Kaplan Integrated Testing Program (ITP) Exam
With Actual Questions & Verified Answers ,Plus
Explained Rationales/Expert Verified For
Guaranteed Pass 2026/Latest Update/Instant
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Exam Overview
The Kaplan Integrated Testing Program (ITP) is a comprehensive assessment tool
for nursing students that evaluates foundational nursing knowledge essential for
safe, effective practice at the entry-level. The exam measures competency across
core domains including clinical judgment, patient safety, infection control, nutrition,
mobility, pain management, perioperative care, pharmacology, communication,
and professional standards .
Core Domains:
• Nursing Process and Clinical Judgment
• Safety and Infection Control
• Nutrition and Fluid/Electrolyte Balance
• Mobility, Positioning, and Skin Integrity
• Pain Management and Comfort
• Perioperative Nursing Care
• Pharmacology and Medication Administration
, • Communication and Therapeutic Relationships
• Professional Roles, Ethics, and Legal Issues
• Health Promotion and Disease Prevention
Test Format: Multiple-choice and scenario-based questions that mirror real-world
clinical situations, with emphasis on application and analysis rather than simple
recall .
BLOCK 1: NURSING PROCESS & CLINICAL JUDGMENT (Questions 1-20)
Question 1
A nurse is caring for a client who reports acute pain following abdominal surgery.
Which action represents the "Assessment" step of the nursing process?
A) Administer prescribed analgesic medication
B) Ask the client to rate the pain on a 0-10 scale
C) Evaluate the effectiveness of the medication after 30 minutes
D) Document that the client appears to be in pain
Answer: B
Rationale: Assessment is the first step of the nursing process involving data
collection. Asking the client to rate pain severity using a standardized scale is a
direct assessment action. Medication administration is Implementation; evaluating
effectiveness is Evaluation; documenting appearance without objective data is
incomplete assessment.
,Question 2
A newly admitted client with chest pain is diaphoretic and reports shortness of
breath. Which nursing diagnosis has the highest priority?
A) Risk for Falls
B) Impaired Gas Exchange
C) Anxiety related to hospitalization
D) Knowledge Deficit regarding cardiac disease
Answer: B
Rationale: According to Maslow's hierarchy and ABC prioritization, impaired gas
exchange (airway/breathing) takes priority over safety, psychosocial concerns, or
knowledge deficits. The client's diaphoresis and dyspnea suggest potential
respiratory or cardiac compromise requiring immediate intervention.
Question 3
A nurse develops a care plan for a client with impaired mobility. Which intervention
should the nurse implement first?
A) Assess the client's current level of mobility and range of motion
B) Schedule physical therapy consultation
C) Provide passive range-of-motion exercises
D) Implement fall prevention measures
Answer: A
, Rationale: Assessment precedes all other interventions in the nursing process. The
nurse must first determine the client's baseline mobility status and any limitations
before delegating or implementing specific interventions.
Question 4
A client with diabetes has a blood glucose level of 45 mg/dL and is unresponsive.
The nurse should prioritize which nursing diagnosis?
A) Imbalanced Nutrition: Less Than Body Requirements
B) Risk for Injury
C) Ineffective Health Maintenance
D) Deficient Knowledge
Answer: A
Rationale: A blood glucose of 45 mg/dL represents severe hypoglycemia requiring
immediate intervention. This reflects a physiological imbalance (nutrition) that
poses immediate threat to health. While Risk for Injury is relevant, the underlying
cause of potential injury is the unstable blood glucose requiring correction first.
Question 5
The nurse evaluates the effectiveness of a pain management intervention. Which
statement indicates the Evaluation step has been completed?
A) "The client's pain rating decreased from 8 to 3 on a 0-10 scale 30 minutes after
medication administration."
B) "The client was administered morphine 4 mg IV push."
With Actual Questions & Verified Answers ,Plus
Explained Rationales/Expert Verified For
Guaranteed Pass 2026/Latest Update/Instant
Download Pdf
Exam Overview
The Kaplan Integrated Testing Program (ITP) is a comprehensive assessment tool
for nursing students that evaluates foundational nursing knowledge essential for
safe, effective practice at the entry-level. The exam measures competency across
core domains including clinical judgment, patient safety, infection control, nutrition,
mobility, pain management, perioperative care, pharmacology, communication,
and professional standards .
Core Domains:
• Nursing Process and Clinical Judgment
• Safety and Infection Control
• Nutrition and Fluid/Electrolyte Balance
• Mobility, Positioning, and Skin Integrity
• Pain Management and Comfort
• Perioperative Nursing Care
• Pharmacology and Medication Administration
, • Communication and Therapeutic Relationships
• Professional Roles, Ethics, and Legal Issues
• Health Promotion and Disease Prevention
Test Format: Multiple-choice and scenario-based questions that mirror real-world
clinical situations, with emphasis on application and analysis rather than simple
recall .
BLOCK 1: NURSING PROCESS & CLINICAL JUDGMENT (Questions 1-20)
Question 1
A nurse is caring for a client who reports acute pain following abdominal surgery.
Which action represents the "Assessment" step of the nursing process?
A) Administer prescribed analgesic medication
B) Ask the client to rate the pain on a 0-10 scale
C) Evaluate the effectiveness of the medication after 30 minutes
D) Document that the client appears to be in pain
Answer: B
Rationale: Assessment is the first step of the nursing process involving data
collection. Asking the client to rate pain severity using a standardized scale is a
direct assessment action. Medication administration is Implementation; evaluating
effectiveness is Evaluation; documenting appearance without objective data is
incomplete assessment.
,Question 2
A newly admitted client with chest pain is diaphoretic and reports shortness of
breath. Which nursing diagnosis has the highest priority?
A) Risk for Falls
B) Impaired Gas Exchange
C) Anxiety related to hospitalization
D) Knowledge Deficit regarding cardiac disease
Answer: B
Rationale: According to Maslow's hierarchy and ABC prioritization, impaired gas
exchange (airway/breathing) takes priority over safety, psychosocial concerns, or
knowledge deficits. The client's diaphoresis and dyspnea suggest potential
respiratory or cardiac compromise requiring immediate intervention.
Question 3
A nurse develops a care plan for a client with impaired mobility. Which intervention
should the nurse implement first?
A) Assess the client's current level of mobility and range of motion
B) Schedule physical therapy consultation
C) Provide passive range-of-motion exercises
D) Implement fall prevention measures
Answer: A
, Rationale: Assessment precedes all other interventions in the nursing process. The
nurse must first determine the client's baseline mobility status and any limitations
before delegating or implementing specific interventions.
Question 4
A client with diabetes has a blood glucose level of 45 mg/dL and is unresponsive.
The nurse should prioritize which nursing diagnosis?
A) Imbalanced Nutrition: Less Than Body Requirements
B) Risk for Injury
C) Ineffective Health Maintenance
D) Deficient Knowledge
Answer: A
Rationale: A blood glucose of 45 mg/dL represents severe hypoglycemia requiring
immediate intervention. This reflects a physiological imbalance (nutrition) that
poses immediate threat to health. While Risk for Injury is relevant, the underlying
cause of potential injury is the unstable blood glucose requiring correction first.
Question 5
The nurse evaluates the effectiveness of a pain management intervention. Which
statement indicates the Evaluation step has been completed?
A) "The client's pain rating decreased from 8 to 3 on a 0-10 scale 30 minutes after
medication administration."
B) "The client was administered morphine 4 mg IV push."
