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    RN Comprehensive Predictor 2026 Proctored Exam V2
    Select All That Apply

    Click to highlight the findings that require follow-up: • Heart rate 112/min — Requires follow-up ✓ • Blood pressure 138/88 mm Hg — Requires follow-up ✓ • Respiratory rate 22/min — Requires follow-up ✓ • 4 cm lump palpated at 9 o'clock position — Requires follow-up ✓ • Maternal history of breast cancer — Requires follow-up ✓ • BMI 22.5 — Within normal limits • No nipple drainage — Expected normal finding

    Explanation & Rationale

    Heart rate of 112/min (tachycardia), BP 138/88 mm Hg (elevated), and respiratory rate of 22/min (upper limit) are abnormal vital signs requiring follow-up. The 4 cm breast lump is the primary concern. Maternal history of breast cancer significantly increases the client's risk and requires genetic counseling referral. BMI 22.5 is within normal range. Absence of nipple drainage is a normal finding.

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