KAPLAN PREDICTOR COMBINED VERSION A,B,C
NEWEST 2025 ACTUAL EXAM WITH NGN FORMAT
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
. A woman who is HIV-positive just delivered a 6 lb, 13 oz baby. The woman
expresses concern to the nurse that her newborn baby will be HIV-positive. The
nurse's response should be based on which of the following? - ANSWER -Testing
is inconclusive until 12 to 15 months of age because antibodies are present in the
newborns system
A client comes to the outpatient clinic for allergy shots. After administering the
injection, the nurse should take which of the following actions? - ANSWER -
Instruct the client stay in the clinic waiting room for at least 30 minutes
An older client is brought to the emergency department by the client's spouse. The
client complains of severe headache. The nurse notes the client has slurred speech,
as well as facial droop and weak hand grip on the left side. The nurse expects the
physician to order which of the following tests? - ANSWER -CT scan
The nurse administers digoxin (Lanoxin) and theophylline (Accurbron) to an
elderly client through a gastroscopy tube. After giving the medications, the nurse
should take which of the following actions? - ANSWER -Check the patient's
respirations and apical heart rate
After several months of radiation therapy, a client with lung cancer refuses to
continue with treatment. It is MOST important for the nurse to take which of the
following actions? - ANSWER -Ask the client what it is about radiation therapy
that makes him want to discontinue treatment
,The nurse cares for a client immediately after a carotid endarterectomy. It is
MOST important for the nurse to have which of the following equipment at the
bedside? - ANSWER -Trache set
The nurse cares for a client undergoing radiation therapy of the right breast and
axilla after lumpectomy. Which statement, if made by the client, indicates to the
nurse that teaching is effective? - ANSWER -I should wear a loose fitting bra made
of 100% cotton to prevent irritation
The nurse cares for patient on the psychiatric unit. A patient becomes verbally
abusive and begins swinging arms and kicking anyone who approaches the patient.
An order is obtained for mechanical restraints. The nursing team is able to get the
patient to the floor and under their physical control. Before being lifted and taken
to the patient's room for restraint application, the patient's body relaxes and the
patient says "I'm sorry. Ill cooperates. I'll walk to my room. Please don't hold me
dow - ANSWER -Tell the patient that he will be transported as planned
The nurse cares for a 3,000 gram newborn who receives ampicillin (Omnipen).
The dosage is 100 mg/kg/day with doses divided, and it is administered every 12
hours. How many milligrams should the nurse administer to the newborn every 12
hours? - ANSWER -150 mg
The registered nurse leads a patient care team that consists of one LPN/LVN and
one nursing assistant. It is considered appropriate for the RN to assign which of the
following patient to the LPN/LVN? - ANSWER -A 79 year old man diagnosed
with Alzheimer's disease who is rubbing his chest and has a respiratory rate of 22
The registered nurse delegates insertion of a Foley catheter to an LPN/LVN.
Before the LPN/LVN begins the procedure, it is MOST important for the
registered nurse to take which of the following actions - ANSWER -Ask the
patient's permission for the LPN/LVN to perform the procedure
A nurse has lunch in the hospital cafeteria with a nursing assistant from the unit.
The nurse asks how the nursing assistant is doing, knowing that the nursing
assistant is in nursing school, has three young children, works 30 hours a week,
,and looks worried. The nursing assistant replies, "I'm okay, just stressed out with
finals." The BEST response by the nurse is which of the following? - ANSWER -
Sounds like you feel you're managing most things fine, but will be relieved when
finals are over
The nurse administers fentanyl 100 mcg IM to a patient after an appendectomy.
After administering the medication, is most important for the nurse to take which
of the following actions - ANSWER -Elevate the head of the patient's bed 30 to 45
degrees
After a patient receives naloxone hydrochloride (Narcan) 0.2 mg IV, which of the
following actions is essential for the nurse to perform? - ANSWER -Monitor the
patient's rate of respirations
A client who is 5 feet 1 inch tall and 115 pounds recovers from an abdominal
perineal resection. The nurse notes that when the head of the bed is elevated, the
client slips down in bed. The nurse should take which of the following actions -
ANSWER -Raise the knee gatch and the side rails, and place the call light within
reach
A 36 hour old newborn is receiving phototherapy. The infant's mother asks why
this is being done. Which response by the nurse is BEST? - ANSWER -This
treatment converts bilirubin to a form that can be removed from the body
The school nurse is demonstrating how to wash hands to a group of first grade
children. The MOST important behavior by the nurse is which of the following? -
ANSWER -The school nurse rubs the hands together briskly
The nurse cares for a client receiving enalapril (Vasotec) 40mg PO for several
weeks. The client returns to the outpatient clinic for a bimonthly visit. Which
statement, if made by the client to the nurse, indicates a problem with this
medication? - ANSWER -" My bowel movements have become less frequent and
more difficult to pass."
