RN Comprehensive Predictor 2026

Question 13

RN Comprehensive Predictor 2026. A nurse is administering an analgesic to a client who has a chest tube. The provider is preparing to discontinue the chest tube before the medication has taken effect. Which of the following actions should the nurse take first?

• Document the sequence of events as they occur.
• Provide nonpharmacological pain management interventions.
• Instruct the client about the steps of the procedure.
• Inform the provider of the time of the last dose of pain medication.

Question 14

A nurse is reviewing the medical record of a newborn who was born at 42 weeks of gestation. Which of the following findings should the nurse expect? (Select all that apply.) Note: This refers to the medical record in Exhibit 1 and 2 showing thick green amniotic fluid.

• Intraventricular hemorrhage
• Macrosomia
• Meconium aspiration syndrome
• Polycythemia
• Bronchopulmonary dysplasia

Question 15

A nurse is caring for a client who is dissatisfied with the care from the provider and decides to leave the facility against medical advice. After notifying the provider, which of the following actions is appropriate for the nurse to take?

• Complete an incident report.
• Summon a security guard to the client’s room.
• Explain the risks of leaving the facility.
• Notify a social worker about the client’s decision.

Question 16

A nurse is caring for a client who is at 31 weeks of gestation. Which of the following conditions, actions, and parameters are appropriate?

• Condition: Preterm prelabor rupture of membranes (pPROM)
• Actions: Administer betamethasone and Administer antibiotics
• Parameters: Monitor maternal temperature and Monitor FHR via daily nonstress test

Question 17

A nurse is performing a skin assessment on a client who has dark skin. Which of the following locations on the client’s body should the nurse observe to assess for jaundice?

• Shoulders
• Palms of the hands
• Sclera
• Face

Question 18

A nurse in a community clinic is caring for a client who has rheumatoid arthritis and reports having difficulty buttoning their clothing. Which of the following referrals should the nurse recommend for the client?

• Occupational therapy
• Massage therapy
• Social worker consultation
• Physical therapy

Question 19

A nurse is assessing a client who has been taking donepezil for the treatment of Alzheimer’s disease. Which of the following findings should the nurse identify as an indication that the medication is effective?

• Improved short-term memory
• Ability to perform ADLs independently
• Enhanced mood
• Increased food intake

Question 20

A nurse is teaching a client who has dysphagia about food safety. Which of the following interventions should the nurse include in the teaching?

• Mix foods of different textures.
• Use a straw to sip liquids.
• Dry swallow in between bites.
• Assume a chin-up position when swallowing.

Question 21

A nurse is reviewing laboratory data from a client who has chronic kidney disease. Which of the following findings should the nurse expect?

• Increased creatinine
• Increased hemoglobin
• Increased bicarbonate
• Increased calcium

Question 22

A nurse on a medical-surgical unit is caring for a group of clients. Which of the following tasks should the nurse delegate to an assistive personnel?

• Updating a family member on a client’s condition following surgery
• Observing a client’s abdominal laceration for indications of infection
• Documenting the amount of drainage from a client’s NG tube
• Instructing a client about the use of an incentive spirometer

Question 23

A nurse is assessing a client who received hydromorphone 4 mg IV 15 min ago. The client has a respiratory rate of 10/min. The nurse should prepare to administer which of the following medications?

• Naloxone
• Flumazenil
• Protamine
• Acetylcysteine

Question 24

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?

• “Eat foods that are high in sodium.”
• “Rise slowly when getting out of bed.”
• “Taking furosemide can cause your potassium levels to be high.”
• “Taking furosemide can cause you to be overhydrated.”

Question 25

A nurse is providing teaching to a client who has a prescription for oxygen administration at home. Which of the following statements should the nurse include in the teaching?

• “Store oxygen cylinders on their side.”
• “Use two-prong electrical outlets in the room where oxygen is used.”
• “You can adjust the flow of your oxygen as needed.”
• “Notify your power company that oxygen is used in the home.”

Question 26

A nurse is planning care for a client who has obsessive-compulsive disorder. Which of the following statements should the nurse plan to include in teaching about cognitive reframing?

