RN Comprehensive Predictor 2019 Form A 

1. A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-old. Which of the following actions should the nurse take? 
2. A nurse is caring for a client who has arteriovenous fistula Which of the following findings should the nurse report? 
3. A nurse is providing discharge teaching for a client who has an implantable cardioverter defibrillator which of the following statements demonstrates understanding of the teaching? 
4. A nurse is caring for a client who is at 14 weeks gestation and reports feelings of ambivalence about being pregnant. Which of the following responses should the nurse make? 
5. A nurse is planning care for a client who has a prescription for a bowel- training program following a spinal cord injury. Which of the following actions should the nurse include in the plan of care? 

 

6. A nurse is caring for a client who is in active labor and requests pain management. Which of the following actions should the nurse take? 
7. a nurse in an emergency department is performing triage for multiple clients following a disaster in the community. To which of the following types of injuries should the nurse assign the highest priority?
8. a nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse include?
9. A nurse is teaching an in-service about nursing leadership. Which of the following information should the nurse include about an effective leader? 
10. A nurse is reviewing the laboratory findings of a client who has diabetes mellitus and reports that she has been following her (unable to read) care. The nurse should identify which of the following findings indicates a need to revise the client’s plan of care. 
11. A nurse in a provider’s office is reviewing the laboratory results of a group of clients. The nurse should identify that which of the following sexually transmitted infections is a nationally notifiable infectious disease that should be reported to the state health department?
12. A nurse is teaching a newly licensed nurse about therapeutic techniques to use when leading a group on a mental health unit. Which of the following group facilitation techniques should the nurse include in the teaching?
13. A nurse is planning for a client who practices Orthodox Judaism. The client tells the nurse that (Unable to read) Passover holiday. Which of the following action should the nurse include in the plan of care? 
14. A nurse is caring for a client who has a pulmonary embolism. The nurse should identify the effectiveness of the treatment 
15. A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam tablets (Unable to read) a respiratory rate of 10/min. After securing the client’s airway and initiating an IV, which of the following actions should the nurse do next. 
16. A nurse in an emergency department is caring for a client who reports cocaine use 1hr ago. Which of the following findings should the nurse expect?
17. A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of the following manifestations should the nurse expect? 
18. A nurse in a pediatric clinic is reviewing the laboratory test results of a school age child. Which of the following findings should the nurse report to the provider? 
19. A charge nurse is teaching a newly licensed nurse about clients designating a health care proxy in situations that require a durable power of attorney for heal care (DPSHC). Which of the following information should the charge nurse include?
20. A nurse in the PACU is caring for a client who reports nausea. Which of the following actions should the nurse take first? 
21. A nurse is caring for a client who has a history of depression and is experiencing a situational crisis. Which of the following actions should the nurse take first?
22. A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. The nurse obtained a verbal prescription for restraints. Which of the following should the actions should the nurse take? 
23. A nurse is caring for a client who has end-stage of kidney disease. The client adult child asked about becoming a living donor for his father. Which of the following condition 
24. A charge nurse on a medical-surgical unit is planning assignments for a licensed practical nurse (LPN) who has been sent from the (Unable to read) unit due to a staffing shortage. Which of the following client should the nurse delegate to the LPN? 
25. A nurse is working on a surgical unit is developing a care plan for a client who has paraplegia. The client has an area of nonblanchable erythema over his ischium. Which of the following interventions should the nurse include in the care plan?

25. A nurse is caring for a client who is dilated to 10 cm and pushing. Which of the following pain-management (Unable to read) a safe option for the client? 
26. A nurse is caring for a client who has left homonymous hemianopsia. Which of the following is an appropriate nursing intervention?

27. A nurse is assessing a client who has major depressive disorder. Which of the following findings should the nurse identify as the (Unable to read) (Most important?) 
28. A nurse is providing teaching about immunizations to a client who is pregnant. The nurse should inform the client that she can receive which of the following immunizations during pregnancy? (Select all that apply) 
29. A nurse is caring for a client who has end-stage kidney disease. The client’s adult child asks the nurse about becoming a living kidney donor for her father. Which of the following condition in the child’s medical history should the nurse identify as a contraindication to the procedure?
30. A nurse is providing discharge teaching for a group of clients. The nurse should recommend a referral to a dietitian 
31. A hospice nurse is visiting with the son of a client who has terminal cancer. The son reports sleeping very little during the past week due to caring for his mother. Which of the following responses should the nurse make? 

