KAPLAN PREDICTOR COMBINED VERSION
A,B,C NEWEST 2026 ACTUAL EXAM WITH NGN
FORMAT COMPLETE 450 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+
. A client is discharged from the hospital after coronary bypass (CABG) surgery 3 days ago.
During discharge teaching, the client asks the nurse "When can I resume sexual intercourse with
my wife?" it is best for the nurse to make which of the following statements? - CORRECT
ANSWER: You can resume sexual activity when you are able to walk one block without chest
pain or discomfort
. A patient is observed to receive a soapsuds enema before surgery. The nurse delegates the
procedure to a nursing assistant who was transferred from another unit. While the nursing
assistant performs the procedure, the nurse should take which of the following actions? -
CORRECT ANSWER: Supervise the nursing assistant while the enema is being given and help
as necessary
. A woman first noticed labor contractions at 4 A.M. The patient's membranes ruptured at 9:35
A.M., and the cervix was 10 cm dilated at 10:35 A.M. A healthy 7-lb, 6-oz infant boy was
delivered at 11:15 A.M., and the placenta was expelled at 11:25 A.M. The nurse should record
which of the following times as the length of the third stage of labor? - CORRECT ANSWER:
10 minutes
. A woman who is HIV-positive just delivered a 6 lb, 13 oz baby. The woman expresses concern
to the nurse that her newborn baby will be HIV-positive. The nurse's response should be based on
which of the following? - CORRECT ANSWER: Testing is inconclusive until 12 to 15 months of
age because antibodies are present in the newborns system
,. The nurse cares for a client diagnosed with type 1 diabetes. The client has experienced
problems related to gastrointestinal neuropathies for some time, with an increase in severity over
the past 12 months. Which test, if ordered by the physician, should the nurse question? -
CORRECT ANSWER: Upper GI
. The nurse cares for the client after a fall from a ladder. While the client is waiting to be seen by
the physician, the nurse observes the client's spouse using a cloth to wipe clear fluid draining
from the left ear. Which statement, if made by the nurse to the spouse, is BEST? - CORRECT
ANSWER: "It is not a good idea to wipe the ear, but let me know if you see it draining again.
.The nurse cares for a client with a Levin tube connected to intermittent low suction. At 0630 the
night nurse empties the suction container. At 1000 the nurse charts there is 65 mL of greenish
drainage in the suction container. At 1500 the nurse notes there is 210 mL of greenish drainage in
the suction container. Twice during the shift, the nurseirrigates the Levin tube with 30 mL of
normal saline. Which is the amount of drainage from the Levin tube for the 7 to 3 shift? -
CORRECT ANSWER: 270 mL
1. The nurse prepares to administer medications to the following clients. Which medication
should the nurse pass FIRST?
a. Cephalexin to the postoperative client with a white blood cell count (WBC of 9.5/mm3
b. Morphine to the postoperative client term-42 reporting pain at a 5 on a 0-10 scale.
c. Ipratropium to the newly-admitted client diagnosed with chronic obstructive pulmonary
disease.
d. Warfarin tot eh client with a prothrombin (PT) time of 16 seconds and an international
normalized ratio - CORRECT ANSWER: c. Ipratropium to the newly-admitted client diagnosed
with chronic obstructive pulmonary disease.
144. The nurse identifies which client is at GREATEST risk for developing osteomyelitis?
1. A 75 year old client diagnosed with chronic lymphocytic leukemia with a positive wound
culture showing methicillin-resistant Staphylococcus aureus infection.
2. A 35 year old client with a history of smoking being treated for an inguinal hernia and is
placed on a nicotine patch.
,3. An 82 year old client hospitalized for a compound fracture of the left femur treated with an
open reduction 48 hours ago.
4. - CORRECT ANSWER: 1. A 75 year old client diagnosed with chronic lymphocytic leukemia
with a positive wound culture showing methicillin-resistant Staphylococcus aureus infection.
A 12-month-old child is playing with the father. Which of these behaviors indicates that the child
is demonstrating object permanence? - CORRECT ANSWER: The child looks for a toy that the
father has hidden under the table.
A 15-year-old child who has type I diabetes mellitus receives an injection of regular insulin 5
units and isophane (NPH) insulin 15 units subcutaneously at 7:00 A.M. before eating breakfast.
At 10:30 A.M., the child tells the school nurse, "I am sweating and feel weak." Which of these
actions should the nurse take first? - CORRECT ANSWER: Measure the blood sugar.
A 22-year-old college student has a heart rate that is 48/minute and regular during a routine
physical examination. Which of these questions should a nurse consider when analyzing this
heart rate? - CORRECT ANSWER: Is this student an athlete?
