Comprehensive Predictor 2026 V.1

Client has a history of type two diabetes mellitus and hypertension. Client admitted for pneumonia. Client reports occasional productive, cough, headache, and raise their pain as a four on a scale of 0 to 10. Respirations are even and non-labored.

The nurse should first address the client's ___ followed by the client's ___

- Capillary glucose

- Blood pressure

Client admitted to the ED with reports of crushing chest pain, shortness of breath, and nausea and vomiting. Client reports symptoms began approximately 45 minutes ago while eating breakfast. A 12 lead ECG performed and showed ST segment elevation in three leads. (SATA)

A. Heparin

B. Digoxin

C. Aspirin

D. Morphine

E. Dopamine

A. Heparin

C. Aspirin

D. Morphine

1400- client is admitted for the management of deep vein thrombosis of the lower extremity.

Select the three statements that the nurse should make. (SATA)

A. "pinch up a skin area before injection"

B. " expel the air bubble in the syringe before administration."

C. " inject the medication in your upper arm muscle."

D. "rotate injection sites"

E. "inject the medication at a 90° angle"

F. "Rub the injection area after administration."

A. "pinch up a skin area before injection."

D. " rotate injection sites."

E. " inject the medication at a 90° angle."

A nurse is teaching a class about administrating IV fluids to treat dehydration. Which of the following findings should the nurse include in the teaching as an indicator of effective treatment of dehydration

Moist mucous membranes

A nurse is teaching a client who has a new prescription for Gemfibrozil. Which of the following findings should the nurse instruct the client to report as an adverse effect of the medication?

Epigastric pain

A nurse is reviewing the medical record for a client who has a new prescription for Phenytoin. Which of the following statements from the medical record should the nurse identify as a contradiction for the administration of Phenytoin?

The client has a history of sinus bradycardia

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

"the TPN will provide nutrients while your bowels have time to rest."

A nurse is providing discharge teaching to a client who has a new prescription for enoxaparin. Which of the following instructions should the nurse include?

Monitor your skin for bruising

A nurse is providing discharge teaching to a client who has diabetes mellitus and a new prescription for regular and NPH insulin. Which of the following statements by the client indicates an understanding of the teaching?

"I will inject air into both vials before pulling up the insulin into the syringe."

A nurse is preparing to administer phenytoin IV to a client who had a tonic colonic seizure. Which of the following actions should the nurse plan to take?

Discard the medication if it appears cloudy

A nurse is caring for a client who is receiving phenytoin. Which of the following conditions should the nurse identify as an indication for this medication?

Status Epilepticus

A nurse is caring for a client who has hypertension and a new prescription for lisinopril. The nurse should consult with the provider about a contradiction for which of the following medication in the client's medication administration record?

Potassium chloride

A nurse is reviewing new prescriptions for a group of clients. Which of the following prescriptions should the nurse clarify with the provider?

Clozapine 12.50 mg PO daily

A nurse is caring for a client who has Parkinson's disease and a new prescription for levodopa. The nurse should identify which of the following medication's can interact with levodopa and cause a life-threatening complication?

Phenelzine

A nurse is reconciling the medication's for a client who was newly admitted for management of mania. Which of the following prescription should the nurse clarify with the provider?

Risperidone, 3.0 mg PO daily

A nurse is completing an incident report regarding a medication error. Which of the following team members should the nurse report the incident to first?

The clients provider

A nurse is preparing to administer Methylergonovine to a client who is two hours postpartum and has a bogy fundus. Which of the following findings should the nurse identify as a contradiction to this medication?

BP 190/110 mm HG

A nurse is teaching a client who has a prescription for warfarin. Which of the following statements by the client indicates an understanding of the teaching?

"I should not take a St. John's wart supplement."

A nurse is reviewing the laboratory values of a client who is taking atorvastatin. Which of the following laboratory values indicates that the treatment has been effective?

Decreased LDL levels

A nurse is preparing to administer amphotericin B lipid complex via intermittent IV bonus to a client who has infective endocarditis. Which of the following actions should the nurse take?

Administer the medication over 2 hours

A nurse is teaching a client how to self administer insulin. The client has a prescription for five units of NPH insulin and 15 units of regular insulin. Identify the sequence in which the nurse should perform the following steps.

