Kaplan Exit Predictor Final Exam – {NEWEST VERSION}
Practice Questions Latest 2026/2027 Update |
Comprehensive NCLEX-RN Readiness Assessment | Bold
Answers with Explanations| PDF
Introduction
This comprehensive practice exam is designed to simulate the Kaplan Exit Predictor
Exam, a comprehensive readiness evaluation used by nursing programs to predict NCLEX-
RN success . The exam assesses critical knowledge and skills essential for safe nursing
practice, including clinical judgment, prioritization, regulatory compliance, and ethics across
all major nursing domains .
Exam Domains Covered
Management of Care
Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Pharmacological and Parenteral Therapies
Physiological Adaptation
Nursing Process and Clinical Judgment.
Section 1: Management of Care & Delegation (Questions 1-25)
1. The charge nurse is making assignments for the medical-surgical unit. Which
client should be assigned to the most experienced registered nurse (RN)?
A. A client with a new diagnosis of diabetes who needs insulin teaching
B. A client with cirrhosis whose blood pressure has dropped from 120/80 to 92/60
,mmHg over the past hour
C. A client with pneumonia who is being discharged this afternoon
D. A client with a fractured femur in balanced skeletal traction
Rationale: The client with cirrhosis and a significant drop in blood pressure is at risk for
hypovolemic shock from a possible variceal bleed, requiring rapid assessment and
intervention by the most experienced nurse. The other clients have more stable or
predictable needs .
2. A nurse is assigning tasks to an unlicensed assistive personnel (UAP). Which task
is appropriate to delegate?
A. Assessing a client's lung sounds after a nebulizer treatment
B. Measuring and recording hourly urine output
C. Developing a plan of care for a client with a pressure ulcer
D. Teaching a client about a low-sodium diet
Rationale: The UAP may measure and record intake and output. Assessment, care plan
development, and client education are responsibilities of the RN and cannot be delegated .
3. A nurse is delegating tasks to a licensed practical nurse (LPN). Which task is
appropriate for the LPN?
A. Assess a patient with new-onset confusion
B. Administer IV push medications
C. Provide wound care to a stable postoperative patient
D. Develop a care plan for a patient with complex needs
,Rationale: Wound care to a stable postoperative patient is within the LPN's scope of
practice. Assessment of new confusion, IV push medications, and care plan development
require RN-level knowledge .
4. A client has a do-not-resuscitate (DNR) order. The client stops breathing and has
no pulse. What should the nurse do first?
A. Initiate cardiopulmonary resuscitation (CPR)
B. Call the family to come to the bedside
C. Confirm the absence of pulse and respirations, note the time, and document
D. Call the healthcare provider to pronounce death
Rationale: A DNR order means CPR should not be started. The nurse first confirms the
client's status, notes the time, documents the findings, and then notifies the provider .
5. A nurse is preparing to administer a blood transfusion. Which action is most
important for preventing transfusion reactions?
A. Use normal saline as the priming solution
B. Verify the client's identity and blood product details with another licensed
personnel
C. Administer the blood slowly over 4 hours
D. Monitor vital signs every 15 minutes
, Rationale: Proper verification of patient identity and blood product details is the most
critical step in preventing transfusion reactions. Incorrect blood administration is the most
dangerous error .
6. A nurse is caring for a client with suspected sepsis. Which finding requires
immediate intervention?
A. Temperature 38.4°C
B. Blood pressure 88/52 mmHg
C. Heart rate 112 bpm
D. White blood cell count 14,000/mm³
Rationale: Hypotension (88/52 mmHg) indicates septic shock and requires immediate fluid
resuscitation and possibly vasopressors. This is the most critical finding indicating life-
threatening complications .
7. A client is scheduled for a magnetic resonance imaging (MRI) scan. Which
question is most important for the nurse to ask?
A. "Have you ever had a head injury?"
B. "Do you have any metal implants, such as a pacemaker or aneurysm clips?"
C. "Are you allergic to iodine or shellfish?"
D. "Do you have a family history of seizures?"
Rationale: MRI uses a powerful magnet; metal objects can move, heat up, or malfunction,
causing serious injury. This safety screening question is critical .
