Question

A nurse is providing nutrition teaching for a client who has hypertension. Which of the following foods should the nurse suggest the client include in their diet?

Answer 1

Correct Answers:

Turkey

Rationale :

🔵 Turkey is generally a lean protein choice and is lower in saturated fat than many processed or high-fat meats.

🔵 For a client with hypertension, the nurse should encourage foods that support heart health and help reduce cardiovascular risk.

🔵 Lean meats such as turkey can fit well into a diet such as the DASH diet, which is commonly recommended for blood pressure control.

🔵 Choosing lower-fat protein sources helps decrease excess intake of sodium, cholesterol, and saturated fat when compared with many processed fast foods.

🔵 For this reason, turkey is the best food choice for a client who has hypertension.

Red meat

🔵 Red meat is often higher in saturated fat, which can contribute to cardiovascular disease.

🔵 Clients with hypertension are usually encouraged to limit high-fat meats and choose leaner protein sources instead.

Pizza

🔵 Pizza is commonly high in sodium, saturated fat, and processed ingredients.

🔵 Excess sodium intake can worsen high blood pressure and increase fluid retention.

Black tea

🔵 Black tea contains caffeine, which can temporarily raise blood pressure in some individuals.

🔵 It is not the best dietary recommendation when the question is asking for a helpful food to include for hypertension management.

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Answer 2

Correct Answers:

"Let's talk about your mom's cancer and how things will progress from here."
“You sound like you have questions about your mom dying. Let's talk about it."
"Tell me how you are feeling about your mom dying."

Rationale :

"Let's talk about your mom's cancer and how things will progress from here.":

🟣 This response is therapeutic because it opens the door to a honest, supportive discussion about the client’s condition and expected progression.

🟣 Family members often need clear information to help them cope and communicate effectively with their loved one.

🟣 By inviting discussion, the nurse encourages anticipatory guidance and emotional preparation.

🟣 This response avoids false reassurance and promotes understanding of the hospice process.

🟣 Therefore, this is an appropriate nursing response.

"You sound like you have questions about your mom dying. Let's talk about it.":

🟣 This statement acknowledges the daughter’s concern and uses therapeutic communication to encourage expression.

🟣 It validates her feelings without judgment and invites further conversation.

🟣 The nurse is helping the daughter process fear and uncertainty in a supportive way.

🟣 Open-ended therapeutic responses are appropriate when families are coping with end-of-life issues.

🟣 For this reason, this response is appropriate.

"Tell me how you are feeling about your mom dying.":

🟣 This response encourages the daughter to explore and verbalize her emotions, which is an important part of coping.

🟣 It is open-ended, supportive, and centered on the daughter’s emotional needs.

🟣 Allowing family members to express grief, fear, or sadness can reduce anxiety and improve communication.

🟣 The nurse is not giving advice too quickly but instead facilitating healthy emotional expression.

🟣 Therefore, this is an appropriate response.

"Tell her not to worry. She still has plenty of time left."

🟣 This response offers false reassurance, which is not therapeutic.

🟣 The nurse should not make promises or assumptions about how much time the client has left.

"Hospice will take good care of your mom, so I wouldn't worry about that."

🟣 This response minimizes the daughter’s feelings by telling her not to worry.

🟣 Therapeutic communication should acknowledge concerns and invite discussion rather than dismiss emotional distress.

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Answer 3

Correct Answers:

Pertussis positive (expected: negative)

Rationale :

💠 Pertussis is a communicable disease that is reportable to public health authorities because of its potential for outbreak and transmission.

💠 Reporting allows the health department to conduct surveillance, contact tracing, and prevention efforts.

💠 Early reporting is especially important because pertussis can be severe, particularly in infants and vulnerable populations.

💠 Community protection depends on timely identification and public health follow-up.

💠 Therefore, a positive pertussis result should be reported to the local health department.

Herpes simplex virus I positive (expected: negative)

💠 Herpes simplex virus type 1 is not typically a routinely reportable communicable disease in this context.

💠 Although it is infectious, it does not usually require mandatory reporting to the health department like pertussis.

Rotavirus positive (expected: negative)

💠 Rotavirus can cause gastrointestinal illness, but it is not the best answer among these options for routine local health department reporting.

