Page 1 of 246
“KAPLAN NCLEX READINESS EXAM ACTUAL
2026 ”LATEST EXAM 2026 – 2027 SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION) WELL REVISED
100% GUARANTEE PASS
Kaplan NCLEX Readiness Exam
The health care provider (HCP) provider orders hydralazine 25 mg IM on call
for a client before surgery. The LPN/LVN administers hydroxyzine 25 mg IM to
the client. Which of the following is the MOST appropriate action for the nurse
to take?
1. Document "Hydralazine 25 mg ordered; hydroxyzine 25 mg given; HCP
notified; blood pressure 130/84; pulse 86; respiration 12."
2. Document "Hydroxyzine 25 mg given; hydralazine 25 mg ordered; HCP
notified; vital signs stable."
3. Document "Hydroxyzine 25 mg mistakenly given; hydralazine 25 mg
ordered."
4. Document "Hydroxyzine 25 mg given; incident report completed."
1) CORRECT- Implementation: outcome desired; objective; indicates nurse has
monitored client
2) Implementation: outcome not desired; not best; contains judgment
3) Implementation: outcome not desired; incomplete; subjective
4) Implementation: outcome not desired; incident report not part of legal record
Two days after admission to an alcoholic treatment unit, a 40-year-old man
brags about his binges and boasts that he has not had a steady job in 3 years.
Which activity, if selected by the nurse, would be MOST appropriate for this
client?
1. Ask the client to lead a group discussion on alcoholism.
2. Ask the client to orient a client to the unit.
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3. Encourage the client to play table tennis with other clients.
4. Have the client assume responsibility for the cleanliness of the dining
1) Implementation: outcome not desired; not appropriate at start of treatment
2) Implementation: outcome not desired; later phase; not ready
3) Implementation: outcome not desired; not appropriate at this time in treatment.
4) CORRECT-Have the client assume responsibility for the cleanliness of the dining
room.
The healthcare provider orders furosemide (Lasix) and spironolactone
(Aldactone). Prior to administering Lasix and Aldactone, the nurse determines
that the client's potassium level is 3.2 mEq/L. Which is the MOST important
action for the nurse to take?
1. Hold the furosemide and spironolactone.
2. Administer only the spironolactone.
3. Administer only the furosemide.
4. Administer the furosemide and spironolactone.
1) Implementation: outcome not desired; should give Aldactone, K+-sparing diuretic
2) CORRECT- Implementation: outcome desired; K+-sparing diuretic; should contact
health care provider about serum potassium
3) Implementation: outcome not desired; will lose more potassium
4) Implementation: outcome not desired; will lose more potassium
A client is scheduled for transfer to another hospital. Which observation, if
made by the nurse, would require an IMMEDIATE intervention?
1. Lactated Ringer's infusing IV into the client's left forearm is 400 mL behind
schedule.
2. The client's nasogastric tube is draining a moderate amount of green liquid.
3. The client's blood pressure has changed from 140/80 to 150/88 in the last
hour.
4. The client's SaO2 is 88%.
1) Assessment: outcome not priority; needs to be investigated
2) Assessment: outcome not priority; no indication of a problem
3) Assessment: outcome not priority; still the same range
4) CORRECT- Assessment: outcome priority; decreased oxygenation level; needs
further assessment
The nurse is caring for an elderly client receiving total parenteral nutrition
(TPN) due to malnutrition. Which observation, if made by the nurse, indicates
that the client is improving?
1. The client gains 8 lbs in one week.
2. The client's edema decreases.
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3. The client's hemoglobin increases.
4. The client's output is greater than the intake.
1) Assessment: outcome not expected; indicates fluid retention
2) CORRECT- Assessment: outcome expected; edema is manifestation of
malnutrition; decreased serum protein levels cause fluid to move into interstitial
space
3) Assessment: outcome not expected; hemoglobin may increase with increased iron
levels
4) Assessment: outcome not expected; TPN can cause hyperosmolar diuresis due to
hyperglycemia, complication of TPN
In preparation for a total laryngectomy, the nurse teaches a client how to
support his neck after surgery. Which of the following demonstrations by the
client indicates to the nurse that teaching is successful?
