RN Comprehensive Predictor Exit 2026
Proctored Exam Bundle- All Passing
Versions
Management of Care
1. A nurse is caring for a client who has just signed an informed consent form for a cardiac
catheterization. The client tells the nurse, "I don't really understand what I signed, but the
doctor said it would be fine." Which of the following actions should the nurse take first?
A. Ask the client to describe the procedure in their own words
B. Notify the provider that the client has questions
C. Document the client's statement in the medical record
D. Reassure the client that the procedure is routine and safe
Correct Answer: A
Rationale: The first action is to assess the client's understanding by asking them to describe
the procedure in their own words. This identifies knowledge deficits and determines whether
the consent is truly informed. Notifying the provider (B) may be needed after assessment, but
assessment comes first. Documentation (C) is important but not the priority action. Reassurance
(D) is nontherapeutic and dismisses the client's concerns. Informed consent requires the client
to understand the procedure, risks, benefits, and alternatives.
2. A nurse is delegating tasks to an assistive personnel (AP). Which of the following tasks is
appropriate for the nurse to delegate?
A. Administering a scheduled oral medication
B. Ambulating a stable client who had surgery 2 days ago
C. Teaching a client how to use an incentive spirometer
D. Assessing a client's surgical incision for signs of infection
Correct Answer: B
Rationale: Ambulating a stable postoperative client is within the AP's scope of practice.
Medication administration (A), client teaching (C), and assessment (D) are nursing
,responsibilities that cannot be delegated to AP. The nurse must remember that delegation does
not transfer accountability; the nurse remains responsible for the overall care.
3. A nurse is preparing to discharge a client who speaks limited English. Which of the
following actions should the nurse take to ensure effective discharge teaching? (Select all that
apply.)
A. Use a certified medical interpreter
B. Provide written materials in the client's preferred language
C. Ask the client's 12-year-old child to interpret
D. Use teach-back to confirm understanding
E. Speak loudly and slowly in English
Correct Answers: A, B, D
Rationale: Using a certified medical interpreter (A), providing written materials in the
client's preferred language (B), and using teach-back (D) are all appropriate strategies to ensure
understanding. Using a child as an interpreter (C) is inappropriate due to confidentiality,
accuracy, and role concerns. Speaking loudly and slowly in English (E) does not address the
language barrier and may be perceived as disrespectful.
4. A nurse is reviewing a client's advance directive. The client has a living will stating no CPR.
The client is found unresponsive and pulseless. Which of the following actions should the
nurse take?
A. Begin CPR immediately
B. Check the medical record for the living will
C. Honor the living will and withhold CPR
D. Call a code and wait for the provider
Correct Answer: C
Rationale: A living will is a legal document that expresses the client's wishes regarding life-
sustaining treatment. If the client has a valid living will stating no CPR, the nurse must honor it
and withhold CPR. Beginning CPR (A) would violate the client's wishes. Checking the record (B)
may be done if the directive is not immediately available, but the nurse should already be aware
of the client's code status. Calling a code (D) is inappropriate.
,5. A nurse is caring for a client who is scheduled for surgery. The client states, "I want my
daughter to make decisions for me if something goes wrong." Which of the following
documents should the nurse ensure is in place?
A. Living will
B. Durable power of attorney for health care
C. Do-not-resuscitate order
D. Organ donation consent
Correct Answer: B
Rationale: A durable power of attorney for health care (health care proxy) designates a
person to make health care decisions on the client's behalf if the client becomes unable to do
so. A living will (A) specifies treatment wishes but does not designate a decision-maker. A DNR
order (C) addresses resuscitation only. Organ donation consent (D) is unrelated to decision-
making authority.
6. A nurse is participating in a quality improvement committee. Which of the following is an
example of a structure indicator?
A. The percentage of clients who develop pressure ulcers
B. The number of nursing staff with current BLS certification
C. The rate of medication administration errors
D. The percentage of clients satisfied with care
Correct Answer: B
Rationale: Structure indicators measure the attributes of the setting, such as staffing,
equipment, and staff credentials. The number of nursing staff with current BLS certification is a
structure indicator. Pressure ulcer rates (A) and medication error rates (C) are outcome
indicators. Client satisfaction (D) is also an outcome indicator.