💠 In this setting, pertussis is the more clearly recognized reportable disease.

Group A beta-hemolytic streptococcus positive (expected: negative)

💠 Group A beta-hemolytic streptococcus infections are clinically important, but they are not generally reportable in the same routine public health manner as pertussis.

💠 The nurse should prioritize reporting the infection with stronger outbreak-control implications.

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Answer 4

Correct Answers:

“I will drink half of a cup of fruit juice when I feel shaky and weak."

Rationale :

🔶 Feeling shaky and weak can indicate hypoglycemia, which requires prompt treatment with a fast-acting carbohydrate.

🔶 Half a cup (4 oz) of fruit juice is an appropriate source of quick sugar to raise the blood glucose level.

🔶 This follows the standard teaching for managing mild hypoglycemia in conscious clients.

🔶 After treatment, the client should recheck glucose if possible and follow up with another snack if needed.

🔶 Therefore, this statement shows correct understanding of diabetes self-management teaching.

"I will soak my feet in water before applying lotion between my toes."

🔶 Clients with diabetes should not soak their feet, because soaking can dry and damage the skin.

🔶 Lotion should also not be applied between the toes, since excess moisture there can promote infection.

"I will only go without socks and shoes when I am in my home."

🔶 Clients with diabetes should avoid going barefoot, even inside the home.

🔶 Walking without socks or shoes increases the risk for unnoticed injury and foot ulcers.

"I will skip a snack if I'm not hungry after lunch."

🔶 Clients taking insulin may need planned meals and snacks to avoid hypoglycemia.

🔶 Skipping a snack without considering insulin timing or blood glucose can be unsafe.

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Answer 5

Correct Answers:

"Wash your feet daily with warm water and soap."
"Alternate the shoes you wear each day."
“Apply synthetic fabric socks."

Rationale :

"Wash your feet daily with warm water and soap."

✅ Clients with diabetes should wash their feet daily to reduce dirt, bacteria, and risk of infection.

✅ The water should be warm, not hot, because diabetic neuropathy may reduce the ability to sense temperature accurately.

✅ Gentle cleansing helps maintain skin integrity and promotes early recognition of cuts, redness, or swelling.

✅ Clean feet are an essential part of preventing ulcers and complications.

✅ Therefore, washing the feet daily with warm water and soap is correct teaching.

"Alternate the shoes you wear each day."

✅ Alternating shoes helps reduce pressure points and allows shoes to dry out fully between uses.

✅ This can help prevent skin breakdown, irritation, and moisture buildup.

✅ Clients with diabetes are at higher risk for foot injury and infection, so footwear care is very important.

✅ Wearing different shoes also gives the client an opportunity to inspect each pair for rough seams or foreign objects.

✅ Therefore, alternating shoes each day is an appropriate instruction.

"Apply synthetic fabric socks."

✅ Socks made from certain synthetic blends can help wick moisture away from the feet better than some other materials.

✅ Keeping the feet dry helps reduce friction, skin breakdown, and fungal growth.

✅ Proper socks should fit well, be clean, and avoid tight elastic bands that impair circulation.

✅ Moisture control is especially important for clients who have diabetes and may be prone to skin injury.

✅ Therefore, wearing appropriate synthetic fabric socks is a correct teaching point.

"Wear open-toe shoes."

✅ Clients with diabetes should wear closed-toe, well-fitting shoes to protect their feet from injury.

✅ Open-toe shoes expose the feet to trauma, cuts, and pressure injury.

"Soak your feet for 1 hour each day."

✅ Clients with diabetes should avoid prolonged foot soaking because it can dry and weaken the skin.

✅ Skin breakdown increases the risk of infection and ulcer formation.

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Answer 6

Correct Answers:

“I eat vegetables directly from the field where I work."

Rationale :

💎 Eating vegetables directly from the field may expose the client to pesticides, chemicals, soil contaminants, or infectious organisms if the produce has not been washed properly.

💎 Farmworkers can have increased occupational exposure to agricultural chemicals, making this practice a significant health risk.

💎 Unwashed produce may also carry bacteria or parasites from soil, animals, or contaminated irrigation sources.

💎 Safe food hygiene is essential in reducing both toxic and infectious exposure.

