KAPLAN NCLEX READINESS
(VERSION A & B) NEWEST 2026
ACTUAL EXAM TEST BANK| 2
VERSIONS WITH COMPLETE
REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWE RS
(VERIFIED ANSWER) GRADED A+
(MOST RECENT!!)
Question 1
A nursing order, "Increase fluid intake" is written for a client diagnosed with
dehydration. Which finding BEST indicates improving fluid status?
1. Urinary output of 1,500 mL in 24 hours.
2. Serum hematocrit 52%.
3. Oral fluid intake of 900 mL in 24 hours.
4. Blood pressure of 100/82.
Answer: 1
Rationale: Urinary output of 1,500 mL in 24 hours indicates adequate renal
perfusion and hydration. Dehydration causes increased ADH secretion, leading to
decreased and concentrated urine output. Normal urine output is 1,500-2,000
mL/24 hours .
• Option 2: Hematocrit 52% indicates hemoconcentration (normal 36-46%)
, • Option 3: 900 mL intake is below normal (normal 1,500-2,500 mL/24 hours)
• Option 4: BP 100/82 is low (normal 120/80)
Question 2
The nurse prepares to administer the initial dose of oral enalapril (Vasotec) 20 mg
in the morning. Which medication should the nurse question giving to the client?
1. 20 mg oral escitalopram (Celexa) in the morning.
2. 40 mg oral furosemide (Lasix) in the morning.
3. 300 mg of oral gabapentin (Neurontin) twice daily.
4. 10 mg zolpidem (Ambien) at bedtime.
Answer: 4
Rationale: Zolpidem causes CNS depression and can potentiate orthostatic
hypotension when combined with ACE inhibitors like enalapril. The nurse should
assess for safety concerns .
Question 3
The nurse cares for a client with a halo fixation device. Which client statement
would alert the nurse to a potential problem?
1. "My wife looks at the pin sites every day."
2. "I like to bathe in the tub."
3. "I drove to the library yesterday."
4. "I drink with a straw."
,Answer: 3
Rationale: Clients with halo fixation devices should NOT drive because they
cannot turn their head to check blind spots, increasing risk of injury to self and
others. Driving poses significant safety concerns .
• Option 2: Bathing/tub use increases infection risk at pin sites
Question 4
The nurse cares for a client diagnosed with depression. Which statement by the
client indicates improvement?
1. "I have been sleeping 6 hours at night."
2. "I have lost 2 lbs in the past week."
3. "Lately, I have trouble watching television."
4. "I have much less muscle tension now."
Answer: 1
Rationale: Clients with depression often have sleep disturbances. Sleeping 6 hours
indicates improvement in sleep pattern. Depression is associated with either
insomnia or hypersomnia .
• Option 2: Weight loss indicates lack of appetite (depression sign)
• Option 3: Trouble concentrating is a depression sign
• Option 4: Muscle tension is associated with anxiety, not depression
Question 5
, The nurse on the maternity unit must accept a transfer client from a
medical/surgical unit. The nurse considers which transfer client appropriate?
1. A 38-year-old client with a diagnosis of systemic lupus erythematosus.
2. A 45-year-old client receiving daily external radiation therapy treatments for
breast cancer.
3. A 58-year-old client receiving antibiotic treatment for cellulitis of the left
leg.
4. A 74-year-old client who has received intravenous antibiotics for 7 days.
Answer: 1
Rationale: SLE is an autoimmune disease and is NOT infectious. This client poses
no infection risk to the maternity unit. Autoimmune diseases do not require
isolation precautions .
Question 6
The nurse in the outpatient surgery unit prepares a 4-year-old child for surgery. It
is MOST important for the nurse to make which of these statements?
1. "Your parents are going to leave a half hour before the surgery."
2. "You're going to talk with some other children who had this surgery."
3. "If you have this surgery, your parents will buy you a new toy."
4. "Take this doll and show me where the operation will be done."
Answer: 4
Rationale: Preschool-age children (ages 3-6) fear mutilation and body integrity.
Medical play with dolls allows expression of feelings and fears. This is
developmentally appropriate for a 4-year-old .