Practice Questions Latest 2026/2027 Update |
Comprehensive NCLEX-RN Readiness Assessment | Bold
Answers with Explanations| PDF
Introduction
This comprehensive practice exam is designed to simulate the Kaplan Exit Predictor
Exam, a comprehensive readiness evaluation used by nursing programs to predict NCLEX-
RN success . The exam assesses critical knowledge and skills essential for safe nursing
practice, including clinical judgment, prioritization, regulatory compliance, and ethics across
all major nursing domains .
Exam Domains Covered
Management of Care
Safety and Infection Control
Health Promotion and Maintenance
Psychosocial Integrity
Pharmacological and Parenteral Therapies
Physiological Adaptation
Nursing Process and Clinical Judgment.
Section 1: Management of Care & Delegation (Questions 1-25)
1. The charge nurse is making assignments for the medical-surgical unit. Which
client should be assigned to the most experienced registered nurse (RN)?
A. A client with a new diagnosis of diabetes who needs insulin teaching
B. A client with cirrhosis whose blood pressure has dropped from 120/80 to 92/60
,mmHg over the past hour
C. A client with pneumonia who is being discharged this afternoon
D. A client with a fractured femur in balanced skeletal traction
Rationale: The client with cirrhosis and a significant drop in blood pressure is at risk for
hypovolemic shock from a possible variceal bleed, requiring rapid assessment and
intervention by the most experienced nurse. The other clients have more stable or
predictable needs .
2. A nurse is assigning tasks to an unlicensed assistive personnel (UAP). Which task
is appropriate to delegate?
A. Assessing a client's lung sounds after a nebulizer treatment
B. Measuring and recording hourly urine output
C. Developing a plan of care for a client with a pressure ulcer
D. Teaching a client about a low-sodium diet
Rationale: The UAP may measure and record intake and output. Assessment, care plan
development, and client education are responsibilities of the RN and cannot be delegated .
3. A nurse is delegating tasks to a licensed practical nurse (LPN). Which task is
appropriate for the LPN?
A. Assess a patient with new-onset confusion
B. Administer IV push medications
C. Provide wound care to a stable postoperative patient
D. Develop a care plan for a patient with complex needs
,Rationale: Wound care to a stable postoperative patient is within the LPN's scope of
practice. Assessment of new confusion, IV push medications, and care plan development
require RN-level knowledge .
4. A client has a do-not-resuscitate (DNR) order. The client stops breathing and has
no pulse. What should the nurse do first?
A. Initiate cardiopulmonary resuscitation (CPR)
B. Call the family to come to the bedside
C. Confirm the absence of pulse and respirations, note the time, and document
D. Call the healthcare provider to pronounce death
Rationale: A DNR order means CPR should not be started. The nurse first confirms the
client's status, notes the time, documents the findings, and then notifies the provider .
5. A nurse is preparing to administer a blood transfusion. Which action is most
important for preventing transfusion reactions?
A. Use normal saline as the priming solution
B. Verify the client's identity and blood product details with another licensed
personnel
C. Administer the blood slowly over 4 hours
D. Monitor vital signs every 15 minutes
, Rationale: Proper verification of patient identity and blood product details is the most
critical step in preventing transfusion reactions. Incorrect blood administration is the most
dangerous error .
6. A nurse is caring for a client with suspected sepsis. Which finding requires
immediate intervention?
A. Temperature 38.4°C
B. Blood pressure 88/52 mmHg
C. Heart rate 112 bpm
D. White blood cell count 14,000/mm³
Rationale: Hypotension (88/52 mmHg) indicates septic shock and requires immediate fluid
resuscitation and possibly vasopressors. This is the most critical finding indicating life-
threatening complications .
7. A client is scheduled for a magnetic resonance imaging (MRI) scan. Which
question is most important for the nurse to ask?
A. "Have you ever had a head injury?"
B. "Do you have any metal implants, such as a pacemaker or aneurysm clips?"
C. "Are you allergic to iodine or shellfish?"
D. "Do you have a family history of seizures?"
Rationale: MRI uses a powerful magnet; metal objects can move, heat up, or malfunction,
causing serious injury. This safety screening question is critical .
