KAPLAN EXIT PREDICTOR FINAL SEMESTER – {NEW
VERSION} QUESTIONS WITH VERIFIED ANSWERS &
RATIONALES |LATEST UPDATED THIS YEAR
INSTANT PDF DOWNLOAD
1. A client with heart failure is prescribed furosemide. Which assessment finding
requires immediate intervention?
A. Weight loss of 2 lbs in 2 days
B. Serum potassium of 2.9 mEq/L
C. Blood pressure of 110/70 mmHg
D. Urine output of 1,500 mL in 24 hours
2. The nurse is caring for a client with a new colostomy. Which statement by the client
indicates a need for further teaching?
A. “I will empty the pouch when it is one-third full.”
B. “I can eat whatever I want now.”
C. “I will check the skin around the stoma daily.”
D. “I will avoid foods that cause gas.”
3. A postpartum client is receiving oxytocin (Pitocin) for uterine atony. Which finding
indicates the medication is effective?
A. BP 90/60 mmHg
B. Firm fundus at midline
C. Pulse 110 bpm
D. Loose, boggy uterus
,4. The nurse is administering a blood transfusion. Ten minutes after starting, the client
reports chills and back pain. What is the priority action?
A. Slow the infusion rate
B. Stop the transfusion immediately
C. Administer diphenhydramine
D. Notify the provider
5. A client with type 1 diabetes has a blood glucose of 50 mg/dL. Which intervention is
priority?
A. Administer insulin as prescribed
B. Give 15 g of fast-acting carbohydrate
C. Recheck glucose in 1 hour
D. Provide a high-protein snack
6. The nurse is teaching a client about warfarin. Which statement indicates
understanding?
A. “I will increase my intake of green leafy vegetables.”
B. “I will use a soft-bristle toothbrush.”
C. “I can take ibuprofen for headaches.”
D. “I will stop this medication if I bruise.”
7. A client with COPD is prescribed oxygen at 2 L/min via nasal cannula. Why is the
flow rate limited?
A. To prevent oxygen toxicity
B. To avoid suppressing the hypoxic drive
C. To reduce fire hazard
D. To conserve oxygen supply
,8. The nurse is assessing a newborn 1 hour after birth. Which finding requires
immediate notification of the provider?
A. Heart rate 140 bpm
B. Respiratory rate 70/min with grunting
C. Temperature 98.6°F (37°C)
D. Weight 3,000 g
9. A client is scheduled for an appendectomy. Which preoperative intervention is
priority?
A. Administer a soap-suds enema
B. Verify informed consent is signed
C. Shave the abdomen
D. Allow clear liquids until midnight
10. The nurse is caring for a client with preeclampsia. Which finding indicates worsening
condition?
A. BP 130/80 mmHg
B. Hyperreflexia and headache
C. 1+ proteinuria
D. Mild edema
11. A client with schizophrenia is prescribed clozapine. Which lab value requires
monitoring?
A. Serum sodium
B. Absolute neutrophil count (ANC)
C. Blood glucose
D. Liver enzymes
, 12. The nurse is administering digoxin to a client with heart failure. Which finding would
contraindicate administration?
A. Apical pulse 72 bpm
B. Apical pulse 54 bpm
C. BP 120/80 mmHg
D. Potassium 4.0 mEq/L
13. A client with a hip fracture is in Buck’s traction. Which intervention is appropriate?
A. Remove weights for skin care
B. Ensure weights hang freely
C. Elevate the foot of the bed
D. Massage the calf daily
14. The nurse is teaching a client about insulin glargine. Which statement is correct?
A. “Take this insulin before meals.”
B. “This insulin provides a basal level over 24 hours.”
C. “Mix this with regular insulin.”
D. “Store at room temperature after opening.”
15. A client with a chest tube is being cared for. Which finding indicates a problem?
A. Drainage of 50 mL in first hour
B. Continuous bubbling in the water seal chamber
C. Fluctuation with respirations in water seal
D. Subcutaneous emphysema noted
16. The nurse is assessing a client with hypothyroidism. Which finding is expected?
A. Tachycardia
B. Fatigue and cold intolerance
VERSION} QUESTIONS WITH VERIFIED ANSWERS &
RATIONALES |LATEST UPDATED THIS YEAR
INSTANT PDF DOWNLOAD
1. A client with heart failure is prescribed furosemide. Which assessment finding
requires immediate intervention?
