KAPLAN PREDICTOR (3 VERSIONS) VERSION A, B & C
NEWEST 2025/ 2026 TEST BANK| COMPLETE 450 REAL
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ (MOST
RECENT!!)
1. A nurse receives handoff report on four patients. Which
patient should the nurse see first?
A) Patient with pneumonia, oxygen saturation 91% on 3L nasal
cannula
B) Patient with pancreatitis reporting pain 8/10
C) Patient who had a stroke 4 hours ago with new slurred speech
D) Patient with a fractured tibia requesting pain medication
Answer: C – New neurological change in a post-stroke patient
suggests possible progression or complication (e.g., hemorrhage,
edema).
Rationale: Sudden change in neurological status is a priority
over stable vital signs (A), pain (B and D), and routine requests.
2. A patient with type 1 diabetes mellitus is found
unconscious. Which action should the nurse take first?
1
,A) Administer glucagon IM
B) Check blood glucose
C) Give orange juice orally
D) Start an IV with dextrose 50%
Answer: B – Check blood glucose first to determine if the cause
is hypoglycemia or hyperglycemia.
Rationale: Treating without knowing glucose level can be
harmful. Glucagon (A) and D50 (D) are given after confirmation
of hypoglycemia. Never give oral fluids to an unconscious patient
(C).
3. A nurse is delegating tasks to an unlicensed assistive
personnel (UAP). Which task should the nurse delegate?
A) Assess a patient’s lung sounds
B) Reinforce teaching on insulin injection
C) Measure a patient’s intake and output
D) Evaluate the effectiveness of pain medication
Answer: C – Measuring I&O is a standard, non-invasive task
within UAP scope.
2
,Rationale: Assessment (A), teaching (B), and evaluation (D) are
nursing judgment tasks that cannot be delegated.
4. A patient is prescribed enoxaparin 1 mg/kg subcutaneously
daily. The patient weighs 70 kg. The vial reads 80 mg/0.8 mL.
How many mL should the nurse administer?
A) 0.7 mL
B) 0.8 mL
C) 0.875 mL
D) 1.0 mL
Answer: A – 70 kg × 1 mg/kg = 70 mg needed. (70 mg / 80
mg) × 0.8 mL = 0.7 mL.
Rationale: Double-check weight-based dosing calculations
carefully. Enoxaparin overdosing increases bleeding risk.
5. A nurse is caring for a patient with a chest tube to water
seal drainage. The nurse notes continuous bubbling in the
water seal chamber. What is the priority action?
A) Clamp the chest tube
B) Assess for an air leak
3
, C) Increase suction pressure
D) Strip the chest tube
Answer: B – Continuous bubbling in the water seal chamber
indicates an air leak.
Rationale: Never clamp a chest tube without an order. Assess the
system for loose connections or cracks. Stripping (D) is outdated
and dangerous.
6. A patient is receiving a blood transfusion of packed red
blood cells. Fifteen minutes after initiation, the patient reports
low back pain and chills. What should the nurse do first?
A) Slow the transfusion rate
B) Stop the transfusion
C) Administer acetaminophen
D) Flush the IV line with normal saline
Answer: B – Stop the transfusion immediately for suspected
transfusion reaction.
Rationale: Back pain, chills, fever suggest acute hemolytic
reaction. Stop transfusion, run saline with new tubing, notify
provider, send blood and patient samples to lab.
4
NEWEST 2025/ 2026 TEST BANK| COMPLETE 450 REAL
EXAM QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+ (MOST
RECENT!!)
1. A nurse receives handoff report on four patients. Which
patient should the nurse see first?
A) Patient with pneumonia, oxygen saturation 91% on 3L nasal
cannula
B) Patient with pancreatitis reporting pain 8/10
C) Patient who had a stroke 4 hours ago with new slurred speech
D) Patient with a fractured tibia requesting pain medication
Answer: C – New neurological change in a post-stroke patient
suggests possible progression or complication (e.g., hemorrhage,
edema).
Rationale: Sudden change in neurological status is a priority
over stable vital signs (A), pain (B and D), and routine requests.
2. A patient with type 1 diabetes mellitus is found
unconscious. Which action should the nurse take first?
1
,A) Administer glucagon IM
B) Check blood glucose
C) Give orange juice orally
D) Start an IV with dextrose 50%
Answer: B – Check blood glucose first to determine if the cause
is hypoglycemia or hyperglycemia.
Rationale: Treating without knowing glucose level can be
harmful. Glucagon (A) and D50 (D) are given after confirmation
of hypoglycemia. Never give oral fluids to an unconscious patient
(C).
3. A nurse is delegating tasks to an unlicensed assistive
personnel (UAP). Which task should the nurse delegate?
A) Assess a patient’s lung sounds
B) Reinforce teaching on insulin injection
C) Measure a patient’s intake and output
D) Evaluate the effectiveness of pain medication
Answer: C – Measuring I&O is a standard, non-invasive task
within UAP scope.
2
,Rationale: Assessment (A), teaching (B), and evaluation (D) are
nursing judgment tasks that cannot be delegated.
4. A patient is prescribed enoxaparin 1 mg/kg subcutaneously
daily. The patient weighs 70 kg. The vial reads 80 mg/0.8 mL.
How many mL should the nurse administer?
A) 0.7 mL
B) 0.8 mL
C) 0.875 mL
D) 1.0 mL
Answer: A – 70 kg × 1 mg/kg = 70 mg needed. (70 mg / 80
mg) × 0.8 mL = 0.7 mL.
Rationale: Double-check weight-based dosing calculations
carefully. Enoxaparin overdosing increases bleeding risk.
5. A nurse is caring for a patient with a chest tube to water
seal drainage. The nurse notes continuous bubbling in the
water seal chamber. What is the priority action?
A) Clamp the chest tube
B) Assess for an air leak
3
, C) Increase suction pressure
D) Strip the chest tube
Answer: B – Continuous bubbling in the water seal chamber
indicates an air leak.
Rationale: Never clamp a chest tube without an order. Assess the
system for loose connections or cracks. Stripping (D) is outdated
and dangerous.
6. A patient is receiving a blood transfusion of packed red
blood cells. Fifteen minutes after initiation, the patient reports
low back pain and chills. What should the nurse do first?
A) Slow the transfusion rate
B) Stop the transfusion
C) Administer acetaminophen
D) Flush the IV line with normal saline
Answer: B – Stop the transfusion immediately for suspected
transfusion reaction.
Rationale: Back pain, chills, fever suggest acute hemolytic
reaction. Stop transfusion, run saline with new tubing, notify
provider, send blood and patient samples to lab.
4
