Question

A home care nurse is making a follow-up visit with a client who has COPD and is using a compressed oxygen system in his home. Which of the following actions should the nurse take?

Answer 1

Correct Answers:

Place the oxygen tank away from curtains or drapes.

Rationale :

🧯Flammable materials such as curtains can easily ignite if placed near a compressed oxygen source.

🔥Oxygen supports combustion, so even a small spark near flammable objects may cause a fire.

🪑Keeping the oxygen system away from drapes or fabrics minimizes risk of accidental ignition.

🚪Proper placement of oxygen tanks is a key aspect of home safety education in clients with COPD.

📌Core Message

In clients with COPD using oxygen, maintaining oxygen tank safety involves avoiding flammable surroundings to prevent combustion hazards.

Answer 2

Correct Answers

Blank 1 Correct Option: spontaneous abortion
Blank 2 Correct Option: cervical dilation

Rationale :

👶Spontaneous abortion refers to a pregnancy loss occurring before 20 weeks of gestation.

🧪Cervical dilation in the presence of bleeding strongly indicates an inevitable miscarriage.

📉The client’s HCG level is still elevated, but that does not rule out a spontaneous abortion.

🔬A history of infections may contribute, but current cervical changes are the most significant sign.

📌Core Message

In early pregnancy, spontaneous abortion is suspected when cervical dilation occurs with vaginal bleeding.

Answer 3

Correct Answers

Exudate on pharynx [ Acute Streptococcal Pharyngitis ]
Fever [ Epiglottitis ; Respiratory Syncytial Virus ; Acute Streptococcal Pharyngitis ]
Tachypnea [ Respiratory Syncytial Virus ]
Hypoxia [ Respiratory Syncytial Virus ]
Drooling [ Epiglottitis ]
Wheezing upon auscultation [ Respiratory Syncytial Virus ]

Rationale :

👅Exudates are classic for streptococcal pharyngitis, often presenting with sore throat and white patches.

🌡️Fever is a nonspecific symptom but commonly appears in all three infections due to inflammation.

💨Tachypnea and wheezing suggest lower respiratory tract involvement, typical in RSV.

💧Drooling and inability to swallow are hallmark signs of epiglottitis, a true airway emergency.

📌Core Message

Accurate classification of pediatric respiratory symptoms aids in differentiating RSV, strep throat, and epiglottitis to guide urgent care

Answer 4

Correct Answers

Blank 1 Correct Option: a change in mood
Blank 2 Correct Option: decreased night vision

Rationale :

🧠Isotretinoin can cause serious neuropsychiatric side effects, including mood changes and suicidal ideation.

👁️Decreased night vision is a known adverse effect due to vitamin A derivative toxicity.

💊The medication is potent and should be used under strict monitoring, especially in adolescents.

📞Any report of mental status changes or vision problems requires immediate provider notification.

📌Core Message

During isotretinoin therapy, adolescents must report mood changes or vision loss due to risk of psychiatric and ocular toxicity.

Answer 5

Correct Answers

Blank 1 Correct Option: opioid intoxication
Blank 2 Correct Option: pupil characteristics

Rationale :

🌀Opioid intoxication presents with depressed respiratory rate, altered mental status, and miosis (pinpoint pupils).

👁️Pupil constriction is a specific sign of opioid use, especially when seen with CNS depression.

💤The client was found unresponsive and required naloxone, indicating opioid overdose.

💉Presence of a needle and rapid response to naloxone supports the diagnosis of opioid intoxication.

📌Core Message

Opioid intoxication is identified by miosis and CNS depression, requiring prompt naloxone reversal.

Answer 6

Correct Answers:

Social worker

Rationale :

💸Social workers assist with resource access, including financial help and medication affordability.

📞They help connect clients to assistance programs like Medicaid, prescription discount plans, or nonprofit aid.

🏥This aligns with the nursing goal of promoting treatment adherence through interprofessional collaboration.

🤝Involving the social worker early supports the client’s long-term management and health outcomes.

📌Core Message

For clients unable to afford medications, the social worker helps access financial assistance and promotes medication adherence.

Answer 7

Correct Answers:

Speak in a neutral tone when addressing the client.

Rationale :

🗣️Clients with paranoid personality disorder are often suspicious and may misinterpret tone or expression.

🤐Using a neutral, consistent tone promotes trust and decreases potential for misinterpretation.

💬Clear communication helps the client feel respected and less threatened.

📘Therapeutic communication is essential for managing psychotic features without triggering defensive behavior.

📌Core Message

When caring for clients with paranoid personality disorder, use a neutral tone to support trust and therapeutic interaction.

Answer 8

Correct Answers

Blank 1 Correct Option: antibiotic prescription
Blank 2 Correct Option: WBC count
Blank 3 Correct Option: temperature

Rationale :

🧬A rising WBC count and elevated temperature suggest postoperative infection following colon resection.

🌡️Fever on Day 3 with increased leukocytosis indicates the body is mounting an immune response.

💉A prescription for antibiotics is indicated to prevent worsening infection or sepsis.