- inject 15 units of air into the regular vial of insulin

- withdraw five units of medication from the NPH insulin vial

- withdraw 15 units of medication from the regular insulin vial

- inject five units of air into the NPH insulin vial

1. Inject five units of air into the NPH insulin vial

2. Inject 15 units of air into the regular insulin vial

3. Withdraw 15 units of medication from the regular insulin vial

4. Withdraw five units of medication from the NPH insulin vial

A nurse is caring for a client who is receiving furosemide IV every 6 hours. Which of the following new prescriptions should the nurse recognize as a potential interaction?

Ibuprofen

A nurse is providing discharge teaching to a client who will receive TPN at home. Which of the following information should the nurse include?

Instruct the client to weigh themselves daily and record their weight

A nurse is preparing to administer amlodipine to a client. Which of the following vital signs should the nurse assess before administration?

Blood pressure

A nurse is teaching a client caregiver about how to administer an otic medication to the client. Which of the following statements by the caregiver indicates an understanding of the teaching?

"I will pull the top of the ear up and back before I give the drops."

A nurse is assessing a client prior to administering furosemide. For which of the following findings, should the nurse withhold the medication and contact the provider?

Inverted T waves on the ECG

A nurse receives a verbal order for a client to receive digoxin. Which of the following entries should the nurse document in the client's medical record?

Date, time, digoxin 0.25 mg by mouth daily, VO, provider, nurse

A nurse is caring for a client who is receiving morphine via a PCA pump. The nurse should monitor for which of the following as adverse effects of this medication? (SATA)

A. Tachycardia

B. Sedation

C. Hypotension

D. Hyperthermia

E. Bradypnea

B. Sedation

C. Hypotension

E. Bradypnea

A nurse is reviewing the medical record of a client who is taking clozapine. Which of the following fine should the nurse report to the provider immediately?

WBC count 2,500/mm3 (5000 to 10,000/mm3)

A nurse is monitoring a client who is receiving diazepam for moderate sedation. The nurse should monitor the client for which of the following adverse effects?

Respiratory depression

A nurse is providing instruction to a client who has chronic asthma and new prescription for prednisone. For which of the following adverse effects should the nurse instruct the client to monitor?

Signs of infection

A nurse is preparing to administer Topiramate 25mg PO capsules BID to a client who has difficulty swallowing. Which of the following actions should the nurse take?

Mix the contents of the capsule into a spoonful of soft food for the client to swallow

A nurse in an emergency department is caring for a client who was experiencing severe dyspnea and wheezing following a bee sting. After administering epinephrine, the client is still experiencing manifestations. Which of the following medications should the nurse plan to administer?

Albuterol

A nurse is reviewing the laboratory results of a client who was taking simvastatin. Which of the following laboratory values should the nurse report to the provider?

Increased alkaline phosphatase

A nurse is caring for a client who has diabetes mellitus and is taking pioglitazone. The nurse should plan to monitor the client for which of the following adverse effects?

Fluid retention

A nurse is assessing a client who takes prescribed daily aspirin. Which of the following findings indicates salicylism?

Tinnitus

A client who has Graves disease is prescribed methimazole. Which of the following effects should the nurse expect to see after the client is taking the medication for two months?

Increase sleeping

A nurse is administering desmopressin to a client who has diabetes insipidus. The nurse should monitor the client for which of the following adverse effects?

Fluid retention

A nurse is caring for a client whose current bag of TPN has finished infusing, and the next bag is not yet available. Which of the following fluids should the nurse prepare to administer?

Dextrose 10% in water

A nurse is caring for a client who has been taking sumatriptan for several months. Which of the following statements by the client indicates a therapeutic response to the medication.

"my migraine headaches do not last nearly as long."

A nurse is caring for a client who is 12 hours postoperative following abdominal surgery and has received hydromorphone for pain. The nurse knows that the clients respiratory rate is 10 breaths per minute. Which of the following prescribed medication should the nurse anticipate administering to this client?

Naloxone

A nurse is assessing a client who is receiving a dose of IV amphotericin B. Which of the following findings should indicate to the nurse that the client is experiencing an acute infusion reaction?

