KAPLAN ADULT HEALTH II EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026
Q&A | INSTANT DOWNLOAD PDF
,Core Domains
Cardiovascular Nursing Care
Respiratory System Management
Renal and Urological Nursing
Endocrine Disorders and Diabetes
Gastrointestinal Nursing Care
Musculoskeletal and Orthopedic Nursing
Neurological Nursing Assessment
Oncology Nursing Principles
Ethics and Legal Compliance in Nursing
Pharmacology and Medication Safety
Introduction
This exam assesses comprehensive knowledge and clinical decision-making
skills essential for adult health nursing practice. The assessment covers
critical medical-surgical conditions, nursing interventions, patient
,safety protocols, and professional standards. Questions include multiple-
choice items and scenario-based clinical situations that emphasize real-
world application. The exam evaluates your ability to prioritize care,
recognize complications, administer medications safely, and provide
evidence-based interventions for adult patients with complex health
conditions. Success requires mastery of foundational theory combined
with applied professional knowledge and critical thinking.
Section One: Questions 1–100
Question 1
A patient with COPD presents with increased dyspnea, use of accessory muscles, and oxygen saturation of 89%. Which assessment finding requires
immediate intervention?
A. Oxygen saturation of 89%
B. Pursed-lip breathing
C. Use of accessory muscles
D. Barrel chest appearance
🟢 C. Use of accessory muscles
🔴 RATIONALE: Use of accessory muscles indicates increased work of breathing and respiratory distress, signaling potential respiratory failure.
This requires immediate intervention. Oxygen saturation of 89% is acceptable for COPD patients, pursed-lip breathing is a compensatory technique,
and barrel chest is a chronic finding.
Question 2
A patient is scheduled for a renal biopsy. Which medication must the nurse ensure is held before the procedure to prevent hemorrhagic
complications?
A. Metformin
B. Warfarin
C. Lisinopril
D. Furosemide
, 🟢 B. Warfarin
🔴 RATIONALE: Warfarin increases bleeding risk significantly during invasive procedures like renal biopsy. The nurse must ensure warfarin is held
appropriately before the procedure to prevent hemorrhagic complications. Metformin relates to contrast imaging, lisinopril is an antihypertensive,
and furosemide is a diuretic.
Question 3
A patient with diabetic ketoacidosis (DKA) has the following lab values: potassium 2.8 mEq/L, glucose 550 mg/dL, pH 7.1, and bicarbonate 12
mEq/L. Which value requires urgent correction?
A. Glucose 550 mg/dL
B. pH 7.1
C. Potassium 2.8 mEq/L
D. Bicarbonate 12 mEq/L
🟢 C. Potassium 2.8 mEq/L
🔴 RATIONALE: Potassium of 2.8 mEq/L indicates severe hypokalemia, which can cause life-threatening cardiac dysrhythmias. While all values are
abnormal in DKA, hypokalemia poses the most immediate threat to patient safety and requires urgent correction before insulin therapy.
Question 4
A patient suddenly develops dyspnea and pleuritic chest pain after hip surgery. Which complication should the nurse suspect first?
A. Pneumothorax
B. Pulmonary embolism
C. Myocardial infarction
D. Atelectasis
🟢 B. Pulmonary embolism
🔴 RATIONALE: Sudden onset of dyspnea and pleuritic chest pain are classic signs of pulmonary embolism. This is a medical emergency requiring
immediate evaluation and treatment. Hip surgery is a major risk factor for venous thromboembolism.
Question 5
Which ethical principle refers to the nurse's obligation to refrain from actions that could cause injury or suffering to patients?
Q&A | INSTANT DOWNLOAD PDF
,Core Domains
Cardiovascular Nursing Care
Respiratory System Management
Renal and Urological Nursing
Endocrine Disorders and Diabetes
Gastrointestinal Nursing Care
Musculoskeletal and Orthopedic Nursing
Neurological Nursing Assessment
Oncology Nursing Principles
Ethics and Legal Compliance in Nursing
Pharmacology and Medication Safety
Introduction
This exam assesses comprehensive knowledge and clinical decision-making
skills essential for adult health nursing practice. The assessment covers
critical medical-surgical conditions, nursing interventions, patient
,safety protocols, and professional standards. Questions include multiple-
choice items and scenario-based clinical situations that emphasize real-
world application. The exam evaluates your ability to prioritize care,
recognize complications, administer medications safely, and provide
evidence-based interventions for adult patients with complex health
conditions. Success requires mastery of foundational theory combined
with applied professional knowledge and critical thinking.
Section One: Questions 1–100
Question 1
A patient with COPD presents with increased dyspnea, use of accessory muscles, and oxygen saturation of 89%. Which assessment finding requires
immediate intervention?
A. Oxygen saturation of 89%
B. Pursed-lip breathing
C. Use of accessory muscles
D. Barrel chest appearance
🟢 C. Use of accessory muscles
🔴 RATIONALE: Use of accessory muscles indicates increased work of breathing and respiratory distress, signaling potential respiratory failure.
This requires immediate intervention. Oxygen saturation of 89% is acceptable for COPD patients, pursed-lip breathing is a compensatory technique,
and barrel chest is a chronic finding.
Question 2
A patient is scheduled for a renal biopsy. Which medication must the nurse ensure is held before the procedure to prevent hemorrhagic
complications?
A. Metformin
B. Warfarin
C. Lisinopril
D. Furosemide
, 🟢 B. Warfarin
🔴 RATIONALE: Warfarin increases bleeding risk significantly during invasive procedures like renal biopsy. The nurse must ensure warfarin is held
appropriately before the procedure to prevent hemorrhagic complications. Metformin relates to contrast imaging, lisinopril is an antihypertensive,
and furosemide is a diuretic.
Question 3
A patient with diabetic ketoacidosis (DKA) has the following lab values: potassium 2.8 mEq/L, glucose 550 mg/dL, pH 7.1, and bicarbonate 12
mEq/L. Which value requires urgent correction?
A. Glucose 550 mg/dL
B. pH 7.1
C. Potassium 2.8 mEq/L
D. Bicarbonate 12 mEq/L
🟢 C. Potassium 2.8 mEq/L
🔴 RATIONALE: Potassium of 2.8 mEq/L indicates severe hypokalemia, which can cause life-threatening cardiac dysrhythmias. While all values are
abnormal in DKA, hypokalemia poses the most immediate threat to patient safety and requires urgent correction before insulin therapy.
Question 4
A patient suddenly develops dyspnea and pleuritic chest pain after hip surgery. Which complication should the nurse suspect first?
A. Pneumothorax
B. Pulmonary embolism
C. Myocardial infarction
D. Atelectasis
🟢 B. Pulmonary embolism
🔴 RATIONALE: Sudden onset of dyspnea and pleuritic chest pain are classic signs of pulmonary embolism. This is a medical emergency requiring
immediate evaluation and treatment. Hip surgery is a major risk factor for venous thromboembolism.
Question 5
Which ethical principle refers to the nurse's obligation to refrain from actions that could cause injury or suffering to patients?
