KAPLAN NCLEX-RN TRAINER 5 QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A
|LATEST EXAM UPDATE 2026/2027..
CORE DOMAINS
* Management of Care
* Safety and Infection Control
* Health Promotion and Maintenance
* Psychosocial Integrity
* Basic Care and Comfort
* Pharmacological and Parenteral Therapies
* Reduction of Risk Potential
* Physiological Adaptation
INTRODUCTION
*The purpose of this assessment is to evaluate the clinical proficiency and critical thinking capabilities of candidates preparing for th
SECTION ONE: QUESTIONS 1–100
A nurse is caring for a client with a new diagnosis of type 1 diabetes. Which statement by the client indicates an understanding of self-
management?
A. I will rotate my injection sites to prevent lipodystrophy.
B. I will skip my insulin if I am unable to eat a full meal.
C. I will use the same needle for my injections throughout the day.
D. I will store my unopened insulin in the freezer to maintain potency.
🟢A
🔴 RATIONALE: Rotating injection sites is essential to prevent lipodystrophy, a localized reaction that can interfere with insulin
absorption.
A client is admitted with suspected pulmonary embolism. Which assessment finding requires the most immediate action by the nurse?
A. Pleuritic chest pain
B. Sudden onset of dyspnea
C. Oxygen saturation of 88% on room air
,D. Heart rate of 110 beats per minute
🟢C
🔴 RATIONALE: Oxygen saturation of 88% indicates significant hypoxemia, which is a life-threatening emergency requiring immediate
intervention to prevent organ damage.
Which action should the nurse take first when preparing to administer a medication via a nasogastric tube?
A. Flush the tube with 30 mL of water.
B. Verify the tube placement by checking gastric pH.
C. Crush the medication and mix it with 10 mL of water.
D. Check the provider order against the medication administration record.
🟢D
🔴 RATIONALE: The nurse must always verify the order against the medication administration record as the first step in the medication
administration process to ensure safety.
A nurse is caring for a client experiencing a manic episode. Which nursing intervention is most appropriate?
A. Provide a high-stimulus environment to keep the client engaged.
B. Encourage the client to participate in competitive group activities.
C. Offer frequent, high-calorie finger foods and fluids.
D. Allow the client to set their own schedule for the day.
🟢C
🔴 RATIONALE: Clients in a manic state often have high energy levels and poor nutritional intake; finger foods are easier to consume
and provide necessary calories.
A client with hypertension is prescribed lisinopril. Which side effect should the nurse instruct the client to report immediately?
A. Dry cough
B. Dizziness
C. Angioedema
D. Headache
🟢C
🔴 RATIONALE: Angioedema is a severe, life-threatening allergic reaction associated with ACE inhibitors and requires immediate
medical attention.
A nurse is assessing a client who has been diagnosed with borderline personality disorder. Which behavior is characteristic of this
disorder?
A. Perfectionism and rigidity
B. Splitting of staff members
, C. Grandiosity and need for admiration
D. Withdrawal from social situations
🟢B
🔴 RATIONALE: Splitting is a common defense mechanism in borderline personality disorder, where the client views individuals or
staff as either all good or all bad.
A client with chronic kidney disease has a serum potassium level of 6.2 mEq/L. Which medication should the nurse anticipate
administering?
A. Furosemide
B. Sodium polystyrene sulfonate
C. Calcium gluconate
D. Regular insulin
🟢B
🔴 RATIONALE: Sodium polystyrene sulfonate is used to remove excess potassium from the body through the gastrointestinal tract.
A nurse is caring for a client who is postoperative following a thyroidectomy. Which complication should the nurse monitor for most
closely?
A. Hypocalcemia
B. Hyperglycemia
C. Respiratory depression
D. Urinary retention
🟢A
🔴 RATIONALE: Injury to or removal of the parathyroid glands during a thyroidectomy can lead to hypocalcemia, which may manifest
as tetany or laryngospasm.
An older adult client is at risk for falls. Which intervention is most effective for fall prevention?
A. Keeping the side rails up at all times.
B. Placing the client in a room near the nursing station.
C. Administering a mild sedative at bedtime.
D. Using a gait belt during all ambulation activities.
🟢D
🔴 RATIONALE: Using a gait belt provides physical support and stability, significantly reducing the risk of falls during ambulation.
A nurse is planning care for a client with neutropenia. Which instruction should be included in the plan?
