KAPLAN NCLEX-RN COMPREHENSIVE
STUDY PAPER 2026 QUESTIONS WITH
ANSWERS GRADED A+
◉Color of Lochia (by day). Answer: Day 1-3: rubra
Day 4-9: serosa
Day 10+: alba
◉S/s of Meningitis. Answer: HA, fever, photophobia, changes in LOC,
motor seizures
Signs of meningeal irritation: nuchal rigidity, Kernig's sign,
Brudzinski's sign, Opisthotonus position
◉Kernig's sign. Answer: Severe stiffness of the hamstrings causes an
inability to straighten the leg when the hip is flexed to 90 degrees.
◉Brudzinski's sign. Answer: Severe neck stiffness causes a patient's
hips and knees to flex when the neck is flexed.
◉Opisthotonus position. Answer: dramatic abnormal posture,
produces severe backward arching from neck to heel
,◉S/S of meningitis in infants. Answer: refuse feedings, V/D, bulging
fontanelles, vacant stare, high pitched cry
◉CCB meds. Answer: Amlodipine, Diltiazem, Nicardipine,
Nifedipine, Verapamil
◉CCB action. Answer: decrease HR and cause vasodilation of
peripheral vasculature
◉CCB AEs. Answer: peripheral edema, hypotension, dizziness, HA
◉CCB contraindications. Answer: decreased cardiac conduction
disorders, HF, SBP < 90
◉Common opportunistic infection in AIDS. Answer: Pneumocystis
jiroveci pneumonia
◉AIDS nursing care. Answer: offer high protein, high caloric diet;
monitor vital signs, chest sounds, suction, signs of secondary
infection; maintain O2 as prescribed
◉S/s of upper respiratory infection. Answer: rhinorrhea, nasal
congestion/discharge, sneezing, teary watery eyes, sore throat
,◉S/s of sinusitis. Answer: facial pressure, stuffy nose, purulent nasal
discharge, HA, ear pain, dental pain
◉Tx for Pertussis (whooping cough). Answer: Macrolide ABX, do not
use cough suppressants or antihistamines, do not use cortisone or
bronchodilators
◉S/S of preeclampsia. Answer: - BP: SBP > 140 and/or 90 diastolic
mmHg
Occurs 2x (4-6 hours apart)
- Proteinuria
>0.3 g/24 hours
Protein/creatinine ratio >0.3
- Platelets > 100,000
- HA, visual changes, edema
◉Preeclampsia care. Answer: bed rest in left lateral position, well-
balanced diet, daily weights
◉Preeclampsia with severe features. Answer: - BP: 160/110 or
higher
- Proteinuria not necessary
- HA, RU epigastric pain, dizziness, visual changes, anginal pain
, ◉Severe preeclampsia care. Answer: bed rest, monitor I/Os, seizure
precautions, VS, fetal heart tones, give antihypertensive meds
◉S/s of eclampsia. Answer: most serious form of toxemia during
pregnancy
- HTN, proteinuria, edema, motor seizures (tonic-clonic)
- occurs between 20-40 weeks of pregnancy
◉eclampsia care. Answer: bedrest in left lateral position, monitor
I/Os, VS, fetal heart tones, seizure precautions, give magnesium
sulfate (anticonvulsant), hydralazine (vasodilator), diazepam
(sedative, anxiolytic), nifedipine (CCB), well-balanced diet, daily
weights
◉Food to avoid in pregnancy. Answer: raw eggs, shellfish, or fish
fish with mercury: swordfish, tuna
unpasteurized milk or dairy products, soft cheeses
processed/deli meats: bologna, salami, hot dogs
◉S/S of ectopic pregnancy. Answer: severe, unilateral, lower abd
pain
pain referred to shoulder
abd rigidity
STUDY PAPER 2026 QUESTIONS WITH
ANSWERS GRADED A+
◉Color of Lochia (by day). Answer: Day 1-3: rubra
Day 4-9: serosa
Day 10+: alba
◉S/s of Meningitis. Answer: HA, fever, photophobia, changes in LOC,
motor seizures
Signs of meningeal irritation: nuchal rigidity, Kernig's sign,
Brudzinski's sign, Opisthotonus position
◉Kernig's sign. Answer: Severe stiffness of the hamstrings causes an
inability to straighten the leg when the hip is flexed to 90 degrees.
◉Brudzinski's sign. Answer: Severe neck stiffness causes a patient's
hips and knees to flex when the neck is flexed.
◉Opisthotonus position. Answer: dramatic abnormal posture,
produces severe backward arching from neck to heel
,◉S/S of meningitis in infants. Answer: refuse feedings, V/D, bulging
fontanelles, vacant stare, high pitched cry
◉CCB meds. Answer: Amlodipine, Diltiazem, Nicardipine,
Nifedipine, Verapamil
◉CCB action. Answer: decrease HR and cause vasodilation of
peripheral vasculature
◉CCB AEs. Answer: peripheral edema, hypotension, dizziness, HA
◉CCB contraindications. Answer: decreased cardiac conduction
disorders, HF, SBP < 90
◉Common opportunistic infection in AIDS. Answer: Pneumocystis
jiroveci pneumonia
◉AIDS nursing care. Answer: offer high protein, high caloric diet;
monitor vital signs, chest sounds, suction, signs of secondary
infection; maintain O2 as prescribed
◉S/s of upper respiratory infection. Answer: rhinorrhea, nasal
congestion/discharge, sneezing, teary watery eyes, sore throat
,◉S/s of sinusitis. Answer: facial pressure, stuffy nose, purulent nasal
discharge, HA, ear pain, dental pain
◉Tx for Pertussis (whooping cough). Answer: Macrolide ABX, do not
use cough suppressants or antihistamines, do not use cortisone or
bronchodilators
◉S/S of preeclampsia. Answer: - BP: SBP > 140 and/or 90 diastolic
mmHg
Occurs 2x (4-6 hours apart)
- Proteinuria
>0.3 g/24 hours
Protein/creatinine ratio >0.3
- Platelets > 100,000
- HA, visual changes, edema
◉Preeclampsia care. Answer: bed rest in left lateral position, well-
balanced diet, daily weights
◉Preeclampsia with severe features. Answer: - BP: 160/110 or
higher
- Proteinuria not necessary
- HA, RU epigastric pain, dizziness, visual changes, anginal pain
, ◉Severe preeclampsia care. Answer: bed rest, monitor I/Os, seizure
precautions, VS, fetal heart tones, give antihypertensive meds
◉S/s of eclampsia. Answer: most serious form of toxemia during
pregnancy
- HTN, proteinuria, edema, motor seizures (tonic-clonic)
- occurs between 20-40 weeks of pregnancy
◉eclampsia care. Answer: bedrest in left lateral position, monitor
I/Os, VS, fetal heart tones, seizure precautions, give magnesium
sulfate (anticonvulsant), hydralazine (vasodilator), diazepam
(sedative, anxiolytic), nifedipine (CCB), well-balanced diet, daily
weights
◉Food to avoid in pregnancy. Answer: raw eggs, shellfish, or fish
fish with mercury: swordfish, tuna
unpasteurized milk or dairy products, soft cheeses
processed/deli meats: bologna, salami, hot dogs
◉S/S of ectopic pregnancy. Answer: severe, unilateral, lower abd
pain
pain referred to shoulder
abd rigidity