, The clinic nurse plans to perform a physical assessment of a 15-year-old girl. To
initiate the interview, the nurse should take which of the following actions? -
ANSWER -Chat informally about the client's friends, school, and family.
The nurse plans an in service on safety for LPN/ LVNs and nursing assistants.
During the presentation, it is MOST important for the nurse to make which of the
following recommendations? - ANSWER -" Carry your stethoscope curled up
inside the pocket of your uniform or lab coat."
The nurse cares for a patient several hours after insertion of a central venous line.
An IV of 0.9 NaCl is infusing through the line at 50 cc/hour. The nurse notes that
the patient is short of breath. After notifying the physician, it is MOST important
for the nurse to take which of the following actions? - ANSWER -Elevate the head
of the patient's bed to a semi-Fowler position.
A client diagnosed with type 1 diabetes comes to the outpatient clinic with
complaints of pain of the right leg and foot. If a diagnosis of peripheral arterial
occlusion is made, which of the following symptoms does the nurse expect to see?
- ANSWER -The patient cannot distinguish between sharp and dull pressure on his
right leg
The nurse observes a student nurse prepare to insert a new peripheral catheter for a
patient immediately after a right mastectomy. Which site, if selected by the student
nurse, requires an intervention by the nurse? - ANSWER -A site close to the wrist
joint
The family of a teenager recently diagnosed with allergic rhinitis moves into a
new home. The clinic nurse discusses with the parents the modifications they
should make to the interior of their home. Which statement, if made by the parents
to the nurse, indicates teaching is effective? - ANSWER -" We will use pull shades
instead of curtains to cover the windows."
The school nurse performs health screening for scoliosis. The nurse should take
which of the following actions? - ANSWER -4. Observe for asymmetry of the
scapula's, rib cage, and hips as the client straightens from a bent position
NEWEST 2025 ACTUAL EXAM WITH NGN FORMAT
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+
. A woman who is HIV-positive just delivered a 6 lb, 13 oz baby. The woman
expresses concern to the nurse that her newborn baby will be HIV-positive. The
nurse's response should be based on which of the following? - ANSWER -Testing
is inconclusive until 12 to 15 months of age because antibodies are present in the
newborns system
A client comes to the outpatient clinic for allergy shots. After administering the
injection, the nurse should take which of the following actions? - ANSWER -
Instruct the client stay in the clinic waiting room for at least 30 minutes
An older client is brought to the emergency department by the client's spouse. The
client complains of severe headache. The nurse notes the client has slurred speech,
as well as facial droop and weak hand grip on the left side. The nurse expects the
physician to order which of the following tests? - ANSWER -CT scan
The nurse administers digoxin (Lanoxin) and theophylline (Accurbron) to an
elderly client through a gastroscopy tube. After giving the medications, the nurse
should take which of the following actions? - ANSWER -Check the patient's
respirations and apical heart rate
After several months of radiation therapy, a client with lung cancer refuses to
continue with treatment. It is MOST important for the nurse to take which of the
following actions? - ANSWER -Ask the client what it is about radiation therapy
that makes him want to discontinue treatment
,The nurse cares for a client immediately after a carotid endarterectomy. It is
MOST important for the nurse to have which of the following equipment at the
bedside? - ANSWER -Trache set
The nurse cares for a client undergoing radiation therapy of the right breast and
axilla after lumpectomy. Which statement, if made by the client, indicates to the
nurse that teaching is effective? - ANSWER -I should wear a loose fitting bra made
of 100% cotton to prevent irritation
The nurse cares for patient on the psychiatric unit. A patient becomes verbally
abusive and begins swinging arms and kicking anyone who approaches the patient.
An order is obtained for mechanical restraints. The nursing team is able to get the
patient to the floor and under their physical control. Before being lifted and taken
to the patient's room for restraint application, the patient's body relaxes and the
patient says "I'm sorry. Ill cooperates. I'll walk to my room. Please don't hold me
dow - ANSWER -Tell the patient that he will be transported as planned
The nurse cares for a 3,000 gram newborn who receives ampicillin (Omnipen).