(VERSION A & B) NEWEST 2026
ACTUAL EXAM TEST BANK| 2
VERSIONS WITH COMPLETE
REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWE RS
(VERIFIED ANSWER) GRADED A+
(MOST RECENT!!)
Question 1
A nursing order, "Increase fluid intake" is written for a client diagnosed with
dehydration. Which finding BEST indicates improving fluid status?
1. Urinary output of 1,500 mL in 24 hours.
2. Serum hematocrit 52%.
3. Oral fluid intake of 900 mL in 24 hours.
4. Blood pressure of 100/82.
Answer: 1
Rationale: Urinary output of 1,500 mL in 24 hours indicates adequate renal
perfusion and hydration. Dehydration causes increased ADH secretion, leading to
decreased and concentrated urine output. Normal urine output is 1,500-2,000
mL/24 hours .
• Option 2: Hematocrit 52% indicates hemoconcentration (normal 36-46%)
, • Option 3: 900 mL intake is below normal (normal 1,500-2,500 mL/24 hours)
• Option 4: BP 100/82 is low (normal 120/80)
Question 2
The nurse prepares to administer the initial dose of oral enalapril (Vasotec) 20 mg
in the morning. Which medication should the nurse question giving to the client?
1. 20 mg oral escitalopram (Celexa) in the morning.
2. 40 mg oral furosemide (Lasix) in the morning.
3. 300 mg of oral gabapentin (Neurontin) twice daily.
4. 10 mg zolpidem (Ambien) at bedtime.
Answer: 4
Rationale: Zolpidem causes CNS depression and can potentiate orthostatic
hypotension when combined with ACE inhibitors like enalapril. The nurse should
assess for safety concerns .
Question 3
The nurse cares for a client with a halo fixation device. Which client statement
would alert the nurse to a potential problem?
1. "My wife looks at the pin sites every day."
2. "I like to bathe in the tub."
3. "I drove to the library yesterday."
4. "I drink with a straw."
,Answer: 3
Rationale: Clients with halo fixation devices should NOT drive because they
cannot turn their head to check blind spots, increasing risk of injury to self and
others. Driving poses significant safety concerns .
• Option 2: Bathing/tub use increases infection risk at pin sites
Question 4
The nurse cares for a client diagnosed with depression. Which statement by the
client indicates improvement?
1. "I have been sleeping 6 hours at night."
2. "I have lost 2 lbs in the past week."
3. "Lately, I have trouble watching television."
4. "I have much less muscle tension now."
Answer: 1
Rationale: Clients with depression often have sleep disturbances. Sleeping 6 hours
indicates improvement in sleep pattern. Depression is associated with either
insomnia or hypersomnia .
• Option 2: Weight loss indicates lack of appetite (depression sign)
• Option 3: Trouble concentrating is a depression sign
• Option 4: Muscle tension is associated with anxiety, not depression
Question 5
, The nurse on the maternity unit must accept a transfer client from a
medical/surgical unit. The nurse considers which transfer client appropriate?
1. A 38-year-old client with a diagnosis of systemic lupus erythematosus.
2. A 45-year-old client receiving daily external radiation therapy treatments for
breast cancer.
3. A 58-year-old client receiving antibiotic treatment for cellulitis of the left
leg.
4. A 74-year-old client who has received intravenous antibiotics for 7 days.
Answer: 1
Rationale: SLE is an autoimmune disease and is NOT infectious. This client poses
no infection risk to the maternity unit. Autoimmune diseases do not require
isolation precautions .
Question 6
The nurse in the outpatient surgery unit prepares a 4-year-old child for surgery. It
is MOST important for the nurse to make which of these statements?
1. "Your parents are going to leave a half hour before the surgery."
2. "You're going to talk with some other children who had this surgery."
3. "If you have this surgery, your parents will buy you a new toy."
4. "Take this doll and show me where the operation will be done."
Answer: 4
Rationale: Preschool-age children (ages 3-6) fear mutilation and body integrity.
Medical play with dolls allows expression of feelings and fears. This is
developmentally appropriate for a 4-year-old .
