KAPLAN NCLEX-RN TRAINER 6 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 examination is to evaluate the clinical proficiency and critical thinking abilities of candidates preparing
Section One: Questions 1–100
A nurse is caring for a client with a suspected pheochromocytoma. Which assessment finding is most important to report to the
healthcare provider?
A. Blood pressure of 180/100 mmHg
B. Heart rate of 110 beats per minute
C. Sudden, severe headache
D. 🟢 Blood glucose level of 210 mg/dL
🔴 RATIONALE: While hypertension, tachycardia, and headaches are classic symptoms, hyperglycemia is a result of catecholamine-
induced glycogenolysis and indicates a significant metabolic response that requires immediate clinical stabilization.
A client receiving chemotherapy reports severe nausea. Which nursing intervention is the highest priority?
A. Administering an antiemetic 30 minutes before meals
B. 🟢 Assessing the client for signs of dehydration and electrolyte imbalance
C. Encouraging the client to eat small, frequent meals
,D. Providing cold, non-odorous foods
🔴 RATIONALE: While antiemetics and diet modifications are supportive, the primary nursing responsibility is to ensure physiological
stability by assessing for complications like dehydration and electrolyte loss.
A nurse is caring for a client in the post-anesthesia care unit. Which finding requires immediate intervention?
A. Oxygen saturation of 93%
B. 🟢 Audible stridor
C. Respiratory rate of 10 breaths per minute
D. Patient is groggy but awakens to verbal stimuli
🔴 RATIONALE: Stridor indicates laryngeal edema or airway obstruction, which is a life-threatening emergency requiring immediate
intervention to maintain airway patency.
A nurse is providing discharge teaching for a client with heart failure. Which instruction is most critical?
A. Increase daily intake of potassium
B. 🟢 Weigh yourself daily at the same time
C. Limit fluid intake to 2,000 mL per day
D. Elevate legs when sitting
🔴 RATIONALE: Daily weights are the most accurate indicator of fluid retention and impending heart failure exacerbation, allowing for
early detection and intervention.
An unlicensed assistive personnel (UAP) is observed bending at the waist to lift a heavy patient. What is the nurse's priority action?
A. Report the UAP to the nursing supervisor
B. 🟢 Instruct the UAP on proper body mechanics immediately
C. Assist the UAP with the lift
D. Document the incident in the client’s chart
🔴 RATIONALE: The nurse is responsible for ensuring safety in the clinical environment. Correcting improper technique immediately
prevents potential injury to both the UAP and the patient.
A client with type 1 diabetes is found unconscious. Blood glucose is 40 mg/dL. What is the priority action?
A. Administer oral glucose tablets
B. 🟢 Administer 50% dextrose intravenously
C. Call for the Rapid Response Team
D. Assess vital signs
🔴 RATIONALE: An unconscious patient cannot safely swallow oral glucose; intravenous administration of dextrose is required to
rapidly correct hypoglycemia and prevent neurological damage.
, Which client should the nurse see first?
A. A client with a stage 2 pressure ulcer
B. 🟢 A client with a new onset of respiratory distress
C. A client requesting pain medication
D. A client waiting for discharge papers
🔴 RATIONALE: Utilizing the ABC (Airway, Breathing, Circulation) priority framework, the client experiencing respiratory distress is the
highest priority.
A nurse is caring for a client with a chest tube. The nurse notes continuous bubbling in the water seal chamber. What does this
indicate?
A. Normal lung re-expansion
B. 🟢 An air leak in the system
C. The suction is set too high
D. The chest tube is obstructed
🔴 RATIONALE: Continuous bubbling in the water seal chamber is a sign of an air leak that must be identified and corrected to restore
proper negative pressure in the pleural space.
A client is prescribed warfarin. Which lab result should the nurse monitor?
A. PTT
B. 🟢 INR
C. Platelet count
D. Hemoglobin
🔴 RATIONALE: The International Normalized Ratio (INR) is the standard lab test used to monitor the therapeutic effectiveness of
warfarin therapy.
A client reports a new, itchy rash after starting a new antibiotic. What is the nurse's first action?
A. Notify the physician
B. 🟢 Stop the antibiotic infusion
C. Administer an antihistamine
D. Assess the patient’s respiratory status
🔴 RATIONALE: The first step in managing a potential drug reaction is to stop the administration of the causative agent to prevent
further exposure.
A nurse is delegating tasks to a UAP. Which task is appropriate?