1. The client raises the elbows and places the hands behind the neck.
2. The client places one hand on the forehead and the other hand on the back
of the head.
3. The client covers the ears with both hands and presses firmly.
4. The client grasps the chin with one hand and places the other hand on the
forehead.
1) CORRECT- Implementation: outcome desired; prevents stress on suture line;
supports head; use folded towel when mobile
2) Implementation: outcome not desired; no support for neck
3) Implementation: outcome not desired; no support for neck
4) Implementation: outcome not desired
The nurse teaches elderly residents of an assisted-living facility about
wellness and health promotion. The nurse is MOST concerned about which
statement by one of the residents?
1. "My health care provider tells me I may need the chickenpox vaccine."
2. "I get my flu shot every year in November at a local pharmacy."
3. "I got a pneumonia vaccine about 10 years ago."
4. "The last time I got an injection in my arm, it felt hot and swollen for a day."
1) Implementation: outcome may be desired but is not priority; varicella vaccine
recommended for adults who are not immune to varicella or who are
immunocompromised; need further assessment
2) Implementation: outcome desired but not priority; should be given earlier in the
winter; yearly influenza vaccine recommended for older adults
3) CORRECT- Implementation: outcome not desired and is problem; vaccine 6 years
ago or more needs to be repeated; elderly at great risk for streptococcal pneumonia
4) Implementation: outcome: needs follow-up but not of MOST concern.
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The nurse is called to the bathroom of a woman who delivered an 8 lb 4 oz
male 12 hours ago. The nurse notes that there is blood running down the
client's leg. Which statement, if made by the nurse, is BEST?
1. "Leave your perineal pad in the bathroom so I can evaluate the lochia."
2. "Why don't you go back to bed so you can rest?"
3. "Let me help you back to bed so I can check your fundus."
4. "Sit in this chair so I can check your blood pressure."
1) Assessment: outcome desired but not priority; more important to determine source
of bleeding
2) Implementation: outcome not desired; need to determine source of bleeding; need
to assist client
3) CORRECT- Assessment: outcome priority; determine if fundus is firm; bleeding
may be caused by pooling of lochia in the vagina
4) Assessment: outcome desired but not priority; more important to determine the
source of bleeding
The nurse supervises care of clients on a postoperative surgical unit. Which of
the following requires an immediate intervention by the nurse?
1. The nursing assistive personnel (NAP) obtains vital signs on a client who
had a bowel resection 24 hours ago.
2. The NAP assists a client who had an above-the-knee amputation apply an
elastic bandage to the residual limb.
3. The NAP assists a client who had a stroke 3 days ago with feeding.
4. The NAP assists a client who had a laparoscopic cholecystectomy 6 hours
ago ambulate.
1) Assessment: outcome expected; within NAP scope of practice; principles of
delegation should be followed
2) Implementation: outcome desired; within NAP scope of practice
3) CORRECT-Implementation: outcome not desired; client requires assessment and
evaluation; may have problems with gag and swallow reflex
4) Implementation: outcome desired; within NAP scope of practice; stable client;
principles of delegation should be followed
A client is admitted to a medical unit with a diagnosis of pneunocystis jiroveci
pneumonia. A nurse from another client care area asks the nurse caring for
this client about the client's condition. Which is the MOST appropriate
statement for the nurse to make?
1. "I will give a brief report on the client's condition in private."
2. "You can get an update by reading the client's chart."
3. "I cannot discuss this client's condition with you."
4. "Why do you want to know about this client's condition?"