7. A nurse is caring for a client who is terminally ill and requests information about hospice
care. Which of the following statements by the nurse is appropriate?
A. "Hospice care is only for clients who have days to live."
B. "Hospice focuses on comfort and quality of life, not curative treatment."
C. "You must stop all medications before entering hospice."
D. "Hospice care can only be provided in a facility."
, Correct Answer: B
Rationale: Hospice care focuses on comfort, symptom management, and quality of life for
clients with a terminal illness and a life expectancy of 6 months or less. It does not require
stopping all medications (C); comfort medications continue. Hospice can be provided in the
home, facility, or inpatient setting (D). Stating it is only for clients with days to live (A) is
inaccurate.
8. A nurse is reviewing the plan of care for a client who has a new diagnosis of diabetes
mellitus. Which of the following members of the interprofessional team should the nurse
involve to assist with dietary planning?
A. Physical therapist
B. Registered dietitian
C. Social worker
D. Occupational therapist
Correct Answer: B
Rationale: A registered dietitian is the interprofessional team member who specializes in
nutrition and dietary planning, making them the appropriate referral for a client with diabetes.
Physical therapy (A) addresses mobility. Social work (C) addresses psychosocial and financial
needs. Occupational therapy (D) addresses activities of daily living and fine motor skills.
9. A nurse is preparing to administer a blood transfusion. Which of the following actions
should the nurse take to ensure client safety? (Select all that apply.)
A. Verify the client's identity with two identifiers
B. Have two nurses verify the blood product and client identification
C. Prime the tubing with dextrose 5% in water
D. Remain with the client for the first 15 minutes of the transfusion
E. Obtain vital signs before, during, and after the transfusion
Correct Answers: A, B, D, E
Rationale: Verifying identity with two identifiers (A), having two nurses verify the product
(B), remaining with the client for the first 15 minutes (D), and obtaining vital signs (E) are all
essential safety measures. Priming with dextrose 5% in water (C) is incorrect; blood must be
primed with 0.9% sodium chloride to prevent hemolysis.
Proctored Exam Bundle- All Passing
Versions
Management of Care
1. A nurse is caring for a client who has just signed an informed consent form for a cardiac
catheterization. The client tells the nurse, "I don't really understand what I signed, but the
doctor said it would be fine." Which of the following actions should the nurse take first?
A. Ask the client to describe the procedure in their own words
B. Notify the provider that the client has questions
C. Document the client's statement in the medical record
D. Reassure the client that the procedure is routine and safe
Correct Answer: A
Rationale: The first action is to assess the client's understanding by asking them to describe
the procedure in their own words. This identifies knowledge deficits and determines whether
the consent is truly informed. Notifying the provider (B) may be needed after assessment, but
assessment comes first. Documentation (C) is important but not the priority action. Reassurance
(D) is nontherapeutic and dismisses the client's concerns. Informed consent requires the client
to understand the procedure, risks, benefits, and alternatives.
2. A nurse is delegating tasks to an assistive personnel (AP). Which of the following tasks is
appropriate for the nurse to delegate?
A. Administering a scheduled oral medication
B. Ambulating a stable client who had surgery 2 days ago
C. Teaching a client how to use an incentive spirometer
D. Assessing a client's surgical incision for signs of infection
Correct Answer: B
Rationale: Ambulating a stable postoperative client is within the AP's scope of practice.
Medication administration (A), client teaching (C), and assessment (D) are nursing
,responsibilities that cannot be delegated to AP. The nurse must remember that delegation does
not transfer accountability; the nurse remains responsible for the overall care.
3. A nurse is preparing to discharge a client who speaks limited English. Which of the
following actions should the nurse take to ensure effective discharge teaching? (Select all that
apply.)
A. Use a certified medical interpreter
B. Provide written materials in the client's preferred language
C. Ask the client's 12-year-old child to interpret
D. Use teach-back to confirm understanding
E. Speak loudly and slowly in English
Correct Answers: A, B, D
Rationale: Using a certified medical interpreter (A), providing written materials in the
client's preferred language (B), and using teach-back (D) are all appropriate strategies to ensure
understanding. Using a child as an interpreter (C) is inappropriate due to confidentiality,
accuracy, and role concerns. Speaking loudly and slowly in English (E) does not address the
language barrier and may be perceived as disrespectful.