A. Weight loss of 2 lbs in 2 days
B. Serum potassium of 2.9 mEq/L
C. Blood pressure of 110/70 mmHg
D. Urine output of 1,500 mL in 24 hours
2. The nurse is caring for a client with a new colostomy. Which statement by the client
indicates a need for further teaching?
A. “I will empty the pouch when it is one-third full.”
B. “I can eat whatever I want now.”
C. “I will check the skin around the stoma daily.”
D. “I will avoid foods that cause gas.”
3. A postpartum client is receiving oxytocin (Pitocin) for uterine atony. Which finding
indicates the medication is effective?
A. BP 90/60 mmHg
B. Firm fundus at midline
C. Pulse 110 bpm
D. Loose, boggy uterus
,4. The nurse is administering a blood transfusion. Ten minutes after starting, the client
reports chills and back pain. What is the priority action?
A. Slow the infusion rate
B. Stop the transfusion immediately
C. Administer diphenhydramine
D. Notify the provider
5. A client with type 1 diabetes has a blood glucose of 50 mg/dL. Which intervention is
priority?
A. Administer insulin as prescribed
B. Give 15 g of fast-acting carbohydrate
C. Recheck glucose in 1 hour
D. Provide a high-protein snack
6. The nurse is teaching a client about warfarin. Which statement indicates
understanding?
A. “I will increase my intake of green leafy vegetables.”
B. “I will use a soft-bristle toothbrush.”
C. “I can take ibuprofen for headaches.”
D. “I will stop this medication if I bruise.”
7. A client with COPD is prescribed oxygen at 2 L/min via nasal cannula. Why is the
flow rate limited?
A. To prevent oxygen toxicity
B. To avoid suppressing the hypoxic drive
C. To reduce fire hazard
D. To conserve oxygen supply
,8. The nurse is assessing a newborn 1 hour after birth. Which finding requires
immediate notification of the provider?
A. Heart rate 140 bpm
B. Respiratory rate 70/min with grunting
C. Temperature 98.6°F (37°C)
D. Weight 3,000 g
9. A client is scheduled for an appendectomy. Which preoperative intervention is
priority?
A. Administer a soap-suds enema
B. Verify informed consent is signed
C. Shave the abdomen
D. Allow clear liquids until midnight
10. The nurse is caring for a client with preeclampsia. Which finding indicates worsening
condition?
A. BP 130/80 mmHg
B. Hyperreflexia and headache
C. 1+ proteinuria
D. Mild edema
11. A client with schizophrenia is prescribed clozapine. Which lab value requires
monitoring?
A. Serum sodium
B. Absolute neutrophil count (ANC)
C. Blood glucose
D. Liver enzymes
, 12. The nurse is administering digoxin to a client with heart failure. Which finding would
contraindicate administration?
A. Apical pulse 72 bpm
B. Apical pulse 54 bpm
C. BP 120/80 mmHg
D. Potassium 4.0 mEq/L
13. A client with a hip fracture is in Buck’s traction. Which intervention is appropriate?
A. Remove weights for skin care
B. Ensure weights hang freely
C. Elevate the foot of the bed
D. Massage the calf daily
14. The nurse is teaching a client about insulin glargine. Which statement is correct?
A. “Take this insulin before meals.”
B. “This insulin provides a basal level over 24 hours.”
C. “Mix this with regular insulin.”
D. “Store at room temperature after opening.”
15. A client with a chest tube is being cared for. Which finding indicates a problem?
A. Drainage of 50 mL in first hour
B. Continuous bubbling in the water seal chamber
C. Fluctuation with respirations in water seal
D. Subcutaneous emphysema noted
16. The nurse is assessing a client with hypothyroidism. Which finding is expected?
A. Tachycardia
B. Fatigue and cold intolerance