• “You can interrupt your train of thought by focusing on taking slow, deep breaths.”
• “You can decrease anxious thoughts by tensing and releasing your muscles in a systematic way.”
• “You can decrease irrational thoughts by replacing them with positive ideas.”
• “You can have better control over your thoughts by having information about how your body functions.”

Question 27

A nurse is planning care for a toddler who has epiglottitis. Which of the following interventions should the nurse include?

• Assess the child’s throat using a tongue depressor.
• Position the child on their back.
• Continuously monitor the child’s respiratory status.
• Obtain a throat culture from the child.

Question 28

A nurse is caring for a client who had a stroke and has expressive aphasia and right-sided hemiparesis. Which of the following actions best promotes communication among the staff caring for the client?

• Recording the client’s progress in the medical record
• Noting changes in the client’s condition in the medical record
• Having interdisciplinary team meetings for the client on a regular basis
• Posting precautions for dysphagia at the client’s bedside

Question 29

A nurse in the emergency department is caring for four clients. Which of the following clients should the nurse see first?

• A client who has heart failure and received a dose of a diuretic 30 min ago
• A client who has hypertension and reports a severe headache
• A client who has a possible fracture of the left arm following a fall
• A client who reports frequent and painful urination

Question 30

A nurse is teaching a client who has a new diagnosis of myocardial infarction. Which of the following is a nonmodifiable risk factor?

• The client’s diet
• The client’s activity level
• The client’s race
• The client’s stress level

Question 31

A nurse is caring for a client who is on contact precautions. Which of the following actions should the nurse take?

• Assign the client to a negative pressure room
• Ensure all gloves in the client’s room are nonlatex
• Place a box of surgical masks outside the client’s room
• Instruct visitors to put on a gown and gloves before entering the client’s room

Question 32

A nurse is assessing a client who has hyperthyroidism. Which of the following is an expected finding?

• Tachycardia
• Cold intolerance
• Constipation
• Weight gain

Question 33

A nurse is teaching a group of newly licensed nurses about voluntary admission. Which of the following statements should the nurse include in the teaching?

• Clients under the age of 16 require involuntary commitment for mental health treatment
• Clients are not required to complete an admission application to be voluntarily admitted
• If a client under voluntary admission requests to leave, the nurse should contact the provider
• If a client is gravely disabled, they may request admission as a voluntary individual

Question 34

A nurse is preparing discharge information for a client who has type 2 diabetes mellitus. Which of the following information resources should the nurse provide to the client?

• Food exchange lists for meal planning from the American Diabetes Association
• Personal blogs about managing the adverse effects of diabetes medications
• Diabetes medication information from the Physicians’ Desk Reference
• Food label recommendations from the Institute of Medicine

Question 35

A nurse is caring for a client who has experienced a stillbirth. Which of the following actions should the nurse take during the initial grieving process?

• Avoid talking to the client about the newborn
• Assure the client that they can have additional children
• Offer to take pictures of the newborn for the client
• Discourage the client from allowing others to see the newborn

Question 36

A nurse is providing discharge teaching to a client who had an ascending colostomy. Which of the following information should the nurse include in the teaching?

• “The size of ostomy will shrink after one year.”
• “Eating vegetables can increase flatus and odors in the ostomy.”
• “Avoid stool softeners to prevent diarrhea.” RN Comprehensive Predictor 2026
• “Use moisturizing soap to clean the ostomy site.”

Question 37

A nurse is caring for a client who is in the third stage of labor and requires an episiotomy. Which of the following provider prescriptions should the nurse expect?

• Pudendal block
• IV opioid analgesic
• Epidural block
• Spinal anesthesia

Question 38

A nurse is conducting an occupational risk assessment on a client. The client works as an insulation installer. Which of the following questions should the nurse ask the client?

• “Have you noticed a rash or reddening of your skin?”
• “Have you noticed any loss of hearing or ringing in your ears?”
• “Do you have a cough or any breathing problems?”
• “Do you have any numbness or tingling in your fingers?”

Question 39

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?

• Hypertension
• Epigastric pain
• Vomiting
• Contractions

Question 40

A nurse is assessing the growth and development of a 3-year-old child. Which of the following questions should the nurse ask the parent to determine if the child is exhibiting typical developmental expectations?