4. A nurse is reviewing a client's advance directive. The client has a living will stating no CPR.
The client is found unresponsive and pulseless. Which of the following actions should the
nurse take?
A. Begin CPR immediately
B. Check the medical record for the living will
C. Honor the living will and withhold CPR
D. Call a code and wait for the provider
Correct Answer: C
Rationale: A living will is a legal document that expresses the client's wishes regarding life-
sustaining treatment. If the client has a valid living will stating no CPR, the nurse must honor it
and withhold CPR. Beginning CPR (A) would violate the client's wishes. Checking the record (B)
may be done if the directive is not immediately available, but the nurse should already be aware
of the client's code status. Calling a code (D) is inappropriate.
,5. A nurse is caring for a client who is scheduled for surgery. The client states, "I want my
daughter to make decisions for me if something goes wrong." Which of the following
documents should the nurse ensure is in place?
A. Living will
B. Durable power of attorney for health care
C. Do-not-resuscitate order
D. Organ donation consent
Correct Answer: B
Rationale: A durable power of attorney for health care (health care proxy) designates a
person to make health care decisions on the client's behalf if the client becomes unable to do
so. A living will (A) specifies treatment wishes but does not designate a decision-maker. A DNR
order (C) addresses resuscitation only. Organ donation consent (D) is unrelated to decision-
making authority.
6. A nurse is participating in a quality improvement committee. Which of the following is an
example of a structure indicator?
A. The percentage of clients who develop pressure ulcers
B. The number of nursing staff with current BLS certification
C. The rate of medication administration errors
D. The percentage of clients satisfied with care
Correct Answer: B
Rationale: Structure indicators measure the attributes of the setting, such as staffing,
equipment, and staff credentials. The number of nursing staff with current BLS certification is a
structure indicator. Pressure ulcer rates (A) and medication error rates (C) are outcome
indicators. Client satisfaction (D) is also an outcome indicator.
7. A nurse is caring for a client who is terminally ill and requests information about hospice
care. Which of the following statements by the nurse is appropriate?
A. "Hospice care is only for clients who have days to live."
B. "Hospice focuses on comfort and quality of life, not curative treatment."
C. "You must stop all medications before entering hospice."
D. "Hospice care can only be provided in a facility."
, Correct Answer: B
Rationale: Hospice care focuses on comfort, symptom management, and quality of life for
clients with a terminal illness and a life expectancy of 6 months or less. It does not require
stopping all medications (C); comfort medications continue. Hospice can be provided in the
home, facility, or inpatient setting (D). Stating it is only for clients with days to live (A) is
inaccurate.
8. A nurse is reviewing the plan of care for a client who has a new diagnosis of diabetes
mellitus. Which of the following members of the interprofessional team should the nurse
involve to assist with dietary planning?
A. Physical therapist
B. Registered dietitian
C. Social worker
D. Occupational therapist
Correct Answer: B
Rationale: A registered dietitian is the interprofessional team member who specializes in
nutrition and dietary planning, making them the appropriate referral for a client with diabetes.
Physical therapy (A) addresses mobility. Social work (C) addresses psychosocial and financial
needs. Occupational therapy (D) addresses activities of daily living and fine motor skills.
9. A nurse is preparing to administer a blood transfusion. Which of the following actions
should the nurse take to ensure client safety? (Select all that apply.)
A. Verify the client's identity with two identifiers
B. Have two nurses verify the blood product and client identification
C. Prime the tubing with dextrose 5% in water
D. Remain with the client for the first 15 minutes of the transfusion
E. Obtain vital signs before, during, and after the transfusion
Correct Answers: A, B, D, E
Rationale: Verifying identity with two identifiers (A), having two nurses verify the product
(B), remaining with the client for the first 15 minutes (D), and obtaining vital signs (E) are all
essential safety measures. Priming with dextrose 5% in water (C) is incorrect; blood must be
primed with 0.9% sodium chloride to prevent hemolysis.
