Kaplan Final Exit
Predictor Exam
Questions And Correct
Answers (Verified
Answers) Plus
Rationales 2025/2026
Q&A | Instant
Download Pdf
1. A client with heart failure is prescribed furosemide.
Which electrolyte should the nurse monitor most closely?
A. Sodium
B. Calcium
C. Potassium
D. Magnesium
,Answer: C. Potassium
Rationale: Loop diuretics like furosemide cause potassium
loss, increasing risk for hypokalemia and dysrhythmias.
2. A nurse is assessing a client with COPD. Which finding
requires immediate intervention?
A. Oxygen saturation 90%
B. Respiratory rate 22/min
C. Cyanosis of lips
D. Barrel chest
Answer: C. Cyanosis of lips
Rationale: Cyanosis indicates severe hypoxia and poor
oxygenation requiring urgent action.
3. Which action is priority when a client is receiving blood
transfusion and reports chills and back pain?
A. Slow infusion rate
B. Stop transfusion immediately
C. Notify physician
D. Obtain vital signs
Answer: B. Stop transfusion immediately
Rationale: These are signs of transfusion reaction; stopping
the transfusion is the priority.
4. A postoperative client is at highest risk for which
complication?
,A. Hypoglycemia
B. Deep vein thrombosis
C. Hypertension
D. Hyperkalemia
Answer: B. Deep vein thrombosis
Rationale: Immobility after surgery increases risk of venous
stasis and clot formation.
5. Which medication is used to treat anaphylaxis?
A. Atropine
B. Epinephrine
C. Dopamine
D. Heparin
Answer: B. Epinephrine
Rationale: Epinephrine reverses bronchospasm and
vasodilation in anaphylaxis.
6. A client with diabetes has blood glucose of 50 mg/dL.
What is the priority action?
A. Give insulin
B. Administer 15 g fast-acting carbohydrate
C. Recheck in 1 hour
D. Call provider
Answer: B. Administer 15 g fast-acting carbohydrate
Rationale: This is immediate treatment for hypoglycemia.
, 7. Which sign indicates increased intracranial pressure?
A. Bradycardia
B. Tachypnea
C. Hypotension
D. Fever
Answer: A. Bradycardia
Rationale: Cushing’s triad includes bradycardia as a late
sign of increased ICP.
8. A nurse is caring for a client with tuberculosis. Which
precaution is required?
A. Contact
B. Droplet
C. Airborne
D. Protective
Answer: C. Airborne
Rationale: TB spreads through airborne particles, requiring
N95 mask and negative pressure room.
9. Which lab value indicates kidney failure?
A. Creatinine 0.8 mg/dL
B. BUN 15 mg/dL
C. Creatinine 3.5 mg/dL
D. Potassium 3.5 mEq/L
Answer: C. Creatinine 3.5 mg/dL
Rationale: Elevated creatinine indicates impaired renal
function.
Predictor Exam
Questions And Correct
Answers (Verified
Answers) Plus
Rationales 2025/2026
Q&A | Instant
Download Pdf
1. A client with heart failure is prescribed furosemide.
Which electrolyte should the nurse monitor most closely?
A. Sodium
B. Calcium
C. Potassium
D. Magnesium
,Answer: C. Potassium
Rationale: Loop diuretics like furosemide cause potassium
loss, increasing risk for hypokalemia and dysrhythmias.
2. A nurse is assessing a client with COPD. Which finding
requires immediate intervention?
A. Oxygen saturation 90%
B. Respiratory rate 22/min
C. Cyanosis of lips
D. Barrel chest
Answer: C. Cyanosis of lips
Rationale: Cyanosis indicates severe hypoxia and poor
oxygenation requiring urgent action.
3. Which action is priority when a client is receiving blood
transfusion and reports chills and back pain?
A. Slow infusion rate
B. Stop transfusion immediately
C. Notify physician
D. Obtain vital signs
Answer: B. Stop transfusion immediately
Rationale: These are signs of transfusion reaction; stopping
the transfusion is the priority.
4. A postoperative client is at highest risk for which
complication?
,A. Hypoglycemia
B. Deep vein thrombosis
C. Hypertension
D. Hyperkalemia
Answer: B. Deep vein thrombosis
Rationale: Immobility after surgery increases risk of venous
stasis and clot formation.
5. Which medication is used to treat anaphylaxis?
A. Atropine
B. Epinephrine
C. Dopamine
D. Heparin
Answer: B. Epinephrine
Rationale: Epinephrine reverses bronchospasm and
vasodilation in anaphylaxis.
6. A client with diabetes has blood glucose of 50 mg/dL.
What is the priority action?
A. Give insulin
B. Administer 15 g fast-acting carbohydrate
C. Recheck in 1 hour
D. Call provider
Answer: B. Administer 15 g fast-acting carbohydrate
Rationale: This is immediate treatment for hypoglycemia.
, 7. Which sign indicates increased intracranial pressure?
A. Bradycardia
B. Tachypnea
C. Hypotension
D. Fever
Answer: A. Bradycardia
Rationale: Cushing’s triad includes bradycardia as a late
sign of increased ICP.
8. A nurse is caring for a client with tuberculosis. Which
precaution is required?
A. Contact
B. Droplet
C. Airborne
D. Protective
Answer: C. Airborne
Rationale: TB spreads through airborne particles, requiring
N95 mask and negative pressure room.
9. Which lab value indicates kidney failure?
A. Creatinine 0.8 mg/dL
B. BUN 15 mg/dL
C. Creatinine 3.5 mg/dL
D. Potassium 3.5 mEq/L
Answer: C. Creatinine 3.5 mg/dL
Rationale: Elevated creatinine indicates impaired renal
function.
