KAPLAN READINESS TEST QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A |
INSTANT DOWNLOAD PDF
Core Domains
Clinical Judgment and Decision-Making
Management of Care and Continuity
Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity and Support
Physiological Integrity and Restoration
Ethics and Professional Standards
Regulatory and Legal Compliance
Evidence-Based Practice and Quality Improvement
Communication and Interprofessional Collaboration
Introduction
This assessment is designed to evaluate readiness for professional nursing practice and success on the NCLEX-RN examination. The exam
measures essential knowledge and skills across ten core domains critical to safe, effective nursing care. Candidates will encounter multiple-choice
questions and scenario-based items that require application of foundational theory, regulatory standards, ethical principles, and real-world
clinical decision-making. The structure emphasizes practical application, prioritizing the ability to analyze complex situations, establish priorities,
and make sound judgments in diverse healthcare settings. Success demonstrates competency in key areas including management of care, safety
protocols, health promotion, psychosocial support, physiological integrity, ethical practice, legal compliance, and evidence-based practice. This
tool serves nursing students preparing for licensure and educators assessing student readiness for clinical practice.
SECTION ONE: QUESTIONS 1–100
Question 1
,A nurse is caring for a patient who has refused a prescribed medication. The patient states they do not understand why they need it. What is the
nurse's priority action?
A. Administer the medication anyway since it is prescribed
B. Document the refusal and notify the physician immediately
C. Provide education about the medication's purpose and benefits
D. Ask the family to convince the patient to take the medication
🟢 Correct answer: C
🔴 RATIONALE: The nurse must first ensure the patient understands the medication's purpose before proceeding. Refusing based on lack of
understanding requires education to support informed decision-making and respect for patient autonomy.
Question 2
Which precaution is required for a patient with active tuberculosis?
A. Standard precautions only
B. Contact precautions with gown and gloves
C. Airborne precautions with N95 respirator
D. Droplet precautions with surgical mask
🟢 Correct answer: C
🔴 RATIONALE: Tuberculosis requires airborne precautions because the bacteria spread through airborne particles. An N95 respirator is necessary
to filter these particles effectively.
Question 3
A nurse is preparing to delegate wound care to a licensed practical nurse (LPN). What must the RN consider first?
A. The LPN's availability at that time
B. The complexity of the wound and LPN's competency
C. The patient's preference for care provider
D. The cost of having an LPN perform the task
,🟢 Correct answer: B
🔴 RATIONALE: Delegation requires assessing both the task's complexity and the delegatee's competency. The RN must ensure the LPN has
appropriate skills for safe wound care management.
Question 4
Which principle of ethics is violated when a nurse withhold a patient's true diagnosis from them?
A. Autonomy
B. Beneficence
C. Justice
D. Veracity
🟢 Correct answer: D
🔴 RATIONALE: Veracity is the principle of truthfulness. Withholding the diagnosis violates the patient's right to truthful information for informed
decision-making, even if family believes it serves beneficence.
Question 5
A patient is experiencing a allergic reaction to a medication. What is the nurse's first action?
A. Administer epinephrine immediately
B. Stop the medication and assess the patient
C. Call the rapid response team
D. Document the reaction in the chart
🟢 Correct answer: B
🔴 RATIONALE: The priority is to stop the offending agent and assess the patient's condition before administering interventions. This prevents
further exposure and guides appropriate treatment.
Question 6
, Which document outlines a patient's wishes for medical care if they become unable to communicate?
A. Medical power of attorney
B. Advance directive
C. HIPAA form
D. Informed consent
🟢 Correct answer: B
🔴 RATIONALE: An advance directive specifies a patient's healthcare preferences for situations when they cannot communicate, including life-
sustaining treatment decisions.
Question 7
A nurse notices a colleague documenting care that was not provided. What is the nurse's appropriate action?
A. Ignore it since it's not their responsibility
B. Report the behavior to the supervisor
C. Confront the colleague privately first
D. Document what they observed in their own chart
🟢 Correct answer: B
🔴 RATIONALE: Falsifying documentation is a serious violation of professional standards and legal requirements. The nurse must report this to
maintain integrity and patient safety.
Question 8
Which infection control practice is most effective in preventing hospital-acquired infections?
