KAPLAN CAT 1 LATEST 2026-2027 EXAM WITH
COMPLETE QUESTIONS AND CORRECT, EXAMS OF
NURSING
After being told the diagnosis of terminal cancer, a client says "Why is God doing this to me?"
Which nursing diagnosis does the nurse include in the plan of care for this client?
1. Spiritual distress.
2. Ineffective coping.
3. Anticipatory grieving. - - ANS✔️--Spiritual distress
The nurse administers carisoprodol to the incorrect client. Which strategy should the nurse use to
reduce the risk of malpractice litigation? (Select all that apply.)
1. Ask the charge nurse to reassign the client to a different nurse.
2. Notify the health care provider of the medication error immediately.
3. Report the incident to the manager for appropriate follow-up with the client.
4. Print a copy of the incident report to keep in the nurse's personal records.
5. Explain to the client that the nurse has a heavier assignment than normal. - - ANS✔️--2. Notify
the health care provider of the medication error immediately.
3. Report the incident to the manager for appropriate follow-up with the client.
,A client with benign prostatic hyperplasia (BPH) has a postvoid residual volume of 200 mL.
Which medication will the nurse expect the health care provider (HCP) to prescribe for this
client?
1. Alfuzosin.
2. Tolterodine.
3. Dutasteride.
4. Amitriptyline. - - ANS✔️--Alfuzosin
(The client is experiencing urinary retention. Alfuzosin is an alpha-adrenergic antagonist that
relaxes bladder and prostate smooth muscle and improves urine flow rate.)
The nurse observes a client's cardiac rhythm change from sinus rhythm to ventricular fibrillation.
Which action does the nurse take next?
1. Begin cardiopulmonary resuscitation.
2. Administer prescribed iv amiodarone.
3. Palpate for a femoral pulse.
4. Prepare for defibrillation. - - ANS✔️--Begin cardiopulmonary resuscitation.
(Cardiopulmonary resuscitation should be started while preparing for defibrillation.
Amiodarone is an antiarrhythmic medication. It is not the first priority for ventricular fibrillation.
The absence of a heartbeat and palpable carotid pulse is sufficient to begin cardiopulmonary
resuscitation. A femoral pulse does not need to be palpated. Early defibrillation is critical for
survival. The chance of survival decreases every minute defibrillation is delayed.)
,The nurse suctions a newborn using a bulb syringe. Which nursing action is appropriate? (Select
all that apply.)
1. Place the newborn supine with head turned to the side.
2. Compress the bulb before inserting the bulb tip into the mouth.
3. Gently insert the bulb tip toward the back of the throat.
4. Release the bulb quickly to get as many secretions as possible.
5. Suction the nose after the mouth is suctioned, if necessary. - - ANS✔️--1. Place the newborn
supine with head turned to the side.
2. Compress the bulb before inserting the bulb tip into the mouth.
5. Suction the nose after the mouth is suctioned, if necessary.
(Avoid inserting the bulb syringe tip toward the back of the throat. This action could stimulate
the gag reflex and cause regurgitation. It might stimulate a vagal response, resulting in
bradycardia or apnea.
4) Release the bulb gently, not quickly, to minimize trauma to delicate tissues of the mouth)
The nurse provides care for a client on a cardiac progressive care unit. The nurse gives the
change of shift report to the oncoming nurse. Which information is essential to include in the
report?
1. Vital signs for the shift, laboratory results, and medications that are due.
2. The name of the health care provider and the client's birth date.
3. Items on the client's care plan that still need to be addressed.
, 4. Activity tolerance, heart rhythm variations, and respiratory status. - - ANS✔️--4. Activity
tolerance, heart rhythm variations, and respiratory status.
(The nurse must leave a thorough report of information that is not readily accessible elsewhere
and give details about the client's immediate status and current needs. The other info is easily
available to view in the chart)
The nurse performs hand hygiene after assisting a client to use the bathroom. Which action is
appropriate for the nurse take? (Select all that apply.)
1. Adjust the water temperature to feel hot.
2. Dry the hands from forearms and wrists to fingers.
3. Hold the hands lower than the elbows.
4. Use friction between the hands for at least 5 seconds.
5. Apply 5 mL (1 tsp.) of liquid soap to the hands. - - ANS✔️--3. Hold the hands lower than the
elbows.
5. Apply 5 mL (1 tsp.) of liquid soap to the hands.
(The nurse should use warm, instead of hot, water to maintain skin integrity. RN should use a
single-use towel, paper towel, or warm air dryer to dry from the fingertips up to the wrists and
the forearms. RN should hold the hands lower than the elbows when washing the hands under
running water so that the water flows from the least contaminated area (the arms) to the more
contaminated area (the hands and the fingers)).
The nurse screens clients for colon cancer. Which information, if communicated by the client,
does the nurse consider to be a risk factor for colorectal cancer? (Select all that apply.)
