RN Comprehensive Predictor 2026 Exit
Exam: Ultimate 200-Question Study Guide
with NGN-Style Practice, Detailed
Rationales, and Test-Taking Strategies for
NCLEX Success
RN Comprehensive Predictor 2026 Exit
Exam: 200 Practice Questions
Section 1: Fundamentals of Nursing
(Questions 1-25)
1. A nurse is caring for a client experiencing
shortness of breath. Which assessment
should be performed first?
• A) Obtain a blood pressure reading.
• B) Assess oxygen saturation.
, • C) Check temperature.
• D) Review laboratory results.
Correct ☑VERIFIED ANSWER: B
Rationale: Airway and breathing are the
highest priorities in the ABCs (Airway,
Breathing, Circulation). Oxygen saturation
helps determine the severity of respiratory
compromise and guides immediate
interventions .
2. An oriented patient has recently had
surgery. Which action is best for the nurse
to take to assess this patient's pain?
• A) Assess the patient's body language.
• B) Ask the patient to rate the level of
pain.
, • C) Observe the cardiac monitor for
increased heart rate.
• D) Have the patient describe the effect
of pain on the ability to cope.
Correct ☑VERIFIED ANSWER: B
Rationale: The most subjective and useful
characteristic for reporting pain is its
severity. Asking the patient to rate pain is
the most direct assessment method .
3. A client with heart failure is prescribed
furosemide 40 mg IV twice daily. Which
assessment finding indicates the
medication is effective?
• A) Decreased heart rate from 120 to 100
bpm.
, • B) Increased urine output from 30 mL/hr
to 100 mL/hr.
• C) Decreased blood pressure from
150/90 to 110/70 mmHg.
• D) Increased respiratory rate from 20 to
24/min.
Correct ☑VERIFIED ANSWER: B
Rationale: Furosemide is a loop diuretic.
Increased urine output indicates effective
diuresis, reducing fluid overload in heart
failure .
4. A nurse is caring for a client with a new
tracheostomy. Which action takes priority?
• A) Suctioning when gurgling sounds are
heard.
Exam: Ultimate 200-Question Study Guide
with NGN-Style Practice, Detailed
Rationales, and Test-Taking Strategies for
NCLEX Success
RN Comprehensive Predictor 2026 Exit
Exam: 200 Practice Questions
Section 1: Fundamentals of Nursing
(Questions 1-25)
1. A nurse is caring for a client experiencing
shortness of breath. Which assessment
should be performed first?
• A) Obtain a blood pressure reading.
• B) Assess oxygen saturation.
, • C) Check temperature.
• D) Review laboratory results.
Correct ☑VERIFIED ANSWER: B
Rationale: Airway and breathing are the
highest priorities in the ABCs (Airway,
Breathing, Circulation). Oxygen saturation
helps determine the severity of respiratory
compromise and guides immediate
interventions .
2. An oriented patient has recently had
surgery. Which action is best for the nurse
to take to assess this patient's pain?
• A) Assess the patient's body language.
• B) Ask the patient to rate the level of
pain.
, • C) Observe the cardiac monitor for
increased heart rate.
• D) Have the patient describe the effect
of pain on the ability to cope.
Correct ☑VERIFIED ANSWER: B
Rationale: The most subjective and useful
characteristic for reporting pain is its
severity. Asking the patient to rate pain is
the most direct assessment method .
3. A client with heart failure is prescribed
furosemide 40 mg IV twice daily. Which
assessment finding indicates the
medication is effective?
• A) Decreased heart rate from 120 to 100
bpm.
, • B) Increased urine output from 30 mL/hr
to 100 mL/hr.
• C) Decreased blood pressure from
150/90 to 110/70 mmHg.
• D) Increased respiratory rate from 20 to
24/min.
Correct ☑VERIFIED ANSWER: B
Rationale: Furosemide is a loop diuretic.
Increased urine output indicates effective
diuresis, reducing fluid overload in heart
failure .
4. A nurse is caring for a client with a new
tracheostomy. Which action takes priority?
• A) Suctioning when gurgling sounds are
heard.