The dosage is 100 mg/kg/day with doses divided, and it is administered every 12
hours. How many milligrams should the nurse administer to the newborn every 12
hours? - ANSWER -150 mg
The registered nurse leads a patient care team that consists of one LPN/LVN and
one nursing assistant. It is considered appropriate for the RN to assign which of the
following patient to the LPN/LVN? - ANSWER -A 79 year old man diagnosed
with Alzheimer's disease who is rubbing his chest and has a respiratory rate of 22
The registered nurse delegates insertion of a Foley catheter to an LPN/LVN.
Before the LPN/LVN begins the procedure, it is MOST important for the
registered nurse to take which of the following actions - ANSWER -Ask the
patient's permission for the LPN/LVN to perform the procedure
A nurse has lunch in the hospital cafeteria with a nursing assistant from the unit.
The nurse asks how the nursing assistant is doing, knowing that the nursing
assistant is in nursing school, has three young children, works 30 hours a week,
,and looks worried. The nursing assistant replies, "I'm okay, just stressed out with
finals." The BEST response by the nurse is which of the following? - ANSWER -
Sounds like you feel you're managing most things fine, but will be relieved when
finals are over
The nurse administers fentanyl 100 mcg IM to a patient after an appendectomy.
After administering the medication, is most important for the nurse to take which
of the following actions - ANSWER -Elevate the head of the patient's bed 30 to 45
degrees
After a patient receives naloxone hydrochloride (Narcan) 0.2 mg IV, which of the
following actions is essential for the nurse to perform? - ANSWER -Monitor the
patient's rate of respirations
A client who is 5 feet 1 inch tall and 115 pounds recovers from an abdominal
perineal resection. The nurse notes that when the head of the bed is elevated, the
client slips down in bed. The nurse should take which of the following actions -
ANSWER -Raise the knee gatch and the side rails, and place the call light within
reach
A 36 hour old newborn is receiving phototherapy. The infant's mother asks why
this is being done. Which response by the nurse is BEST? - ANSWER -This
treatment converts bilirubin to a form that can be removed from the body
The school nurse is demonstrating how to wash hands to a group of first grade
children. The MOST important behavior by the nurse is which of the following? -
ANSWER -The school nurse rubs the hands together briskly
The nurse cares for a client receiving enalapril (Vasotec) 40mg PO for several
weeks. The client returns to the outpatient clinic for a bimonthly visit. Which
statement, if made by the client to the nurse, indicates a problem with this
medication? - ANSWER -" My bowel movements have become less frequent and
more difficult to pass."
, The clinic nurse plans to perform a physical assessment of a 15-year-old girl. To
initiate the interview, the nurse should take which of the following actions? -
ANSWER -Chat informally about the client's friends, school, and family.
The nurse plans an in service on safety for LPN/ LVNs and nursing assistants.
During the presentation, it is MOST important for the nurse to make which of the
following recommendations? - ANSWER -" Carry your stethoscope curled up
inside the pocket of your uniform or lab coat."
The nurse cares for a patient several hours after insertion of a central venous line.
An IV of 0.9 NaCl is infusing through the line at 50 cc/hour. The nurse notes that
the patient is short of breath. After notifying the physician, it is MOST important
for the nurse to take which of the following actions? - ANSWER -Elevate the head
of the patient's bed to a semi-Fowler position.
A client diagnosed with type 1 diabetes comes to the outpatient clinic with
complaints of pain of the right leg and foot. If a diagnosis of peripheral arterial
occlusion is made, which of the following symptoms does the nurse expect to see?
- ANSWER -The patient cannot distinguish between sharp and dull pressure on his
right leg
The nurse observes a student nurse prepare to insert a new peripheral catheter for a
patient immediately after a right mastectomy. Which site, if selected by the student
nurse, requires an intervention by the nurse? - ANSWER -A site close to the wrist
joint
The family of a teenager recently diagnosed with allergic rhinitis moves into a
new home. The clinic nurse discusses with the parents the modifications they
should make to the interior of their home. Which statement, if made by the parents
to the nurse, indicates teaching is effective? - ANSWER -" We will use pull shades
instead of curtains to cover the windows."
The school nurse performs health screening for scoliosis. The nurse should take
which of the following actions? - ANSWER -4. Observe for asymmetry of the
scapula's, rib cage, and hips as the client straightens from a bent position