A. Wearing gloves for all patient contact
B. Hand hygiene before and after patient contact
C. Using sterile equipment for all procedures
D. Isolating all patients with infections
INSTANT DOWNLOAD PDF
Core Domains
Clinical Judgment and Decision-Making
Management of Care and Continuity
Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity and Support
Physiological Integrity and Restoration
Ethics and Professional Standards
Regulatory and Legal Compliance
Evidence-Based Practice and Quality Improvement
Communication and Interprofessional Collaboration
Introduction
This assessment is designed to evaluate readiness for professional nursing practice and success on the NCLEX-RN examination. The exam
measures essential knowledge and skills across ten core domains critical to safe, effective nursing care. Candidates will encounter multiple-choice
questions and scenario-based items that require application of foundational theory, regulatory standards, ethical principles, and real-world
clinical decision-making. The structure emphasizes practical application, prioritizing the ability to analyze complex situations, establish priorities,
and make sound judgments in diverse healthcare settings. Success demonstrates competency in key areas including management of care, safety
protocols, health promotion, psychosocial support, physiological integrity, ethical practice, legal compliance, and evidence-based practice. This
tool serves nursing students preparing for licensure and educators assessing student readiness for clinical practice.
SECTION ONE: QUESTIONS 1–100
Question 1
,A nurse is caring for a patient who has refused a prescribed medication. The patient states they do not understand why they need it. What is the
nurse's priority action?
A. Administer the medication anyway since it is prescribed
B. Document the refusal and notify the physician immediately
C. Provide education about the medication's purpose and benefits
D. Ask the family to convince the patient to take the medication
🟢 Correct answer: C
🔴 RATIONALE: The nurse must first ensure the patient understands the medication's purpose before proceeding. Refusing based on lack of
understanding requires education to support informed decision-making and respect for patient autonomy.
Question 2
Which precaution is required for a patient with active tuberculosis?
A. Standard precautions only
B. Contact precautions with gown and gloves
C. Airborne precautions with N95 respirator
D. Droplet precautions with surgical mask
🟢 Correct answer: C
🔴 RATIONALE: Tuberculosis requires airborne precautions because the bacteria spread through airborne particles. An N95 respirator is necessary
to filter these particles effectively.
Question 3
A nurse is preparing to delegate wound care to a licensed practical nurse (LPN). What must the RN consider first?
A. The LPN's availability at that time
B. The complexity of the wound and LPN's competency
C. The patient's preference for care provider
D. The cost of having an LPN perform the task
,🟢 Correct answer: B
🔴 RATIONALE: Delegation requires assessing both the task's complexity and the delegatee's competency. The RN must ensure the LPN has
appropriate skills for safe wound care management.
Question 4
Which principle of ethics is violated when a nurse withhold a patient's true diagnosis from them?
A. Autonomy
B. Beneficence
C. Justice
D. Veracity
🟢 Correct answer: D
🔴 RATIONALE: Veracity is the principle of truthfulness. Withholding the diagnosis violates the patient's right to truthful information for informed
decision-making, even if family believes it serves beneficence.
Question 5
A patient is experiencing a allergic reaction to a medication. What is the nurse's first action?
A. Administer epinephrine immediately
B. Stop the medication and assess the patient
C. Call the rapid response team
D. Document the reaction in the chart
🟢 Correct answer: B
🔴 RATIONALE: The priority is to stop the offending agent and assess the patient's condition before administering interventions. This prevents
further exposure and guides appropriate treatment.
Question 6
, Which document outlines a patient's wishes for medical care if they become unable to communicate?
A. Medical power of attorney
B. Advance directive
C. HIPAA form
D. Informed consent
🟢 Correct answer: B
🔴 RATIONALE: An advance directive specifies a patient's healthcare preferences for situations when they cannot communicate, including life-
sustaining treatment decisions.
Question 7
A nurse notices a colleague documenting care that was not provided. What is the nurse's appropriate action?
A. Ignore it since it's not their responsibility
B. Report the behavior to the supervisor
C. Confront the colleague privately first
D. Document what they observed in their own chart
🟢 Correct answer: B
🔴 RATIONALE: Falsifying documentation is a serious violation of professional standards and legal requirements. The nurse must report this to
maintain integrity and patient safety.
Question 8
Which infection control practice is most effective in preventing hospital-acquired infections?
A. Wearing gloves for all patient contact
B. Hand hygiene before and after patient contact
C. Using sterile equipment for all procedures
D. Isolating all patients with infections