A 31-year-old female undergoes a tubal ligation. When the patient regains consciousness, the
nurse elevates the head of the bed 60 degrees. The patient says to the nurse, "I feel dizzy." The
nurse should take which of the following actions? - CORRECT ANSWER: Lower the head of
the bed slowly
A 36 hour old newborn is receiving phototherapy. The infant's mother asks why this is being
done. Which response by the nurse is BEST? - CORRECT ANSWER: This treatment converts
bilirubin to a form that can be removed from the body
A 36-week-pregnant woman awakens to find she is having profuse, red vaginal bleeding. A nurse
should prepare the woman to have an immediate sonogram to determine the: - CORRECT
ANSWER: location of the placenta.
, A 7 lb, 6 oz newborn is to receive vitamin K 9 (AquaMEPHYTON). It is MOST important for
the nurse to take which of the following actions? - CORRECT ANSWER: Administer the
medication IM into the infant's vastus lateralis muscle using a 25- gauge needle.
A 75-year-old client who is newly admitted to a long-term care facility has all these nursing
diagnoses. Which one is the priority? - CORRECT ANSWER: Risk of injury.
A 79-year-old woman asks the clinic nurse which immunization she should have. It is BEST for
the nurse to make which of the following responses? - CORRECT ANSWER: Influenza
A 9-month-old infant receives intramuscular injections every 12 hours. It is MOST important for
the nurse to take which of the following actions? - CORRECT ANSWER: Administer one
injection into the right vastus lateralis and the next injection into the left vastus lateralis muscle
A child is brought to the clinical for serum lead screening because of ingestion of lead-based
paint. Which of these manifestations, if present in the child, would indicate early signs of lead
toxicity? - CORRECT ANSWER: Behavior changes.
A child who had abdominal surgery is scheduled to have the fourth postoperative dressing
changed during the day shift. The patient says to the nurse during morning care, "I hate these
dressing changes. I wish I didn't have to have them." Which response by the nurse is BEST? -
CORRECT ANSWER: "You sound upset. What is it that you dislike about the dressing changes?
A child who has cystic fibrosis is receiving pancrelipase (Pancrease MT) with meals and snacks.
To determine if the desired effects of the Pancrease are achieved, a nurse should consider which
of these questions? - CORRECT ANSWER: Are the child's stools of normal consistency?
A client attends a support group for incest survivors at the community mental health center. The
client tells the nurse, "I don't get it. People keep telling me I talk just like my father. He's the last
person I'd want to act like!" which response by the nurse is BEST? - CORRECT ANSWER:
Some people unconsciously take on the characteristics of people who exert power over them
A,B,C NEWEST 2026 ACTUAL EXAM WITH NGN
FORMAT COMPLETE 450 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+
. A client is discharged from the hospital after coronary bypass (CABG) surgery 3 days ago.
During discharge teaching, the client asks the nurse "When can I resume sexual intercourse with
my wife?" it is best for the nurse to make which of the following statements? - CORRECT
ANSWER: You can resume sexual activity when you are able to walk one block without chest
pain or discomfort
. A patient is observed to receive a soapsuds enema before surgery. The nurse delegates the
procedure to a nursing assistant who was transferred from another unit. While the nursing
assistant performs the procedure, the nurse should take which of the following actions? -
CORRECT ANSWER: Supervise the nursing assistant while the enema is being given and help
as necessary
. A woman first noticed labor contractions at 4 A.M. The patient's membranes ruptured at 9:35
A.M., and the cervix was 10 cm dilated at 10:35 A.M. A healthy 7-lb, 6-oz infant boy was
delivered at 11:15 A.M., and the placenta was expelled at 11:25 A.M. The nurse should record
which of the following times as the length of the third stage of labor? - CORRECT ANSWER:
10 minutes
. A woman who is HIV-positive just delivered a 6 lb, 13 oz baby. The woman expresses concern
to the nurse that her newborn baby will be HIV-positive. The nurse's response should be based on
which of the following? - CORRECT ANSWER: Testing is inconclusive until 12 to 15 months of
age because antibodies are present in the newborns system
,. The nurse cares for a client diagnosed with type 1 diabetes. The client has experienced
problems related to gastrointestinal neuropathies for some time, with an increase in severity over
the past 12 months. Which test, if ordered by the physician, should the nurse question? -
CORRECT ANSWER: Upper GI
. The nurse cares for the client after a fall from a ladder. While the client is waiting to be seen by
the physician, the nurse observes the client's spouse using a cloth to wipe clear fluid draining
from the left ear. Which statement, if made by the nurse to the spouse, is BEST? - CORRECT
ANSWER: "It is not a good idea to wipe the ear, but let me know if you see it draining again.