31. A nurse is assessing a child who is being treated for bacterial pneumonia. The nurse notes an increase in the child’s glucose. The nurse should identify this finding as an adverse effect of which of the following medications 
32. The nurse is providing teaching about folic acid to a client who is prima gravida. Which of the following information should the nurse include in the teaching? 
33. A community health nurse is assessing an adolescent who is pregnant. Which of the following assessments is the nurse’s priority? 
34. A nurse manager is planning to teach staff about critical pathways. Which of the following information should the nurse include? 
35. A nurse is reviewing the medical record of a client who has schizophrenia. Which of the following should the nurse report to the provider? 

Exhibit 1

Blood pressure: 102/56 mm Hg. Heart rate: 95/min

Respiratory rate: 18/min Temperature: 37.4C (99.3F) 

Exhibit 2

Medication Administration Record

Clozapine 150 mg PO twice daily

Benztropine 0.5 mg PO twice daily as needed for tremors. 

Exhibit 3 

Nurse’s notes: 

Client reports feeling dizzy when changing positions, Reports weight gain of 1kg (2.2 lb.) in the past month. Also reports a sore throat for the past 3 days and dry mouth. Client ate 75% of breakfast and reports slightly nauseous. 

36. A charge nurse is educating a group of unit nurses about delegating client tasks to assistive personnel 
37. A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider?
38. A nurse working in a rehabilitation facility is developing a discharge plan for a client who has left-sided hemiplegia the following actions is the nurse’s priority? 
39. A nurse in a mental health unit is planning room assignments for four clients. Which of the following client should be closest to the nurse’s station? 
40. A nurse is preparing to measure a temperature of an infant. Which of the following action should the nurse take? 
41. A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include in the plan?
42. A nurse is admitting medications to a group of clients. Which of the following occurrences requires the completion of an incident report?
43. A nurse is caring for a client who is 24 hr. postpartum and is breast feeding her newborns.

The client asks the nurse to warm up seaweed soup that the client’s partner brought for her. Which of the following responses should the nurse make? 

44. a nurse is preparing an in-service for a group of nurses about malpractice issues in nursing. Which of the following examples should the nurse include in the teaching?
45. a nurse is providing teaching to family members of a client who has dementia. Which of the following instructions should the nurse include in the teaching?
46. 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?   
47. A nurse is admitting a client who has schizophrenia and experiences auditory hallucinations. The client states, “It’s hard not to listen to the voices.” Which of the following questions should the nurse ask the client? 
48. A charge nurse is teaching a group of newly licensed nurses about the correct use of restraints. Which of the following should the nurse include in the teaching? 
49. A nurse is reviewing ABG laboratory results of a client who is in respiratory distress. The results are pH 7.47, PaCo2 32 mm Hg. HCO3 22 mm Hg. The nurse should recognize that the client is experiencing which of the following acid-base imbalances?
50. A nurse is preparing to mix NPH and regular insulin in the same syringe. Which of the following 
51. a Nurse is working with a client who has an anxiety disorder and is in the orientation phase of the therapeutic relationship. Which of the following statements should the nurse make during this phase?

51. A nurse in a pediatric clinic is teaching a newly hired nurse about the varicella rooster. Which of the following information should the nurse include? 
52. A staff nurse is observing a newly licensed nurse suction a client’s tracheostomy. Which of the following requires intervention by the staff nurse? 
53. A nurse is teaching at a community health fair about electrical fire prevention. Which of the following information should the nurse include in the teaching? 
54. A nurse is providing care for a group of clients. Which of the following client’s should the nurse identify as having the highest risk for developing a pressure injury? 
55. A nurse is teaching a client who has glaucoma and a new prescription for timolol eyedrops. Which of the following statements indicates an understanding of the teaching? 
56. A nurse is providing teaching to a client who is 14 weeks of gestation about findings to report to the provider. Which of the following findings should the nurse include in the teaching?
57. A nurse is caring for a client who has a diagnosis of stage IV metastatic cancer. Which of the following responses should the nurse make? 
58. A nurse is caring for a client wo has severe hypertension and is to receive nitroprusside via continuous IV infusion. Which of the following actions should the nurse plan to take? 
59. A nurse is caring for a client who is experiencing mild anxiety. Which of the following findings should the nurse expect?
60. A nurse is reviewing the laboratory report of a client who has been having lithium carbonate for the past 12 months. The nurse notes a lithium level of 0.8 mEq/L. Which of the following orders from the provider should the nurse expect?  
61. A nurse is providing teaching to an older adult client about methods to promote nighttime sleep. Which of the following instructions should the nurse include?
62. A nurse is caring for a client who has fibromyalgia and requests pain medication. Which of the following medications should the nurse administer? 

