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

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QBank 2026 A+ GRADE ASSURED COMPLETE SOLUTIO zm zm zm zm zm zm




NS AND VERIFIED ANSWERS (57A11)
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QUESTION 1 zm




The nurse provides care for a 2-week-
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old client during a wellness visit. Which instruction does the nurse provide to the par
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ents in relation to the neonate's sleep? 1. establish a bedtime routine by age 4 weeks
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2. Place the newborn on a soft mattress to promote comfort 3. Use bumper pads in th
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e crib to protect the newborn during movement 4. Do not rock the newborn to sleep
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ANSWER

4. Encourage parents to place child in a crib to fall asleep
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QUESTION 2 zm




A parent brings a 10-month-
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old client to the health clinic. The parent asks when the client will be ready to begin t
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oilet training. Which response by the nurse is accurate? 1. Your child is ready now 2.
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Your child will be ready in 2 months 3. Your child will be ready in another 8 to 12 m
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onths 4. Your child will tell you when they are ready
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ANSWER

3. Voluntary control over sphincters is achieved at 18 - 24 months
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QUESTION 3 zm




prescribed: 40 mg/kg daily (four equally divided doses daily) weight: 90 lbs available:
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250 mg/5 mL
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ANSWER

8.1 (pediatric doses NEVER round up)
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QUESTION 4 zm

,Nurse provides care to a client diagnosed with a hearing impairment. Which approach
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will the nurse use to facilitate communication with the client? 1. Use a normal tone 2.
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Speak directly into the impaired ear 3. Talk louder 4. Talk faster
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ANSWER

1. Normal tone, talking directly to client while facing them, and speaking clearly
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QUESTION 5 zm




School-
age client with an eye infection tells the school nurse the parents refuse to take the st
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udent to the health care provider for medical attention. Which action will the nurse ta
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ke FIRST? 1. Discuss the condition with the child's parents 2. Notify the principal 3. N
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otify CPS 4. Cleanse the drainage from the child's eye
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ANSWER

1. Need to collect objective data first to determine the situation. Contact parents first to learn more
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about the situation, including the possible cause of the condition.
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QUESTION 6 zm




Associations: Obesity: HTN and HF and DMII and CKD Weight gain of ten pounds in a
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month: HF and CKD Foamy, dark, tea colored urine: CKD BP 162/92: HTN and HF and
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mCKD Low GFR; high BUN and creatinine levels: CKD Conditions: 1. HTN 2. HF 3. DM2 4
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. CKD
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ANSWER

Stage 3 CKD d/t high BP. FOUR treatments presumpted by nurse: 1. loop and/or thiazide diuretic 2.
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mpotassium sparing diuretiuc 3. NSAIDs 4. ACE- zm zm zm zm zm zm



I 5. low sodium, low potassium, high carb diet 6. low sodium, high protein, high calorie diet 7. Daily
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mBP measurement 8. Cardiac glycoside patch
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QUESTION 7 zm




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ANSWER

teaching strategy to promote motivation. SATA 1. explain how the meds and interventions will help
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relieve current symptoms 2. give a tour of local dialysis center to assist with compliance 3. ask clien
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t to return demonstrate the use of BP devices and take BP 4. inform client kidney disease can be re
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verse if the regimen is carefully followed 5. refer client to dietician for session on how to make the
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required diet changes 6. provide written materials about slowing the progression of kidney disease
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QUESTION 8 zm

, client who is breastfeeding reports a dry cough, fever, headache, and muscle aches. W
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hich instruction is BEST for the nurse to provide this client? 1. suggest d/c breastfeedi
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ng during the illness 2. encourage increased fluid intake 3. wear surgical mask 4. kee
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p breasts covered as much as possible when breastfeeding
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ANSWER

3. Client needs to prevent the spread of infection to the infant. Best accomplished by wearing a mas
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k during feedings.
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QUESTION 9 zm




LMP october 15 Naegle's rule for EDD: 1. july 5 2. july 22 3. aug 12 4. aug 15
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ANSWER

2. Determine first day of last menstrual period (Oct 15). Subtract three calendar months (July 15). A
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dd seven days (July 22)
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QUESTION 10 zm




Client has a scheduled CT scan and says the HCP had me sign a form which I thought
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I understood but now I am not so sure. Which is the BEST nurse response? 1. What is
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mit that your are not sure your understand 2. Ill contact the HCP so that you can get y
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our questions answered 3. Maybe i can help you 4. There is nothing to this test
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ANSWER

CORRECT: 1. Specifically addresses client concerns. nurse can clarify questions AFTER HCP has expla
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ined benefits & risks INCORRECT: 2. Nurse needs to identify client concerns and attempt to address
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them 3. Tentative tone which does not directly elicit client specific concerns 4. Non-
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therapeutic and dismissive of client feelings and concerns
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QUESTION 11 zm




adolescent client asks the school nurse what to do when a paretn has a panic attack d
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uring any attempt to leave the house. Which response will the nurse provide? 1. Have
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your parent do deep breathing 2. Tell parent this is disruptive to family 3. You are co
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ncerned for your parent, but more help is needed than you are able to provide 4. get
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your parent in the car and quickly leave to desensitizea
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ANSWER

3. Student is describing a phobic disorder that is treated with behavior therapy and medication that
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mcan reduce or block the panic attacks. These are an extreme expression of anxiety, apprehension, or
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helplessness when confronted with the phobic situation or feared object. The person avoids the situ
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ation in which the symptoms have occurred and restricts life in ways that become as problematic as
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the original phobic object.
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