KAPLAN PREDICTOR PRACTICE
QUESTIONS WITH CORRECT ANSWERS for
Nursing students 2026 latest versions
A nurse administers digoxin 0.25 mg PO to a client. Which assessment is most
important before giving the medication?
A) Respiratory rate
B) Apical pulse
C) Blood pressure
D) Oxygen saturation
Answer: B) Apical pulse
Rationale: Digoxin slows the heart rate and increases contractility. The nurse must
check the apical pulse for 1 full minute; hold if <60 bpm.
A client with COPD has a PaO₂ of 55 mmHg. Which action should the nurse take
first?
A) Administer oxygen at 2 L/min
B) Call the physician
C) Encourage coughing and deep breathing
D) Assess for dyspnea
Answer: D) Assess for dyspnea
Rationale: First, assess the client’s condition to determine severity and immediate
needs before interventions.
A postpartum client reports heavy vaginal bleeding and dizziness 2 hours after
delivery. What is the priority nursing action?
A) Assess vital signs and fundal tone
,B) Encourage ambulation
C) Administer pain medication
D) Document findings
Answer: A) Assess vital signs and fundal tone
Rationale: Postpartum hemorrhage is life-threatening. Rapid assessment and
stabilization are priorities.
A client with major depressive disorder states, “I feel hopeless and worthless.”
Which response is best?
A) “Cheer up; things will get better.”
B) “Tell me more about how you are feeling.”
C) “You shouldn’t feel that way.”
D) “Do you want to go for a walk?”
Answer: B) “Tell me more about how you are feeling.”
Rationale: Open-ended questions encourage expression and therapeutic
communication.
Which client is at greatest risk for hypokalemia while taking furosemide?
A) Client with heart failure
B) Client with kidney failure
C) Client taking potassium supplements
D) Client on ACE inhibitors
Answer: A) Client with heart failure
Rationale: Furosemide is a loop diuretic that promotes potassium excretion; clients
with HF are at risk for hypokalemia.
A client with type 1 diabetes presents with fruity breath, Kussmaul respirations, and
blood glucose of 480 mg/dL. What is the priority action?
A) Administer insulin as ordered
B) Provide oral glucose
,C) Monitor urine output
D) Encourage fluids
Answer: A) Administer insulin as ordered
Rationale: These are signs of diabetic ketoacidosis (DKA), requiring immediate
insulin therapy to lower blood glucose and stop ketone production.
Which teaching is most important for a client prescribed terbutaline during preterm
labor?
A) Monitor for headache and dizziness
B) Check fetal movement daily
C) Assess for palpitations and chest pain
D) Encourage fluid restriction
Answer: C) Assess for palpitations and chest pain
Rationale: Terbutaline is a beta-agonist; it can cause tachycardia and cardiac
complications in the mother.
Which client statement indicates readiness for cognitive-behavioral therapy (CBT)?
A) “I want to change how I think about my depression.”
B) “I just want medication.”
C) “Nothing will ever help me.”
D) “I like talking to my friends.”
Answer: A) “I want to change how I think about my depression.”
Rationale: CBT focuses on changing maladaptive thought patterns; readiness is
indicated by willingness to change thinking.
A nurse teaches a client to use an incentive spirometer. Which action demonstrates
correct technique?
A) Exhale quickly, then inhale slowly through the device
B) Inhale slowly and deeply, hold 3–5 seconds, then exhale
, C) Exhale completely, then cough once
D) Breathe normally through the mouthpiece
Answer: B) Inhale slowly and deeply, hold 3–5 seconds, then exhale
Rationale: Incentive spirometry prevents atelectasis by promoting full lung
expansion.
Which medication requires the nurse to monitor for ototoxicity?
A) Vancomycin
B) Metformin
C) Lisinopril
D) Warfarin
Answer: A) Vancomycin
Rationale: Vancomycin can damage the auditory nerve; monitor for tinnitus and
hearing loss.
A client with CHF is taking digoxin and furosemide. Which lab value is most
concerning?
A) Sodium 138 mEq/L
B) Potassium 2.8 mEq/L
C) Chloride 100 mEq/L
D) Calcium 9.0 mg/dL
Answer: B) Potassium 2.8 mEq/L
Rationale: Hypokalemia increases the risk of digoxin toxicity.
A newborn has a heart rate of 80 bpm. What is the priority action?
