180
A nurse in the emergency department is assessing a client who has status asthmaticus. The
nurse should expect which of the following findings?
A. Increase in peak expiratory rate flow
B. Epigastric pain
✓ C. Distended neck veins
D. Bradycardia
Correct Answer & Rationale:
Answer: C. Status asthmaticus causes severe air trapping and increased intrathoracic pressure, which impedes
venous return and results in distended neck veins. Peak expiratory flow is decreased (not increased). Tachycardia,
not bradycardia, is expected.
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Distribution of this document is illegal extra per year?