63.A nurse is caring for a client following insertion of a chest tube 12 hr. ago. The (Unable to read) following actions should the nurse take? 

64. A nurse is caring for a client who is receiving morphine 4 mg via IV bolus every 4 hr. PRN.

The nurse should monitor for which of the following adverse effects? 

65. A nurse is interviewing the partner of a client who was admitted in the manic phase of bipolar disorder. The partner states “I don’t know what to do. Everything has been happening so quickly.” Which of the following by the nurse is therapeutic?
66. A nurse is providing dietary teaching to a guardian of a preschooler who has a new diagnosis of celiac disease. Which of the following statements by the guardian indicates an understanding of the teaching? 
67. A nurse is caring for a client who is to receive a transfusion of packed RBCs. Which of the following actions should the nurse take? 
68. A nurse is admitting a client who has diabetic ketoacidosis. Which of the following types of continuous infusions should the nurse initiate? 
69. A nurse is teaching who has chronic pain about avoiding constipation from opioid medications. Which of the following should the nurse include in the teaching? 
70. A nurse is teaching about preventative measures to a female client who has chronic urinary tract infections. Which of the following interventions should the nurse include in the teaching? 
71. A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse plan to assess first?
72. A nurse is providing dietary teaching to a client who has a new diagnosis of irritable bowel syndrome. Which of the following recommendations should the nurse include?
73. A nurse is caring for a 1-day-old newborns who has jaundice and is receiving phototherapy. Which of the following actions should the nurse take? 
74. a nurse is teaching a group of newly licensed nurses about client advocacy. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? 
75. A nurse is preparing to reposition a client who had a stroke. Which of the following actions should the nurse take? 
76. A nurse is orientation a newly licensed nurse who is caring for a client who is receiving mechanical ventilation and is receiving mechanical ventilation and is on pressure support ventilation (PSV) mode. Which of the following statements by the newly licensed nurse indicates and understanding of PSV?

        A.“  It keeps the alveoli open and prevents atelectasis.”

77. A nurse is caring for an infant who has coaction of the aorta. Which of the following should the nurse identify as an expected finding?
78. A nurse is assisting with the development of an informed document for participation in a research study. Which of the following information should the nurse include? 
79. A nurse is providing teaching to a client about the adverse effects of sertraline. Which of the following adverse effects should the nurse include?
80. A nurse is caring for a client who has a new temporary synchronous pacemaker. Which of the following should the nurse report to the provider? 
81. A nurse is preparing discharge information for a client who has type 2 diabetes mellitus. Which of the following resources should the nurse provide to the client?

82. A nurse is providing teaching about patient-controlled analgesia (PCA) to a client. Which of the following statements should the nurse include in the teaching?
83. A nurse is caring for a client who has diabetes mellitus and is receiving long-acting insulin for blood glucose management. The nurse should anticipate administering which of the following types of insulin? 
84. A nurse is caring for a toddler who has acute lymphocytic leukemia. In which of the following should the toddler participate? 

 

85. A nurse is caring for a client who is receiving intermittent feedings via a feeding via a feeding pump and is experiencing dumping syndrome. Which of the following actions should the nurse take? 
86. A nurse in an emergency department is caring for a client who received a dose of penicillin and is now anxious, flushing, tachycardic and has difficulty swallowing. Which of the following actions is the nurse’s priority? 
87. A nurse is caring for a client who has Raynaud’s disease. Which of the following actions should the nurse take? 
88. A nurse is reviewing the medical history of a client who has angina. Which of the following findings in the client’s medical history should identify as a risk factor for angina? 
89. A nurse is caring for a client who is 12 hr. postpartum and has a third-degree perineal laceration. The client reports not having a bowel movement for 4 days. Which of the following medications should the nurse administer? 
90. A nurse overhears two assistive personnel (AP) discussing care for a client while in the elevator. Which of the following actions should the nurse take? 
91. A nurse is planning care for a client who is receiving hemodialysis. Which of the following actions should the nurse include in the plan of care? 
92. A nurse in the emergency department is caring for a client who reports intimate partner violence. Which of the following interventions is the nurse’s priority? 
93. A nurse is caring for a client who is in active labor and note the FHR baseline has been 100/min for the past 15 min. The nurse should identify which of the following conditions as a possible cause of fetal bradycardia?
94. A nurse is assessing a school-age child who has a urinary tract infection. Which of the following findings should the nurse expect? 

