KAPLAN Predictor A Exam NEWEST 2026 | 100% Verified &
Updated Detailed Answers | GRADED A+
Question:
The home care nurse makes a visit to the client diagnosed with heart failure.
The client reports having difficulty sleeping at times. The nurse should take
which action FIRST?
A) Recommend taking over-the-counter diphenhydramine (Benadryl)
B) Encourage a half hour of moderate exercise prior to going to bed.
C) Obtain a thorough sleep assessment history.
D) Instruct the client to nap during the day.
Answer: C) Obtain a thorough sleep assessment history.
Rationale: The first step in addressing any symptom is thorough assessment.
Sleep difficulty in heart failure patients may indicate paroxysmal nocturnal
dyspnea, orthopnea, or anxiety, each requiring different interventions.
Recommending interventions (A, B, D) without assessment is inappropriate.
Question:
The nurse cares for the client admitted to the critical care unit. The nurse
observes splinter hemorrhages in the nails, painful nodules on the fingertips
and splenomegaly. It is MOST important for the nurse to take which action?
A) Determine if client can comply with home IV therapy.
B) Auscultate the precordium for murmurs. (ENDOCARDITIS)
C) Instruct the client about the importance of balancing rest and activity.
D) Encourage the client to perform oral hygiene twice a day.
Answer: B) Auscultate the precordium for murmurs. (ENDOCARDITIS)
Rationale: Splinter hemorrhages, Osler nodes (painful fingertip nodules), and
splenomegaly are signs of infective endocarditis. Auscultating for heart
, murmurs is the priority to assess for valvular vegetations. Home IV therapy (A)
may be needed later but is not the priority. Rest and activity balance (C) and
oral hygiene (D) are important but not the most immediate action.
Question:
The nurse instructs the client about stable angina. The nurse determines
teaching is effective if the client makes which statement?
A) Angina pain usually feels like being stabbed with a knife.
B) Each time I have angina, my heart is damaged.
C) My chest pain can occur if I overexert myself.
D) If I have chest pain, then I'm probably having another heart attack.
Answer: C) My chest pain can occur if I overexert myself.
Rationale: Stable angina is typically triggered by exertion, stress, or activities
that increase myocardial oxygen demand. It is relieved by rest or nitroglycerin.
Stabbing pain (A) is not typical of angina. Angina does not cause permanent
heart damage (B). Chest pain does not always indicate heart attack (D); angina
is temporary ischemia without infarction.
Question:
The nurse cares for the client in pain. Which factor is MOST important to
determine if the client is a candidate for patient controlled analgesia?
A) The client has a surgical procedure of 30 minutes.
B) Body mass index does not exceed 30 kg/m2.
C) The clients has a history of chronic pain.
D) The client is mentally alert.
Answer: D) The client is mentally alert.
Rationale: For PCA to be safe and effective, the client must be mentally alert
and able to understand how to use the device. Procedure length (A), BMI (B),
Updated Detailed Answers | GRADED A+
Question:
The home care nurse makes a visit to the client diagnosed with heart failure.
The client reports having difficulty sleeping at times. The nurse should take
which action FIRST?
A) Recommend taking over-the-counter diphenhydramine (Benadryl)
B) Encourage a half hour of moderate exercise prior to going to bed.
C) Obtain a thorough sleep assessment history.
D) Instruct the client to nap during the day.
Answer: C) Obtain a thorough sleep assessment history.
Rationale: The first step in addressing any symptom is thorough assessment.
Sleep difficulty in heart failure patients may indicate paroxysmal nocturnal
dyspnea, orthopnea, or anxiety, each requiring different interventions.
Recommending interventions (A, B, D) without assessment is inappropriate.
Question:
The nurse cares for the client admitted to the critical care unit. The nurse
observes splinter hemorrhages in the nails, painful nodules on the fingertips
and splenomegaly. It is MOST important for the nurse to take which action?
A) Determine if client can comply with home IV therapy.
B) Auscultate the precordium for murmurs. (ENDOCARDITIS)
C) Instruct the client about the importance of balancing rest and activity.
D) Encourage the client to perform oral hygiene twice a day.
Answer: B) Auscultate the precordium for murmurs. (ENDOCARDITIS)
Rationale: Splinter hemorrhages, Osler nodes (painful fingertip nodules), and
splenomegaly are signs of infective endocarditis. Auscultating for heart
, murmurs is the priority to assess for valvular vegetations. Home IV therapy (A)
may be needed later but is not the priority. Rest and activity balance (C) and
oral hygiene (D) are important but not the most immediate action.
Question:
The nurse instructs the client about stable angina. The nurse determines
teaching is effective if the client makes which statement?
A) Angina pain usually feels like being stabbed with a knife.
B) Each time I have angina, my heart is damaged.
C) My chest pain can occur if I overexert myself.
D) If I have chest pain, then I'm probably having another heart attack.
Answer: C) My chest pain can occur if I overexert myself.
Rationale: Stable angina is typically triggered by exertion, stress, or activities
that increase myocardial oxygen demand. It is relieved by rest or nitroglycerin.
Stabbing pain (A) is not typical of angina. Angina does not cause permanent
heart damage (B). Chest pain does not always indicate heart attack (D); angina
is temporary ischemia without infarction.
Question:
The nurse cares for the client in pain. Which factor is MOST important to
determine if the client is a candidate for patient controlled analgesia?
A) The client has a surgical procedure of 30 minutes.
B) Body mass index does not exceed 30 kg/m2.
C) The clients has a history of chronic pain.
D) The client is mentally alert.
Answer: D) The client is mentally alert.
Rationale: For PCA to be safe and effective, the client must be mentally alert
and able to understand how to use the device. Procedure length (A), BMI (B),
