Comp predictor B questions and answers
2025\2026 A+ Grade
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.
- correct answer B) Ask another nurse to witness the disposal of the new patch.
A nurse is caring for a client with a PE. The client is receiving heparin IV at 1,200 units/hr and warfarin 5
mg PO daily. The morning lab values are aPTT 98 seconds and INR 1.8. Which action should the nurse
take?
A) Prepare to administer vitamin K1.
B) Prepare to administer alteplase.
C) Withhold the heparin infusion.
D) Withhold the next dose of warfarin.
- correct answer C) Withhold the heparin infusion.
The expected value for aPTT is 40 seconds. A therapeutic level of heparin increases the aPTT by a factor
of 1.5 to 2, making the aPTT 60 to 80 seconds. An aPTT level of 98 is above the expected reference
range, indicating that the dosage should be reduced or the infusion withheld until the aPTT returns to
the therapeutic range.
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
- correct answer B) Floating dark spots
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
- correct 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.
- correct 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.
- correct answer D) Insert a lubricated gloved finger and advance along the rectal wall.
A nurse is providing dietary teaching to a patient taking phenelzine. Which food recommendations
should the nurse make? (Select all)
A) Broccoli
B) Yogurt
,C) Pepperoni pizza
D) Cream cheese
E) Bologna sandwich
- correct answer A) Broccoli
B) Yogurt
D) Cream cheese
A nurse administers an incorrect dose of a med to a client. The nurse recognizes the error immediately
and completes an incident report. Which fact related to the incident should the nurse document in the
client's medical record?
A) Completion of the incident report
B) Time the medication was given
C) Reason for the medication error
D) Notification of the pharmacist
- correct answer B) Time the medication was given
A nurse on a pediatric unit received report on 4 children. Which child should the nurse assess first?
A) A 6-month-old infant who has croup and an O2 saturation of 92% on room air
B) A 15-year-old adolescent who is 2 hr postoperative following an open reduction and internal fixation
of the left ankle and is requesting pain medication
C) A 3-year-old toddler who has gastroenteritis, moderate dehydration, and had two loose bowel
movements over the past 24 hr
D) A 10-year-old child who is awaiting surgery for an appendectomy and experienced sudden relief from
pain
- correct answer D) A 10-year-old child who is awaiting surgery for an appendectomy and experienced
sudden relief from pain
Using the urgent vs. non-urgent approach to client care, the nurse should determine that the client to
assess first is the child awaiting an appendectomy who suddenly experiences pain relief as this can be an
indication of peritonitis from a ruptured appendix.
A community health nurse is providing teaching about home safety with a group of elderly clients.
Which statement should the nurse make?
, A) "Unplug your appliances by grasping the cord and pulling it straight from the outlet."
B) "Set your water heater temperature at 130 degrees Fahrenheit."
C) "Use throw rugs in high-traffic areas to partially cover wood floors."
D) "Have grab bars installed around your bathtub and toilet."
- correct answer D) "Have grab bars installed around your bathtub and toilet."
A nurse in the ED is assessing a school-age child who was brought in by her parents and has scald burns
to both hands and wrists. The nurse suspects physical abuse. Which action should the nurse take?
A) Discuss his suspicion of physical abuse with the provider.
B) Confront the parents with his suspicion of physical abuse.
C) Ask the hospital security to detain and question the parents.
D) Contact child protective services.
- correct answer D) Contact child protective services.
A nurse is caring for a patient with acute blood loss following a trauma. The patient refuses a blood
transfusion that could save his life. Which action should the nurse take first?
A) Document the client's refusal in the medical record.
B) Honor the client's decision to refuse the blood transfusion.
C) Explore the client's reasons for refusing the treatment.
D) Discuss the client's refusal with the provider.
- correct answer C) Explore the client's reasons for refusing the treatment.
A nurse is teaching a client at 20 weeks gestation about common prenatal discomfort. Which statement
by the client indicates an understanding of the teaching?
A) "I will decrease my intake of high-fiber foods."
B) "I will apply an anti-inflammatory ointment if I develop a rash on my face."
C) "I will sleep flat on my back if I develop back pain."
D) "I will wear a supportive bra overnight."
- correct answer D) "I will wear a supportive bra overnight."
A nurse is providing discharge education to a patient who is to receive home oxygen therapy. Which
instruction should the nurse include in the teaching?