 

95. A charge nurse on a medical-surgical unit is assisting with the emergency response plan following an external disaster in the community. In anticipation of multiple client admissions, which of the following current clients should the nurse recommend for early discharge?
96. A nurse is preparing to administer dopamine hydrochloride 4 mcg/kg/min via continuous infusion. Available is dopamine hydrochloride in a solution of 800 mg in a 250 ml bag. The client weighs 80 kg. The nurses should set the IV infusion to deliver how many mL/hr? (Round the answer to the nearest whole number) 
97. A nurse is providing teaching to the parents of a newborn genetic screening. Which of the following statement should the nurse include in the teaching?
98. A nurse is providing discharge teaching to a client who is postoperative following a colon resection and has a new ascending colostomy. Which of the following statements by the client indicates an understanding of the teaching? 
99. A nurse is admitting a client who had a stroke and exhibits facial drooping, drooling and hoarseness. Which of the following is the nurse’s priority? 
100. A nurse is providing teaching to a client who has heart failure and a new prescription for furosemide. Which of the following statements should the nurse make? 
101. A nurse is planning a teaching session for a client who is postoperative following a colon resection. Which of the following actions should the nurse take first? 
102. A nurse is caring for a client who has chronic pancreatitis. Which of the following dietary recommendations should the nurse make? 
103. A nurse is caring for a client who asks for information regarding organ donation. Which of the following should the nurse make?
104. A nurse is teaching a female client about personal hygiene. Which of the client actions indicates an understanding go the teaching? 

107. A nurse is preparing to assess a 2-week-old newborn. Which of the following actions should the nurse plan to take? 
108. A nurse is caring for a client who has pneumonia and has gained 4.2 kg (9.3 lb) over the last

5 days. The client’s laboratory values this morning are the following: WBC 10,000/mm3, RBC 5.2 million/mm3, platelets 250,000/mm3, BUN, and serum creatinine 2.1 mg/dL. The nurse should report these finding to which of the following members of the interdisciplinary team?

109. A nurse is caring for an infant who is in contact isolation and received a blood transfusion.

Which of the following actions is appropriate for the nurse to take to provide cost-effective care?

108. A nurse is reviewing the medical record of a client who is postoperative following a total hip arthroplasty. For which of the following findings should the nurse contact the provider? 
109. A nurse is preparing education material for a client. Which of the following techniques should the nurse use in creating material? 
110. A nurse is creating for a client who has aids. The client states, “My mouth is sore when I eat.” Which of the following instructions should the nurse provide? 
111. A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis. The nurse should monitor the client for which of the following complications?
112. A nurse is caring for a client who is at 38 weeks gestation, is in active labor, and has ruptured membrane. Which of the following actions should the nurse take? 
113. A home health nurse is preparing to make an initial visit to a family following a referral from a local provider. Identify the sequence of steps the nurse should take when conducting a home visit. (Move the steps into the box on the right. Placing them in the order of performance) 
114. A nurse is caring for a 5-month-old infant who has manifestations of severe dehydration and a prescription for paternal fluid therapy. The guardian asks. “What are the indications that my baby needs an IV?” Which of the following responses should the nurse make? 
115. A nurse is caring for a client who is receiving intermittent eternal tube feeding. Which of the following places the client at risk for aspiration?
116. A nurse is providing discharge teaching to a client who has chronic kidney disease and is receiving hemodialysis. Which of the following instructions should the nurse include in the teaching?

118. A nurse on a telemetry unit is assessing a client who is receiving continuous cardiac monitoring. The client’s heart rate is 69/min and the PR interval is 0.24 seconds. The nurse should interpret this finding as which of the following cardiac rhythms? 
119. A nurse is supervising an assistive personnel (AP) who is feeding a client. The nurse observes that the client coughs after each bite. After asking the AP to stop feeding the client, which of the following actions should the nurse take next? 
120. A nurse is developing a plan of care for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following actions should the nurse include in the plan?