💎 Therefore, this statement indicates a possible health risk and requires further teaching.

"I wear a hat and long sleeves while I am working."

💎 Wearing a hat and long sleeves is a protective behavior that can reduce sun exposure and help limit skin contact with environmental irritants.

💎 This statement does not suggest a health risk; it reflects safe work habits.

"I am currently sharing my home with two roommates."

💎 Sharing a home with two roommates does not automatically indicate a health risk by itself.

💎 This statement would require more context before it could be considered unsafe.

"My home has running water and electricity."

💎 Having running water and electricity suggests that important basic living needs are being met.

💎 This does not indicate an immediate health risk and may actually support safer living conditions.

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Answer 7

Correct Answers

Red rash on the face [ Fifth disease (Erythema infectiosum) ; Measles (Rubeola) ; Rubella (German measles) ]
Fever [ Fifth disease (Erythema infectiosum) ; Measles (Rubeola) ; Rubella (German measles) ]
Lymphadenopathy [ Rubella (German measles) ]
Koplik spots in the mouth [ Measles (Rubeola) ]

Rationale :

Red rash on the face

Fifth disease (Erythema infectiosum)

🔵 Fifth disease classically causes a bright red rash on the face, often described as a “slapped-cheek” appearance.

🔵 This facial rash is one of the most recognizable findings of parvovirus B19 infection.

🔵 The rash may later spread to the trunk and extremities in a lacy pattern.

🔵 In children, the facial rash is often the feature that first draws attention to the illness.

🔵 For this reason, red rash on the face is correctly associated with fifth disease.

Measles (Rubeola)

🔵 Measles commonly begins with a red maculopapular rash that starts on the face.

🔵 The rash usually progresses downward from the face to the neck, trunk, and extremities.

🔵 This descending spread is a key feature of rubeola.

🔵 In the scenario, the infant has an erythematous facial rash with progression down the chest and upper arms, which supports measles.

🔵 Therefore, red rash on the face is also correctly linked to measles.

Rubella (German measles)

🔵 Rubella also produces a pink to red rash that often starts on the face before spreading downward.

🔵 The rash in rubella is typically finer and milder than the rash of measles.

🔵 Facial involvement is still a common and important early clue.

🔵 Because rubella begins with a facial rash and then spreads to the rest of the body, this finding can support rubella.

🔵 Therefore, red rash on the face is correctly associated with rubella as well.

Fever

Fifth disease (Erythema infectiosum)

🟣 Fifth disease may begin with a low-grade fever and mild upper respiratory symptoms before the rash appears.

🟣 The fever is usually not severe, but it can still be part of the illness presentation.

🟣 In children, early symptoms may resemble a mild viral infection.

🟣 This makes fever a possible supporting finding for erythema infectiosum.

🟣 Therefore, fever can correctly be associated with fifth disease.

Measles (Rubeola)

🟣 Measles is well known for causing fever, often along with cough, coryza, and conjunctivitis.

🟣 Fever commonly appears before or during rash development and can become quite high.

🟣 In this scenario, the infant had fever along with runny nose, cough, and Koplik spots, which strongly supports measles.

🟣 Fever is one of the major clinical findings used to identify measles infection.

🟣 For this reason, fever is correctly associated with measles.

Rubella

🟣 Rubella can also cause a low-grade fever, especially early in the illness.

🟣 The fever is usually milder than the fever seen with measles.

🟣 Even though it is often less severe, it still remains a recognized feature of German measles.

🟣 When combined with rash and lymphadenopathy, fever supports the rubella picture.

🟣 Therefore, fever is also correctly associated with rubella.

Lymphadenopathy-Rubella (German measles)

💠 Lymphadenopathy is a classic and important finding in rubella.

💠 Rubella commonly causes enlargement of the posterior auricular, occipital, and cervical lymph nodes.

💠 This feature helps distinguish rubella from some other childhood viral exanthems.

💠 In the scenario, the infant has generalized lymphadenopathy, which supports rubella more than the other listed conditions.

💠 Therefore, lymphadenopathy is correctly associated with rubella.

Koplik spots in the mouth-Measles (Rubeola)

🔶 Koplik spots are tiny white or bluish-white lesions on the buccal mucosa and are highly characteristic of measles.

