2024 RN Comprehensive Retake Predictor Exam with Answers (180 Solved Questions)

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RN Comprehensive Retake Predictor 2024 Exam1.A nurse in a pediatric unit is preparing to insert an IV catheter for 7-year-old. Which of thefollowing actions should the nurse take?A.(Unable to read)B.Tellthechildtheywillfeeldiscomfortduringthecatheterinsertion.C.Use a mummy restraint to hold the child during the catheter insertion.D.Require the parents to leave the room during the procedure.2.A nurse is caring for a client who has arteriovenous fistula Which of the following findingsshould the nurse report?A.Thrill upon palpation.B.Absenceofabruit.C.Distended blood vesselsD.Swishing sound upon auscultation.3.A nurse is providing discharge teaching for a client who has an implantable cardioverterdefibrillator which of the following statements demonstrates understanding of the teaching?A.“Iwill soak in the tub rather andshowering”B.“IwillwearlooseclothingaroundmyICD”C.“Iwill stop using my microwave oven at home because of myICD”D.“Ican hold my cellphone on the same side of my body as theICD”4.A nurse is caring for a client who is at 14 weeks gestation and reports feelings of ambivalenceabout being pregnant. Which of the following responses should the nurse make?A.“Describeyourfeelingstomeabout beingpregnant”B.“Youshould discuss your feelings about being pregnant with yourprovider”C.“Haveyou discussed these feelings with yourpartner?”D.“Whendid you start having thesefeelings?”5.A nurse is planning care for a client who has a prescription for a bowel- training programfollowing a spinal cord injury. Which of the following actions should the nurse include in theplan of care?A.Encourage a maximum fluid intake of 1,500 ml per day.B.Increase the amount of refined grains in theclient’sdiet.C.Provide the client with a cold drink prior to defecation.D.Administerarectalsuppository30minutespriortoscheduleddefecationtimes.

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RN Comprehensive Retake Predictor 2024 Exam6.A nurse is caring for a client who is in active labor and requests pain management. Which ofthe following actions should the nurse take?A.Administer ondansetron.B.Placetheclientinawarmshower.C.Apply fundal pressure during contractions.D.Assist the client to a supine position.7.a nurse in an emergency department is performing triage for multiple clients following adisaster in the community. To which of the following types of injuries should the nurse assignthe highest priority?A.Below-thekneeamputationB.Fractured tibiaC.95% full-thickness body burnD.10cm (4in) laceration to the forearm8.a nurse manager is updating protocols for the use of belt restraints. Which of the followingguidelines should the nurse include?A.Remove theclient’srestraint every 4hrB.Documenttheclient’sconditionevery15minC.Attach the restrain to thebed’sside railsD.Request a PRN restrain prescription for clients who are aggressive9.A nurse is teaching an in-service about nursing leadership. Which of the following informationshould the nurse include about an effective leader?A.Actsasanadvocateforthenursing unit.B.(Unable to read) for the unitC.Priorities staff request over client needs.D.Provides routine client care and documentation.10.A nurse is reviewing the laboratory findings of a client who has diabetes mellitus and reportsthat she has been following her (unable to read) care. The nurse should identify which of thefollowing findings indicates a need to revise theclient’splan of care.A.Serum sodium 144 mEq/B.(Unable to read)C.Hba1c10%D.Random serum glucose 190 mg/dl.