1) Implementation: outcome not desired; breaks confidentiality
“KAPLAN NCLEX READINESS EXAM ACTUAL
2026 ”LATEST EXAM 2026 – 2027 SOLVED
QUESTIONS & ANSWERS VERIFIED 100%
GRADED A+ (LATEST VERSION) WELL REVISED
100% GUARANTEE PASS
Kaplan NCLEX Readiness Exam
The health care provider (HCP) provider orders hydralazine 25 mg IM on call
for a client before surgery. The LPN/LVN administers hydroxyzine 25 mg IM to
the client. Which of the following is the MOST appropriate action for the nurse
to take?
1. Document "Hydralazine 25 mg ordered; hydroxyzine 25 mg given; HCP
notified; blood pressure 130/84; pulse 86; respiration 12."
2. Document "Hydroxyzine 25 mg given; hydralazine 25 mg ordered; HCP
notified; vital signs stable."
3. Document "Hydroxyzine 25 mg mistakenly given; hydralazine 25 mg
ordered."
4. Document "Hydroxyzine 25 mg given; incident report completed."
1) CORRECT- Implementation: outcome desired; objective; indicates nurse has
monitored client
2) Implementation: outcome not desired; not best; contains judgment
3) Implementation: outcome not desired; incomplete; subjective
4) Implementation: outcome not desired; incident report not part of legal record
Two days after admission to an alcoholic treatment unit, a 40-year-old man
brags about his binges and boasts that he has not had a steady job in 3 years.
Which activity, if selected by the nurse, would be MOST appropriate for this
client?
1. Ask the client to lead a group discussion on alcoholism.
2. Ask the client to orient a client to the unit.
, Page 2 of 246
3. Encourage the client to play table tennis with other clients.
4. Have the client assume responsibility for the cleanliness of the dining
1) Implementation: outcome not desired; not appropriate at start of treatment
2) Implementation: outcome not desired; later phase; not ready
3) Implementation: outcome not desired; not appropriate at this time in treatment.
4) CORRECT-Have the client assume responsibility for the cleanliness of the dining
room.
The healthcare provider orders furosemide (Lasix) and spironolactone
(Aldactone). Prior to administering Lasix and Aldactone, the nurse determines
that the client's potassium level is 3.2 mEq/L. Which is the MOST important
action for the nurse to take?
1. Hold the furosemide and spironolactone.
2. Administer only the spironolactone.
3. Administer only the furosemide.
4. Administer the furosemide and spironolactone.
1) Implementation: outcome not desired; should give Aldactone, K+-sparing diuretic
2) CORRECT- Implementation: outcome desired; K+-sparing diuretic; should contact
health care provider about serum potassium
3) Implementation: outcome not desired; will lose more potassium
4) Implementation: outcome not desired; will lose more potassium
A client is scheduled for transfer to another hospital. Which observation, if
made by the nurse, would require an IMMEDIATE intervention?
1. Lactated Ringer's infusing IV into the client's left forearm is 400 mL behind
schedule.
2. The client's nasogastric tube is draining a moderate amount of green liquid.
3. The client's blood pressure has changed from 140/80 to 150/88 in the last
hour.
4. The client's SaO2 is 88%.
1) Assessment: outcome not priority; needs to be investigated
2) Assessment: outcome not priority; no indication of a problem
3) Assessment: outcome not priority; still the same range
4) CORRECT- Assessment: outcome priority; decreased oxygenation level; needs
further assessment
The nurse is caring for an elderly client receiving total parenteral nutrition
(TPN) due to malnutrition. Which observation, if made by the nurse, indicates
that the client is improving?
1. The client gains 8 lbs in one week.
2. The client's edema decreases.
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3. The client's hemoglobin increases.