COMPLETE QUESTIONS AND CORRECT, EXAMS OF
NURSING
After being told the diagnosis of terminal cancer, a client says "Why is God doing this to me?"
Which nursing diagnosis does the nurse include in the plan of care for this client?
1. Spiritual distress.
2. Ineffective coping.
3. Anticipatory grieving. - - ANS✔️--Spiritual distress
The nurse administers carisoprodol to the incorrect client. Which strategy should the nurse use to
reduce the risk of malpractice litigation? (Select all that apply.)
1. Ask the charge nurse to reassign the client to a different nurse.
2. Notify the health care provider of the medication error immediately.
3. Report the incident to the manager for appropriate follow-up with the client.
4. Print a copy of the incident report to keep in the nurse's personal records.
5. Explain to the client that the nurse has a heavier assignment than normal. - - ANS✔️--2. Notify
the health care provider of the medication error immediately.
3. Report the incident to the manager for appropriate follow-up with the client.
,A client with benign prostatic hyperplasia (BPH) has a postvoid residual volume of 200 mL.
Which medication will the nurse expect the health care provider (HCP) to prescribe for this
client?
1. Alfuzosin.
2. Tolterodine.
3. Dutasteride.
4. Amitriptyline. - - ANS✔️--Alfuzosin
(The client is experiencing urinary retention. Alfuzosin is an alpha-adrenergic antagonist that
relaxes bladder and prostate smooth muscle and improves urine flow rate.)
The nurse observes a client's cardiac rhythm change from sinus rhythm to ventricular fibrillation.
Which action does the nurse take next?
1. Begin cardiopulmonary resuscitation.
2. Administer prescribed iv amiodarone.
3. Palpate for a femoral pulse.
4. Prepare for defibrillation. - - ANS✔️--Begin cardiopulmonary resuscitation.
(Cardiopulmonary resuscitation should be started while preparing for defibrillation.
Amiodarone is an antiarrhythmic medication. It is not the first priority for ventricular fibrillation.
The absence of a heartbeat and palpable carotid pulse is sufficient to begin cardiopulmonary
resuscitation. A femoral pulse does not need to be palpated. Early defibrillation is critical for
survival. The chance of survival decreases every minute defibrillation is delayed.)
,The nurse suctions a newborn using a bulb syringe. Which nursing action is appropriate? (Select
all that apply.)
1. Place the newborn supine with head turned to the side.
2. Compress the bulb before inserting the bulb tip into the mouth.
3. Gently insert the bulb tip toward the back of the throat.
4. Release the bulb quickly to get as many secretions as possible.
5. Suction the nose after the mouth is suctioned, if necessary. - - ANS✔️--1. Place the newborn
supine with head turned to the side.
2. Compress the bulb before inserting the bulb tip into the mouth.
5. Suction the nose after the mouth is suctioned, if necessary.
(Avoid inserting the bulb syringe tip toward the back of the throat. This action could stimulate
the gag reflex and cause regurgitation. It might stimulate a vagal response, resulting in
bradycardia or apnea.
4) Release the bulb gently, not quickly, to minimize trauma to delicate tissues of the mouth)
The nurse provides care for a client on a cardiac progressive care unit. The nurse gives the
change of shift report to the oncoming nurse. Which information is essential to include in the
report?
1. Vital signs for the shift, laboratory results, and medications that are due.
2. The name of the health care provider and the client's birth date.
3. Items on the client's care plan that still need to be addressed.
, 4. Activity tolerance, heart rhythm variations, and respiratory status. - - ANS✔️--4. Activity
tolerance, heart rhythm variations, and respiratory status.
(The nurse must leave a thorough report of information that is not readily accessible elsewhere
and give details about the client's immediate status and current needs. The other info is easily
available to view in the chart)
The nurse performs hand hygiene after assisting a client to use the bathroom. Which action is
appropriate for the nurse take? (Select all that apply.)
1. Adjust the water temperature to feel hot.
2. Dry the hands from forearms and wrists to fingers.
3. Hold the hands lower than the elbows.
4. Use friction between the hands for at least 5 seconds.
5. Apply 5 mL (1 tsp.) of liquid soap to the hands. - - ANS✔️--3. Hold the hands lower than the
elbows.
5. Apply 5 mL (1 tsp.) of liquid soap to the hands.
(The nurse should use warm, instead of hot, water to maintain skin integrity. RN should use a
single-use towel, paper towel, or warm air dryer to dry from the fingertips up to the wrists and
the forearms. RN should hold the hands lower than the elbows when washing the hands under
running water so that the water flows from the least contaminated area (the arms) to the more
contaminated area (the hands and the fingers)).
The nurse screens clients for colon cancer. Which information, if communicated by the client,
does the nurse consider to be a risk factor for colorectal cancer? (Select all that apply.)