🩺Monitoring for complications such as anastomotic leak is critical in the post-surgical period.

📌Core Message

Rising WBC count and temperature post-surgery warrant antibiotic therapy to address potential infection.

Answer 9

Correct Answers:

"Plan to urinate every 3 hours while you are awake."

Rationale :

🕒Scheduled voiding every 2–3 hours helps retrain the bladder’s reflexes and reduce incontinence episodes.

🚽Urge incontinence involves sudden bladder contractions, so timing voids prevents accidents.

⏱️This approach gradually increases the bladder’s capacity and control.

💧Clients should not severely restrict fluids, as this can cause dehydration and irritation.

📌Core Message

To manage urge urinary incontinence, encourage scheduled voiding every few hours to build bladder control.

Answer 10

Correct Answers

Blank 1 Correct Option: pneumonia
Blank 2 Correct Option: shallow breathing
Blank 3 Correct Option: lack of incentive spirometer use

Rationale :

💤Shallow breathing limits lung expansion, increasing risk for atelectasis and pneumonia.

💁‍♂️Post-op preschoolers may avoid deep breathing due to pain, especially without incentive spirometer use.

⚠️This leads to hypoventilation, secretion buildup, and lung infection risk.

📉While bowel sounds and tenderness are expected, respiratory compromise is more urgent in pneumonia risk.

📌Core Message

Post-op shallow breathing and no incentive spirometry put preschoolers at high risk for pneumonia.

RN Comprehensive Predictor 2023 - September 2025 Exam-2

No.

1 :
A home care nurse is making a follow-up visit with a client who has COPD and is using a compressed oxygen system in his home. Which of the following actions should the nurse take?

2 :
A nurse is caring for a client at the clinic.

Correct Answers

3 :
A nurse is caring for an 18-month-old toddler in the emergency department.

Correct Answers

4 :
A nurse is caring for an adolescent in the outpatient dermatologist' office.

Correct Answers

5 :
A nurse is caring for a client in the emergency department.

Correct Answers

6 :
A nurse is doing discharge planning for a client who reports being unable to afford their medication. For which of the following interprofessional team members should the nurse schedule a referral?

7 :
A nurse is creating a plan of care for a client who has paranoid personality disorder and refuses to take their medication. Which of the following interventions should the nurse include in the plan?

8 :
A nurse is caring for a client on the medical-surgical unit.

Correct Answers

9 :
A nurse is initiating bladder retraining for a client who has urge urinary incontinence. Which of the following instructions should the nurse give the client?

10 :
A nurse on a pediatric unit is caring for a preschooler who is postoperative following an appendectomy.

Correct Answers

Assessment Findings	Epiglottitis	Respiratory Syncytial Virus	Acute Streptococcal Pharyngitis
Exudate on pharynx
Fever
Tachypnea
Hypoxia
Drooling
Wheezing upon auscultation

RN Comprehensive Predictor 2023 - September 2025 Exam-2

No.

1 : A home care nurse is making a follow-up visit with a client who has COPD and is using a compressed oxygen system in his home. Which of the following actions should the nurse take?

2 : A nurse is caring for a client at the clinic.

Correct Answers

3 : A nurse is caring for an 18-month-old toddler in the emergency department.

Correct Answers

4 : A nurse is caring for an adolescent in the outpatient dermatologist' office.

Correct Answers

5 : A nurse is caring for a client in the emergency department.

Correct Answers

6 : A nurse is doing discharge planning for a client who reports being unable to afford their medication. For which of the following interprofessional team members should the nurse schedule a referral?

7 : A nurse is creating a plan of care for a client who has paranoid personality disorder and refuses to take their medication. Which of the following interventions should the nurse include in the plan?

8 : A nurse is caring for a client on the medical-surgical unit.

Correct Answers

9 : A nurse is initiating bladder retraining for a client who has urge urinary incontinence. Which of the following instructions should the nurse give the client?

10 : A nurse on a pediatric unit is caring for a preschooler who is postoperative following an appendectomy.

Correct Answers

1 :
A home care nurse is making a follow-up visit with a client who has COPD and is using a compressed oxygen system in his home. Which of the following actions should the nurse take?

2 :
A nurse is caring for a client at the clinic.

3 :
A nurse is caring for an 18-month-old toddler in the emergency department.

4 :
A nurse is caring for an adolescent in the outpatient dermatologist' office.

5 :
A nurse is caring for a client in the emergency department.

6 :
A nurse is doing discharge planning for a client who reports being unable to afford their medication. For which of the following interprofessional team members should the nurse schedule a referral?

7 :
A nurse is creating a plan of care for a client who has paranoid personality disorder and refuses to take their medication. Which of the following interventions should the nurse include in the plan?

8 :
A nurse is caring for a client on the medical-surgical unit.

9 :
A nurse is initiating bladder retraining for a client who has urge urinary incontinence. Which of the following instructions should the nurse give the client?

10 :
A nurse on a pediatric unit is caring for a preschooler who is postoperative following an appendectomy.