KAPLAN DIAGNOSTIC EXAM 2026 ACTUAL
SCRIPT WITH ACCURATE ANSWERS
GRADED A+
◉A. Answer: The nurse teaches the client, scheduled for a total right
hip arthroplasty, preoperatively. Teaching includes postoperative
exercises. Which exercise, if perform by the client, indicates further
teaching is necessary?
a. The client performs straight leg lifts
b. The client performs plantar and dorsiflexion exercises
c. The client demonstrates quadriceps and gluteal setting
d. The client demonstrate active range of motion exercises of the
ankle
◉A. Answer: The nurse cares for the client receiving peritoneal
dialysis. Which finding, if observed by the nurse during the
procedure, indicate a malfunction in the system?
a. There is a leak of fluid onto the dressing in the bed
b. The client reports rectal pain on infusion of the dialysate
,c. More dialysate is returned then was infused
d. The clients blood pressure decreases
◉B. Answer: 39. The client scheduled for a vaginal hysterectomy
tells the nurse, "I want to read my medical record." Which action
does the nurse take?
a. Asks the clients health care provider if the client can read the
medical record.
b. Relays the clients request to read medical medical record to the
nurses supervisor
c. Gives the medical record to the client, and remains with the client
while the client reads it
d. Tells the client the medical record is the property of the hospital
◉A. Answer: 40. The nurse cares for a client diagnosed with primary
adrenocorticol insufficiency. The nurse expects to observe which
laboratory finding?
a. Decreased sodium and glucose; increased potassium
b. Decrease sodium and potassium; increased glucose
c. Increased sodium and potassium; decreased glucose
d. Increased sodium and glucose; decreased potassium
,◉C. Answer: The nurse works with the client who has a history of
alcoholism. Which statement, if made by the client to the nurse,
indicates that the client has gained some insight into alcoholism?
a. "I know I can stop drinking if I put my mind to it."
b. "For the sake of my family, I will never drink again."
c. "I know this is a lifelong problem, and I'll need continued support."
d. "I know that Alcoholics Anonymous (AA) is available in case the
problem gets worse."
◉A. Answer: The parent arrives from overseas to visit. The child
discovers the parent depressed, disheveled, and suspicious of family
members. The nurse include which nursing order in the care plan?
a. Encourage family involvement in clients treatment.
b. Involve the local international community and the clients care
c. Set limits on family visits until the client is stable
d. Assign the client to structured group activity
◉D. Answer: 43. The home health nurse changes dressings four
times a week for the client diagnosed with stage III pressure ulcer.
The hospital admitting nurse notes that the dressing was not applied
as ordered. Which action is most important for the nurse to take?
, a. Contact the nursing supervisor in the hospital to report the
discrepancy
b. Contact the home health nurse who has been caring for the client
to report the discrepancy
c. Contact the home health supervisor to report the discrepancy
X-d. Document the discrepancy between what was ordered and the
condition of the dressing
◉C. Answer: 44. The nurse gives a client morphine 10mg
intramuscularly (IM). After administering the medication, the nurse
notes the order for morphine was deleted by the healthcare provider
the previous day and replaced with an order of hydromorphone 4mg
IM. Which documentation is best?
a. "Morphine 10mg given IM into left ventrogluteal area for report of
a domino pain. Healthcare provider notified."
b. "Morphine 10 mg given IM for reports the pain. Hydromorphone 4
mg IM ordered. Incident report completed."
X-c. "Morphine 10 mg given IM for reports of abdominal pain instead
of hydromorphone 4mg IM. Incident reported to healthcare
provider."
d. "Morphine given for report of incisional pain. Vital signs
unchanged. Client resting resting comfortably. States pain is
relieved."
SCRIPT WITH ACCURATE ANSWERS
GRADED A+
◉A. Answer: The nurse teaches the client, scheduled for a total right
hip arthroplasty, preoperatively. Teaching includes postoperative
exercises. Which exercise, if perform by the client, indicates further
teaching is necessary?
a. The client performs straight leg lifts
b. The client performs plantar and dorsiflexion exercises
c. The client demonstrates quadriceps and gluteal setting
d. The client demonstrate active range of motion exercises of the
ankle
◉A. Answer: The nurse cares for the client receiving peritoneal
dialysis. Which finding, if observed by the nurse during the
procedure, indicate a malfunction in the system?
a. There is a leak of fluid onto the dressing in the bed
b. The client reports rectal pain on infusion of the dialysate
,c. More dialysate is returned then was infused
d. The clients blood pressure decreases
◉B. Answer: 39. The client scheduled for a vaginal hysterectomy
tells the nurse, "I want to read my medical record." Which action
does the nurse take?
a. Asks the clients health care provider if the client can read the
medical record.
b. Relays the clients request to read medical medical record to the
nurses supervisor
c. Gives the medical record to the client, and remains with the client
while the client reads it
d. Tells the client the medical record is the property of the hospital
◉A. Answer: 40. The nurse cares for a client diagnosed with primary
adrenocorticol insufficiency. The nurse expects to observe which
laboratory finding?
a. Decreased sodium and glucose; increased potassium
b. Decrease sodium and potassium; increased glucose
c. Increased sodium and potassium; decreased glucose
d. Increased sodium and glucose; decreased potassium
,◉C. Answer: The nurse works with the client who has a history of
alcoholism. Which statement, if made by the client to the nurse,
indicates that the client has gained some insight into alcoholism?
a. "I know I can stop drinking if I put my mind to it."
b. "For the sake of my family, I will never drink again."
c. "I know this is a lifelong problem, and I'll need continued support."
d. "I know that Alcoholics Anonymous (AA) is available in case the
problem gets worse."
◉A. Answer: The parent arrives from overseas to visit. The child
discovers the parent depressed, disheveled, and suspicious of family
members. The nurse include which nursing order in the care plan?
a. Encourage family involvement in clients treatment.
b. Involve the local international community and the clients care
c. Set limits on family visits until the client is stable
d. Assign the client to structured group activity
◉D. Answer: 43. The home health nurse changes dressings four
times a week for the client diagnosed with stage III pressure ulcer.
The hospital admitting nurse notes that the dressing was not applied
as ordered. Which action is most important for the nurse to take?
, a. Contact the nursing supervisor in the hospital to report the
discrepancy
b. Contact the home health nurse who has been caring for the client
to report the discrepancy
c. Contact the home health supervisor to report the discrepancy
X-d. Document the discrepancy between what was ordered and the
condition of the dressing
◉C. Answer: 44. The nurse gives a client morphine 10mg
intramuscularly (IM). After administering the medication, the nurse
notes the order for morphine was deleted by the healthcare provider
the previous day and replaced with an order of hydromorphone 4mg
IM. Which documentation is best?
a. "Morphine 10mg given IM into left ventrogluteal area for report of
a domino pain. Healthcare provider notified."
b. "Morphine 10 mg given IM for reports the pain. Hydromorphone 4
mg IM ordered. Incident report completed."
X-c. "Morphine 10 mg given IM for reports of abdominal pain instead
of hydromorphone 4mg IM. Incident reported to healthcare
provider."
d. "Morphine given for report of incisional pain. Vital signs
unchanged. Client resting resting comfortably. States pain is
relieved."