A. Evaluating the effectiveness of a pain medication
B. 🟢 Measuring and recording urine output
|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 examination is to evaluate the clinical proficiency and critical thinking abilities of candidates preparing
Section One: Questions 1–100
A nurse is caring for a client with a suspected pheochromocytoma. Which assessment finding is most important to report to the
healthcare provider?
A. Blood pressure of 180/100 mmHg
B. Heart rate of 110 beats per minute
C. Sudden, severe headache
D. 🟢 Blood glucose level of 210 mg/dL
🔴 RATIONALE: While hypertension, tachycardia, and headaches are classic symptoms, hyperglycemia is a result of catecholamine-
induced glycogenolysis and indicates a significant metabolic response that requires immediate clinical stabilization.
A client receiving chemotherapy reports severe nausea. Which nursing intervention is the highest priority?
A. Administering an antiemetic 30 minutes before meals
B. 🟢 Assessing the client for signs of dehydration and electrolyte imbalance
C. Encouraging the client to eat small, frequent meals
,D. Providing cold, non-odorous foods
🔴 RATIONALE: While antiemetics and diet modifications are supportive, the primary nursing responsibility is to ensure physiological
stability by assessing for complications like dehydration and electrolyte loss.
A nurse is caring for a client in the post-anesthesia care unit. Which finding requires immediate intervention?
A. Oxygen saturation of 93%
B. 🟢 Audible stridor
C. Respiratory rate of 10 breaths per minute
D. Patient is groggy but awakens to verbal stimuli
🔴 RATIONALE: Stridor indicates laryngeal edema or airway obstruction, which is a life-threatening emergency requiring immediate
intervention to maintain airway patency.
A nurse is providing discharge teaching for a client with heart failure. Which instruction is most critical?
A. Increase daily intake of potassium
B. 🟢 Weigh yourself daily at the same time
C. Limit fluid intake to 2,000 mL per day
D. Elevate legs when sitting
🔴 RATIONALE: Daily weights are the most accurate indicator of fluid retention and impending heart failure exacerbation, allowing for
early detection and intervention.
An unlicensed assistive personnel (UAP) is observed bending at the waist to lift a heavy patient. What is the nurse's priority action?
A. Report the UAP to the nursing supervisor
B. 🟢 Instruct the UAP on proper body mechanics immediately
C. Assist the UAP with the lift
D. Document the incident in the client’s chart
🔴 RATIONALE: The nurse is responsible for ensuring safety in the clinical environment. Correcting improper technique immediately
prevents potential injury to both the UAP and the patient.
A client with type 1 diabetes is found unconscious. Blood glucose is 40 mg/dL. What is the priority action?
A. Administer oral glucose tablets
B. 🟢 Administer 50% dextrose intravenously
C. Call for the Rapid Response Team
D. Assess vital signs
🔴 RATIONALE: An unconscious patient cannot safely swallow oral glucose; intravenous administration of dextrose is required to
rapidly correct hypoglycemia and prevent neurological damage.
, Which client should the nurse see first?
A. A client with a stage 2 pressure ulcer
B. 🟢 A client with a new onset of respiratory distress
C. A client requesting pain medication
D. A client waiting for discharge papers
🔴 RATIONALE: Utilizing the ABC (Airway, Breathing, Circulation) priority framework, the client experiencing respiratory distress is the
highest priority.
A nurse is caring for a client with a chest tube. The nurse notes continuous bubbling in the water seal chamber. What does this
indicate?
A. Normal lung re-expansion
B. 🟢 An air leak in the system
C. The suction is set too high
D. The chest tube is obstructed
🔴 RATIONALE: Continuous bubbling in the water seal chamber is a sign of an air leak that must be identified and corrected to restore
proper negative pressure in the pleural space.
A client is prescribed warfarin. Which lab result should the nurse monitor?
A. PTT
B. 🟢 INR
C. Platelet count
D. Hemoglobin
🔴 RATIONALE: The International Normalized Ratio (INR) is the standard lab test used to monitor the therapeutic effectiveness of
warfarin therapy.
A client reports a new, itchy rash after starting a new antibiotic. What is the nurse's first action?
A. Notify the physician
B. 🟢 Stop the antibiotic infusion
C. Administer an antihistamine
D. Assess the patient’s respiratory status
🔴 RATIONALE: The first step in managing a potential drug reaction is to stop the administration of the causative agent to prevent
further exposure.
A nurse is delegating tasks to a UAP. Which task is appropriate?
A. Evaluating the effectiveness of a pain medication
B. 🟢 Measuring and recording urine output
