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RN COMPREHENSIVE PREDICTOR EXAM
300+ EXAM QUESTIONS WITH DETAILED
RATIONALES | NCLEX PASS GUARANTEED FOR
NURSING STUDENTS | CURRENTLY TESTING |
VERIFIED BY NCLEX
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,1. A nurse is providing teaching about 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 a supine position after the feeding.
• C. Change the feeding bag and tubing every 3 days.
• D. Warm the formula in the microwave prior to administration.
Rationale: Feedings are typically administered over 20-30 minutes to promote tolerance and
prevent dumping syndrome. Placing the child supine increases aspiration risk. Feeding sets
should be changed every 24 hours. Microwaving creates hot spots and is unsafe.
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.
Rationale: An apical pulse below 60 bpm in an adult is a sign of bradycardia, a key indicator of
digoxin toxicity, and the dose should be withheld. Potassium 4.2 mEq/L is normal. A digoxin
level of 1 ng/mL is within the therapeutic range (0.5-2 ng/mL). Constipation is a minor side
effect.
3. 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 wants the client to have
life-sustaining measures. Which of the following actions 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.
,Rationale: An ethics committee provides a multidisciplinary forum to resolve conflicts between
the client's documented wishes and the family's desires, upholding the ethical principle of
autonomy.
4. 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.
Rationale: Storing glasses in a labeled case protects them from damage. Hot water can warp
frames, paper towels can scratch lenses, and leaving them on the bedside table increases the risk
of loss or breakage.
5. 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.
Rationale: Gloves are essential for contact with the client or their immediate environment.
Gowns are removed before leaving the room. Negative pressure rooms are for airborne
precautions. Masks are not routinely required for contact precautions unless splash or spray is
anticipated.
6. A nurse is planning 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.
, Rationale: Cardiac rehab is a critical component of recovery, focusing on education, counseling,
and physical activity to reduce future cardiac risk. ECGs and troponin levels are for the acute
phase. A supine position may increase cardiac workload.
7. 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.
Rationale: A history of thrombophlebitis is a major contraindication due to the increased risk of
thromboembolism associated with estrogen. The other conditions are not direct
contraindications.
8. A nurse is caring for a client who requests 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.
Rationale: The nurse's role is to ensure the client has the information and understanding needed
to make informed decisions about their care, including the nature of life-sustaining measures.
9. 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.
Rationale: Substernal retractions indicate significant respiratory distress, a hallmark of acute
chest syndrome, which is a medical emergency. Hematuria and a low-grade fever are common in
sickle cell crisis but are less acute.
───────────
RN COMPREHENSIVE PREDICTOR EXAM
300+ EXAM QUESTIONS WITH DETAILED
RATIONALES | NCLEX PASS GUARANTEED FOR
NURSING STUDENTS | CURRENTLY TESTING |
VERIFIED BY NCLEX
────────────────────────────────────
───────────
,1. A nurse is providing teaching about 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 a supine position after the feeding.
• C. Change the feeding bag and tubing every 3 days.
• D. Warm the formula in the microwave prior to administration.
Rationale: Feedings are typically administered over 20-30 minutes to promote tolerance and
prevent dumping syndrome. Placing the child supine increases aspiration risk. Feeding sets
should be changed every 24 hours. Microwaving creates hot spots and is unsafe.
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.
Rationale: An apical pulse below 60 bpm in an adult is a sign of bradycardia, a key indicator of
digoxin toxicity, and the dose should be withheld. Potassium 4.2 mEq/L is normal. A digoxin
level of 1 ng/mL is within the therapeutic range (0.5-2 ng/mL). Constipation is a minor side
effect.
3. 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 wants the client to have
life-sustaining measures. Which of the following actions 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.
,Rationale: An ethics committee provides a multidisciplinary forum to resolve conflicts between
the client's documented wishes and the family's desires, upholding the ethical principle of
autonomy.
4. 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.
Rationale: Storing glasses in a labeled case protects them from damage. Hot water can warp
frames, paper towels can scratch lenses, and leaving them on the bedside table increases the risk
of loss or breakage.
5. 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.
Rationale: Gloves are essential for contact with the client or their immediate environment.
Gowns are removed before leaving the room. Negative pressure rooms are for airborne
precautions. Masks are not routinely required for contact precautions unless splash or spray is
anticipated.
6. A nurse is planning 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.
, Rationale: Cardiac rehab is a critical component of recovery, focusing on education, counseling,
and physical activity to reduce future cardiac risk. ECGs and troponin levels are for the acute
phase. A supine position may increase cardiac workload.
7. 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.
Rationale: A history of thrombophlebitis is a major contraindication due to the increased risk of
thromboembolism associated with estrogen. The other conditions are not direct
contraindications.
8. A nurse is caring for a client who requests 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.
Rationale: The nurse's role is to ensure the client has the information and understanding needed
to make informed decisions about their care, including the nature of life-sustaining measures.
9. 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.
Rationale: Substernal retractions indicate significant respiratory distress, a hallmark of acute
chest syndrome, which is a medical emergency. Hematuria and a low-grade fever are common in
sickle cell crisis but are less acute.
