RN COMPREHENSIVE PREDICTOR 2024 FORM B (Latest
Update 2024 100% VERIFIED )
A nurse in an emergency department is assessing newly admitted client who is
experiencing drooling and hoarseness following a burn injury. Which of the following
should actions should the nurse take first?
A. Obtain a baseline ECG.
B. Obtain a blood specimen for ABG analysis.
C. Insert an 18-gauge IV catheter.
D. Administer 100% humidified oxygen. - D. Administer 100% humidified oxygen.
A nurse is planning care for a client who has unilateral paralysis and dysphagia
following a right hemispheric stroke. Which of the following interventions should the
nurse include in the plan?
A. Place food on the left side of the client's mouth when he is ready to eat.
B. Provide total care in performing the client's ADLs.
C. Maintain the client on bed rest.
D. Place the client's left arm on a pillow while he is sitting. - D. Place the client's left arm
on a pillow while he is sitting.
A nurse is caring for a client who is in a seclusion room following violent behavior. The
client continues to display aggressive behavior. Which of the following actions should
the nurse take?
A. Confront the client about this behavior.
B. Express sympathy for the client's situation.
C. Speak assertively to the client.
D. Stand within 30 cm (1 ft) of the client when speaking with them. - C. Speak
assertively to the client.
A nurse is caring for a client who is receiving brachytherapy for treatment of prostate
cancer. Which of the following actions should the nurse take?
A. Cleanse equipment before removal from the client's room.
B. Limit the client's visitors to 30 min per day.
C. Discard the client's linens in a double bag. D. Discard the radioactive source in a
biohazard bag - B. Limit the client's visitors to 30 min per day.
A nurse is assessing a client who has left-sided heart failure. Which of the following
should the nurse identify as a manifestation of pulmonary congestion?
A. Frothy, pink sputum.
B. Jugular vein distention.
C. Weight gain.
D..Bradypnea - A. Frothy, pink sputum.
,A nurse is caring for a client who is in labor and requires augmentation of labor. Which
of the following conditions should the nurse recognize as a contraindication to the use of
oxytocin.
A. Diabetes mellitus.
B. Shoulder presentation.
C. Post term with oligohydramnios.
D. Chorioamnionitis - C. Post term with oligohydramnios.
A nurse is caring for a 5-month-old infant who has manifestations of severe dehydration
and a prescription for paternal fluid therapy. The guardian asks. "What are the
indications that my baby needs an IV?" Which of the following responses should the
nurse make?
A. "Your baby needs an IV because she is not producing any tears"
B. "Your baby needs an IV because her fontanels are budging"
C. "Your baby needs an IV because she is breathing slower than normal"
D. "Your baby needs an IV because her heart rate is decreasing" - A. "Your baby needs
an IV because she is not producing any tears"
A nurse is providing teaching to a client who has heart failure and a new prescription for
furosemide. Which of the following statements should the nurse make?
A. "Taking furosemide can cause your potassium levels to be high"
B. "Eat foods that are high in sodium"
C. "Rise slowly when getting out of bed"
D. "Taking furosemide can cause you to be over hydrated" - C. "Rise slowly when
getting out of bed"
A nurse is creating a plan of care for a newly admitted client who has obsessive-
compulsive disorder. Which of the following interventions should the nurse take?
A. Allow the client enough time to perform rituals.
B. Give the client autonomy in scheduling activities.
C. Discourage the client from exploring irrational fears.
D. Provide negative reinforcement for ritualistic behaviors. - A. Allow the client enough
time to perform rituals.
A nurse is caring for a client who has depression and reports taking ST. John's wort
along with citalopram. The nurse should monitor the client for which of the following
conditions as a result of an interaction between these substances?
A. Serotonin syndrome
B. Tardive dyskinesia
C.Pseudo parkinsonism.
D. Acute dystonia. - A. Serotonin syndrome
A nurse is providing teaching about the gastrostomy tube feedings to the parents of a
school age child. Which of the following instructions should the nurse take?
