Comprehensive RN Comprehensive Predictor
2026 study guide featuring NCLEX-style
practice questions with answers and
rationales covering Med-Surg, Pharmacology,
Pediatrics, Mental Health, Leadership,
Fundamentals, and priority nursing care
concepts. Ideal for ATI remediation and
NCLEX-RN preparation.
1. A nurse is planning care for a preschool-age child who is in the acute phase
of Kawasaki disease. Which intervention should the nurse include?
A. Give acetaminophen to control the child's fever
B. Monitor the client's cardiac status
C. Administer antibiotics via intermittent IV bolus for 24 hours
D. Provide stimulation with children of the same age in the play room
✅ Correct ,,,answer,,,,: B
Rationale: Kawasaki disease is an acute systemic vasculitis that primarily affects
the coronary arteries. Monitoring cardiac status is essential because the most
serious complication is the development of coronary artery aneurysms.
Acetaminophen may be used for fever, but cardiac monitoring is the priority
intervention.
2. A nurse observes a client on the psychiatric unit muttering and standing
near a window. The client states, "The voices are telling me to jump." Which
,response is appropriate?
A. "Do you recognize the voices as belonging to anyone you know?"
B. "I understand the voices are frightening you, but I do not hear any voices."
C. "That can't be true. The only voices in this room are yours and mine."
D. "You shouldn't be afraid when you think the voices are telling you to hurt
yourself."
✅ Correct ,,,answer,,,,: B
Rationale: This response validates the client's feelings without agreeing that the
voices are real. It demonstrates empathy while maintaining reality orientation.
Arguing with the client's hallucination (options C and D) or asking for details
about the voices (option A) is not therapeutic.
3. A client who is pregnant voices concern that her 3-year-old son will feel left
out once the newborn arrives. Which statement by the nurse is appropriate?
A. "Offer your son a gift when the baby receives one."
B. "Teach your son to change the baby's diapers."
C. "Tell your son to kiss the baby."
D. "Move your son to a toddler bed when the baby arrives."
✅ Correct ,,,answer,,,,: A
Rationale: Offering the older sibling a gift when the baby receives one helps
prevent jealousy and makes the child feel included. This positive reinforcement
strategy is supported in maternity nursing. Major changes like moving to a toddler
bed should occur weeks before the baby arrives, not simultaneously.
,4. A nurse is teaching a client who has nephrotic syndrome about dietary
management. Which instruction should the nurse include?
A. Limit total daily sodium intake to 4 to 5 grams
B. Obtain most calories from complex carbohydrates
C. Consume a high-protein diet
D. Avoid intake of soy products
✅ Correct ,,,answer,,,,: C
Rationale: Nephrotic syndrome causes massive proteinuria, leading to
hypoalbuminemia and edema. A high-protein diet helps replace lost protein and
maintain oncotic pressure. Sodium should be limited to 2-3 grams or less, not 4-5
grams.
5. A nurse is caring for a client who is preparing his advance directives.
Which statement indicates an understanding? (Select all that apply)
A. "I need an attorney to witness my signature on the advance directives."
B. "I have the right to refuse treatment."
C. "My doctor will need to approve my advance directives."
D. "My health care proxy can make medical decisions for me."
✅ Correct ,,,answer,,,,: B, D
Rationale: Clients have the legal right to refuse treatment. A healthcare proxy is
appointed to make medical decisions when the client cannot. A nurse (not an
attorney) typically witnesses advance directive signatures. A prescription from the
provider is not required for approval, and advance directives can be changed at any
time.
, 6. A nurse is assessing a client with hypoparathyroidism. Which finding is
expected?
A. Positive Chvostek's sign
B. Hyperreflexia
C. Diarrhea
D. Hypertension
✅ Correct ,,,answer,,,,: A
Rationale: Hypoparathyroidism causes hypocalcemia, leading to neuromuscular
irritability. A positive Chvostek's sign (facial muscle twitching when the facial
nerve is tapped) is a classic finding of hypocalcemia.
7. A client with schizophrenia is prescribed clozapine. Which laboratory
finding requires immediate intervention?
A. WBC 2,500/mm³
B. Hemoglobin 12 g/dL
C. Platelets 150,000/mm³
D. Neutrophils 2,000/mm³
✅ Correct ,,,answer,,,,: A
Rationale: Clozapine can cause agranulocytosis, a life-threatening drop in white
blood cells. A WBC count below 3,000/mm³ requires immediate intervention and
holding the medication. Regular monitoring is mandatory during clozapine
therapy.