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RN Comprehensive Retake Predictor 2024 Exam11.A nurse in a provider’s office is reviewing the laboratory results of a group of clients. Thenurse should identify that which of the following sexually transmitted infections is a nationallynotifiable infectious disease that should be reported to the state health department?A.ChlamydiaB.Human papillomavirusC.CandidiasisD.Herps simplex virus12.A nurse is teaching a newly licensed nurse about therapeutic techniques to use when leadinga group on a mental health unit. Which of the following group facilitation techniques should thenurse include in the teaching?A.Share personal opinions to help influence thegroup’svaluesB.Measure the accomplishments of the group against a previous groupC.Yield in situations of conflicts to maintain group harmonyD.Usemodelingto helptheclientsimprovetheirinterpersonalskills13.A nurse is planning for a client who practices Orthodox Judaism. The client tells the nursethat (Unable to read) Passover holiday. Which of the following action should the nurse include inthe plan of care?A.Provide chicken with cream sauce.B.Avoid serving fish with fins and scales.C.Provideunleavenedbread.D.Avoid serving foods containing lamb.14.A nurse is caring for a client who has a pulmonary embolism. The nurse should identify theeffectiveness of the treatmentA.A chest x-ray reveals increased density in all fields.B.Theclient reportsfeeling lessanxious.C.Diminished breath sounds are auscultated bilaterallyD.ABG results include Ph 7.48 PaO2 77 mm Hg and PaCO2 47 mm Hg.15.A nurse in an emergency department is assessing a client who reports ingesting thirtydiazepam tablets (Unable to read) a respiratory rate of 10/min. After securing theclient’sairwayand initiating an IV, which of the following actions should the nurse do next.A.Monitor theclient’sIV site for thrombophlebitis.B.Administerflumazeniltotheclient.C.Evaluate the client for further suicidal behavior.D.Initiate seizure precautions for the client.

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RN Comprehensive Retake Predictor 2024 Exam16.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?A.HypotensionB.Memory lossC.Slurred speechD.Elevatedtemperature17.A nurse is assessing a newborn who has a blood glucose level of 30 mg/dl. Which of thefollowing manifestations should the nurse expect?A.Loose stoolsB.JitterinessC.HypertoniaD.Abdominal distention18.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?A.Hgb 12.5 g/dlB.Platelets 250,000/mm3C.Hct 40%D.WBC14,000/mm319.A charge nurse is teaching a newly licensed nurse about clients designating a health careproxy in situations that require a durable power of attorney for heal care (DPSHC). Which of thefollowing information should the charge nurse include?A.“Theproxy should make health care decisions for the client regardless of theclient’sability to doso.”B.“Theproxy can make financial decisions if the needarises.”C.“Theproxycanmaketreatmentdecisions iftheclientisunderanesthesia.”D.“Theproxy should manage legal issues for theclient.”20.A nurse in the PACU is caring for a client who reports nausea. Which of the followingactions should the nurse take first?A.Turntheclientontheirside.B.Administer an analgesicC.Administer antiemeticD.Monitor theclient’svital signs.

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RN Comprehensive Retake Predictor 2024 Exam21.A nurse is caring for a client who has a history of depression and is experiencing a situationalcrisis. Which of the following actions should the nurse take first?A.Confirmtheclient’sperceptionoftheeventB.Notify theclient’ssupport systemC.Help the client identify personal strengthsD.Teach the client relaxation techniques22.A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. Thenurse obtained a verbal prescription for restraints. Which of the following should the actionsshould the nurse take?A.Request a renewal of the prescription every 8 hr.B.Check theclient’speripheral pulse rate every 30 minC.Obtain a prescription for restraint within 4 hr.D.Documenttheclient’sconditionevery15minutes.23.A nurse is caring for a client who has end-stage of kidney disease. The client adult childasked about becoming a living donor for his father. Which of the following condition24.A charge nurse on a medical-surgical unit is planning assignments for a licensed practicalnurse (LPN) who has been sent from the (Unable to read) unit due to a staffing shortage. Whichof the following client should the nurse delegate to the LPN?A.A client who has an Hgb of 6.3 g/dl and a prescription for packed RBCs.B.A client who sustained a concussion and has unequal pupils.C.Aclientwhoispostoperative followingabowelresectionwithanNGtubesettocontinuoussuction.D.A client who fractured his femur yesterday and is experiencing shortness of breath.25.A nurse is working on a surgical unit is developing a care plan for a client who hasparaplegia. The client has an area of nonblanchable erythema over his ischium. Which of thefollowing interventions should the nurse include in the care plan?A.Placetheclientuprightonadonut-shapedcushionB.Teach the client to shift his weight every 15 min while sittingC.Turn and reposition the client every 3 hr while in bedD.Assess pressure points every 24 hr

