STUCTURED| 100 % PASS 2025/2026
QUESTIONS ANSWERS
An adult client diagnosed with cere-
bral palsy that makes walking difficult is
about to be discharged from the hospi- Bathing.
tal after a cholecystectomy. Which abil- Toileting.
ity should be assessed to evaluate the Performing current job functions.
client's ability to live independently? (Se-
lect all that apply.)
The home care nurse provides care for
"What would you like to do next?"
a palliative care client. Usually the client
likes the nurse to brush the hair and pin
This is an effective response. It is
it in a neat bun. However, today the client
open-ended and allows for further explo-
states, "Don't bother with my hair today."
ration of the client's needs
Which reply by the nurse is appropriate?
The client with a blood pressure of
162/96 mm Hg and who stopped smok-
ing 2 weeks ago.
The client is demonstrating Stage 2 hy-
The nurse screens clients at a health
pertension. The relationship between hy-
fair. The nurse recommends priority fol-
pertension and cardiovascular events is
low-up with a health care provider for
direct and independent of other risk fac-
which client?
tors. The higher the client's blood pres-
sure is, the greater the chance for coro-
nary, cerebral, renal, and peripheral vas-
cular disease. This client needs to be
evaluated.
Client's admitting diagnosis and relevant
history.
The client's admitting diagnosis should
be included. Any relevant medical history
is also included.
The nurse delivers a change-of-shift re-
port. Which information is important for Client's emotional response to condition.
The client's emotional response to the
condition should be included.
Current IV solution and flow rate.
The current IV solution and flow rate,
, KAPLAN DIAGNOSTIC FINAL EXAM QUESTIONS AND ANSWERS WITH RATIONELS|WELL
STUCTURED| 100 % PASS 2025/2026
QUESTIONS ANSWERS
when the current bag is scheduled to be
completed, and the amount of solution
remaining to be infused should be includ-
ed.
the nurse to include in the report? (Select
all that apply.)
Use of and response to as needed med-
ications.
The use of and response to as needed
medications should be included.
"I do not know who I am or where I live."
Dissociative disorders are characterized
by either a sudden or gradual disrup-
The nurse provides care for clients on
tion in the integrative functions of iden-
the psychiatric unit. The nurse identifies
tity, memory, or consciousness. The dis-
which comment by a client as indicative
ruption may be transient or become a
of a dissociative disorder?
well-established pattern. The develop-
ment of a dissociative disorder is often
associated with exposure to a traumatic
event.
"I can adjust the harness if it seems
too tight or too loose." A Pavlik harness
should be adjusted only by the health
care provider to be sure the hips are in
correct alignment. .
"It will be hard to keep my baby from
The nurse teaches the parent of an in-
moving around."
fant with developmental dysplasia of the
An infant in a Pavlik harness should be
hip (DDH) about home care. The infant
encouraged to move around in age-ap-
will be discharged with a Pavlik harness.
propriate ways to facilitate normal growth
Which parent statement indicates further
and development.
teaching is needed? (Select all that ap-
ply.) "I should put lotion under the harness
straps so they won't irritate my baby's
skin."
To prevent irritation of the skin, The par-
ent should put an undershirt on the in-
fant under the chest straps and knee
, KAPLAN DIAGNOSTIC FINAL EXAM QUESTIONS AND ANSWERS WITH RATIONELS|WELL
STUCTURED| 100 % PASS 2025/2026
QUESTIONS ANSWERS
socks under the foot and leg pieces of the
harness. Lotions may irritate the infant's
skin.
Sibling history of stroke.
The nurse provides care for a 7-year-old
client during a wellness examination.
If the child has a sibling with a history
Which factor in the child's history alerts
of stroke, screening for hyperlipidemia is
the nurse that hyperlipidemia screening
recommended in children ages 2 to 8
is necessary?
years
Sing or talk to the client throughout the
activity.
This strategy of continuous communica-
tion can help the client relax and be more
cooperative.
Expose only one area at a time while
bathing.
The nurse provides care for a client di-
This strategy will help keep the client
agnosed with dementia. The nurse in-
warm and provides privacy.
structs the unlicensed assistive person-
nel (UAP) about bathing the client. Which
Organize all supplies before starting the
strategy will the nurse identify as appro-
bath.
priate for the client? (Select all that ap-
An organized and efficient bath process
ply.)
prevents an interruption to retrieve a
missing item needed for the bath.
Bathe the client slowly and explain each
action.
Moving slowly and explaining each touch
can help the client relax, prevent agita-
tion and/or injury.
The nurse provides care for clients in Silently sit with the client maintaining eye
the emergency department (ED). A new- contact.
ly married woman is brought to the ED It is important that the nurse convey
by her parents, who relate that their warmth, caring, and empathy with the
son-in-law was killed 3 days ago in client. The nurse should structure the
a boating accident. The parents report environment so the client can express
their daughter has been uncontrollably feelings about her loss. It is important to