Kaplan NCLEX EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

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Exam Solution zm




NCLEX Q bank 5 2026 A+ GRADE ASSURED COMPLETE zm zm zm zm zm zm zm zm zm




SOLUTIONS AND VERIFIED ANSWERS (596A7) zm zm zm zm




QUESTION 1 zm




The nurse cares for clients on the medical/surgical unit. Which of the following obser
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vations require an IMMEDIATE intervention by the nurse.
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ANSWER

*The licensed practical nurse removes the wight of a a patient in Buck's extension traction before re
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-
positioning the patient.* Skeletal traction weights should never be removed without an order, includi
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ng when re-
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positioning the patient; such an action would be very painful for the patient and would interrupt th
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e line of pull.
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QUESTION 2 zm




The nurse performs teaching for the client being discharged on *dexamethasone* 0.75
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mg PO daily. The nurse determines teaching is successful if the client makes which st
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atement.
ANSWER

*"I will take my medication with breakfast."* Oral steroids have ulcerogenic properties and need to
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be administered with meals; if ordered daily, administer in morning. (take with food!!)
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QUESTION 3 zm




The nurse educates a client diagnosed with chronic gout about the use of *allopurinol
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*. Which client statements indicate client understanding of the teaching instructions?
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ANSWER

*"I need to switch to decaffeinated coffee."* Caffeine should be avoided because it increases uric aci
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d. *"I can use ibuprofen for discomfort."* NSAIDs can be used for acute gouty attacks. (never double
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mup doses, and crushing the med is fine!!)
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, QUESTION 4 zm




One day after a coronary artery bypass graft (CABG), the nurse discovers a client sitti
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ng in a chair. The client is cold and pale, and responds to loud verbal stimuli. Which
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action by the nurse is MOST appropriate?
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ANSWER

*Transfer the client back to bed.* Cold, pale client need to be reclining in bed; hypothermia causes v
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asoconstriction and hypertension; hypertension causes leakage from suture lines and may cause blee
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ding. (performing a cardiac assessment can be done after the client is safely back in bed!!)
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QUESTION 5 zm




The wife of a combat veteran tearfully tells the home health nurse that recently her h
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usband gets upset about nothing in particular and shouts at her, "Get away from me!"
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mor "Don't bother me!" The wife states she does not know what she has done wrong o
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r what she should do. Which response by the nurse is BEST?
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ANSWER

*"Do what he says. Make the environment quiet and keep your distance until he is less upset."* Pro
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bably having PTSD flashbacks; when combat veteran is having a flashback, veteran is psychologically
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min a war zone reliving a trauma as if it were occurring now and may misidentify people as a threat
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; maintain a safe distance and limit stimuli. (Reorientation is good, just not during the actual flashba
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ck!!)



QUESTION 6 zm




The nurse performs discharge teaching for an elderly female diagnosed with peripher
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al arterial insufficiency. It is MOST important for the nurse to include which of the fol
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lowing instructions? zm




ANSWER

*"Apply a heating pad to your abdomen once a day."* Will cause a reflex vasodilation of the extremi
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ties; safer than placing direct heat on the extremities. (feet down or walking is not the MOST import
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ant!!)



QUESTION 7 zm




The community health nurse provides education about influenza treatment and preve
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ntion at a local health fair. Which statements made by citizens demonstrate correct u
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nderstanding of *oseltamivir*? zm zm




ANSWER