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RN Comprehensive Retake Predictor 2024 Exam25.A nurse is caring for a client who is dilated to 10 cm and pushing. Which of the followingpain-management (Unable to read) a safe option for the client?A.Naloxone hydrochloride.B.Spinal anesthesia.C.Pudendalblock.D.Butorphanol tartrate.26.A nurse is caring for a client who has left homonymous hemianopsia. Which of thefollowing is an appropriate nursing intervention?a.Teach the client to scan the right to see objects on the right side of her body.b.Placethebedsidetableontherightsideofthebed.c.Orient the client to the food on her plate using the clock method.d.Place the wheelchair on theclient’sleft side.27.A nurse is assessing a client who has major depressive disorder. Which of the followingfindings should the nurse identify as the (Unable to read) (Most important?)A.The client changes the subject when future plans are mentioned.B.The client talks about being in pain constantly.C.The client sleeping over 12 hr. each day.D.Theclientreportsgiving awaypersonalitems.28.A nurse is providing teaching about immunizations to a client who is pregnant. The nurseshould inform the client that she can receive which of the following immunizations duringpregnancy? (Select all that apply)A.Varicella vaccine.B.Inactivated polio vaccine.C.TetanusdiphtheriaandacellularpertussisvaccineD.Rubella vaccine.E.Inactivatedinfluenzavaccine.29.A nurse is caring for a client who has end-stage kidney disease. The client’s adult child asksthe nurse about becoming a living kidney donor for her father. Which of the following conditionin thechild’smedical history should the nurse identify as a contraindication to the procedure?A.AmputationB.OsteoarthritisC.HypertensionD.Primary glaucoma30.A nurse is providing discharge teaching for a group of clients. The nurse should recommenda referral to a dietitian

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RN Comprehensive Retake Predictor 2024 ExamA.A client who has a prescription for warfarin and states“Iwill need to limit how muchspinachI eat”.B.Aclientwhohasgoutandstates,“Icancontinuetoeatanchoviesonmypizza.”C.A client who has a prescription for spironolactone and states“Iwill reduce my intake offoods that containpotassium”.D.A client who has (Unable to read) and states“I’llplan to take my calcium carbonate witha full glass ofwater”.31.A hospice nurse is visiting with the son of a client who has terminal cancer. The son reportssleeping very little during the past week due to caring for his mother. Which of the followingresponses should the nurse make?A.“Icangiveyou informationaboutrespitecareifyouareinterested.”B.“Youshould consider taking a sleeping pill before bed eachnight”C.“Itmust be difficult taking care of someone who is terminallyill”D.“Youare doing a great job taking care ofyour mother”31.A nurse is assessing a child who is being treated for bacterial pneumonia. The nurse notes anincrease in the child’s glucose. The nurse should identify this finding as an adverse effect ofwhich of the following medicationsA.Methylprednisolone.B.Ondansetron.C.Guaifenesin.D.Amoxicillin.32.The nurse is providing teaching about folic acid to a client who is prima gravida. Which ofthe following information should the nurse include in the teaching?A.“Youshould take folic acid to decrease the risk of transmitting infections to yourbaby”B.“Youshould consume a maximum of 300 micrograms of folic acid everyday”.C.“Youcanincreaseyourdietaryintakeoffolicacidbyeatingcerealsandcitrusfruits”.D.“Youcan expect your urine to appear red-tingled while taking folic acidsupplements”.33.A community health nurse is assessing an adolescent who is pregnant. Which of thefollowing assessments isthe nurse’spriority?A.Social relationship with peers.B.Plans for attending school while pregnant.