• “Can your child catch and throw a small ball?”
• “Can your child draw a stick figure?”
• “Can your child ride a tricycle?”
• “Can your child name five colors?”

Question 41

A nurse is preparing to administer an intramuscular injection to a client. Which of the following injection sites should the nurse choose to utilize?

• Upper back
• Forearm
• Abdomen
• Ventrogluteal

Question 42

A charge nurse is assigning client care tasks for the upcoming shift. Which of the following tasks should the charge nurse assign to an RN?

• Inserting an endotracheal tube
• Inserting an epidural catheter
• Performing a thoracentesis
• Obtaining blood cultures from a central catheter

Question 43

A nurse is planning care for a client who has Parkinson’s disease and is having difficulty completing ADLs. Which of the following referrals should the nurse plan to initiate?

• Nutritionist
• Occupational therapist
• Physical therapist
• Social worker

Question 44

A nurse is assessing a client who is experiencing a blood transfusion reaction. Which of the following actions should the nurse take?

• Discard the remaining blood in a biohazard container.
• Administer 0.9% sodium chloride solution.
• Change the location of the IV site.
• Initiate NPO status for the client.

Question 45

A school nurse is teaching a parent about absence seizures. Which of the following information should the nurse include?

• “This type of seizure can be mistaken for daydreaming.”
• “The child usually has an aura prior to onset.”
• “This type of seizure has a gradual onset.”
• “This type of seizure lasts 30 to 60 seconds.”

Question 46

A nurse is teaching a client who plans to begin following vegan dietary guidelines. Which of the following information should the nurse include?

• Limit intake of foods high in vitamin C.
• Choose high-fat cheese as a meat substitute.
• Limit intake of nuts and legumes.
• Choose foods high in vitamin B12.

Question 47

A nurse is caring for a school-age child who is to receive a periodic nasogastric (NG) tube feeding. Which of the following actions should the nurse take?

• Give the feeding over 5 min.
• Measure the tubing from the nose to the distal port.
• Place the head of the child’s bed at a 15° angle.
• Heat the formula in the microwave for 20 seconds.

Question 48

A nurse is assessing a 1-month-old infant who has severe dehydration. Which of the following statements should the nurse make to the parent?

• “Your baby needs an IV because she has a bulging soft spot.”
• “Your baby needs an IV because she is breathing too slowly.”
• “Your baby needs an IV because her heart is beating too slowly.”
• “Your baby needs an IV because she is not producing tears.”

Question 49

A nurse is reviewing the medical record of a client who is requesting a prescription for an oral contraceptive. The nurse should identify that which of the following findings is a contraindication for the use of combination oral contraceptives?

• Renal calculi
• Fibromyalgia
• Hypertension
• Fibrocystic breast disease

Question 50

A nurse is witnessing a client sign an informed consent form for a surgical procedure. The client states, “I am not sure I want to do this anymore.” Which of the following responses should the nurse make?

• “It is okay to be nervous about having surgery.”
• “Your doctor wouldn’t have ordered the procedure if it wasn’t necessary.”
• “I am sure you will feel better after the procedure is done.”
• “You don’t have to go through with the treatment.”

Question 51

A nurse is developing a plan of care for a client who has a gambling disorder. Which of the following actions should the nurse plan to take?

• Recommend the client begin behavioral therapy.
• Request a referral for electroconvulsive therapy.
• Request a prescription for a stimulant medication.
• Inform the client that hospitalization is not used for the treatment of a gambling disorder.

Question 52

A nurse is providing end-of-life care for a client. Which of the following actions should the nurse take?

• Turn the client every 4 hr.
• Administer artificial tears in the client’s eyes.
• Provide oral care for the client every 8 hr.
• Increase the temperature in the client’s room.

Question 53

A nurse is reviewing the medical history of a client who asks about the use of warfarin. The nurse should identify which of the following findings as a contraindication for the administration of this medication?

• Breast cancer
• Thrombophlebitis
• Recent eye surgery
• Prolonged QT interval

Question 54

A nurse is discussing antidepressants with a newly licensed nurse. Which of the following clients should the nurse identify as being a candidate for antidepressant therapy?

