KAPLAN RN EXIT EXAM TEST BANK 2026 REAL EXAM QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES|GRADE A+.
A young adult is involved in a motorcycle accident and is brought to the emergency
room. The physician diagnoses a closed head injury with suspected subdural
hematoma. Although complaining of a severe headache, the client is alert and answers
questions appropriately. The nurse should question which of the following orders?
1. "Promethazine (Phenergan) 25 mg IM 3 h."
2. "Morphine sulfate 10 mg IM q3 4h."
3. "Docusate sodium (Colace) 50 mg PO bid."
4. "Ranitidine (Zantac) 50 mg IVPB q12h."
(1) H1 receptor blocker, used as an antiemetic
(2) correct—narcotic analgesic, causes CNS and respiratory depression,
contraindicated in head injury because it masks signs of increased intracranial
pressure
(3) stool softener, used for an immobilized patient
(4) H2 histamine antagonist, reduces acid production in stomach, prevents stress ulcers
The nurse returns to the desk and finds four phone messages to return. Which of the
following messages should the nurse return FIRST?
1. A woman in the first trimester of pregnancy complains of heartburn.
2. A man complains of heartburn that radiates to the jaw.
3. A woman complains of hot flashes and difficulty sleeping.
4. A boy complains of knee pain after playing basketball.
(1) caused by reflux of gastric contents into esophagus, treatment is small,
frequent meals, don't consume fluids with food, don't wear tight clothing
(2) correct—indicates chest pain, needs to seek medical attention immediately
(3) caused by menopause, treat with hormone replacement therapy (HRT)
(4) should treat with rest and ice
A patient is admitted to the surgical unit with a diagnosis with rule out (R/O) intestinal
obstruction. The nurse prepares to insert a Salem sump NG tube as ordered. It is BEST
,for the nurse to place the patient in
,which of the following positions?
1. Head of bed elevated 30-45°.
2. Head of bed elevated 60-90°.
, 3. Side-lying with head elevated 15°.
4. Lying flat with head turned to the left side.
(1) head of bed not elevated enough
(2) correct—facilitates swallowing and movement of tube through gastrointestinal tract
(3) not the best position
(4) not the best position
The nurse monitors the fluid status of an older patient receiving IV fluids following
surgery. Which of the following symptoms suggests to the nurse that the patient has
fluid volume overload?
1. Temperature 101°F (38.3°C), BP 96/60, pulse 96 and thready.
2. Cool skin, respiratory crackles, pulse 86 and bounding.
3. Complaints of a headache, abdominal pain, and lethargy.
4. Urinary output 700 ml/24 h, CVP of 5, and nystagmus.
(1) indicates dehydration
(2) correct—will see bounding pulse, elevated BP, distended neck veins, edema,
headache, polyuria, diarrhea, liver enlargement
(3) symptoms could be from causes other than volume overload
(4) slightly reduced output, CVP would be elevated, normal CVP 3 to 12 mm/H2O,
involuntary eye movements not seen
A woman has been recently diagnosed with systemic lupus (SLE) and shares with
the nurse, "I am thinking about getting pregnant, but I don't know how I will be able to
tolerate a pregnancy because I have lupus." Which of the following responses by the
nurse is BEST?
1. "Most women find that they feel better when they are pregnant."
2. "How long have you been in remission?"
3. "Women with lupus frequently have slightly longer gestations."
4. "It is best to become pregnant within the first 6 months of diagnosis."
(1) maternal morbidity and mortality are increased with SLE
(2) correct—should be in remission for at least 5 months prior to conceiving
CORRECT ANSWERS WITH RATIONALES|GRADE A+.
A young adult is involved in a motorcycle accident and is brought to the emergency
room. The physician diagnoses a closed head injury with suspected subdural
hematoma. Although complaining of a severe headache, the client is alert and answers
questions appropriately. The nurse should question which of the following orders?
1. "Promethazine (Phenergan) 25 mg IM 3 h."
2. "Morphine sulfate 10 mg IM q3 4h."
3. "Docusate sodium (Colace) 50 mg PO bid."
4. "Ranitidine (Zantac) 50 mg IVPB q12h."
(1) H1 receptor blocker, used as an antiemetic
(2) correct—narcotic analgesic, causes CNS and respiratory depression,
contraindicated in head injury because it masks signs of increased intracranial
pressure
(3) stool softener, used for an immobilized patient
(4) H2 histamine antagonist, reduces acid production in stomach, prevents stress ulcers
The nurse returns to the desk and finds four phone messages to return. Which of the
following messages should the nurse return FIRST?
1. A woman in the first trimester of pregnancy complains of heartburn.
2. A man complains of heartburn that radiates to the jaw.
3. A woman complains of hot flashes and difficulty sleeping.
4. A boy complains of knee pain after playing basketball.
(1) caused by reflux of gastric contents into esophagus, treatment is small,
frequent meals, don't consume fluids with food, don't wear tight clothing
(2) correct—indicates chest pain, needs to seek medical attention immediately
(3) caused by menopause, treat with hormone replacement therapy (HRT)
(4) should treat with rest and ice
A patient is admitted to the surgical unit with a diagnosis with rule out (R/O) intestinal
obstruction. The nurse prepares to insert a Salem sump NG tube as ordered. It is BEST
,for the nurse to place the patient in
,which of the following positions?
1. Head of bed elevated 30-45°.
2. Head of bed elevated 60-90°.
, 3. Side-lying with head elevated 15°.
4. Lying flat with head turned to the left side.
(1) head of bed not elevated enough
(2) correct—facilitates swallowing and movement of tube through gastrointestinal tract
(3) not the best position
(4) not the best position
The nurse monitors the fluid status of an older patient receiving IV fluids following
surgery. Which of the following symptoms suggests to the nurse that the patient has
fluid volume overload?
1. Temperature 101°F (38.3°C), BP 96/60, pulse 96 and thready.
2. Cool skin, respiratory crackles, pulse 86 and bounding.
3. Complaints of a headache, abdominal pain, and lethargy.
4. Urinary output 700 ml/24 h, CVP of 5, and nystagmus.
(1) indicates dehydration
(2) correct—will see bounding pulse, elevated BP, distended neck veins, edema,
headache, polyuria, diarrhea, liver enlargement
(3) symptoms could be from causes other than volume overload
(4) slightly reduced output, CVP would be elevated, normal CVP 3 to 12 mm/H2O,
involuntary eye movements not seen
A woman has been recently diagnosed with systemic lupus (SLE) and shares with
the nurse, "I am thinking about getting pregnant, but I don't know how I will be able to
tolerate a pregnancy because I have lupus." Which of the following responses by the
nurse is BEST?
1. "Most women find that they feel better when they are pregnant."
2. "How long have you been in remission?"
3. "Women with lupus frequently have slightly longer gestations."
4. "It is best to become pregnant within the first 6 months of diagnosis."
(1) maternal morbidity and mortality are increased with SLE
(2) correct—should be in remission for at least 5 months prior to conceiving