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RN Comprehensive Retake Predictor 2024 ExamC.(Unabletoread)(Pickedthisone)Medicaid?D.Understanding of infant care.34.A nurse manager is planning to teach staff about critical pathways. Which of the followinginformation should the nurse include?A.Critical pathways have unlimited timeframe for completionB.(Unabletoread)decreasehealthcarecosts.C.(Unable to read) critical pathway if variances (Unable to read)D.(Unable to read) are used to create the critical pathway.35.A nurse is reviewing the medical record of a client who has schizophrenia. Which of thefollowing should the nurse report to the provider?Exhibit 1Blood pressure: 102/56 mm Hg. Heart rate: 95/minRespiratory rate: 18/min Temperature: 37.4C (99.3F)Exhibit 2Medication Administration RecordClozapine 150 mg PO twice dailyBenztropine 0.5 mg PO twice daily as needed for tremors.Exhibit 3Nurse’snotes:Client reports feeling dizzy when changing positions, Reports weight gain of 1kg (2.2 lb.) in thepast month. Also reports a sore throat for the past 3 days and dry mouth. Client ate 75% ofbreakfast and reports slightly nauseous.A.Dietary intakeB.Heart rate.C.Sorethroat.D.Bloodpressure.36.A charge nurse is educating a group of unit nurses about delegating client tasks to assistivepersonnelA.“Thenurse is legally responsible for the actions of theAP”.B.“AnAP can perform tasks outside of his range if he has beentrained”.C.“Anexperienced AP can delegate to anotherAP”.

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RN Comprehensive Retake Predictor 2024 ExamD.“AnRNevaluatestheclientneedstodeterminetaskstodelegate”37.A nurse is assessing a client who is in active labor. Which of the following findings shouldthe nurse report to the provider?A.Contractions lasting 80 secondsB.FHRbaseline170/minC.Early decelerations in the FHRD.Temperature 37.4C (99.3)38.A nurse working in a rehabilitation facility is developing a discharge plan for a client whohas left-sided hemiplegia the following actions is thenurse’spriority?A.Consult with a case manager about insurance coverage.B.Counsel caregivers about respite care options.C.Ensurethattheclienthasareferralforphysicaltherapy.D.Refer the client to a local stroke support group.39.A nurse in a mental health unit is planning room assignments for four clients. Which of thefollowing client should be closest tothe nurse’sstation?A.A client who has an anxiety disorder and is experiencing moderate anxiety.B.A client who has somatic symptom disorder and reports chronic pain.C.Aclient whohasdepressivedisorderandreportsfeelinghopeless.D.A client who has bipolar disorder and impaired social interactions.40.A nurse is preparing to measure a temperature of an infant. Which of the following actionshould the nurse take?A.Placethetip ofthethermometerunderthecenteroftheinfant’saxilla.B.Pull the pinna of theinfant’sear forward before inserting the probe.C.Insert the probe 3.8 cm (1.5in) intothe infant’srectum.D.Insert the thermometer in front of theinfant’stongue.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?A.Encourage the client to spend time in the day roomB.Withdraw theclient’sTV privileges is the does not attend group therapyC.Encouragetheclienttotakefrequentrestperiods

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RN Comprehensive Retake Predictor 2024 ExamD.Place the cline in seclusion when he exhibits signs of anxiety42.A nurse is admitting medications to a group of clients. Which of the following occurrencesrequires the completion of an incident report?A.Aclient receiveshisantibiotics2hrlateB.A client vomits within 20min of taking his morning medicationsC.A client requests his statin to be administered at 2100D.A client asks for pain medication 1hr early43.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?A.“Doesthedoctorknowyouareeatingthat?”B.“Whyare you eating seaweedsoup?”C.“Ofcourse I will heat that upfor you”D.“Thehospital good is morenutritious”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?A.Leaving a nasogastric tube clamped after administering oral medicationB.Documenting communication with a provider in the progress notes of theclient’smedicalrecordsC.AdministeringpotassiumviaIVbolusD.Placing a yellow bracelet on a client who is at risk for falls45.a nurse is providing teaching to family members of a client who has dementia. Which of thefollowing instructions should the nurse include in the teaching?A.Establishatoiletingschedule fortheclientB.Use clothing with buttons and sippersC.Discourage physical activity during the dayD.Engage the client in activities that increase sensory stimulation46.The nurse is reviewing the medical record of a client who is requesting combination oralcontraceptives. Which of the following conditions in theclient’shistory is a contradiction to theuse of oral contraceptives?A.Hyperthyroidism.