A. Increase intake of fresh fruits and vegetables.
B. Avoid the use of humidifiers in the room.
|LATEST EXAM UPDATE 2026/2027..
CORE DOMAINS
* Management of Care
* Safety and Infection Control
* Health Promotion and Maintenance
* Psychosocial Integrity
* Basic Care and Comfort
* Pharmacological and Parenteral Therapies
* Reduction of Risk Potential
* Physiological Adaptation
INTRODUCTION
*The purpose of this assessment is to evaluate the clinical proficiency and critical thinking capabilities of candidates preparing for th
SECTION ONE: QUESTIONS 1–100
A nurse is caring for a client with a new diagnosis of type 1 diabetes. Which statement by the client indicates an understanding of self-
management?
A. I will rotate my injection sites to prevent lipodystrophy.
B. I will skip my insulin if I am unable to eat a full meal.
C. I will use the same needle for my injections throughout the day.
D. I will store my unopened insulin in the freezer to maintain potency.
🟢A
🔴 RATIONALE: Rotating injection sites is essential to prevent lipodystrophy, a localized reaction that can interfere with insulin
absorption.
A client is admitted with suspected pulmonary embolism. Which assessment finding requires the most immediate action by the nurse?
A. Pleuritic chest pain
B. Sudden onset of dyspnea
C. Oxygen saturation of 88% on room air
,D. Heart rate of 110 beats per minute
🟢C
🔴 RATIONALE: Oxygen saturation of 88% indicates significant hypoxemia, which is a life-threatening emergency requiring immediate
intervention to prevent organ damage.
Which action should the nurse take first when preparing to administer a medication via a nasogastric tube?
A. Flush the tube with 30 mL of water.
B. Verify the tube placement by checking gastric pH.
C. Crush the medication and mix it with 10 mL of water.
D. Check the provider order against the medication administration record.
🟢D
🔴 RATIONALE: The nurse must always verify the order against the medication administration record as the first step in the medication
administration process to ensure safety.
A nurse is caring for a client experiencing a manic episode. Which nursing intervention is most appropriate?
A. Provide a high-stimulus environment to keep the client engaged.
B. Encourage the client to participate in competitive group activities.
C. Offer frequent, high-calorie finger foods and fluids.
D. Allow the client to set their own schedule for the day.
🟢C
🔴 RATIONALE: Clients in a manic state often have high energy levels and poor nutritional intake; finger foods are easier to consume
and provide necessary calories.
A client with hypertension is prescribed lisinopril. Which side effect should the nurse instruct the client to report immediately?
A. Dry cough
B. Dizziness
C. Angioedema
D. Headache
🟢C
🔴 RATIONALE: Angioedema is a severe, life-threatening allergic reaction associated with ACE inhibitors and requires immediate
medical attention.
A nurse is assessing a client who has been diagnosed with borderline personality disorder. Which behavior is characteristic of this
disorder?
A. Perfectionism and rigidity
B. Splitting of staff members
, C. Grandiosity and need for admiration
D. Withdrawal from social situations
🟢B
🔴 RATIONALE: Splitting is a common defense mechanism in borderline personality disorder, where the client views individuals or
staff as either all good or all bad.
A client with chronic kidney disease has a serum potassium level of 6.2 mEq/L. Which medication should the nurse anticipate
administering?
A. Furosemide
B. Sodium polystyrene sulfonate
C. Calcium gluconate
D. Regular insulin
🟢B
🔴 RATIONALE: Sodium polystyrene sulfonate is used to remove excess potassium from the body through the gastrointestinal tract.
A nurse is caring for a client who is postoperative following a thyroidectomy. Which complication should the nurse monitor for most
closely?
A. Hypocalcemia
B. Hyperglycemia
C. Respiratory depression
D. Urinary retention
🟢A
🔴 RATIONALE: Injury to or removal of the parathyroid glands during a thyroidectomy can lead to hypocalcemia, which may manifest
as tetany or laryngospasm.
An older adult client is at risk for falls. Which intervention is most effective for fall prevention?
A. Keeping the side rails up at all times.
B. Placing the client in a room near the nursing station.
C. Administering a mild sedative at bedtime.
D. Using a gait belt during all ambulation activities.
🟢D
🔴 RATIONALE: Using a gait belt provides physical support and stability, significantly reducing the risk of falls during ambulation.
A nurse is planning care for a client with neutropenia. Which instruction should be included in the plan?
A. Increase intake of fresh fruits and vegetables.
B. Avoid the use of humidifiers in the room.