• A client who has decreased urine cortisol levels
• A client who has decreased interleukin-6 levels
• A client who has decreased serotonin levels
• A client who has decreased C-reactive protein levels

Question 55

A nurse is assessing a client following a motor-vehicle collision. Which of the following findings is a manifestation of a tension pneumothorax?

• Paradoxical chest movement
• Bilateral wheezing
• Asymmetry of the chest
• Pink, frothy sputum

Question 56

A nurse is completing an admission assessment for a client who has narcissistic personality disorder. Which of the following findings should the nurse expect?

• Suspicious of others
• Ritualistic behavior
• Exhibits separation anxiety
• Preoccupied with aging

Question 57

A nurse is preparing to administer an IM injection for an infant. Which of the following actions should the nurse take?

• Administer the medication with a 20-gauge needle.
• Administer the medication into the deltoid muscle. RN Comprehensive Predictor 2026
• Administer the medication into the vastus lateralis muscle.
• Administer the medication over 2 min.

Question 58

A nurse is caring for a client who has expressive aphasia. Which of the following actions should the nurse take to assist the client in overcoming communication barriers?

• Provide the client with a picture board.
• Use a mechanical voice amplifier.
• Have the client’s glasses brought from home.
• Provide educational materials with large print.

Question 59

A nurse is providing teaching to a client who has otitis media and is 1 hr postoperative following a myringotomy. Which of the following statements should the nurse include in the teaching?

• “You should expect excessive ear drainage for about 48 hours.”
• “You should not drink through a straw for 2 weeks.”
• “You can wash your hair 2 weeks after the procedure.” RN Comprehensive Predictor 2026
• “You should blow your nose with your mouth open.”

Question 60

A nurse is evaluating the treatment plan of a client who had a diagnosis of hypertension 3 months ago. Which of the following findings indicates the client met a treatment goal?

• The client drinks three alcoholic beverages daily.
• The client uses smokeless tobacco instead of cigarettes.
• The client exercises 60 min per day twice weekly.
• The client seasons foods with herbs and spices.

Question 61

A nurse is caring for a client who is receiving rehabilitation therapy following a total hip arthroplasty. The client shares information with the nurse that is relevant to the client’s condition. The nurse should share this information with which of the following individuals?

• Physical therapist
• Risk manager
• Client’s partner
• Facility’s chaplain

Question 62

A nurse is providing prenatal teaching to a client about common discomforts during pregnancy. Which of the following manifestations should the nurse include in the teaching for the first trimester?

• Epistaxis
• Insomnia
• Leg cramps
• Perineal pressure

Question 63

A nurse is admitting four clients who are to undergo total joint arthroplasty. Which of the following clients should the nurse identify as having the greatest risk of complications?

• A client who has controlled hypertension
• A client who has urinary stress incontinence
• A client who has an abscessed tooth
• A client who has diabetes mellitus and a fasting blood glucose level of 107 mg/dL

Question 64

A nurse is assessing a client who is using crutches as an assistive device due to a right hip fracture. Which of the following actions should the nurse take prior to planning the client’s care?

• Ensure the client’s weight is placed on their axilla area when using the crutches.
• Observe the client’s ability to keep their elbows extended when using the crutches.
• Observe the client’s gait pattern when using the crutches.
• Instruct the client to lean forward when using the crutches.

Question 65

A nurse is providing teaching to a client who has multiple sclerosis. Which of the following client statements indicates a need for further teaching?

• “I will keep my room temperature cool.”
• “I will scan my environment while I’m walking.”
• “I will use a weighted blanket when I’m in bed.”
• “I will take a warm bath in the evening to relax my muscles.”

Question 66

A nurse is providing discharge teaching to the parent of an infant who has atopic dermatitis. Which of the following statements by the parent indicates an understanding of the teaching?

• “I will apply a thick layer of moisturizer to my baby’s skin.”
• “I will use a medicated antibiotic ointment on the rash.”
• “I will rub my baby’s skin dry after a bath.”
• “I will give my baby a bubble bath every other day.”

Question 67

A nurse is caring for a client who is in seclusion. Which of the following actions should the nurse take?

