NCLEX EXAM zm
Exam Solution zm
Kaplan QBank 2026 A+ GRADE ASSURED COMPLETE S zm zm zm zm zm zm zm
OLUTIONS AND VERIFIED ANSWERS (D7237) zm zm zm zm
QUESTION 1 zm
The outpatient clinic nurse administers a tuberculin skin test (TST) to four adult clien
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ts. The nurse anticipates which client will likely demonstrate a false-
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positive response to the TST? zm zm zm zm
ANSWER
A client who received a BCG vaccine 1 month ago.
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QUESTION 2 zm
The home health nurse is planning to visit 4 clients who live within 3 miles of each ot
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her. Which client does the nurse visit first?
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ANSWER
The client who is at 34 weeks' gestation with twins and is reporting intermittent low back pain.
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QUESTION 3 zm
A client requires blood glucose testing to determine insulin dosing before the next me
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al. The nurse plans to delegate blood glucose monitoring to an UAP. Arrange the steps
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for delegation of this task in order.
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ANSWER
1. The nurse assesses the UAP's ability to perform blood glucose monitoring 2. The nurse assigns th
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e UAP to obtain the blood glucose 3. The UAP dons nonsterile gloves 4. The UAP obtains the blood
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sample and applies it to the test strip 5. The UAP reports the blood glucose to the nurse 6. The nur
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se administers insulin to the client
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QUESTION 4 zm
, A client undergoes admission to the psychiatric unit with a diagnosis of major depress
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ion. The client describes to the nurse suicidal thoughts that have occurred for the pas
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t 3 days. Which client statement causes the nurse to institute a one-to-
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one observation of the client?
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ANSWER
I will not sign a no-suicide contract
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QUESTION 5 zm
After caring for a client, the nurse needs to dispose of which item in the biohazard bi
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n?
ANSWER
Canister of gastric secretions
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QUESTION 6 zm
The nurse plans care assignments for the upcoming shift on a medical-
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surgical unit. Which client does the nurse assign to the LPN/LVN?
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ANSWER
- The client being treated for
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C. diff infection - The client with a history of dementia with sundowning
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QUESTION 7 zm
The nurse teaches a client how to obtain accurate blood pressure measurements at ho
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me. Which factor will the nurse include as causing a false high BP reading?
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ANSWER
- Repeating assessments too quickly - Using a cuff that is too short -
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Positioning the brachial artery below the heart - Deflating the cuff too quickly
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QUESTION 8 zm
A client receiving IV heparin 1400 units/hour receives a prescription to change the do
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se to 1200 unit/hour. The concentration of heparin is 25,000 units per 500 mL norma
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l saline. How many mL/hour will the client receive?
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ANSWER
24 mL/hourzm
Exam Solution zm
Kaplan QBank 2026 A+ GRADE ASSURED COMPLETE S zm zm zm zm zm zm zm
OLUTIONS AND VERIFIED ANSWERS (D7237) zm zm zm zm
QUESTION 1 zm
The outpatient clinic nurse administers a tuberculin skin test (TST) to four adult clien
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ts. The nurse anticipates which client will likely demonstrate a false-
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positive response to the TST? zm zm zm zm
ANSWER
A client who received a BCG vaccine 1 month ago.
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QUESTION 2 zm
The home health nurse is planning to visit 4 clients who live within 3 miles of each ot
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her. Which client does the nurse visit first?
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ANSWER
The client who is at 34 weeks' gestation with twins and is reporting intermittent low back pain.
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QUESTION 3 zm
A client requires blood glucose testing to determine insulin dosing before the next me
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al. The nurse plans to delegate blood glucose monitoring to an UAP. Arrange the steps
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for delegation of this task in order.
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ANSWER
1. The nurse assesses the UAP's ability to perform blood glucose monitoring 2. The nurse assigns th
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e UAP to obtain the blood glucose 3. The UAP dons nonsterile gloves 4. The UAP obtains the blood
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sample and applies it to the test strip 5. The UAP reports the blood glucose to the nurse 6. The nur
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se administers insulin to the client
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QUESTION 4 zm
, A client undergoes admission to the psychiatric unit with a diagnosis of major depress
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ion. The client describes to the nurse suicidal thoughts that have occurred for the pas
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t 3 days. Which client statement causes the nurse to institute a one-to-
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one observation of the client?
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ANSWER
I will not sign a no-suicide contract
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QUESTION 5 zm
After caring for a client, the nurse needs to dispose of which item in the biohazard bi
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n?
ANSWER
Canister of gastric secretions
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QUESTION 6 zm
The nurse plans care assignments for the upcoming shift on a medical-
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surgical unit. Which client does the nurse assign to the LPN/LVN?
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ANSWER
- The client being treated for
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C. diff infection - The client with a history of dementia with sundowning
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QUESTION 7 zm
The nurse teaches a client how to obtain accurate blood pressure measurements at ho
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me. Which factor will the nurse include as causing a false high BP reading?
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ANSWER
- Repeating assessments too quickly - Using a cuff that is too short -
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Positioning the brachial artery below the heart - Deflating the cuff too quickly
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QUESTION 8 zm
A client receiving IV heparin 1400 units/hour receives a prescription to change the do
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se to 1200 unit/hour. The concentration of heparin is 25,000 units per 500 mL norma
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l saline. How many mL/hour will the client receive?
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ANSWER
24 mL/hourzm