 

120. The nurse is teaching a group of clients at a community health fair about genetic disease. Which of the following statements by a client indicates an understanding of the teaching? 
121. A nurse is planning discharge teaching about cord care for the parents of a newborn. Which of the following instructions should the nurse plan to include in the teaching?
122. A nurse is providing teaching to a client who is on glucocorticoid therapy. Which of the following statements by the client indicates an understanding of the teaching? 
123. A nurse is teaching a newly licensed nurse about ergonomic principles. Which of the following actions by a newly licensed nurse indicates an understanding of the teaching? 
124. A client is requesting information from a nurse about a nitrazine test. Which of the following statements should the nurse make? 

125. A Nurse is assessing a client who has hyponatremia and is receiving IV fluid therapy.

Which of the following findings indicate the client is developing a complication of therapy? 

126. A nurse is conducting a home visit for a family who has two young children. The nurse notes several welts across the backs of the legs of one of the children. Which of the following actions should the nurse take first? 
127. A nurse is planning care for a client who has thrombocytopenia. Which of the following actions should the nurse include? 
128. A nurse is assessing a client who is 30 min postoperative following an arterial thrombectomy. Which of the following findings should the nurse to report? 

129.A nurse is caring for a client who has left-sided heart failure, and the provider is concerned that the client might develop (Unable to read) Which of the following actions should the nurse take? 

130. A charge nurse is teaching a newly licensed nurse about the administration of total parenteral nutrition. Which of the following should the charge nurse include? 

131. A nurse is teaching a prenatal class about infection at a community center. Which of the following statements by a client indicates an understanding of the teaching?

132. A nurse is caring for a client who has end-stage liver cancer. Which of the following statements should the nurse make to support the client’s right to autonomy? 
133. A nurse is completing an incident report after a client fall. Which of the following competencies of Quality and Safety Education for Nurse is the use demonstrating? 
134. A nurse is talking with another nurse on the unit and smells alcohol on her breath. Which of the following actions should the nurse take? 
135. A charge nurse is teaching new staff members about factors that increase a client’s risk to become violet. Which of the following risk factors should the nurse include as the best predictor of future violence?

136. A charge nurse is teaching a newly licensed nurse about medication administration. Which of the following information should the charge nurse include? 
137. A charge nurse is evaluating the time management skills of a newly licensed nurse. For which of the following actions by the newly licensed nurse should the charge nurse intervene? 
138. A nurse is caring for a client who has diaper dermatitis. Which of the following actions should the nurse take? 
139. . A nurse is developing an in-service about personality disorders. Which of the following information should the nurse include when discussing borderline personality disorder?

140. A nurse is caring for a client who has a prescription for warfarin. When reviewing the client’s current medications, which of the following medications should the nurse identify as contraindicated for use with warfarin? (Select all that apply) 
141. A nurse is completing an admission assessment for a client who has narcissistic personality disorder. Which of the following findings should the nurse expect?
142. A nurse is calculating the body mass index (BMI) of a client who weighs 75 kg (165.3 lb) and is 1.8 m (5 ft 9 in) tall. The nurse should calculate the client’s BMI value as which of the following? 
143. A nurses is assessing a preschooler who has recently experienced an unexpected death in the family. Which of the following should the nurse recognize as an expected finding? 
144. A nurse is assessing a client in the emergency department. Which of the following actions should the nurse take first? 

Exhibit 1

Laboratory Results Cerebrospinal fluid WBC 2,000/mm3 Neutrophils 88% Protein 320 mg/dl

Glucose 35 mg/dl Cloudy in appearance 

Exhibit 2

History and Physical

Reports severe headache and photophobia. Disoriented to person, place, and time. Lethargic. 

Exhibit 3

Vital Signs

BP 166/96 mm Hg

Respiratory rate 24/min

Pulse rate 112/min

Temperature 39.3C (102.8F) Pain of 6 on a scale from 0 to 10 Glasgow score 9 

145. A client is caring for a client following a paracentesis. Which of the following findings should the nurse identify as an indication of a complication? 
146. A certified IV nurse is providing education about peripherally inserted catheters (PICC) to a newly licensed nurse. Which of the following statements by the newly licensed nurse indicated an understanding of the teaching? 
147. A nurse is reviewing admission prescriptions for a group of clients. Which of the following prescriptions should the nurse identify as complete? 
148. A nurse is caring a child who has cystic fibrosis and requires postural drainage. Which of the following actions should the nurse take?