🔶 These spots often appear before the skin rash and are considered an important early diagnostic clue.

🔶 In this infant’s case, the presence of small white spots in the buccal mucosa strongly supports measles.

🔶 Koplik spots are one of the most specific findings associated with rubeola.

🔶 Therefore, Koplik spots in the mouth are correctly associated with measles.

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Answer 8

Correct Answers:

Add water to the water seal chamber as it evaporates.
Mark the drainage output on the collection chamber.

Rationale :

Add water to the water seal chamber as it evaporates.

🔷 The water-seal chamber must contain the prescribed amount of sterile water to maintain an effective one-way seal.

🔷 This seal allows air to escape from the pleural space while preventing air from reentering the chest.

🔷 If water evaporates and the level drops too low, the drainage system may no longer function properly.

🔷 Maintaining the correct water level helps promote lung re-expansion and protects the client from complications such as pneumothorax.

🔷 For this reason, the nurse should add water to the water-seal chamber as it evaporates according to the manufacturer’s guideline.

Mark the drainage output on the collection chamber.

🔷The nurse should mark the drainage level on the collection chamber at regular intervals to monitor the amount and trend of drainage.

🔷This helps identify whether output is increasing, decreasing, or suddenly changing, which can signal improvement or complications.

🔷Accurate monitoring of chest tube drainage is essential for evaluating the client’s status after chest trauma or thoracic surgery.

🔷Marking the chamber also improves communication among caregivers by providing a visible record of fluid accumulation over time.

🔷Therefore, marking the drainage output on the collection chamber is an appropriate nursing intervention.

Maintain the collection chamber above the level of the client's waist.

🔷The collection chamber should be kept below the level of the client’s chest, not above the waist or chest level.

🔷Keeping the drainage system below the chest uses gravity to promote drainage and helps prevent backflow into the pleural space.

Clamp the chest tube every 2 hr to assess the amount of drainage.

🔷Chest tubes should not be clamped routinely, because clamping can cause pressure to build up in the pleural space.

🔷This can lead to a tension pneumothorax or impaired drainage, making the practice unsafe unless specifically prescribed for a brief purpose.

Strip the chest tube vigorously to dislodge blood clots.

🔷The nurse should not strip the chest tube vigorously, because this creates high negative pressure in the system.

🔷Excessive negative pressure can damage tissue and does not represent safe routine chest tube care.

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Answer 9

Correct Answers:

Instruct the client to perform diaphragmatic breathing.
Assess the client's breath sounds.
Perform chest percussion and vibration.

Rationale :

Instruct the client to perform diaphragmatic breathing.

🔴Diaphragmatic breathing helps improve ventilation by promoting deeper, more efficient breathing and reducing the work of accessory muscles.

🔴This technique is especially helpful for clients who have chronic obstructive pulmonary disease (COPD) manifestations such as wheezing, productive cough, dyspnea, and prolonged smoking history.

🔴It helps the client move air more effectively, decrease air trapping, and improve oxygenation when used along with pursed-lip breathing.

🔴Teaching controlled breathing techniques also helps reduce anxiety, which can worsen shortness of breath.

🔴Therefore, the nurse should include diaphragmatic breathing in the plan of care.

Assess the client's breath sounds.

🔴Ongoing assessment of breath sounds is essential to evaluate airway movement, mucus accumulation, and the client’s response to bronchodilator therapy.

🔴This client initially had crackles and wheezing, so the nurse needs continued auscultation to determine whether treatment is improving ventilation.

🔴Breath sound assessment can also help identify worsening obstruction, retained secretions, or other complications.

🔴Since the client received albuterol, oxygen, and ipratropium, reassessment is necessary to judge the effectiveness of these interventions.

🔴For this reason, the nurse should assess the client's breath sounds.

Perform chest percussion and vibration.

🔴Chest percussion and vibration help loosen and mobilize respiratory secretions, which is beneficial for a client with a productive cough.

🔴 This client has mucus production, wheezing, and crackles, all of which suggest retained secretions contributing to impaired airway clearance.

🔴Mobilizing secretions can make coughing more effective and improve gas exchange.

🔴These interventions are often useful when secretions are difficult to clear through coughing alone.

🔴Therefore, the nurse should include chest percussion and vibration in the plan of care.

