KAPLAN PREDICTOR EXAM
LATEST 2026 TEST BANK|
KAPLAN PREDICTOR MAIN
EXAM REVIEW 2026 [BRAND
NEW!!]
Section 1: Management of Care & Delegation (Questions 1-20)
1. A charge nurse is making assignments on a medical-surgical unit.
Which client should be assigned to the most experienced RN?
A) A client 2 days post-appendectomy requesting pain medication
B) A newly admitted client with chest pain and unstable vital signs
C) A client on day 3 following total hip replacement
D) A client with a UTI receiving oral antibiotics
Rationale: Unstable clients require the most experienced RN for initial
assessment and intervention. Stable postoperative and UTI clients can be
assigned to less experienced staff.
,2. A nurse is assigning tasks to an LPN/LVN and a UAP. Which
tasks are appropriate for the LPN/LVN? (Select All That Apply)
A) Administer oral medications to stable clients
B) Perform initial admission assessment
C) Insert a Foley catheter
D) Evaluate client response to pain medication
E) Change a sterile dressing on a surgical wound
Rationale: LPNs/LVNs can administer medications (except IV push in
some states), perform sterile procedures, and change dressings. RNs
must perform initial assessments and evaluate client responses.
3. A client with terminal cancer tells the nurse, "I want a do-not-
resuscitate order." Who must provide informed consent for this
order?
A) The client
B) The client's spouse
C) The attending physician
D) The ethics committee
Rationale: Competent adults have the right to refuse treatment,
including CPR. The client personally consents to DNR orders; family
members cannot override a competent client's decision.
4. A nurse manager is reviewing incident reports. Which finding
should be prioritized for immediate action?
A) Two patient falls without injury
,B) One medication error involving a non-controlled substance
C) Three reports of staff not washing hands
D) One near-miss where a patient received the wrong blood type
Rationale: A near-miss involving a blood type mismatch has potential
for fatal harm. According to National Patient Safety Goals, such events
require immediate root cause analysis to prevent actual harm.
5. A nurse delegates ambulation of a stable post-stroke client to a
UAP. The UAP reports the client feels dizzy. What is the nurse's
priority action?
A) Tell the UAP to continue ambulating slowly
B) Assess the client personally
C) Document the dizziness in the chart
D) Notify the healthcare provider
Rationale: The nurse retains accountability for delegated tasks. Any
change in condition requires immediate nursing assessment before any
other action.
6. A nurse in the hospital cafeteria overhears two nursing assistive
personnel (NAP) discussing a client's condition. What is the
PRIORITY action for the nurse to take?
A) Change the topic of the conversation
B) Report the employees to their nurse manager
C) Inform the employees about patient confidentiality and the
, client's right to privacy
D) Meet with the employees at the end of the shift
Rationale: The nurse should immediately address the confidentiality
breach directly with the NAPs. Patient confidentiality is protected by
HIPAA; discussing client information in public places violates these
regulations.
7. A nurse is completing an incident report after a client fall. Which
statement best reflects objective documentation?
A) "The client was confused and got up without help"
B) "The client fell because the nurse was not paying attention"
C) "Client found on floor beside bed. Call light within reach."
D) "The client was trying to go to the bathroom alone again"
Rationale: Incident reports require objective, factual documentation
without blame, assumptions, or subjective language. Only observable
facts should be recorded.
8. A client refuses a blood transfusion due to religious beliefs. The
healthcare provider wants to transfuse anyway. The nurse should:
A) Administer the transfusion as ordered
B) Notify the hospital ethics committee
C) Respect the client's refusal and document it
D) Ask the family to convince the client
LATEST 2026 TEST BANK|
KAPLAN PREDICTOR MAIN
EXAM REVIEW 2026 [BRAND
NEW!!]
Section 1: Management of Care & Delegation (Questions 1-20)
1. A charge nurse is making assignments on a medical-surgical unit.
Which client should be assigned to the most experienced RN?
A) A client 2 days post-appendectomy requesting pain medication
B) A newly admitted client with chest pain and unstable vital signs
C) A client on day 3 following total hip replacement
D) A client with a UTI receiving oral antibiotics
Rationale: Unstable clients require the most experienced RN for initial
assessment and intervention. Stable postoperative and UTI clients can be
assigned to less experienced staff.
,2. A nurse is assigning tasks to an LPN/LVN and a UAP. Which
tasks are appropriate for the LPN/LVN? (Select All That Apply)
A) Administer oral medications to stable clients
B) Perform initial admission assessment
C) Insert a Foley catheter
D) Evaluate client response to pain medication
E) Change a sterile dressing on a surgical wound
Rationale: LPNs/LVNs can administer medications (except IV push in
some states), perform sterile procedures, and change dressings. RNs
must perform initial assessments and evaluate client responses.
3. A client with terminal cancer tells the nurse, "I want a do-not-
resuscitate order." Who must provide informed consent for this
order?
A) The client
B) The client's spouse
C) The attending physician
D) The ethics committee
Rationale: Competent adults have the right to refuse treatment,
including CPR. The client personally consents to DNR orders; family
members cannot override a competent client's decision.
4. A nurse manager is reviewing incident reports. Which finding
should be prioritized for immediate action?
A) Two patient falls without injury
,B) One medication error involving a non-controlled substance
C) Three reports of staff not washing hands
D) One near-miss where a patient received the wrong blood type
Rationale: A near-miss involving a blood type mismatch has potential
for fatal harm. According to National Patient Safety Goals, such events
require immediate root cause analysis to prevent actual harm.
5. A nurse delegates ambulation of a stable post-stroke client to a
UAP. The UAP reports the client feels dizzy. What is the nurse's
priority action?
A) Tell the UAP to continue ambulating slowly
B) Assess the client personally
C) Document the dizziness in the chart
D) Notify the healthcare provider
Rationale: The nurse retains accountability for delegated tasks. Any
change in condition requires immediate nursing assessment before any
other action.
6. A nurse in the hospital cafeteria overhears two nursing assistive
personnel (NAP) discussing a client's condition. What is the
PRIORITY action for the nurse to take?
A) Change the topic of the conversation
B) Report the employees to their nurse manager
C) Inform the employees about patient confidentiality and the
, client's right to privacy
D) Meet with the employees at the end of the shift
Rationale: The nurse should immediately address the confidentiality
breach directly with the NAPs. Patient confidentiality is protected by
HIPAA; discussing client information in public places violates these
regulations.
7. A nurse is completing an incident report after a client fall. Which
statement best reflects objective documentation?
A) "The client was confused and got up without help"
B) "The client fell because the nurse was not paying attention"
C) "Client found on floor beside bed. Call light within reach."
D) "The client was trying to go to the bathroom alone again"
Rationale: Incident reports require objective, factual documentation
without blame, assumptions, or subjective language. Only observable
facts should be recorded.
8. A client refuses a blood transfusion due to religious beliefs. The
healthcare provider wants to transfuse anyway. The nurse should:
A) Administer the transfusion as ordered
B) Notify the hospital ethics committee
C) Respect the client's refusal and document it
D) Ask the family to convince the client
