Secure Predictor Test
A:WITH
QUALIFIED QUESTIONS
AND VERRIFIED
ANSWERS
100% CORRECT 2025-
2026 VERSION.
,1. A nurse is caring for a client with increased
intracranial pressure (ICP). Which finding requires
immediate intervention?
A. BP 150/90
B. HR 52
C. Respirations 10 and irregular
D. Temperature 37.5°C
Answer: C
Irregular respirations indicate worsening ICP and
possible brainstem involvement—this is life-
threatening.
2. Which client should the nurse assess first?
A. Post-op day 1 with pain 7/10
B. COPD client with O2 sat 90%
C. New onset confusion in elderly
D. Stable angina requesting meds
,Answer: C
Acute confusion may indicate hypoxia, stroke, or
sepsis—priority assessment.
3. A client receiving heparin develops bleeding
gums. What is the priority action?
A. Stop infusion
B. Notify provider
C. Check aPTT
D. Administer protamine
Answer: A
First action is to stop the anticoagulant to prevent
further bleeding.
4. Which lab value is critical for a client on digoxin?
A. K+ 3.0
B. Na+ 140
C. Ca2+ 9.5
D. Mg2+ 2.0
, Answer: A
Hypokalemia increases risk of digoxin toxicity.
5. Which intervention is priority for a client with
neutropenia?
A. Limit visitors
B. Hand hygiene
C. Private room
D. No fresh flowers
Answer: B
Hand hygiene is the most effective infection
prevention method.
6. A nurse is delegating to a UAP. Which task is
appropriate?
A. Assess pain
B. Administer meds
C. Ambulate stable client
D. Evaluate teaching