KAPLAN RN EXIT EXAM
LATEST ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
,Question 1: The nurse performs range-of-motion (ROM) exercises for an elderly client
recently immobilized. The nurse identifies which statement as correct about
range-of-motion?
1. Passive ROM exercises increase muscle strength.
2. A full ROM must be completed for the elderly client.
3. Exercises should be completed to the point of discomfort.
4. ROM assists the elderly to carry out activities of daily living (ADLs). - Strategy: Think
■ Rationale: Think about each answer. 1) inaccurate statement 2) full ROM may not be needed or
accomplished without discomfort for an elderly client; ROM may be limited 3) should not be done to point of
discomfort 4) CORRECT — emphasis should be on ROMs that support ADLs The nurse cares for an older
client scheduled for a colon resection this morning. The nurse notes the client had polyethylene
glycol-electrolyte solution and a soapsuds enema the previous evening. This morning the client passes a
medium amount of soft brown stool. Which conclusion by the nurse is most accurate? 1. The bowel
preparation is incomplete. 2. The client ate something after midnight. 3. This is an expected finding before this
type of surgery. 4. The client passed the last stool left in the colon. - Strategy: Think about each answer. 1)
CORRECT — colon should not have remaining soft stool 2) anything eaten after midnight would not appear as
stool by the next morning 3) not expected; need to clean gastrointestinal tract for surgery 4) assumption; not
substantiated 1. An infant large for gestational age (LGA), craniofacial abnormalities, and hydrocephalus. 2.
An infant with a small head circumference, low birth weight, and undeveloped cheekbones. 3. An infant with a
large head circumference, low birth weight, and excessive rooting and sucking behaviors. 4. An infant with a
normal head circumference, low birth weight, and respiratory distress syndrome. - Strategy: All answers are
assessment. Determine how each asses
Question 2: The nurse observes for which adverse effects?
1. Photosensitivity and constipation.
2. Hypotension and respiratory depression.
3. Tardive dyskinesia and diplopia.
4. Dry mouth and tinnitus. - Strategy: Recall the classification of the medication.
■ Rationale: Recall the classification of the medication. 1) these adverse effects are not seen with this
medication 2) CORRECT — narcotic analgesic used for moderate to severe pain, monitor vital signs
frequently 3) these adverse effects are not seen with this medication 4) these adverse effects are not seen
with this medication The outpatient clinic nurse cares for an elderly client diagnosed with type 1 diabetes.
Because the client is unwilling to perform blood glucose monitoring, the client tests urine for glucose and
acetone. The nurse knows that blood glucose monitoring is preferred
Question 3: over urine testing for glucose because of which reason?
1. The renal threshold for glucose is elevated in the elderly.
2. Blood glucose monitoring is easier and less costly for clients to perform.
3. Urine testing for glucose provides false-positive readings.
4. Determination of the color on a reagent strip varies from person to person. - Strategy:
■ Rationale: Think about each answer. 1) CORRECT — the level at which glucose starts to appear in the
urine increases, leading to false-negative readings; results in elevated glucose levels 2) more expensive
, procedure 3) provides false-negative readings; may be negative from 0 to 180 mg/dL (0-10 mmol/L) 4) results
are expressed as a percentage according to color change At 32 weeks gestation, the client has an order for an
ultrasound. The nurse determines
Question 4: that the client understands the procedure if the client makes which
statement?
1. The results will inform us of the baby's size.
2. This test will evaluate the baby's lungs.
3. The test will show us if there is any problem in the baby's genes.
4. Early problems with the baby's blood can be identified with this test. - Strategy: Think
■ Rationale: Think about each answer. 1) CORRECT — ultrasound detects the size, growth patterns, and
gestational age 2) determined with lecithin/sphingomyelin (L/S) ratio by an amniocentesis 3) determined with
an amniocentesis 4) determined with an amniocentesis The nurse cares for the child diagnosed with
pediculosis capitis (head lice) who is being treated with permethrin 1% cream rinse. The nurse includes which
information when
Question 5: instructing the child's parents?
