Kaplan MS Exam Answers Pack – 100% Correct Solutions and Study Guide
A client diagnosed with chronic kidney disease has an arteriovenous fistula (AVF) in place. When
accessing the fistula, the nurse palpates pulsation that is synchronous with the client's heart
rate. Which action does the nurse take next?
1. Documents the presence of a palpable AVF pulsation in the record.
2. Assesses the fingers of the hand distal to the AVF for color, movement, and sensitivity.
3. Notifies the health care provider of the change before dialysis.
4. Assesses the AF in place on the other arm for palpable pulsations - ✔✔✔-1. Documents the
presence of a palpable AVF pulsation in the record.
A client diagnosed with chronic kidney disease reports shortness of breath. The nurse
determines a scheduled dialysis treatment is effective if which serum lab value is noted?
1. Total calcium 8.1 mg/dL (2.025 mmol/L).
2. Chloride 110 mEq/L (110 mmol/L).
3. Sodium 152 mEq/L (152 mmol/L).
4. Potassium 3.8 mEq/L (3.8 mmoV/L). - ✔✔✔-4. Potassium 3.8 mEq/L (3.8 mmoV/L).
A client diagnosed with type 1 diabetes mellitus reports a sudden onset of tremors. The client
appears pale, and the pulse rate is 112 beats/minute. The glucometer blood glucose level is 52
mg/dL (2.89 mmol/L). Which action by the nurse is best?
1. Check to find when the last dose of insulin was given
2. Give the client 4 oz. of orange juice.
3. Administer 50% dextrose IV per standing prescription.
4. Reassess the blood glucose level in 15 minutes - ✔✔✔-2. Give the client 4 oz. of orange juice.
(I think. Its either this or 4)
A client has a chest tube inserted. Which documentation is correctly reported regarding the
procedure?
1. Client given a brochure on how a chest tube operates.
2. Client is quiet and coping with the chest tube without complaints.
,Kaplan MS Exam Answers Pack – 100% Correct Solutions and Study Guide
3. Client given information on activity allowed with chest tube in place.
4. Client is angry about getting the chest tube insertion. - ✔✔✔-3. Client given information on
activity allowed with chest tube in place.
A client is admitted with a diagnosis of hyperglycemic hyperosmolar nonketotic syndrome
(HHNS). The nurse expects to find which serum blood glucose level in the client's medical
record?
1. 150 mg/dL (8.32 mmol/L).
2. 800 mg/dL (44.4 mmol/L).
3. 200 mg/dL (11.1 mmol/L)
4.400 mg/dL (22.2 mmol/L). - ✔✔✔-2. 800 mg/dL (44.4 mmol/L).
A client is admitted with a diagnosis of intestinal obstruction. The client reports persistent
vomiting for four days, an inability to tolerate any food or fluids, no bowel movements for three
days, and abdominal distension and pain. The nurse uses which information for the priority
nursing diagnosis?
1. Pain.
2. Fluid loss.
3. Constipation.
4. Anxiety. - ✔✔✔-2. Fluid loss.
A client is discharged to home following a lung wedge resection for stage IIB lung cvancer. The
nurse provides information regaridn signs and symptoms to report if they occur. Which nursing
statement is best?
If you have chest pain, make syre your spouse goes outside to smoke Watch for decreasing pain
levels, and let the health care provider know
If you have difficulty breating or eating, call the health care providr
, Kaplan MS Exam Answers Pack – 100% Correct Solutions and Study Guide
Please call the health care provider if you have hemoptysis - ✔✔✔-If you have difficulty
breating or eating, call the health care providr
A client is readmitted 2 weeks after prosthetic mitral valve replacement. The client has a
temperature of 102.8°F (39.3°C), S3 heart sound, conjunctival petechiae, and splinter
hemorrhages in the distal third of the nail beds. It is most important for the nurse to take which
action?
1. Monitor for peripheral edema, weight gain, dyspnea, and expiratory crackles.
2. Discontinue the IV and obtain an order to administer all medications orally.
3. Teach the client to take prophylactic antibiotics prior to the next dental appointment.
4. Instruct the family members about how to administer IV antibiotics. - ✔✔✔-2. Discontinue
the IV and obtain an order to administer all medications orally. (I think)
A client recently had an ostomy placement. The client states, "I am afraid my partner will not
find me sexually desirable anymore." Which response by the nurse is best?
1."You look just fine after your surgery.
2."There is no reason to feel that way.
3."Tell me more about how you are feeling."
4."Why do you think your partner will feel this way?" - ✔✔✔-3."Tell me more about how you
are feeling."
A client recovers from diabetic ketoacidosis (DKA). The client states, "I am afraid that I will be
readmitted with DKA in the future." The nurse determines the best nursing diagnosis based on
which information?
