KAPLAN PREDICTOR COMBINED
VERSION A, B, C & D NEWEST 2026
ACTUAL EXAM WITH NGN FORMAT
COMPLETE 500 QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) | ALREADY
GRADED A+
This comprehensive guide combines all four Kaplan Predictor Versions (A, B, C, D) for
the 2025/2026 exam cycle. Each question includes the correct answer and a detailed
rationale following Kaplan’s testing blueprint and NGN format. All answers are verified
VERSION A:
(Prioritization, Pharmacology, Maternity, Safety)
Q1. A pregnant woman with type 1 diabetes asks the nurse about dietary
changes she should consider. What is the nurse's best advice?
A. Increase protein intake significantly
B. Consume a balanced diet with carbohydrate counting
C. Eliminate carbohydrates entirely
D. Follow a high-fat diet
Correct ,,,ANSWER,,,: B
,Rationale: A balanced diet with carbohydrate counting helps manage blood glucose
levels during pregnancy. Pregnancy increases insulin resistance, requiring careful
monitoring of carbohydrate intake to prevent hyperglycemia. Eliminating
carbohydrates (C) is dangerous and can cause hypoglycemia or ketosis.
Content Area: Health Promotion & Maintenance | Kaplan Focus: Diabetes in
pregnancy
Q2. The nurse instructs a client on the use of a rescue inhaler. Which
statement from the client indicates a misunderstanding of its use?
A. "I will carry this inhaler with me at all times."
B. "I should use this inhaler before exercising to prevent symptoms."
C. "I can use this inhaler as a substitute for my daily controller medication."
D. "I should seek medical help if I need to use this inhaler more than twice a week."
Correct ,,,ANSWER,,,: C
Rationale: Rescue inhalers (short-acting beta agonists like albuterol) are for acute
symptom relief, NOT as a substitute for daily controller medications (inhaled
corticosteroids). Using a rescue inhaler more than twice weekly indicates poor
asthma control and need for step-up therapy (D is correct, not a
misunderstanding).
Content Area: Pharmacological Therapies | Kaplan Focus: Asthma medication
teaching
Q3. After administering a PPD test, the nurse instructs the client to return for
reading the results. What is the optimal timeframe for this follow-up?
A. 12 hours post-injection
B. 24 hours post-injection
C. 48 to 72 hours post-injection
D. 1 week post-injection
,Correct ,,,ANSWER,,,: C
Rationale: The tuberculin skin test (PPD) must be read 48 to 72 hours after
injection. Reading before 48 hours may miss positive reactions; after 72 hours,
results are invalid. Induration (not erythema) is measured.
Content Area: Health Promotion & Maintenance | Kaplan Focus: TB screening
Q4. During a health assessment, the nurse notes that a 12-month-old child has
dry lips and a slightly sunken appearance to the eyes. What does this suggest?
A. Proper hydration status
B. Mild dehydration
C. Normal growth patterns
D. Excessive fluid intake
Correct ,,,ANSWER,,,: B
Rationale: Dry lips and sunken eyes are signs of mild to moderate dehydration in
infants, along with decreased urine output, absent tears, and delayed capillary
refill. Bulging fontanel would indicate increased ICP, not dehydration.
Content Area: Physiological Adaptation | Kaplan Focus: Pediatric dehydration
Q5. A patient is prescribed an opioid medication but the nurse mistakenly gives
a different opioid. What is the best practice for managing this type of
medication error?
A. Administer an antidote immediately regardless of symptoms
B. Monitor the patient for adverse effects and document the error accurately
C. Wait for the physician to arrive before taking any action
D. Ignore the error if the patient does not report any side effects
Correct ,,,ANSWER,,,: B
, Rationale: After a medication error, the nurse must MONITOR the patient for
adverse effects, notify the provider, and complete an incident report. Accurate
documentation of the error is essential (but the incident report is NOT part of the
medical record). An antidote (A) is given only if specific toxicity occurs.
Content Area: Safety | Kaplan Focus: Medication error management
Q6. A nurse is monitoring a patient with fluid overload. If the patient is
restricted to 1500 ml of fluid per day, how much fluid can they consume in a
24-hour period?
A. 1000 ml
B. 1500 ml
C. 1200 ml
D. 1800 ml
Correct ,,,ANSWER,,,: B
Rationale: If the patient is restricted to 1500 ml, that is the TOTAL fluid allowed in
24 hours—including fluids taken with medications, ice chips, and any foods that are
liquid at room temperature (soup, gelatin, popsicles). The patient cannot exceed
this amount.
Content Area: Reduction of Risk Potential | Kaplan Focus: Fluid restriction
Q7. Which of the following is essential for the nurse to monitor in a client with
HIV to prevent complications?