.The nurse cares for a client with a Levin tube connected to intermittent low suction. At 0630 the
night nurse empties the suction container. At 1000 the nurse charts there is 65 mL of greenish
drainage in the suction container. At 1500 the nurse notes there is 210 mL of greenish drainage in
the suction container. Twice during the shift, the nurseirrigates the Levin tube with 30 mL of
normal saline. Which is the amount of drainage from the Levin tube for the 7 to 3 shift? -
CORRECT ANSWER: 270 mL
1. The nurse prepares to administer medications to the following clients. Which medication
should the nurse pass FIRST?
a. Cephalexin to the postoperative client with a white blood cell count (WBC of 9.5/mm3
b. Morphine to the postoperative client term-42 reporting pain at a 5 on a 0-10 scale.
c. Ipratropium to the newly-admitted client diagnosed with chronic obstructive pulmonary
disease.
d. Warfarin tot eh client with a prothrombin (PT) time of 16 seconds and an international
normalized ratio - CORRECT ANSWER: c. Ipratropium to the newly-admitted client diagnosed
with chronic obstructive pulmonary disease.
144. The nurse identifies which client is at GREATEST risk for developing osteomyelitis?
1. A 75 year old client diagnosed with chronic lymphocytic leukemia with a positive wound
culture showing methicillin-resistant Staphylococcus aureus infection.
2. A 35 year old client with a history of smoking being treated for an inguinal hernia and is
placed on a nicotine patch.
,3. An 82 year old client hospitalized for a compound fracture of the left femur treated with an
open reduction 48 hours ago.
4. - CORRECT ANSWER: 1. A 75 year old client diagnosed with chronic lymphocytic leukemia
with a positive wound culture showing methicillin-resistant Staphylococcus aureus infection.
A 12-month-old child is playing with the father. Which of these behaviors indicates that the child
is demonstrating object permanence? - CORRECT ANSWER: The child looks for a toy that the
father has hidden under the table.
A 15-year-old child who has type I diabetes mellitus receives an injection of regular insulin 5
units and isophane (NPH) insulin 15 units subcutaneously at 7:00 A.M. before eating breakfast.
At 10:30 A.M., the child tells the school nurse, "I am sweating and feel weak." Which of these
actions should the nurse take first? - CORRECT ANSWER: Measure the blood sugar.
A 22-year-old college student has a heart rate that is 48/minute and regular during a routine
physical examination. Which of these questions should a nurse consider when analyzing this
heart rate? - CORRECT ANSWER: Is this student an athlete?
A 31-year-old female undergoes a tubal ligation. When the patient regains consciousness, the
nurse elevates the head of the bed 60 degrees. The patient says to the nurse, "I feel dizzy." The
nurse should take which of the following actions? - CORRECT ANSWER: Lower the head of
the bed slowly
A 36 hour old newborn is receiving phototherapy. The infant's mother asks why this is being
done. Which response by the nurse is BEST? - CORRECT ANSWER: This treatment converts
bilirubin to a form that can be removed from the body
A 36-week-pregnant woman awakens to find she is having profuse, red vaginal bleeding. A nurse
should prepare the woman to have an immediate sonogram to determine the: - CORRECT
ANSWER: location of the placenta.
, A 7 lb, 6 oz newborn is to receive vitamin K 9 (AquaMEPHYTON). It is MOST important for
the nurse to take which of the following actions? - CORRECT ANSWER: Administer the
medication IM into the infant's vastus lateralis muscle using a 25- gauge needle.
A 75-year-old client who is newly admitted to a long-term care facility has all these nursing
diagnoses. Which one is the priority? - CORRECT ANSWER: Risk of injury.
A 79-year-old woman asks the clinic nurse which immunization she should have. It is BEST for
the nurse to make which of the following responses? - CORRECT ANSWER: Influenza
A 9-month-old infant receives intramuscular injections every 12 hours. It is MOST important for
the nurse to take which of the following actions? - CORRECT ANSWER: Administer one
injection into the right vastus lateralis and the next injection into the left vastus lateralis muscle
A child is brought to the clinical for serum lead screening because of ingestion of lead-based
paint. Which of these manifestations, if present in the child, would indicate early signs of lead
toxicity? - CORRECT ANSWER: Behavior changes.
A child who had abdominal surgery is scheduled to have the fourth postoperative dressing
changed during the day shift. The patient says to the nurse during morning care, "I hate these
dressing changes. I wish I didn't have to have them." Which response by the nurse is BEST? -
CORRECT ANSWER: "You sound upset. What is it that you dislike about the dressing changes?
A child who has cystic fibrosis is receiving pancrelipase (Pancrease MT) with meals and snacks.
To determine if the desired effects of the Pancrease are achieved, a nurse should consider which
of these questions? - CORRECT ANSWER: Are the child's stools of normal consistency?
A client attends a support group for incest survivors at the community mental health center. The
client tells the nurse, "I don't get it. People keep telling me I talk just like my father. He's the last
person I'd want to act like!" which response by the nurse is BEST? - CORRECT ANSWER:
Some people unconsciously take on the characteristics of people who exert power over them