Restrict the client's fluid intake.

🔴Clients with thick respiratory secretions usually benefit from adequate hydration, which helps thin mucus and makes it easier to expectorate.

🔴Restricting fluids can worsen secretion retention unless there is another condition requiring fluid limitation.

Increase oxygen flow rate to 4 L/min.

🔴The provider prescribed oxygen at 2 L/min via nasal cannula, and the client’s oxygen saturation improved from 87% to 92% with treatment.

🔴The nurse should not independently increase the oxygen flow above the prescribed rate without a new prescription or clear clinical indication.

Place the client in a supine position.

🔴 A supine position can make breathing more difficult by limiting chest expansion and promoting secretion pooling.

🔴 Clients with dyspnea usually breathe better in an upright or semi-Fowler’s position, which supports lung expansion.

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Answer 10

Correct Answers

Apply warm compresses to the incision site. [ Contraindicated ]
Place a blanket roll under the client's knees while in bed. [ Contraindicated ]
Maintain bed rest for 2 days postoperatively. [ Contraindicated ]
Administer enema to relieve constipation. [ Contraindicated ]
Irrigate indwelling urinary catheter as prescribed. [ Anticipated ]

Rationale :

Apply warm compresses to the incision site. — Contraindicated

✅After a perineal prostatectomy, the perineal incision is a sensitive surgical area, and warm compresses are not routinely applied to the incision site unless specifically prescribed for a later phase of healing.

✅Warmth to a fresh postoperative area can increase vasodilation, which may raise the risk of bleeding or swelling.

✅This client already has increasing perineal pain and urinary concerns, so interventions should focus on monitoring complications and protecting the surgical site.

✅Immediate postoperative care is aimed at preventing hemorrhage, maintaining drainage, promoting catheter patency, and avoiding unnecessary pressure or irritation to the perineum.

✅Therefore, applying warm compresses to the incision site is contraindicated for this client.

Place a blanket roll under the client's knees while in bed. — Contraindicated

✅Placing a blanket roll under the knees promotes venous stasis in the lower extremities.

✅This client has a history of deep vein thrombosis (DVT), which places the client at increased risk for another thrombotic event after surgery.

✅Postoperative clients should have interventions that support venous return, such as ambulation and avoiding prolonged knee flexion.

✅Flexing the knees for extended periods can slow blood flow and contribute to clot formation.

✅Therefore, placing a blanket roll under the client’s knees is contraindicated.

Maintain bed rest for 2 days postoperatively.— Contraindicated

✅Early ambulation is an important part of postoperative care because it reduces the risk of DVT, atelectasis, and constipation.

✅This client is already transferring independently, ambulating in the hallway, and showing no indication that strict bed rest is needed.

✅Continued bed rest would be especially unsafe given the client’s history of DVT.

✅Immobility also worsens bowel slowing, which is a concern because the client already has hard, painful bowel movements.

✅Therefore, an order to maintain bed rest for 2 days postoperatively would be contraindicated.

Administer enema to relieve constipation. — Contraindicated

✅After a perineal prostatectomy, the rectal area and perineal tissues are close to the surgical site, so rectal procedures such as enemas are generally avoided.

✅Enemas can place pressure on the operative area and may disrupt healing or increase discomfort.

✅This client does have constipation, but safer approaches include stool softeners, hydration, ambulation, and diet changes if prescribed.

✅Because the surgery involved the perineal region, rectal manipulation is particularly inappropriate.

✅Therefore, an order to administer an enema is contraindicated.

Irrigate indwelling urinary catheter as prescribed. — Anticipated

✅ Following a perineal prostatectomy, an indwelling urinary catheter is expected to maintain drainage and prevent urinary retention while the surgical area heals.

✅ This client reports bladder fullness, painful spasms, decreased urine output relative to intake, and small clots, which suggest possible impaired catheter drainage.

✅ Gentle catheter irrigation as prescribed helps maintain patency and prevent obstruction from clots or sediment.

✅ Restoring catheter flow can reduce bladder distention, relieve spasms, and protect the surgical site from pressure buildup.

✅ Therefore, irrigating the indwelling urinary catheter as prescribed is an anticipated order for this client.