2025\2026 A+ Grade
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.
- correct answer B) Ask another nurse to witness the disposal of the new patch.
A nurse is caring for a client with a PE. The client is receiving heparin IV at 1,200 units/hr and warfarin 5
mg PO daily. The morning lab values are aPTT 98 seconds and INR 1.8. Which action should the nurse
take?
A) Prepare to administer vitamin K1.
B) Prepare to administer alteplase.
C) Withhold the heparin infusion.
D) Withhold the next dose of warfarin.
- correct answer C) Withhold the heparin infusion.
The expected value for aPTT is 40 seconds. A therapeutic level of heparin increases the aPTT by a factor
of 1.5 to 2, making the aPTT 60 to 80 seconds. An aPTT level of 98 is above the expected reference
range, indicating that the dosage should be reduced or the infusion withheld until the aPTT returns to
the therapeutic range.
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
- correct answer B) Floating dark spots
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
- correct 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.
- correct 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.
- correct answer D) Insert a lubricated gloved finger and advance along the rectal wall.
A nurse is providing dietary teaching to a patient taking phenelzine. Which food recommendations
should the nurse make? (Select all)
A) Broccoli
B) Yogurt
,C) Pepperoni pizza
D) Cream cheese
E) Bologna sandwich
- correct answer A) Broccoli
B) Yogurt
D) Cream cheese
A nurse administers an incorrect dose of a med to a client. The nurse recognizes the error immediately
and completes an incident report. Which fact related to the incident should the nurse document in the
client's medical record?
A) Completion of the incident report
B) Time the medication was given
C) Reason for the medication error
D) Notification of the pharmacist
- correct answer B) Time the medication was given
A nurse on a pediatric unit received report on 4 children. Which child should the nurse assess first?
A) A 6-month-old infant who has croup and an O2 saturation of 92% on room air
B) A 15-year-old adolescent who is 2 hr postoperative following an open reduction and internal fixation
of the left ankle and is requesting pain medication
C) A 3-year-old toddler who has gastroenteritis, moderate dehydration, and had two loose bowel
movements over the past 24 hr
D) A 10-year-old child who is awaiting surgery for an appendectomy and experienced sudden relief from
pain
- correct answer D) A 10-year-old child who is awaiting surgery for an appendectomy and experienced
sudden relief from pain
Using the urgent vs. non-urgent approach to client care, the nurse should determine that the client to
assess first is the child awaiting an appendectomy who suddenly experiences pain relief as this can be an
indication of peritonitis from a ruptured appendix.
A community health nurse is providing teaching about home safety with a group of elderly clients.
Which statement should the nurse make?
, A) "Unplug your appliances by grasping the cord and pulling it straight from the outlet."
B) "Set your water heater temperature at 130 degrees Fahrenheit."
C) "Use throw rugs in high-traffic areas to partially cover wood floors."
D) "Have grab bars installed around your bathtub and toilet."
- correct answer D) "Have grab bars installed around your bathtub and toilet."
A nurse in the ED is assessing a school-age child who was brought in by her parents and has scald burns
to both hands and wrists. The nurse suspects physical abuse. Which action should the nurse take?
A) Discuss his suspicion of physical abuse with the provider.
B) Confront the parents with his suspicion of physical abuse.
C) Ask the hospital security to detain and question the parents.
D) Contact child protective services.
- correct answer D) Contact child protective services.
A nurse is caring for a patient with acute blood loss following a trauma. The patient refuses a blood
transfusion that could save his life. Which action should the nurse take first?
A) Document the client's refusal in the medical record.
B) Honor the client's decision to refuse the blood transfusion.
C) Explore the client's reasons for refusing the treatment.
D) Discuss the client's refusal with the provider.
- correct answer C) Explore the client's reasons for refusing the treatment.
A nurse is teaching a client at 20 weeks gestation about common prenatal discomfort. Which statement
by the client indicates an understanding of the teaching?
A) "I will decrease my intake of high-fiber foods."
B) "I will apply an anti-inflammatory ointment if I develop a rash on my face."
C) "I will sleep flat on my back if I develop back pain."
D) "I will wear a supportive bra overnight."
- correct answer D) "I will wear a supportive bra overnight."
A nurse is providing discharge education to a patient who is to receive home oxygen therapy. Which
instruction should the nurse include in the teaching?