• Document the client’s behavior every 15 min.
• Renew the prescription for seclusion every 24 hr.
• End the seclusion once the provider arrives.
• Offer the client fluids every 4 hr.

Question 70

A nurse is providing teaching to the parents of a newborn about newborn genetic screening. Which of the following statements should the nurse include in the teaching?

• This test should be performed after your baby is 24 hours old.
• Your baby will be given 2 ounces of water to drink prior to the test.
• This test will be repeated when your baby is 2 months old.
• A nurse will draw blood from your baby’s inner elbow.

Answer: This test should be performed after your baby is 24 hours old.

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Question 71

A nurse is assessing a client’s coccyx area and notes visible subcutaneous fat with tunneling. Which of the following pressure injury stages should the nurse document?

• Unstageable
• Stage 4
• Stage 2
• Stage 3

Answer: Stage 3

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Question 72

A nurse on the inpatient mental health unit is planning care for the client. For each potential provider’s prescription, click to specify if the prescription is anticipated or contraindicated for the client.

• Minimize environmental stimuli for the client: Anticipated
• Provide the client with high-calorie fluids every hr: Anticipated
• Weigh the client each day: Anticipated
• Encourage the client to avoid napping during the day: Contraindicated

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Question 73

The nurse is providing teaching about lithium to the client and the client’s adult child. Select the 3 statements the nurse should include.

• “You will be placed on a low-sodium diet while taking this medication.”
• “This medication can cause nausea and drowsiness.”
• “This medication can cause weight gain.”
• “It will take at least a week before this medication reaches a therapeutic level.”
• “Blurred vision is an expected adverse effect of this medication.”

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Question 74

A nurse is caring for a client who is in the latent phase of labor and is requesting assistance with pain management. Which of the following actions should the nurse take?

• Administer terbutaline subcutaneously.
• Perform effleurage.
• Apply hot packs to the perineum.
• Request the provider administer a pudendal nerve block.

Answer: Perform effleurage.

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Question 75

A nurse is caring for an adolescent client who is pregnant with their second child and is experiencing anxiety. Which of the following statements should the nurse make?

• Let’s focus on how you are feeling physically.
• Clients are usually happy about a second pregnancy.
• Tell me more about how you are feeling about this pregnancy.
• You will feel better when you have your first ultrasound.

Answer: Tell me more about how you are feeling about this pregnancy.

Question 73

The nurse is providing teaching about lithium to the client and the client’s adult child. Select the 3 statements the nurse should include.

• You will be placed on a low-sodium diet while taking this medication.
• This medication can cause nausea and drowsiness.
• This medication can cause weight gain.
• It will take at least a week before this medication reaches a therapeutic level.
• Blurred vision is an expected adverse effect of this medication.

Question 74

A nurse is assessing the client. Which of the following findings indicate an improvement in the client’s condition? Select all that apply.

• The client slept 5 hr the previous night.
• The client consumes 8 oz of high-calorie fluids each hour.
• The client appears to listen to unseen others.
• The client takes 2 short naps during the day.
• The client engages in quiet activities in their room.

Question 75

A nurse is delegating tasks to an assistive personnel for a group of clients. Which of the following statements should the nurse make?

• Remove the client’s surgical sutures in room 110.
• Weigh the client in room 102 before breakfast.
• Ask the client in room 106 if their pain is relieved.
• Instruct the client in room 109 how to collect a urine specimen.

Question 76

A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate. The client reports that she is experiencing difficulty breathing. Which of the following actions should the nurse take first?

• Discontinue the infusion.
• Assess the fetal heart rate.
• Administer calcium gluconate.
• Obtain the client’s magnesium level.

Question 77

A nurse manager is developing a protocol for staff discipline. Which of the following actions should the nurse manager take when implementing this new protocol?

• Schedule disciplinary meetings at a time convenient for all parties.
• Inform staff about the purpose of the unit’s new processes.
• Take individual circumstances into account when determining consequences.
• Promote staff adherence to new processes using strong consequences.

Question 78

A nurse in an inpatient mental health facility is caring for a client who is experiencing severe to panic-level anxiety. Which of the following actions should the nurse take to assist the client in coping?