Distractor Analysis :

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Potential Order	Anticipated	Contraindicated
Apply warm compresses to the incision site.
Place a blanket roll under the client's knees while in bed.
Maintain bed rest for 2 days postoperatively.
Administer enema to relieve constipation.
Irrigate indwelling urinary catheter as prescribed.

RN Comprehensive Predictor 2026

No.

1 :
A nurse is providing nutrition teaching for a client who has hypertension. Which of the following foods should the nurse suggest the client include in their diet?

2 :
A nurse is caring for a client who has cancer and is being transferred to hospice care. The client's daughter tells the nurse. "I'm not sure what to say to my mom if she asks me about dying." Which of the following responses by the nurse is appropriate? (Select all that apply.)

3 :
A nurse in a community clinic is reviewing the laboratory results for a group of clients. Which of the following laboratory results should the nurse report to the local health department?

4 :
A nurse is teaching a client who was recently diagnosed with type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?

5 :
A nurse is providing teaching about foot care to a client who has diabetes mellitus. Which of the following instructions should the nurse include? (Select all that apply.)

6 :
A nurse working in a health department is conducting a health screening for a group of farmworkers. Which of the following client statements indicates a possible health risk?

7 :
A nurse is caring for an infant in an outpatient pediatrician's office.

Correct Answers

8 :
A nurse is planning care for a client who has a chest tube. Which of the following interventions should the nurse include in the plan? (Select all that apply.)

9 :
A nurse is caring for a client in an emergency department.

Answer Options

10 :
A nurse is caring for a postoperative client following a perineal prostatectomy.

Correct Answers

Connect With Us

Assessment Finding	Fifth disease (Erythema infectiosum)	Measles (Rubeola)	Rubella (German measles)
Red rash on the face
Fever
Lymphadenopathy
Koplik spots in the mouth

RN Comprehensive Predictor 2026

No.

1 : A nurse is providing nutrition teaching for a client who has hypertension. Which of the following foods should the nurse suggest the client include in their diet?

2 : A nurse is caring for a client who has cancer and is being transferred to hospice care. The client's daughter tells the nurse. "I'm not sure what to say to my mom if she asks me about dying." Which of the following responses by the nurse is appropriate? (Select all that apply.)

3 : A nurse in a community clinic is reviewing the laboratory results for a group of clients. Which of the following laboratory results should the nurse report to the local health department?

4 : A nurse is teaching a client who was recently diagnosed with type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?

5 : A nurse is providing teaching about foot care to a client who has diabetes mellitus. Which of the following instructions should the nurse include? (Select all that apply.)

6 : A nurse working in a health department is conducting a health screening for a group of farmworkers. Which of the following client statements indicates a possible health risk?

7 : A nurse is caring for an infant in an outpatient pediatrician's office.

Correct Answers

8 : A nurse is planning care for a client who has a chest tube. Which of the following interventions should the nurse include in the plan? (Select all that apply.)

9 : A nurse is caring for a client in an emergency department.

Answer Options

10 : A nurse is caring for a postoperative client following a perineal prostatectomy.

Correct Answers

1 :
A nurse is providing nutrition teaching for a client who has hypertension. Which of the following foods should the nurse suggest the client include in their diet?

2 :
A nurse is caring for a client who has cancer and is being transferred to hospice care. The client's daughter tells the nurse. "I'm not sure what to say to my mom if she asks me about dying." Which of the following responses by the nurse is appropriate? (Select all that apply.)

3 :
A nurse in a community clinic is reviewing the laboratory results for a group of clients. Which of the following laboratory results should the nurse report to the local health department?

4 :
A nurse is teaching a client who was recently diagnosed with type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?

5 :
A nurse is providing teaching about foot care to a client who has diabetes mellitus. Which of the following instructions should the nurse include? (Select all that apply.)

6 :
A nurse working in a health department is conducting a health screening for a group of farmworkers. Which of the following client statements indicates a possible health risk?

7 :
A nurse is caring for an infant in an outpatient pediatrician's office.

8 :
A nurse is planning care for a client who has a chest tube. Which of the following interventions should the nurse include in the plan? (Select all that apply.)

9 :
A nurse is caring for a client in an emergency department.

10 :
A nurse is caring for a postoperative client following a perineal prostatectomy.