Fever

A nurse is preparing to administer metoprolol to a client. Which of the following vital signs should the nurse assess before administration

Heart rate

A nurse in a clinic is assessing a 60 year-old client at an annual examination. The client asked the nurse about receiving a shingles immunization. The nurse should identify that which of the following medications prescribed to the client indicates this vaccine should be used only with caution?

Methotrexate

A nurse is evaluating the response of a client who received twice the prescribed dose of digoxin. Which of the following actions should the nurse take first?

Obtain the clients vital sign

A nurse is reviewing the medical record of a client who has been taking lithium. Which of the following findings should the nurse notify to provide provider of immediately?

Seizures

A nurse is preparing to administer NPH insulin and regular insulin in the same syringe for a client. Which of the following actions should the nurse take?

Withdraw the regular insulin from the vial into the syringe first

A nurse is teaching a client who has a prescription for Ferrous gluconate. Which of the following statements by the client indicates an understanding of the teach teaching?

" I should stay upright for at least 15 minutes after taking this medication."

A nurse is caring for a client who has diabetes mellitus and is experiencing burning and tingling in their feet. Which of the following medication should the nurse expect to administer?

Gabapentin

A nurse is teaching a client who has active pulmonary tuberculosis about management of medication for the disease. Which of the following statements is appropriate for the nurse to make?

"you will need to take two or more medication's to treat your disease."

A nurse is reviewing the medical record of a client who just received a dose of IV filgrastim. The client has cancer and is receiving cytotoxic chemotherapy. For which of the following findings should the nurse complete an incident report?

The client had chemotherapy 12 hours before the medication was administered

A nurse is caring for a client who has acute heart failure, and is receiving furosemide via IV bolus. The nurse should identify that which of the following findings indicates that the therapy has been effective?

Decreased weight

A nurse is receiving the laboratory results of a client who received a dose of sodium polystyrene sulfonate. Which of the following labs should the nurse monitor to evaluate if the medication has been effective?

Potassium

A nurse is monitoring a client who is receiving a vesicant for chemotherapy via IV infusion's the client has developed extravasation. Identify the sequence of steps the nurse should take.

- disconnect the IV tubing from the IV hub

- elevate the affected extremity

- stop the infusion

- aspirate the medication from the clients IV catheter

- stop the infusion

- disconnect the IV tubing from the IV hub

- aspirate the medication from the clients IV catheter

- elevate the affected extremity

A nurse is administering medication's to a client and mistakenly gives hydroxyzine instead of hydralazine. For which of the following adverse effects should the nurse monitor for the client?

Sedation

A nurse is assessing a client who has hypokalemia and a new prescription for potassium chloride. Which of the following findings should the nurse report to the provider?

Peaked T-waves on clients cardiac rhythm strip

A nurse is preparing an educational training session about collaborating with the provider to prevent medication errors. Which of the following information should the nurse include in the teaching?

"providers should cosign all verbal prescriptions"

A nurse is caring for a client who has major depression and a new prescription for citalopram. Which of the following adverse effects is the priority for the nurse to report to the provider

Confusion

A nurse is caring for a client who has received an albuterol nebulization treatment. Which of the following findings should the nurse instruct the client to observe as an adverse effect of this medication?

Tremors

A nurse is assessing a client who is taking the disulfiram and consumed alcohol. Which of the following findings is the priority for the nurse to report to the provider?

Hypotension

A nurse is reviewing the laboratory report of a client who has bipolar disorder prior to the administration of lithium carbonate. The clients lithium level is 2.6 mEq/L (0.8-1.2 mEq/L). Which of the following actions should the nurse take?

Prepare the client for hemodialysis

A nurse is providing teaching to a client who has a new prescription for paroxetine. The nurse should instruct the client to monitor for which of the following adverse effects?

Drowsiness

A nurse is caring for a client who has a respiratory infection and is receiving an antibiotic. Which of the following medications puts the client at risk for developing hearing loss.

Gentamicin

A nurse is caring for a client who is 6 hours postoperative following an open reduction internal fixation to the left hip. The nurse should use which of the following routes to administer pain medication?

Intravenous

A nurse is teaching a client who has pernicious anemia to self administer nasal cyanocobalamin. Which of the following information should the nurse include in the teaching?

"administer the medication into one nostril once per week"