• Increase environmental stimuli to decrease escalation of the client’s anxiety.
• Give the client 5 min alone to reset before intervening.
• Avoid opportunities for exercise in the plan of care.
• Repeat statements when speaking to the client.

Question 79

A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which of the following factors places the client at risk for aspiration?

• A history of gastroesophageal reflux disease
• Sitting in high-Fowler’s position during the feeding
• Receiving a high-osmolarity formula
• A residual of 65 mL 1-hr postprandial

Question 80

A nurse is developing an in-service about personality disorders. Which of the following information should the nurse include when discussing borderline personality disorder?

• “The client is exceptionally clingy to others.”
• “The client might act seductively.”
• “The client exhibits impulsive behavior.”
• “The client is overly concerned about minor details.”

Question 81

A nurse is caring for a child who has cystic fibrosis and requires postural drainage. Which of the following actions should the nurse take?

• Administer a bronchodilator after the procedure.
• Perform the procedure twice each day.
• Hold hand flat to perform percussions on the child.
• Perform the procedure prior to meals.

Question 82

A nurse is providing teaching to a client about advance directives. Which of the following information should the nurse include in the teaching?

• “Advance directives are only created after age 60.”
• “You must choose a family member to be your health care proxy.”
• “A lawyer will need to confirm your advance directives.”
• “You can modify your advance directives at any time.”

Question 83

A nurse is providing teaching to a client who has a new prescription for warfarin. Which of the following information should the nurse include in the teaching?

• “Use an electric razor when shaving while taking this medication.”
• “Avoid taking this medication with milk products.”
• “Take a dose of the medication every 5 minutes for a maximum of three doses.”
• “This medication can cause hearing loss.”

Question 84

A nurse is assessing a client who has a brain tumor and is receiving palliative care. Which of the following findings indicates the nurse should administer pain medication?

• Mottled skin
• Constricted pupils
• Restlessness
• Cheyne-Stokes respirations

Question 85

A nurse is reviewing the medical record of a male client who has schizophrenia and is taking clozapine. Which of the following findings should the nurse identify as a contraindication to the administration of clozapine?

• Heart rate 58/min
• Hgb 12.5 g/dL (14 to 18 g/dL)
• Absolute neutrophil count 1,300/mm³ (2,500 to 8,000/mm³)
• Fasting blood glucose 124 mg/dL (70 to 110 mg/dL)

Question 86

A nurse is providing preoperative teaching for a client who is scheduled for an abdominal surgery and is at risk for deep-vein thrombosis. Which of the following instructions should the nurse include?

• Remain in bed for 48 hr following surgery.
• Avoid crossing your legs while in bed.
• Place a pillow under your knees when resting in bed.
• Check your pulse rate before and after performing leg exercises.

Question 87

A nurse is providing teaching to a client who has rheumatoid arthritis and reports increased joint pain. Which of the following instructions should the nurse include?

• “Apply cold packs to your joints for 20 min when they are inflamed.”
• “Perform range-of-motion exercises twice per day.”
• “Maintain a low-protein diet to decrease joint inflammation.”
• “Sleep with a pillow under your knees to promote comfort.” RN Comprehensive Predictor 2026

Question 91

The nurse is educating the client on the provider’s prescription. Which of the following statements should the nurse include in the teaching? Select all that apply.

• The provider may adjust the dosage every 3 to 6 weeks depending on your body’s response.
• A common adverse effect of this medication is a rapid heart rate.
• You can stop the medication once laboratory results are within the expected reference range.
• You should take this medication with meals.
• This medication may be taken with an antacid.
• Your thyroid-stimulating hormone levels will be rechecked in 6 to 8 weeks.

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Question 91

The nurse is educating the client on the provider’s prescription. Which of the following statements should the nurse include in the teaching? Select all that apply.

• The provider may adjust the dosage every 3 to 6 weeks depending on your body’s response.
• A common adverse effect of this medication is a rapid heart rate.
• You can stop the medication once laboratory results are within the expected reference range.
• You should take this medication with meals.
• This medication may be taken with an antacid.
• Your thyroid-stimulating hormone levels will be rechecked in 6 to 8 weeks.