A. Blood pressure fluctuations
B. Nutritional intake and weight changes
C. Respiratory rate
D. Urinary output
Correct ,,,ANSWER,,,: B
VERSION A, B, C & D NEWEST 2026
ACTUAL EXAM WITH NGN FORMAT
COMPLETE 500 QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) | ALREADY
GRADED A+
This comprehensive guide combines all four Kaplan Predictor Versions (A, B, C, D) for
the 2025/2026 exam cycle. Each question includes the correct answer and a detailed
rationale following Kaplan’s testing blueprint and NGN format. All answers are verified
VERSION A:
(Prioritization, Pharmacology, Maternity, Safety)
Q1. A pregnant woman with type 1 diabetes asks the nurse about dietary
changes she should consider. What is the nurse's best advice?
A. Increase protein intake significantly
B. Consume a balanced diet with carbohydrate counting
C. Eliminate carbohydrates entirely
D. Follow a high-fat diet
Correct ,,,ANSWER,,,: B
,Rationale: A balanced diet with carbohydrate counting helps manage blood glucose
levels during pregnancy. Pregnancy increases insulin resistance, requiring careful
monitoring of carbohydrate intake to prevent hyperglycemia. Eliminating
carbohydrates (C) is dangerous and can cause hypoglycemia or ketosis.
Content Area: Health Promotion & Maintenance | Kaplan Focus: Diabetes in
pregnancy
Q2. The nurse instructs a client on the use of a rescue inhaler. Which
statement from the client indicates a misunderstanding of its use?
A. "I will carry this inhaler with me at all times."
B. "I should use this inhaler before exercising to prevent symptoms."
C. "I can use this inhaler as a substitute for my daily controller medication."
D. "I should seek medical help if I need to use this inhaler more than twice a week."
Correct ,,,ANSWER,,,: C
Rationale: Rescue inhalers (short-acting beta agonists like albuterol) are for acute
symptom relief, NOT as a substitute for daily controller medications (inhaled
corticosteroids). Using a rescue inhaler more than twice weekly indicates poor
asthma control and need for step-up therapy (D is correct, not a
misunderstanding).
Content Area: Pharmacological Therapies | Kaplan Focus: Asthma medication
teaching
Q3. After administering a PPD test, the nurse instructs the client to return for
reading the results. What is the optimal timeframe for this follow-up?
A. 12 hours post-injection
B. 24 hours post-injection
C. 48 to 72 hours post-injection
D. 1 week post-injection
,Correct ,,,ANSWER,,,: C
Rationale: The tuberculin skin test (PPD) must be read 48 to 72 hours after
injection. Reading before 48 hours may miss positive reactions; after 72 hours,
results are invalid. Induration (not erythema) is measured.
Content Area: Health Promotion & Maintenance | Kaplan Focus: TB screening
Q4. During a health assessment, the nurse notes that a 12-month-old child has
dry lips and a slightly sunken appearance to the eyes. What does this suggest?
A. Proper hydration status
B. Mild dehydration
C. Normal growth patterns
D. Excessive fluid intake
Correct ,,,ANSWER,,,: B
Rationale: Dry lips and sunken eyes are signs of mild to moderate dehydration in
infants, along with decreased urine output, absent tears, and delayed capillary
refill. Bulging fontanel would indicate increased ICP, not dehydration.
Content Area: Physiological Adaptation | Kaplan Focus: Pediatric dehydration
Q5. A patient is prescribed an opioid medication but the nurse mistakenly gives
a different opioid. What is the best practice for managing this type of
medication error?
A. Administer an antidote immediately regardless of symptoms
B. Monitor the patient for adverse effects and document the error accurately
C. Wait for the physician to arrive before taking any action
D. Ignore the error if the patient does not report any side effects
Correct ,,,ANSWER,,,: B
, Rationale: After a medication error, the nurse must MONITOR the patient for
adverse effects, notify the provider, and complete an incident report. Accurate
documentation of the error is essential (but the incident report is NOT part of the
medical record). An antidote (A) is given only if specific toxicity occurs.
Content Area: Safety | Kaplan Focus: Medication error management
Q6. A nurse is monitoring a patient with fluid overload. If the patient is
restricted to 1500 ml of fluid per day, how much fluid can they consume in a
24-hour period?
A. 1000 ml
B. 1500 ml
C. 1200 ml
D. 1800 ml
Correct ,,,ANSWER,,,: B
Rationale: If the patient is restricted to 1500 ml, that is the TOTAL fluid allowed in
24 hours—including fluids taken with medications, ice chips, and any foods that are
liquid at room temperature (soup, gelatin, popsicles). The patient cannot exceed
this amount.
Content Area: Reduction of Risk Potential | Kaplan Focus: Fluid restriction
Q7. Which of the following is essential for the nurse to monitor in a client with
HIV to prevent complications?
A. Blood pressure fluctuations
B. Nutritional intake and weight changes
C. Respiratory rate
D. Urinary output
Correct ,,,ANSWER,,,: B