A. Administer the feeding over 30 min.
B. Place the child in as supine position after the feeding.
,C. Charge the feeding bag and tubing every 3 days.
D. Warm the formula in the microwave prior to administration. - A. Administer the
feeding over 30 min.
2. A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the
following findings should the nurse report to the provider?
A. Potassium level 4.2 mEq/L.
B. Apical pulse 58/min.
C. Digoxin level 1 ng/ml.
D.Constipation for 2 days. - B. Apical pulse 58/min
A nurse is caring for a client who is comatose and has advance directives that indicate
the client does not want life-sustaining measures. The client's family want the client to
have life-sustaining measures. Which of the following action should the nurse take?
A.Arrange for an ethics committee meeting to address the family's concerns.
B. Support the family's decision and initiate life-sustaining measures.
C. Complete an incident report.
D.Encourage the family to contact an attorney. - A. Arrange for an ethics committee
meeting to address the family's concerns.
A nurse is caring for a client who wears glasses. Which of the following actions should
the nurse take?
A. Store the glasses in a labeled case.
B. Clean the glasses with hot water.
C. Clean the glasses with a paper towel.
D. Store the glasses on the bedside table. - A. Store the glasses in a labeled case.
A nurse is teaching a group of newly licensed nurses about measures to take when
caring for a client who is on contact precautions. Which of the following should the
nurse include in the teaching?
A. Remove the protective gown after the client's room.
B. Place the client in a room with negative pressure.
C. Wear gloves when providing care to the client.
D. Wear a mask when changing the linens in the client's room. - C. Wear gloves when
providing care to the client.
A nurse is planning on care for a client who is recovering from an acute myocardial
infarction that occurred 3 days ago. Which of the following instructions should the nurse
include?
A. Perform an ECG every 12 hr.
B. Place the client in a supine position while resting.
C. Draw a troponin level every 4hr.
D. Obtain a cardiac rehabilitation consultation. - D. Obtain a cardiac rehabilitation
consultation.
, The nurse is reviewing the medical record of a client who is requesting combination oral
contraceptives. Which of the following conditions in the client's history is a contradiction
to the use of oral contraceptives?
A. Hyperthyroidism.
B. Thrombophlebitis.
C. Diverticulosis.
D. Hypocalcemia - B. Thrombophlebitis.
A nurse is caring for a client who request the creation of a living will. Which of the
following actions should the nurse take?
A. Schedule a meeting between the hospital ethics committee and the client.
B. Evaluate the client's understanding of life-sustaining measures.
C. Determine the client's preferences about post mortem care.
D. Request a conference with the client's family. - B. Evaluate the client's understanding
of life-sustaining measures.
A nurse is caring for an adolescent who has sickle-cell anemia. Which of the following
manifestations indicates acute chest syndrome and should be immediately reported to
the provider?
A. Substernal retractions.
B. Hematuria.
C. Temperature 37.9 C (100.2 F).
D. Sneezing. - A. Substernal retractions.
A nurse is preforming a gastric lavage for a client who has upper gastrointestinal
bleeding. Which of the .following action should the nurse take?
A. Instill 500 ml of solution through the NG tube.
B. Insert a large-bore NG tube.
C. Use a cold irrigation solution.
D. Instruct the client to lie on his right side. - B. Insert a large-bore NG tube.
A nurse is providing care for a client who is in the advance stage of amyotrophic lateral
sclerosis. (ALS). Which of the following referrals is the nurse's priority?
A. Psychologist.
B. Social worker.
C. Occupational therapist.
D. Speech-language pathologist. - D. Speech-language pathologist.
A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis.
Which of the following findings should the nurse report to the provider?
