KAPLAN REDUCTION OF RISK POTENTIAL ASSESSMENT QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A |LATEST EXAM UPDATE 2026/2027..
CORE DOMAINS *
Infection Control *
Diagnostic Procedures *
Safety and Environmental Hazards *
, Nursing Interventions/Procedures *
Pharmacology and Parenteral Therapies *
System-Specific Physiological Risks *
Legal and Ethical Standards *
INTRODUCTION *
, The purpose of this assessment is to evaluate the nursing candidate's ability to reduce the risk potential for clients in clinical s
SECTION ONE: QUESTIONS 1–100
A client is receiving a blood transfusion and begins to experience flank pain, fever, and chills. What is the nurse's priority action?
A. Slow the infusion rate.
B. Disconnect the blood tubing and initiate normal saline.
C. Obtain a urine specimen.
D. Notify the health care provider.
🟢B
🔴 RATIONALE: The client is exhibiting signs of an acute hemolytic transfusion reaction. The priority is to stop the transfusion
immediately and maintain venous access with normal saline to prevent circulatory collapse and manage the reaction.
Which intervention is most effective in preventing postoperative venous thromboembolism?
A. Strict bed rest for 24 hours.
B. Early and frequent ambulation.
C. Daily doses of aspirin.
D. Elevating the head of the bed.
🟢B
🔴 RATIONALE: Ambulation promotes venous return and prevents stasis, which is the primary mechanical factor in the formation of
venous thromboembolism following surgery.
A nurse is caring for a client with a potassium level of 6.2 mEq/L. Which assessment is the priority?
A. Bowel sounds.
B. Muscle strength.
C. Cardiac rhythm.
D. Respiratory rate.
🟢C
🔴 RATIONALE: Hyperkalemia poses an immediate threat of life-threatening cardiac arrhythmias, such as peaked T waves and
ventricular fibrillation. Monitoring cardiac rhythm is the highest priority.
A client with a suspected stroke is brought to the ED. What is the most critical information to obtain before administering tPA?
A. Time of symptom onset.
RATIONALES 2026 Q&A |LATEST EXAM UPDATE 2026/2027..
CORE DOMAINS *
Infection Control *
Diagnostic Procedures *
Safety and Environmental Hazards *
, Nursing Interventions/Procedures *
Pharmacology and Parenteral Therapies *
System-Specific Physiological Risks *
Legal and Ethical Standards *
INTRODUCTION *
, The purpose of this assessment is to evaluate the nursing candidate's ability to reduce the risk potential for clients in clinical s
SECTION ONE: QUESTIONS 1–100
A client is receiving a blood transfusion and begins to experience flank pain, fever, and chills. What is the nurse's priority action?
A. Slow the infusion rate.
B. Disconnect the blood tubing and initiate normal saline.
C. Obtain a urine specimen.
D. Notify the health care provider.
🟢B
🔴 RATIONALE: The client is exhibiting signs of an acute hemolytic transfusion reaction. The priority is to stop the transfusion
immediately and maintain venous access with normal saline to prevent circulatory collapse and manage the reaction.
Which intervention is most effective in preventing postoperative venous thromboembolism?
A. Strict bed rest for 24 hours.
B. Early and frequent ambulation.
C. Daily doses of aspirin.
D. Elevating the head of the bed.
🟢B
🔴 RATIONALE: Ambulation promotes venous return and prevents stasis, which is the primary mechanical factor in the formation of
venous thromboembolism following surgery.
A nurse is caring for a client with a potassium level of 6.2 mEq/L. Which assessment is the priority?
A. Bowel sounds.
B. Muscle strength.
C. Cardiac rhythm.
D. Respiratory rate.
🟢C
🔴 RATIONALE: Hyperkalemia poses an immediate threat of life-threatening cardiac arrhythmias, such as peaked T waves and
ventricular fibrillation. Monitoring cardiac rhythm is the highest priority.
A client with a suspected stroke is brought to the ED. What is the most critical information to obtain before administering tPA?
A. Time of symptom onset.