4. The client's output is greater than the intake.
1) Assessment: outcome not expected; indicates fluid retention
2) CORRECT- Assessment: outcome expected; edema is manifestation of
malnutrition; decreased serum protein levels cause fluid to move into interstitial
space
3) Assessment: outcome not expected; hemoglobin may increase with increased iron
levels
4) Assessment: outcome not expected; TPN can cause hyperosmolar diuresis due to
hyperglycemia, complication of TPN
In preparation for a total laryngectomy, the nurse teaches a client how to
support his neck after surgery. Which of the following demonstrations by the
client indicates to the nurse that teaching is successful?
1. The client raises the elbows and places the hands behind the neck.
2. The client places one hand on the forehead and the other hand on the back
of the head.
3. The client covers the ears with both hands and presses firmly.
4. The client grasps the chin with one hand and places the other hand on the
forehead.
1) CORRECT- Implementation: outcome desired; prevents stress on suture line;
supports head; use folded towel when mobile
2) Implementation: outcome not desired; no support for neck
3) Implementation: outcome not desired; no support for neck
4) Implementation: outcome not desired
The nurse teaches elderly residents of an assisted-living facility about
wellness and health promotion. The nurse is MOST concerned about which
statement by one of the residents?
1. "My health care provider tells me I may need the chickenpox vaccine."
2. "I get my flu shot every year in November at a local pharmacy."
3. "I got a pneumonia vaccine about 10 years ago."
4. "The last time I got an injection in my arm, it felt hot and swollen for a day."
1) Implementation: outcome may be desired but is not priority; varicella vaccine
recommended for adults who are not immune to varicella or who are
immunocompromised; need further assessment
2) Implementation: outcome desired but not priority; should be given earlier in the
winter; yearly influenza vaccine recommended for older adults
3) CORRECT- Implementation: outcome not desired and is problem; vaccine 6 years
ago or more needs to be repeated; elderly at great risk for streptococcal pneumonia
4) Implementation: outcome: needs follow-up but not of MOST concern.
, Page 4 of 246
The nurse is called to the bathroom of a woman who delivered an 8 lb 4 oz
male 12 hours ago. The nurse notes that there is blood running down the
client's leg. Which statement, if made by the nurse, is BEST?
1. "Leave your perineal pad in the bathroom so I can evaluate the lochia."
2. "Why don't you go back to bed so you can rest?"
3. "Let me help you back to bed so I can check your fundus."
4. "Sit in this chair so I can check your blood pressure."
1) Assessment: outcome desired but not priority; more important to determine source
of bleeding
2) Implementation: outcome not desired; need to determine source of bleeding; need
to assist client
3) CORRECT- Assessment: outcome priority; determine if fundus is firm; bleeding
may be caused by pooling of lochia in the vagina
4) Assessment: outcome desired but not priority; more important to determine the
source of bleeding
The nurse supervises care of clients on a postoperative surgical unit. Which of
the following requires an immediate intervention by the nurse?
1. The nursing assistive personnel (NAP) obtains vital signs on a client who
had a bowel resection 24 hours ago.
2. The NAP assists a client who had an above-the-knee amputation apply an
elastic bandage to the residual limb.
3. The NAP assists a client who had a stroke 3 days ago with feeding.
4. The NAP assists a client who had a laparoscopic cholecystectomy 6 hours
ago ambulate.
1) Assessment: outcome expected; within NAP scope of practice; principles of
delegation should be followed
2) Implementation: outcome desired; within NAP scope of practice
3) CORRECT-Implementation: outcome not desired; client requires assessment and
evaluation; may have problems with gag and swallow reflex
4) Implementation: outcome desired; within NAP scope of practice; stable client;
principles of delegation should be followed
A client is admitted to a medical unit with a diagnosis of pneunocystis jiroveci
pneumonia. A nurse from another client care area asks the nurse caring for
this client about the client's condition. Which is the MOST appropriate
statement for the nurse to make?
1. "I will give a brief report on the client's condition in private."
2. "You can get an update by reading the client's chart."
3. "I cannot discuss this client's condition with you."
4. "Why do you want to know about this client's condition?"
1) Implementation: outcome not desired; breaks confidentiality