A. WBC count 8,000/mm3.
B. Platelets 150,000/mm3.
C. Aspartate aminotransferase 10 units/L.
D. Erythrocyte sedimentation rate 75 mm/hr - D. Erythrocyte sedimentation rate 75
mm/hr
Update 2024 100% VERIFIED )
A nurse in an emergency department is assessing newly admitted client who is
experiencing drooling and hoarseness following a burn injury. Which of the following
should actions should the nurse take first?
A. Obtain a baseline ECG.
B. Obtain a blood specimen for ABG analysis.
C. Insert an 18-gauge IV catheter.
D. Administer 100% humidified oxygen. - D. Administer 100% humidified oxygen.
A nurse is planning care for a client who has unilateral paralysis and dysphagia
following a right hemispheric stroke. Which of the following interventions should the
nurse include in the plan?
A. Place food on the left side of the client's mouth when he is ready to eat.
B. Provide total care in performing the client's ADLs.
C. Maintain the client on bed rest.
D. Place the client's left arm on a pillow while he is sitting. - D. Place the client's left arm
on a pillow while he is sitting.
A nurse is caring for a client who is in a seclusion room following violent behavior. The
client continues to display aggressive behavior. Which of the following actions should
the nurse take?
A. Confront the client about this behavior.
B. Express sympathy for the client's situation.
C. Speak assertively to the client.
D. Stand within 30 cm (1 ft) of the client when speaking with them. - C. Speak
assertively to the client.
A nurse is caring for a client who is receiving brachytherapy for treatment of prostate
cancer. Which of the following actions should the nurse take?
A. Cleanse equipment before removal from the client's room.
B. Limit the client's visitors to 30 min per day.
C. Discard the client's linens in a double bag. D. Discard the radioactive source in a
biohazard bag - B. Limit the client's visitors to 30 min per day.
A nurse is assessing a client who has left-sided heart failure. Which of the following
should the nurse identify as a manifestation of pulmonary congestion?
A. Frothy, pink sputum.
B. Jugular vein distention.
C. Weight gain.
D..Bradypnea - A. Frothy, pink sputum.
,A nurse is caring for a client who is in labor and requires augmentation of labor. Which
of the following conditions should the nurse recognize as a contraindication to the use of
oxytocin.
A. Diabetes mellitus.
B. Shoulder presentation.
C. Post term with oligohydramnios.
D. Chorioamnionitis - C. Post term with oligohydramnios.
A nurse is caring for a 5-month-old infant who has manifestations of severe dehydration
and a prescription for paternal fluid therapy. The guardian asks. "What are the
indications that my baby needs an IV?" Which of the following responses should the
nurse make?
A. "Your baby needs an IV because she is not producing any tears"
B. "Your baby needs an IV because her fontanels are budging"
C. "Your baby needs an IV because she is breathing slower than normal"
D. "Your baby needs an IV because her heart rate is decreasing" - A. "Your baby needs
an IV because she is not producing any tears"
A nurse is providing teaching to a client who has heart failure and a new prescription for
furosemide. Which of the following statements should the nurse make?
A. "Taking furosemide can cause your potassium levels to be high"
B. "Eat foods that are high in sodium"
C. "Rise slowly when getting out of bed"
D. "Taking furosemide can cause you to be over hydrated" - C. "Rise slowly when
getting out of bed"
A nurse is creating a plan of care for a newly admitted client who has obsessive-
compulsive disorder. Which of the following interventions should the nurse take?
A. Allow the client enough time to perform rituals.
B. Give the client autonomy in scheduling activities.
C. Discourage the client from exploring irrational fears.
D. Provide negative reinforcement for ritualistic behaviors. - A. Allow the client enough
time to perform rituals.
A nurse is caring for a client who has depression and reports taking ST. John's wort
along with citalopram. The nurse should monitor the client for which of the following
conditions as a result of an interaction between these substances?
A. Serotonin syndrome
B. Tardive dyskinesia
C.Pseudo parkinsonism.
D. Acute dystonia. - A. Serotonin syndrome
A nurse is providing teaching about the gastrostomy tube feedings to the parents of a
school age child. Which of the following instructions should the nurse take?