1. Apply the cream rinse every other day for 1 week.
2. Wash the child's clothing and personal belongings in soap and cool water.
3. Repeat the application of the cream rinse in 7 days if nits are still present.
4. Comb the child's hair weekly with a nit comb. - Strategy: Answers are
■ Rationale: Answers are implementation. Determine the outcome of each answer. Is it desired? 1) too
frequent an application of the rinse 2) wash with detergent in very hot water and dry for 20 minutes in a dryer
3) CORRECT— may be repeated 7 days after first application 4) hair should be combed daily with a nit comb
The nurse supervises an LPN/LVN administering an enema to a client. The nurse
Question 6: determines the LPN/LVN's actions are appropriate if which action is
observed?
1. The LPN/LVN places the solution 20 inches above the anus.
2. The LPN/LVN adjusts the temperature of the solution.
3. The LPN/LVN inserts the tube 6 inches.
4. The LPN/LVN positions the client left Sims' position. - Strategy: Answers are all
■ Rationale: Answers are all implementations. Determine the outcome of each answer. Is it desired? 1) could
cause rapid infusion and possible painful distention of the colon 2) is not feasible during the administrative
phase 3) tube should be inserted no more than 4 inches 4) CORRECT — allows solution to flow downward
along the natural curve of the sigmoid colon and rectum, which improves retention of solution The
18-month-old is admitted to the unit with a diagnosis of laryngotracheobronchitis (LTB). During the initial
assessment, the nurse expects to find which early symptoms? 1. Kussmaul respirations and bradycardia. 2.
Elevated temperature and slow respiratory rate 3. Expiratory wheezing and substernal retractions. 4.
Inspiratory stridor and restlessness. - Strategy: Determine how each answer relates to croup. 1) Kussmaul
respirations are associated with diabetic ketoacidosis; hypoxia and anxiety are associated with tachycardia 2)
LATEST ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS (100% VERIFIED ANSWERS)
|ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
,Question 1: The nurse performs range-of-motion (ROM) exercises for an elderly client
recently immobilized. The nurse identifies which statement as correct about
range-of-motion?
1. Passive ROM exercises increase muscle strength.
2. A full ROM must be completed for the elderly client.
3. Exercises should be completed to the point of discomfort.
4. ROM assists the elderly to carry out activities of daily living (ADLs). - Strategy: Think
■ Rationale: Think about each answer. 1) inaccurate statement 2) full ROM may not be needed or
accomplished without discomfort for an elderly client; ROM may be limited 3) should not be done to point of
discomfort 4) CORRECT — emphasis should be on ROMs that support ADLs The nurse cares for an older
client scheduled for a colon resection this morning. The nurse notes the client had polyethylene
glycol-electrolyte solution and a soapsuds enema the previous evening. This morning the client passes a
medium amount of soft brown stool. Which conclusion by the nurse is most accurate? 1. The bowel
preparation is incomplete. 2. The client ate something after midnight. 3. This is an expected finding before this
type of surgery. 4. The client passed the last stool left in the colon. - Strategy: Think about each answer. 1)
CORRECT — colon should not have remaining soft stool 2) anything eaten after midnight would not appear as
stool by the next morning 3) not expected; need to clean gastrointestinal tract for surgery 4) assumption; not
substantiated 1. An infant large for gestational age (LGA), craniofacial abnormalities, and hydrocephalus. 2.
An infant with a small head circumference, low birth weight, and undeveloped cheekbones. 3. An infant with a
large head circumference, low birth weight, and excessive rooting and sucking behaviors. 4. An infant with a
normal head circumference, low birth weight, and respiratory distress syndrome. - Strategy: All answers are
assessment. Determine how each asses
Question 2: The nurse observes for which adverse effects?