1. Isolation from family while hospitalized.
2. Lack of understanding about DKA.
3. Fear of being readmitted to the hospital.
4. Denial of having diabetes mellitus - ✔✔✔-3. Fear of being readmitted to the hospital.
A client diagnosed with chronic kidney disease has an arteriovenous fistula (AVF) in place. When
accessing the fistula, the nurse palpates pulsation that is synchronous with the client's heart
rate. Which action does the nurse take next?
1. Documents the presence of a palpable AVF pulsation in the record.
2. Assesses the fingers of the hand distal to the AVF for color, movement, and sensitivity.
3. Notifies the health care provider of the change before dialysis.
4. Assesses the AF in place on the other arm for palpable pulsations - ✔✔✔-1. Documents the
presence of a palpable AVF pulsation in the record.
A client diagnosed with chronic kidney disease reports shortness of breath. The nurse
determines a scheduled dialysis treatment is effective if which serum lab value is noted?
1. Total calcium 8.1 mg/dL (2.025 mmol/L).
2. Chloride 110 mEq/L (110 mmol/L).
3. Sodium 152 mEq/L (152 mmol/L).
4. Potassium 3.8 mEq/L (3.8 mmoV/L). - ✔✔✔-4. Potassium 3.8 mEq/L (3.8 mmoV/L).
A client diagnosed with type 1 diabetes mellitus reports a sudden onset of tremors. The client
appears pale, and the pulse rate is 112 beats/minute. The glucometer blood glucose level is 52
mg/dL (2.89 mmol/L). Which action by the nurse is best?
1. Check to find when the last dose of insulin was given
2. Give the client 4 oz. of orange juice.
3. Administer 50% dextrose IV per standing prescription.
4. Reassess the blood glucose level in 15 minutes - ✔✔✔-2. Give the client 4 oz. of orange juice.
(I think. Its either this or 4)
A client has a chest tube inserted. Which documentation is correctly reported regarding the
procedure?
1. Client given a brochure on how a chest tube operates.
2. Client is quiet and coping with the chest tube without complaints.
,Kaplan MS Exam Answers Pack – 100% Correct Solutions and Study Guide
3. Client given information on activity allowed with chest tube in place.
4. Client is angry about getting the chest tube insertion. - ✔✔✔-3. Client given information on
activity allowed with chest tube in place.
A client is admitted with a diagnosis of hyperglycemic hyperosmolar nonketotic syndrome
(HHNS). The nurse expects to find which serum blood glucose level in the client's medical
record?
1. 150 mg/dL (8.32 mmol/L).
2. 800 mg/dL (44.4 mmol/L).
3. 200 mg/dL (11.1 mmol/L)
4.400 mg/dL (22.2 mmol/L). - ✔✔✔-2. 800 mg/dL (44.4 mmol/L).
A client is admitted with a diagnosis of intestinal obstruction. The client reports persistent
vomiting for four days, an inability to tolerate any food or fluids, no bowel movements for three
days, and abdominal distension and pain. The nurse uses which information for the priority
nursing diagnosis?
1. Pain.
2. Fluid loss.
3. Constipation.
4. Anxiety. - ✔✔✔-2. Fluid loss.
A client is discharged to home following a lung wedge resection for stage IIB lung cvancer. The
nurse provides information regaridn signs and symptoms to report if they occur. Which nursing
statement is best?
If you have chest pain, make syre your spouse goes outside to smoke Watch for decreasing pain
levels, and let the health care provider know
If you have difficulty breating or eating, call the health care providr
, Kaplan MS Exam Answers Pack – 100% Correct Solutions and Study Guide
Please call the health care provider if you have hemoptysis - ✔✔✔-If you have difficulty
breating or eating, call the health care providr
A client is readmitted 2 weeks after prosthetic mitral valve replacement. The client has a
temperature of 102.8°F (39.3°C), S3 heart sound, conjunctival petechiae, and splinter
hemorrhages in the distal third of the nail beds. It is most important for the nurse to take which
action?
1. Monitor for peripheral edema, weight gain, dyspnea, and expiratory crackles.
2. Discontinue the IV and obtain an order to administer all medications orally.
3. Teach the client to take prophylactic antibiotics prior to the next dental appointment.
4. Instruct the family members about how to administer IV antibiotics. - ✔✔✔-2. Discontinue
the IV and obtain an order to administer all medications orally. (I think)
A client recently had an ostomy placement. The client states, "I am afraid my partner will not
find me sexually desirable anymore." Which response by the nurse is best?
1."You look just fine after your surgery.
2."There is no reason to feel that way.
3."Tell me more about how you are feeling."
4."Why do you think your partner will feel this way?" - ✔✔✔-3."Tell me more about how you
are feeling."
A client recovers from diabetic ketoacidosis (DKA). The client states, "I am afraid that I will be
readmitted with DKA in the future." The nurse determines the best nursing diagnosis based on
which information?
1. Isolation from family while hospitalized.
2. Lack of understanding about DKA.
3. Fear of being readmitted to the hospital.
4. Denial of having diabetes mellitus - ✔✔✔-3. Fear of being readmitted to the hospital.