A. Administer the feeding over 30 min.
B. Place the child in as supine position after the feeding.
,C. Charge the feeding bag and tubing every 3 days.
D. Warm the formula in the microwave prior to administration. - A. Administer the
feeding over 30 min.
2. A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the
following findings should the nurse report to the provider?
A. Potassium level 4.2 mEq/L.
B. Apical pulse 58/min.
C. Digoxin level 1 ng/ml.
D.Constipation for 2 days. - B. Apical pulse 58/min
A nurse is caring for a client who is comatose and has advance directives that indicate
the client does not want life-sustaining measures. The client's family want the client to
have life-sustaining measures. Which of the following action should the nurse take?
A.Arrange for an ethics committee meeting to address the family's concerns.
B. Support the family's decision and initiate life-sustaining measures.
C. Complete an incident report.
D.Encourage the family to contact an attorney. - A. Arrange for an ethics committee
meeting to address the family's concerns.
A nurse is caring for a client who wears glasses. Which of the following actions should
the nurse take?
A. Store the glasses in a labeled case.
B. Clean the glasses with hot water.
C. Clean the glasses with a paper towel.
D. Store the glasses on the bedside table. - A. Store the glasses in a labeled case.
A nurse is teaching a group of newly licensed nurses about measures to take when
caring for a client who is on contact precautions. Which of the following should the
nurse include in the teaching?
A. Remove the protective gown after the client's room.
B. Place the client in a room with negative pressure.
C. Wear gloves when providing care to the client.
D. Wear a mask when changing the linens in the client's room. - C. Wear gloves when
providing care to the client.
A nurse is planning on care for a client who is recovering from an acute myocardial
infarction that occurred 3 days ago. Which of the following instructions should the nurse
include?
A. Perform an ECG every 12 hr.
B. Place the client in a supine position while resting.
C. Draw a troponin level every 4hr.
D. Obtain a cardiac rehabilitation consultation. - D. Obtain a cardiac rehabilitation
consultation.
, The nurse is reviewing the medical record of a client who is requesting combination oral
contraceptives. Which of the following conditions in the client's history is a contradiction
to the use of oral contraceptives?
A. Hyperthyroidism.
B. Thrombophlebitis.
C. Diverticulosis.
D. Hypocalcemia - B. Thrombophlebitis.
A nurse is caring for a client who request the creation of a living will. Which of the
following actions should the nurse take?
A. Schedule a meeting between the hospital ethics committee and the client.
B. Evaluate the client's understanding of life-sustaining measures.
C. Determine the client's preferences about post mortem care.
D. Request a conference with the client's family. - B. Evaluate the client's understanding
of life-sustaining measures.
A nurse is caring for an adolescent who has sickle-cell anemia. Which of the following
manifestations indicates acute chest syndrome and should be immediately reported to
the provider?
A. Substernal retractions.
B. Hematuria.
C. Temperature 37.9 C (100.2 F).
D. Sneezing. - A. Substernal retractions.
A nurse is preforming a gastric lavage for a client who has upper gastrointestinal
bleeding. Which of the .following action should the nurse take?
A. Instill 500 ml of solution through the NG tube.
B. Insert a large-bore NG tube.
C. Use a cold irrigation solution.
D. Instruct the client to lie on his right side. - B. Insert a large-bore NG tube.
A nurse is providing care for a client who is in the advance stage of amyotrophic lateral
sclerosis. (ALS). Which of the following referrals is the nurse's priority?
A. Psychologist.
B. Social worker.
C. Occupational therapist.
D. Speech-language pathologist. - D. Speech-language pathologist.
A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis.
Which of the following findings should the nurse report to the provider?
A. WBC count 8,000/mm3.
B. Platelets 150,000/mm3.
C. Aspartate aminotransferase 10 units/L.
D. Erythrocyte sedimentation rate 75 mm/hr - D. Erythrocyte sedimentation rate 75
mm/hr