1. Photosensitivity and constipation.
2. Hypotension and respiratory depression.
3. Tardive dyskinesia and diplopia.
4. Dry mouth and tinnitus. - Strategy: Recall the classification of the medication.
■ Rationale: Recall the classification of the medication. 1) these adverse effects are not seen with this
medication 2) CORRECT — narcotic analgesic used for moderate to severe pain, monitor vital signs
frequently 3) these adverse effects are not seen with this medication 4) these adverse effects are not seen
with this medication The outpatient clinic nurse cares for an elderly client diagnosed with type 1 diabetes.
Because the client is unwilling to perform blood glucose monitoring, the client tests urine for glucose and
acetone. The nurse knows that blood glucose monitoring is preferred
Question 3: over urine testing for glucose because of which reason?
1. The renal threshold for glucose is elevated in the elderly.
2. Blood glucose monitoring is easier and less costly for clients to perform.
3. Urine testing for glucose provides false-positive readings.
4. Determination of the color on a reagent strip varies from person to person. - Strategy:
■ Rationale: Think about each answer. 1) CORRECT — the level at which glucose starts to appear in the
urine increases, leading to false-negative readings; results in elevated glucose levels 2) more expensive
, procedure 3) provides false-negative readings; may be negative from 0 to 180 mg/dL (0-10 mmol/L) 4) results
are expressed as a percentage according to color change At 32 weeks gestation, the client has an order for an
ultrasound. The nurse determines
Question 4: that the client understands the procedure if the client makes which
statement?
1. The results will inform us of the baby's size.
2. This test will evaluate the baby's lungs.
3. The test will show us if there is any problem in the baby's genes.
4. Early problems with the baby's blood can be identified with this test. - Strategy: Think
■ Rationale: Think about each answer. 1) CORRECT — ultrasound detects the size, growth patterns, and
gestational age 2) determined with lecithin/sphingomyelin (L/S) ratio by an amniocentesis 3) determined with
an amniocentesis 4) determined with an amniocentesis The nurse cares for the child diagnosed with
pediculosis capitis (head lice) who is being treated with permethrin 1% cream rinse. The nurse includes which
information when
Question 5: instructing the child's parents?
1. Apply the cream rinse every other day for 1 week.
2. Wash the child's clothing and personal belongings in soap and cool water.
3. Repeat the application of the cream rinse in 7 days if nits are still present.
4. Comb the child's hair weekly with a nit comb. - Strategy: Answers are
■ Rationale: Answers are implementation. Determine the outcome of each answer. Is it desired? 1) too
frequent an application of the rinse 2) wash with detergent in very hot water and dry for 20 minutes in a dryer
3) CORRECT— may be repeated 7 days after first application 4) hair should be combed daily with a nit comb
The nurse supervises an LPN/LVN administering an enema to a client. The nurse
Question 6: determines the LPN/LVN's actions are appropriate if which action is
observed?
1. The LPN/LVN places the solution 20 inches above the anus.
2. The LPN/LVN adjusts the temperature of the solution.
3. The LPN/LVN inserts the tube 6 inches.
4. The LPN/LVN positions the client left Sims' position. - Strategy: Answers are all
■ Rationale: Answers are all implementations. Determine the outcome of each answer. Is it desired? 1) could
cause rapid infusion and possible painful distention of the colon 2) is not feasible during the administrative
phase 3) tube should be inserted no more than 4 inches 4) CORRECT — allows solution to flow downward
along the natural curve of the sigmoid colon and rectum, which improves retention of solution The
18-month-old is admitted to the unit with a diagnosis of laryngotracheobronchitis (LTB). During the initial
assessment, the nurse expects to find which early symptoms? 1. Kussmaul respirations and bradycardia. 2.
Elevated temperature and slow respiratory rate 3. Expiratory wheezing and substernal retractions. 4.
Inspiratory stridor and restlessness. - Strategy: Determine how each answer relates to croup. 1) Kussmaul
respirations are associated with diabetic ketoacidosis; hypoxia and anxiety are associated with tachycardia 2)
