AND CORRECT ANSWERS 2026 LATEST EXAM TEST
PERFECT TO PASS KAPLAN EXAM WITH EASE
The nurse shows a teenager how to use a metered dose inhaler of ipratropium (Atrovent). Which
statement if made by the client to the nurse, indicates teaching is effective? - CORRECT ANSWER-
"I should use this medicine to prevent asthma attacks."
An older client is scheduled for a magnetic resonance imaging MRI procedure. Which of the
following statements, if made by the client to the nurse, should be reported to the technician
before the test? - CORRECT ANSWER-I had a knee replacement 5 years ago
The nurse makes the following observations of a 6 hour old newborn: axillary temperature 96.4 F
(35.8 C), apical pulse 148, respirations irregular at 48/minute, black sticky stool, blood glucose
60mg/dL. It is most important for the nurse to take which action? - CORRECT ANSWER-Wrap the
newborn in a warmed blanket
The patient is in the recovery room after a transurethral prostatectomy (TURP) under spinal
anesthesia. The nurse knows that the patient is fully recovered from the anesthesia if which of the
following is observed? - CORRECT ANSWER-The patient can feel the nurse touching his feet.
The nurse cares for a patient just returned from the urology department after a needle biopsy of
the left kidney. It is MOST important for the nurse to take which of the following actions? -
CORRECT ANSWER-Position the patient in a supine position
A father brings his adult child diagnosed with chronic schizophrenia back to the hospital for the fifth
admission in 2 years. The father asks the nurse, "When will this ever end? What did we do wrong?"
Which is the BEST response for the nurse to make? - CORRECT ANSWER-" What you are feeling is
very common. You should join a support group of families that are in the same position."
While working with a team to restrain a physically combative patient, it is MOST important for the
nurse to remember which of the following? - CORRECT ANSWER-Each team member should
maintain an assigned role throughout the restraining process.
. 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 a patient recovering from a carotid endarterectomy. Which is an EXPECTED
outcome after this surgery? - CORRECT ANSWER-The clients voice is low and raspy
The clinic nurse cares for a teacher receiving naproxen 500 mg BID for 3 weeks. The client reports to
the clinic nurse that she has had a fever and a rash on her trunk for a week. The skin is now flaking
off, leaving the underlying skin red and flaky. Which statement by the nurse is BEST? - CORRECT
ANSWER-This may be a reaction to the medication you are taking. I'll notify your physician right
away."
A patient is discharged after being treated for injuries sustained in an auto accident. The client has
two dressings, one on the left forearm and one on the right knee that need to be changed daily.
Which statement, if made by the patient, indicates to the nurse that further teaching is necessary? -
CORRECT ANSWER-" I will use paper tape to secure the dressing"
The home health nurse explains the use of transcutaneous electrical nerve stimulation (TENS) to a
client. Which action, if performed by the client, indicates to the nurse that further teaching is
necessary? - CORRECT ANSWER-The client places the electrodes on the side of the body opposite
to the painful area
The nurse plans care for a patient with carpal tunnel syndrome. The nurse should question which of
the following orders? - CORRECT ANSWER-Active ROM twice daily
The nurse in the same-day surgery department cares for an elderly client after a colonoscopy. The
nurse is MOST concerned if the nursing assistant reports which of the following findings 30 minutes
after the procedure? - CORRECT ANSWER-"The client is complaining of lightheadedness and
dizziness."
A client has received gavage feeding though a Levin tube for 2 weeks. This method of feeding is to be
discontinued. The nurse should take which of the following actions? - CORRECT ANSWER-Flush the
tube with 10 ml of normal saline before removing it.
The psychiatric nursing team consists of one registered nurse and three nursing assistants. Which
patient should be assigned to the registered nurse? - CORRECT ANSWER-A 40-year-old man
receiving clozapine (Clozaril) who is complaining of a sore throat and fine hand tremors
,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
The nurse teaches the client about albuterol 2 inhalations every 6 hours by metered dose inhaler.
Which statement, if made by the client, indicates to the nurse that further teaching is necessary? -
CORRECT ANSWER-"When I take the medicine I should inhale and then compress the container."
. 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
The physician orders 1,000 mL of D5NS in 8 hours for an elderly client. The nurse hangs a 1-liter bag
at 6 A.M. At 10 A.M., the bag has 400 mL remaining. Which action by the nurse is MOST
appropriate? - CORRECT ANSWER-Decrease the rate to 100 ml/hr for 4 hours
The clinic nurse cares for a client diagnosed with irritable bowel syndrome. It is MOST important for
the nurse to include which of the following statements to the client? - CORRECT ANSWER-"It would
be helpful to increase your intake of whole grains, raw fruits, and vegetables."
The nurse plans care for a patient diagnosed with schizophrenia who is withdrawn. Which patient
behavior does the nurse expect to observe? - CORRECT ANSWER-The patient walks in the hall with
the nurse without talking.
A client is admitted to the emergency department with deep partial-thickness burns of the arms and
chest sustained in a house fire. The nurse notes that the client is very restless and anxious. Which
action should the nurse take FIRST? - CORRECT ANSWER-Listen to breath sounds
The nurse talks with an upset patient on the psychiatric unit. The patient's anger appears to be
escalating. Which action should the nurse take? - CORRECT ANSWER-Tell the patient that
aggressive behavior will not be tolerated
The nurse on a unit of the state hospital plans psychoeducational classes for chronic schizophrenics.
Most of the patients have been hospitalized for 20 years. Which classes should be planned FIRST by
the nurse? - CORRECT ANSWER-Hygiene, communication skills, nutrition.
, The postpartum nurse cares for a woman who is breastfeeding her first child. The client complains of
strong afterbirth pains while she nurses. Which statement, if made by the client to the nurse,
indicates that the client understands the cause of this discomfort? - CORRECT ANSWER-"These
pains show that my let-down reflex is working.
. 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.
A college student is brought to the emergency department after taking 200 mg of methylphenidate
(Ritalin). After gastric lavage is completed, it is MOST important for the nurse to take which of the
following actions? - CORRECT ANSWER-Ask the patient to hold his breath as the tube is removed.
The clinic nurse evaluates a client for tendonitis of the elbow. Which statement, if made by the
client, indicates to the nurse a predisposition to this condition? - CORRECT ANSWER-"I recently
changed jobs and now work as an apprentice carpenter."
The clinic nurse recommends a high-fiber diet for the older client reporting constipation. The client
asks the nurse how this will help. Which statement by the nurse is best? - CORRECT ANSWER-
"Fiber increases the water content of your stool."
A newborn receives an Apgar score of 3 at 1 minute after birth. The nurse knows that a score of 3
indicates which of the following? - CORRECT ANSWER-The newborn has a life-threatening anomaly
A young adult is brought to the emergency department for ingestion of 40 5-grain tablets of
acetaminophen (Tylenol). The patient's roommate reports that the patient took the pills 2 days ago
after a break up with a significant other, but the patient refused to go to the hospital at that time.
Today the roommate found the patient in bed, confused and gripping the upper abdominal area. The
nurse expects to see which of the following tests given the HIGHEST priority? - CORRECT ANSWER-
AST (SGOT) and ALT (SGPT)
A client with a history of liver disease is brought to the hospital by her family. The family is
frightened because the client has become increasingly drowsy, gets disoriented and agitated, and
sleeps during the day and is awake at night. The nurse expects the physician to order which of the
following? - CORRECT ANSWER-Lactulose (Chronulac) 200 g retention enema q 6 h