2026 study guide featuring NCLEX-style
practice questions with answers and
rationales covering Med-Surg, Pharmacology,
Pediatrics, Mental Health, Leadership,
Fundamentals, and priority nursing care
concepts. Ideal for ATI remediation and
NCLEX-RN preparation.
1. A nurse is planning care for a preschool-age child who is in the acute phase
of Kawasaki disease. Which intervention should the nurse include?
A. Give acetaminophen to control the child's fever
B. Monitor the client's cardiac status
C. Administer antibiotics via intermittent IV bolus for 24 hours
D. Provide stimulation with children of the same age in the play room
✅ Correct ,,,answer,,,,: B
Rationale: Kawasaki disease is an acute systemic vasculitis that primarily affects
the coronary arteries. Monitoring cardiac status is essential because the most
serious complication is the development of coronary artery aneurysms.
Acetaminophen may be used for fever, but cardiac monitoring is the priority
intervention.
2. A nurse observes a client on the psychiatric unit muttering and standing
near a window. The client states, "The voices are telling me to jump." Which
,response is appropriate?
A. "Do you recognize the voices as belonging to anyone you know?"
B. "I understand the voices are frightening you, but I do not hear any voices."
C. "That can't be true. The only voices in this room are yours and mine."
D. "You shouldn't be afraid when you think the voices are telling you to hurt
yourself."
✅ Correct ,,,answer,,,,: B
Rationale: This response validates the client's feelings without agreeing that the
voices are real. It demonstrates empathy while maintaining reality orientation.
Arguing with the client's hallucination (options C and D) or asking for details
about the voices (option A) is not therapeutic.
3. A client who is pregnant voices concern that her 3-year-old son will feel left
out once the newborn arrives. Which statement by the nurse is appropriate?
A. "Offer your son a gift when the baby receives one."
B. "Teach your son to change the baby's diapers."
C. "Tell your son to kiss the baby."
D. "Move your son to a toddler bed when the baby arrives."
✅ Correct ,,,answer,,,,: A
Rationale: Offering the older sibling a gift when the baby receives one helps
prevent jealousy and makes the child feel included. This positive reinforcement
strategy is supported in maternity nursing. Major changes like moving to a toddler
bed should occur weeks before the baby arrives, not simultaneously.
,4. A nurse is teaching a client who has nephrotic syndrome about dietary
management. Which instruction should the nurse include?
A. Limit total daily sodium intake to 4 to 5 grams
B. Obtain most calories from complex carbohydrates
C. Consume a high-protein diet
D. Avoid intake of soy products
✅ Correct ,,,answer,,,,: C
Rationale: Nephrotic syndrome causes massive proteinuria, leading to
hypoalbuminemia and edema. A high-protein diet helps replace lost protein and
maintain oncotic pressure. Sodium should be limited to 2-3 grams or less, not 4-5
grams.
5. A nurse is caring for a client who is preparing his advance directives.
Which statement indicates an understanding? (Select all that apply)
A. "I need an attorney to witness my signature on the advance directives."
B. "I have the right to refuse treatment."
C. "My doctor will need to approve my advance directives."
D. "My health care proxy can make medical decisions for me."
✅ Correct ,,,answer,,,,: B, D
Rationale: Clients have the legal right to refuse treatment. A healthcare proxy is
appointed to make medical decisions when the client cannot. A nurse (not an
attorney) typically witnesses advance directive signatures. A prescription from the
provider is not required for approval, and advance directives can be changed at any
time.
, 6. A nurse is assessing a client with hypoparathyroidism. Which finding is
expected?
A. Positive Chvostek's sign
B. Hyperreflexia
C. Diarrhea
D. Hypertension
✅ Correct ,,,answer,,,,: A
Rationale: Hypoparathyroidism causes hypocalcemia, leading to neuromuscular
irritability. A positive Chvostek's sign (facial muscle twitching when the facial
nerve is tapped) is a classic finding of hypocalcemia.
7. A client with schizophrenia is prescribed clozapine. Which laboratory
finding requires immediate intervention?
A. WBC 2,500/mm³
B. Hemoglobin 12 g/dL
C. Platelets 150,000/mm³
D. Neutrophils 2,000/mm³
✅ Correct ,,,answer,,,,: A
Rationale: Clozapine can cause agranulocytosis, a life-threatening drop in white
blood cells. A WBC count below 3,000/mm³ requires immediate intervention and
holding the medication. Regular monitoring is mandatory during clozapine
therapy.