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RN Comprehensive Retake Predictor 2024 ExamB.Thrombophlebitis.C.Diverticulosis.D.Hypocalcemia.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 shouldthe nurse ask the client?A.“Doyou understand that the voices are notreal?”B.“Whydo you think the voices are talking toyou?”C.“Haveyou tried going to a private place when thisoccurs?”D.“Whathelpsyouignorewhat youarehearing?”48.A charge nurse is teaching a group of newly licensed nurses about the correct use ofrestraints. Which of the following should the nurse include in the teaching?A.Placing a belt restraint on a school-age child who has seizures.B.Securing wrist restraints to the bed rails for an adolescent.C.ApplyingelbowimmobilizersofaninfantreceivingcleftlipinjuryD.Keeping the side rails of atoddler’scrib elevated.49.A nurse is reviewing ABG laboratory results of a client who is in respiratory distress. Theresults are pH 7.47, PaCo2 32 mm Hg. HCO3 22 mm Hg. The nurse should recognize that theclient is experiencing which of the following acid-base imbalances?a.Respiratory acidosisb.Respiratoryalkalosisc.Metabolic acidosisd.Metabolic alkalosis50.A nurse is preparing to mix NPH and regular insulin in the same syringe. Which of thefollowingA.Inject airintotheNPHinsulinvial.B.(Unable to read)C.Withdraw the prescribed dose of regular insulinD.Withdraw the prescribed dose of NPH insulin51.a Nurse is working with a client who has an anxiety disorder and is in the orientation phaseof the therapeutic relationship. Which of the following statements should the nurse make duringthis phase?A.“Let’stalk about how you can change your response tostress.”

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RN Comprehensive Retake Predictor 2024 ExamB.“Weshouldestablishourrolesintheinitialsession.”C.“Letme show you simple relaxation exercises to managestress.”D.“Weshould discuss resources to implement in your dailylife.”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?A.Childrenwhohavevaricellaarecontagiousuntilvesiclesarecrusted.B.Children who have varicella should receive the herpes zoster vaccination.C.Children who have varicella should be placed in droplet precaution.D.Children who have varicella are contagious 4 days before the first vesicle eruption.52.A staff nurse is observing a newly licensed nurse suction aclient’stracheostomy. Which ofthe following requires intervention by the staff nurse?A.Waits2minutesbetweensuctions.B.Encourages the client to cough during suctioning.C.Apply suctioning for 15 seconds.D.Inserts the catheter without applying suction.53.A nurse is teaching at a community health fair about electrical fire prevention. Which of thefollowing information should the nurse include in the teaching?A.Usethreeprongedgroundedplugs.B.Cover extension cords with a rug.C.Check the tingling sensations around the cord to ensure the electricity is working.D.Remove the plug from the socket by pulling the cord.54.A nurse is providing care for a group of clients. Which of the followingclient’sshould thenurse identify as having the highest risk for developing a pressure injury?A.Aclient whohasaT-tubefollowinganopencholecystectomy.B.A client who had a knee 2 days ago following a sports injury.C.A client who has dementia and is incontinent of urine and fecesD.A client who has a myocardial infarction and is receiving thrombolytic therapy.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?A.“Iwill place the eye drops in the center of myeye”B.“Iwillplacepressureonthecornerofmyeyeafterusingheeyedrops”C.“Ishould expect my tears to turn a red color after using the eyedrops.”

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