RN COMPREHENSIVE PREDICTOR EXAM
LATEST 2024 WITH
UPDATED QUESTIONS AND DETAILED
CORRECT ANSWERS WITH RATIONALES
(ALREADY GRADED A+)
A nurse is planning on 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. - ANSWER-D.
Obtain a cardiac rehabilitation consultation.
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 - ANSWER-B. Thrombophlebitis.
A nurse is caring for a client who request 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.
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D. Request a conference with the client's family. - ANSWER-B.
Evaluate the client's understanding of life-sustaining measures.
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. - ANSWER-A. Substernal retractions.
A nurse is preforming a gastric lavage for a client who has upper
gastrointestinal bleeding. Which of the .following action should the
nurse take?
A. Instill 500 ml of solution through the NG tube.
B. Insert a large-bore NG tube.
C. Use a cold irrigation solution.
D. Instruct the client to lie on his right side. - ANSWER-B. Insert a
large-bore NG tube.
A nurse is providing care for a client who is in the advance stage
of amyotrophic lateral sclerosis. (ALS). Which of the following
referrals is the nurse's priority?
A. Psychologist.
B. Social worker.
C. Occupational therapist.
D. Speech-language pathologist. - ANSWER-D. Speech-language
pathologist.
A nurse is providing teaching about the 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 as supine position after the feeding.
C. Charge the feeding bag and tubing every 3 days.
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D. Warm the formula in the microwave prior to administration. -
ANSWER-A. Administer the feeding over 30 min.
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. - ANSWER-B. Apical pulse 58/min
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 want the client to have lifesustaining measures. Which of the following action 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. - ANSWER-A.
Arrange for an ethics committee meeting to address the family's
concerns.
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. - ANSWER-A. Store
the glasses in a labeled case.
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