A) Dry and stimulate the newborn
B) Assess breathing
C) Administer oxygen
D) Suction airway
QUESTIONS WITH CORRECT ANSWERS for
Nursing students 2026 latest versions
A nurse administers digoxin 0.25 mg PO to a client. Which assessment is most
important before giving the medication?
A) Respiratory rate
B) Apical pulse
C) Blood pressure
D) Oxygen saturation
Answer: B) Apical pulse
Rationale: Digoxin slows the heart rate and increases contractility. The nurse must
check the apical pulse for 1 full minute; hold if <60 bpm.
A client with COPD has a PaO₂ of 55 mmHg. Which action should the nurse take
first?
A) Administer oxygen at 2 L/min
B) Call the physician
C) Encourage coughing and deep breathing
D) Assess for dyspnea
Answer: D) Assess for dyspnea
Rationale: First, assess the client’s condition to determine severity and immediate
needs before interventions.
A postpartum client reports heavy vaginal bleeding and dizziness 2 hours after
delivery. What is the priority nursing action?
A) Assess vital signs and fundal tone
,B) Encourage ambulation
C) Administer pain medication
D) Document findings
Answer: A) Assess vital signs and fundal tone
Rationale: Postpartum hemorrhage is life-threatening. Rapid assessment and
stabilization are priorities.
A client with major depressive disorder states, “I feel hopeless and worthless.”
Which response is best?
A) “Cheer up; things will get better.”
B) “Tell me more about how you are feeling.”
C) “You shouldn’t feel that way.”
D) “Do you want to go for a walk?”
Answer: B) “Tell me more about how you are feeling.”
Rationale: Open-ended questions encourage expression and therapeutic
communication.
Which client is at greatest risk for hypokalemia while taking furosemide?
A) Client with heart failure
B) Client with kidney failure
C) Client taking potassium supplements
D) Client on ACE inhibitors
Answer: A) Client with heart failure
Rationale: Furosemide is a loop diuretic that promotes potassium excretion; clients
with HF are at risk for hypokalemia.
A client with type 1 diabetes presents with fruity breath, Kussmaul respirations, and
blood glucose of 480 mg/dL. What is the priority action?
A) Administer insulin as ordered
B) Provide oral glucose
,C) Monitor urine output
D) Encourage fluids
Answer: A) Administer insulin as ordered
Rationale: These are signs of diabetic ketoacidosis (DKA), requiring immediate
insulin therapy to lower blood glucose and stop ketone production.
Which teaching is most important for a client prescribed terbutaline during preterm
labor?
A) Monitor for headache and dizziness
B) Check fetal movement daily
C) Assess for palpitations and chest pain
D) Encourage fluid restriction
Answer: C) Assess for palpitations and chest pain
Rationale: Terbutaline is a beta-agonist; it can cause tachycardia and cardiac
complications in the mother.
Which client statement indicates readiness for cognitive-behavioral therapy (CBT)?
A) “I want to change how I think about my depression.”
B) “I just want medication.”
C) “Nothing will ever help me.”
D) “I like talking to my friends.”
Answer: A) “I want to change how I think about my depression.”
Rationale: CBT focuses on changing maladaptive thought patterns; readiness is
indicated by willingness to change thinking.
A nurse teaches a client to use an incentive spirometer. Which action demonstrates
correct technique?
A) Exhale quickly, then inhale slowly through the device
B) Inhale slowly and deeply, hold 3–5 seconds, then exhale
, C) Exhale completely, then cough once
D) Breathe normally through the mouthpiece
Answer: B) Inhale slowly and deeply, hold 3–5 seconds, then exhale
Rationale: Incentive spirometry prevents atelectasis by promoting full lung
expansion.
Which medication requires the nurse to monitor for ototoxicity?
A) Vancomycin
B) Metformin
C) Lisinopril
D) Warfarin
Answer: A) Vancomycin
Rationale: Vancomycin can damage the auditory nerve; monitor for tinnitus and
hearing loss.
A client with CHF is taking digoxin and furosemide. Which lab value is most
concerning?
A) Sodium 138 mEq/L
B) Potassium 2.8 mEq/L
C) Chloride 100 mEq/L
D) Calcium 9.0 mg/dL
Answer: B) Potassium 2.8 mEq/L
Rationale: Hypokalemia increases the risk of digoxin toxicity.
A newborn has a heart rate of 80 bpm. What is the priority action?
A) Dry and stimulate the newborn
B) Assess breathing
C) Administer oxygen
D) Suction airway
