Kaplan NCLEX Readiness Exam Test Bank
KAPLAN NCLEX READINESS EXAM TEST BANK NEWEST
INCLUDES 400+ ACCURATE AND VERIFIED QUESTIONS
COVERING ALL MAJOR NCLEX-RN AND NCLEX-PN CONTENT
AREAS: SAFE AND EFFECTIVE CARE ENVIRONMENT, HEALTH
PROMOTION AND MAINTENANCE, PSYCHOSOCIAL
INTEGRITY
1|Page
, Kaplan NCLEX Readiness Exam Test Bank
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) CORRECT - Assessment: outcome
desired; clients with depression may have increased or decreased sleep time
2) Assessment: outcome not desired; lack of appetite is a frequent sign of depression
3) Assessment: outcome not desired; lack of concentration is sign of depression
4) Assessment: outcome not desired; is a sign of anxiety
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)
CORRECT - Implementation: outcome desired; autoimmune disease; not infectious
2) Implementation: outcome not desired; possible skin damage and suppression of bone
marrow with decreased white-blood-cell levels; increased risk for infection
2|Page
, Kaplan NCLEX Readiness Exam Test Bank
3) Implementation: outcome not desired; generalized skin infection of deeper connective tissue;
usually caused by Streptococcus or Staphylococcus; increased risk for infection
4) Implementation: outcome not desired; elderly clients receiving long-term antibiotic therapy
are at risk for Clostridium difficile infection; highly contagious; increased risk for infection
The nurse in the outclient 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-1)
Implementation: outcome not desired; parents are encouraged to remain with child
2) Implementation: outcome not desired; appropriate only for school-aged and adolescent
children
3) Implementation: outcome not desired; not appropriate
4) CORRECT - Implementation: outcome desired; encourage expression of feelings (e.g., anger);
fear mutilation; allow child to play with models of equipment
The nurse cares for a client diagnosed with Alzheimer's disease. The client is confused and
incontinent of urine. What is the MOST important action for the nurse to take?
1. Insert an indwelling urinary drainage catheter.
2. Perform intermittent catheterization every 4 hours.
3|Page
, Kaplan NCLEX Readiness Exam Test Bank
3. Offer the bedpan to the client every 2 hours.
4. Assist the client to a bedside commode every 2 hours. - ANSWER-1) Implementation:
outcome not desired; increases risk of infection; catheter-related infections are most common
hospital-acquired infection
2) Implementation: outcome not desired; increases chance of infection
3) Implementation: outcome appropriate but not priority; does not keep client independent and
active
4) CORRECT - Implementation: outcome desired; keeps client active and independent
The nurse cares for a client with a history of type 1 diabetes mellitus who has just returned to
the surgical acute-care unit after a right below-knee amputation. The client's capillary blood
glucose is 480 mg/dL. The postoperative orders indicate 6 units of regular insulin
subcutaneously should be administered. Which of the following is the FIRST action the nurse
should take?
1. Check the client records to see if insulin was given prior to surgery.
2. Administer the 6 units of regular insulin subcutaneously.
3. Administer the insulin when oral fluids are tolerated.
4. Contact the healthcare provider. - ANSWER-1) Assessment: outcome desired but not priority;
client needs insulin coverage now
2) CORRECT - Implementation: outcome desired; sliding scale-receives predetermined amount
of insulin according to glucose level; surgery and infection increase insulin needs
3) Implementation: outcome not desired; needs insulin regardless of oral intake due to elevated
blood glucose
4|Page
KAPLAN NCLEX READINESS EXAM TEST BANK NEWEST
INCLUDES 400+ ACCURATE AND VERIFIED QUESTIONS
COVERING ALL MAJOR NCLEX-RN AND NCLEX-PN CONTENT
AREAS: SAFE AND EFFECTIVE CARE ENVIRONMENT, HEALTH
PROMOTION AND MAINTENANCE, PSYCHOSOCIAL
INTEGRITY
1|Page
, Kaplan NCLEX Readiness Exam Test Bank
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) CORRECT - Assessment: outcome
desired; clients with depression may have increased or decreased sleep time
2) Assessment: outcome not desired; lack of appetite is a frequent sign of depression
3) Assessment: outcome not desired; lack of concentration is sign of depression
4) Assessment: outcome not desired; is a sign of anxiety
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)
CORRECT - Implementation: outcome desired; autoimmune disease; not infectious
2) Implementation: outcome not desired; possible skin damage and suppression of bone
marrow with decreased white-blood-cell levels; increased risk for infection
2|Page
, Kaplan NCLEX Readiness Exam Test Bank
3) Implementation: outcome not desired; generalized skin infection of deeper connective tissue;
usually caused by Streptococcus or Staphylococcus; increased risk for infection
4) Implementation: outcome not desired; elderly clients receiving long-term antibiotic therapy
are at risk for Clostridium difficile infection; highly contagious; increased risk for infection
The nurse in the outclient 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-1)
Implementation: outcome not desired; parents are encouraged to remain with child
2) Implementation: outcome not desired; appropriate only for school-aged and adolescent
children
3) Implementation: outcome not desired; not appropriate
4) CORRECT - Implementation: outcome desired; encourage expression of feelings (e.g., anger);
fear mutilation; allow child to play with models of equipment
The nurse cares for a client diagnosed with Alzheimer's disease. The client is confused and
incontinent of urine. What is the MOST important action for the nurse to take?
1. Insert an indwelling urinary drainage catheter.
2. Perform intermittent catheterization every 4 hours.
3|Page
, Kaplan NCLEX Readiness Exam Test Bank
3. Offer the bedpan to the client every 2 hours.
4. Assist the client to a bedside commode every 2 hours. - ANSWER-1) Implementation:
outcome not desired; increases risk of infection; catheter-related infections are most common
hospital-acquired infection
2) Implementation: outcome not desired; increases chance of infection
3) Implementation: outcome appropriate but not priority; does not keep client independent and
active
4) CORRECT - Implementation: outcome desired; keeps client active and independent
The nurse cares for a client with a history of type 1 diabetes mellitus who has just returned to
the surgical acute-care unit after a right below-knee amputation. The client's capillary blood
glucose is 480 mg/dL. The postoperative orders indicate 6 units of regular insulin
subcutaneously should be administered. Which of the following is the FIRST action the nurse
should take?
1. Check the client records to see if insulin was given prior to surgery.
2. Administer the 6 units of regular insulin subcutaneously.
3. Administer the insulin when oral fluids are tolerated.
4. Contact the healthcare provider. - ANSWER-1) Assessment: outcome desired but not priority;
client needs insulin coverage now
2) CORRECT - Implementation: outcome desired; sliding scale-receives predetermined amount
of insulin according to glucose level; surgery and infection increase insulin needs
3) Implementation: outcome not desired; needs insulin regardless of oral intake due to elevated
blood glucose
4|Page