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Question 92

The nurse has reviewed the Nurses’ Notes and Vital Signs for 4 weeks later at 0900. The nurse is evaluating the effectiveness of the treatment. Which of the following findings indicate that the treatment has been effective? Select the 3 findings that indicate that the treatment has been effective.

• Gastrointestinal findings
• Hair assessment
• Edema
• Skin findings
• Heart rate

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Question 93

A nurse on a mental health unit is planning room assignments for four clients. Which of the following clients should the nurse assign to a room near the nurses’ station?

• A client who has an anxiety disorder and is experiencing moderate anxiety
• A client who has bipolar disorder and impaired social interactions
• A client who has a depressive disorder and reports feeling hopeless
• A client who has a somatic symptom disorder and reports chronic pain

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Question 94

The nurse has reviewed the Nurses’ Notes and Vital Signs. Which of the following findings should the nurse report to the provider? Select all that apply.

• Fatigue
• Constipation
• Muscle aches and weakness
• Thinning hair
• Gaining weight
• Facial edema
• Heart rate 58/min

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Question 95

The nurse is reviewing the client’s laboratory results. Which of the following results are consistent with the client’s manifestations? Select all that apply.

• Thyroid-stimulating hormone 8 mU/L
• Free thyroxine 0.7 ng/dL
• Cholesterol 210 mg/dL
• HDL 70 mg/dL
• LDL 148 mg/dL

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Question 96

The nurse is evaluating the effectiveness of the treatment (levothyroxine) 4 weeks later. For each clinical finding, specify if the finding indicates that the treatment has been effective, ineffective, or has no change.

• Stooling pattern: Effective (Improved from constipation/hypoactive bowel sounds to stooling once per day)
• Heart rate: Effective (Increased from 58/min to 68/min)
• Facial edema: Effective (Facial edema decreased and peripheral edema resolved)
• Skin and hair findings: No change (Skin remains cool and dry; hair remains dry and coarse)
• Weight: Effective (Weight decreased from 76 kg to 75 kg)

Question 174

A nurse is caring for a client who is recovering from knee surgery. Which of the following statements should the nurse document in the client’s medical record?

• The client ate 75% of each meal—breakfast, lunch, and dinner—the past 3 days.
• The client has been receiving physical therapy every day and has shown a great deal of progress.
• The client has been educated about cleaning the incision and seems happy to be able to take a shower.
• The client’s knee incision is not draining any fluid and is healing well.

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Question 175

A nurse is performing discharge teaching with a client who has leukemia. Which of the following client statements indicates an understanding of the teaching?

• “I can change my cat’s litter box every day.”
• “I can continue gardening in my yard.”
• “I will clean my toothbrush with an alcohol-based mouthwash.”
• “I will avoid blowing my nose when I feel congested.”

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Question 176

A nurse is caring for a client who asks about risk factors for Alzheimer’s disease. Which of the following responses should the nurse make?

• “Asthma has been identified as a risk factor for Alzheimer’s disease.”
• “There are no known genetic mutations that cause Alzheimer’s disease.”
• “A history of head trauma increases the risk for Alzheimer’s disease.”
• “A diet high in carbohydrates increases the risk for Alzheimer’s disease.”

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Question 177

A nurse is performing a home safety assessment on a client who has a hip fracture. Which of the following observations should the nurse identify as a safety hazard?

• Magazines are stacked neatly on the stairs.
• Stair carpeting is attached with carpet tacks.
• End tables are secured to the wall.
• Nonessential items are stored in drawers.

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Question 178

A nurse is preparing to administer medication to a client. Which of the following actions should the nurse take?

• Document administration of the client’s routine medications at the beginning of the shift.
• Use two identifiers to verify the client’s identity.
• Check the label of the medication twice prior to administration.
• Ensure the medication is administered within 3 hr of the scheduled time.

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Question 179

A nurse is reviewing home care with a client who has multiple sclerosis. Which of the following precautions should the nurse recommend to promote client safety?

• Implement a rigorous range-of-motion exercise plan.
• Use a cane for support while walking.
• Avoid the use of orthotics.
• Walk with feet close together for stability.

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Question 180

A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider?

• Contractions lasting 80 seconds
• Early decelerations in the FHR
• FHR baseline 170/min
• Temperature 37.4°C (99.3°F)