KAPLAN DIAGNOSTIC EXAM 2026
COMPREHENSIVE STUDY GUIDE WITH
VERIFIED SOLUTIONS
◉C. Answer: 2. The health care provider orders a continuous
intravenous aminophylline infusion for a two year old client. It is
most important for the nurse to intervene for which situation?
a. The client heart rate is 100 bpm
b. The clients blood pressure is 100/60 mmHg
c. The clients serum theophylline level is 25 mcg/mL
d. The client is sleepy
◉B. Answer: 3. The nurse teaches the client about the schedule
cardiac catheterization. Which statement, if made by the client to the
nurse, indicates that the teaching was effective?
a. "I understand that there is little or no risk associated with this
procedure."
b. "I may experience a little pounding sensation in my chest during
the procedure."
,c. "I will be in and out of the procedure room in about 30 minutes."
d. "I will be able to walk in the hall soon after the procedure is
completed."
◉B. Answer: 4. During the second stage of labor, the client's partner
asks the nurse, "Can I go get a cup of coffee from the cafeteria?"
Which response by the nurse is best?
a. "I will get you a cup of coffee."
b. "It would be best if you stayed here at this time."
c. "Ask your partner if it is acceptable to leave."
d. "Why do you want to leave the room?"
◉B. Answer: 5. The nurse discovers that client lying face down on
the floor. Which action does the nurse take first?
a. Assess the patency of the client's airway
b. Determine whether the client is responsive
c. Check the client's carotid pulse
d. Reposition the client onto the back
◉B. Answer: 6. A nurse works 3 weeks at a 100-bed suburban
hospital after working several months at a 40-bed rural hospital. The
,nurse prefers the total client care delivery system that was used at
the rural hospital, rather then the team leading system of client care
that is used at the suburban hospital. Which action does the nurse
take?
a. Works with in the system at the hospital to change the type of
client care delivery
b. Discuss his thoughts about the type of client care delivery system
with the nurses supervisor
c. Asks the nurses peers why this type of client care delivery system
is used
d. Suggests a change in the type of client care delivery system to the
director of nursing
◉D. Answer: 7. The nurse cares for the client diagnosed with a left
traumatic below knee amputation (BKA) with a tourniquet in place.
The client also has a tear from the perineum to the rectum. Which
action is the nurse take first?
a. Apply anti-shock trousers
b. Assesses the clients level of consciousness
c. Remove the tourniquet
d. Check the client's blood pressure and pulse
, ◉c. Answer: 8. During morning rounds, the client diagnosed with
schizophrenia tells the nurse, "I know you are conspiring with my
spouse to keep me locked away." Which statement by the nurse is
the most appropriate?
a. "What makes you think your spouse is trying to hide your
existence?"
b. "Are you saying that you think your spouse doesn't love you?"
c. "I can see that you are frightened about being here but I am a
nurse in a hospital."
d. "I'm not conspiring with your spouse. I first met your spouse
when you are admitted to the hospital."
◉C. Answer: 9. During a routine prenatal visit, the nurse auscultates
the fetal heart rate (FHR). If the fetal position is left sacrum
posterior (LSP), at which site does the nurse expect to find the fetal
heart (FHT)?
a. Below umbilicus, on the mothers right
b. Below umbilicus, on the mothers left
c. Above umbilicus, on the mothers left
d. Above umbilicus, on the mothers right
COMPREHENSIVE STUDY GUIDE WITH
VERIFIED SOLUTIONS
◉C. Answer: 2. The health care provider orders a continuous
intravenous aminophylline infusion for a two year old client. It is
most important for the nurse to intervene for which situation?
a. The client heart rate is 100 bpm
b. The clients blood pressure is 100/60 mmHg
c. The clients serum theophylline level is 25 mcg/mL
d. The client is sleepy
◉B. Answer: 3. The nurse teaches the client about the schedule
cardiac catheterization. Which statement, if made by the client to the
nurse, indicates that the teaching was effective?
a. "I understand that there is little or no risk associated with this
procedure."
b. "I may experience a little pounding sensation in my chest during
the procedure."
,c. "I will be in and out of the procedure room in about 30 minutes."
d. "I will be able to walk in the hall soon after the procedure is
completed."
◉B. Answer: 4. During the second stage of labor, the client's partner
asks the nurse, "Can I go get a cup of coffee from the cafeteria?"
Which response by the nurse is best?
a. "I will get you a cup of coffee."
b. "It would be best if you stayed here at this time."
c. "Ask your partner if it is acceptable to leave."
d. "Why do you want to leave the room?"
◉B. Answer: 5. The nurse discovers that client lying face down on
the floor. Which action does the nurse take first?
a. Assess the patency of the client's airway
b. Determine whether the client is responsive
c. Check the client's carotid pulse
d. Reposition the client onto the back
◉B. Answer: 6. A nurse works 3 weeks at a 100-bed suburban
hospital after working several months at a 40-bed rural hospital. The
,nurse prefers the total client care delivery system that was used at
the rural hospital, rather then the team leading system of client care
that is used at the suburban hospital. Which action does the nurse
take?
a. Works with in the system at the hospital to change the type of
client care delivery
b. Discuss his thoughts about the type of client care delivery system
with the nurses supervisor
c. Asks the nurses peers why this type of client care delivery system
is used
d. Suggests a change in the type of client care delivery system to the
director of nursing
◉D. Answer: 7. The nurse cares for the client diagnosed with a left
traumatic below knee amputation (BKA) with a tourniquet in place.
The client also has a tear from the perineum to the rectum. Which
action is the nurse take first?
a. Apply anti-shock trousers
b. Assesses the clients level of consciousness
c. Remove the tourniquet
d. Check the client's blood pressure and pulse
, ◉c. Answer: 8. During morning rounds, the client diagnosed with
schizophrenia tells the nurse, "I know you are conspiring with my
spouse to keep me locked away." Which statement by the nurse is
the most appropriate?
a. "What makes you think your spouse is trying to hide your
existence?"
b. "Are you saying that you think your spouse doesn't love you?"
c. "I can see that you are frightened about being here but I am a
nurse in a hospital."
d. "I'm not conspiring with your spouse. I first met your spouse
when you are admitted to the hospital."
◉C. Answer: 9. During a routine prenatal visit, the nurse auscultates
the fetal heart rate (FHR). If the fetal position is left sacrum
posterior (LSP), at which site does the nurse expect to find the fetal
heart (FHT)?
a. Below umbilicus, on the mothers right
b. Below umbilicus, on the mothers left
c. Above umbilicus, on the mothers left
d. Above umbilicus, on the mothers right
