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KAPLAN INTEGRATED TEST 6 – NCLEX-RN EXAMINATION
2026/2027 COMPLETE (100) CURRENT TESTING
QUESTIONS AND CORRECT ANSWERS WITH DETAILED
RATIONALES.
NCLEX-RN
Prepare for the Kaplan Integrated Test 6 Exam with a focused study resource designed
to reinforce nursing knowledge across multiple clinical content areas. It supports
review of assessment, patient safety, prioritization, clinical judgment, nursing
interventions, and evidence-based care. Use the material to identify knowledge gaps,
strengthen test-taking strategies, and build confidence before the exam. This resource
is best suited for nursing students and NCLEX candidates preparing for
comprehensive integrated assessments.
MULTIPLE CHOICE.
1. The nurse is caring for a client with a new diagnosis of heart failure who
is prescribed furosemide. Which assessment finding indicates that the
medication is having the desired therapeutic effect?
• A) Increased peripheral edema
• B) Weight gain of 2 kg in 24 hours
• C) Decreased shortness of breath and crackles
• D) Increased jugular venous distension
Answer: C
Rationale: Furosemide is a loop diuretic used to reduce fluid volume
overload in heart failure. A decrease in shortness of breath and crackles
indicates improvement in pulmonary congestion. Increased edema, weight
gain, and JVD would indicate worsening fluid overload.
2. A client with chronic obstructive pulmonary disease (COPD) has an
oxygen saturation of 86% on room air. The nurse should initially:
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• A) Apply oxygen at 2 L/min via nasal cannula
• B) Apply oxygen at 6 L/min via simple face mask
• C) Place the client in a high-Fowler's position
• D) Encourage the client to cough and deep breathe
Answer: A
Rationale: For clients with COPD, oxygen should be initiated at a low flow
rate (1–2 L/min) to avoid suppressing the hypoxic drive. The target SpO₂ is
88–92%. 6 L/min is too high; positioning and coughing are not the initial
priority for hypoxia.
3. The nurse is assessing a client who is 2 days post-operative from an
abdominal hysterectomy. The client reports sudden sharp chest pain and
shortness of breath. The nurse should first:
• A) Administer oxygen and notify the provider
• B) Encourage the client to take deep breaths
• C) Ambulate the client to promote circulation
• D) Administer a PRN analgesic
Answer: A
Rationale: Sudden chest pain and dyspnea in a post-operative client are
suspicious for a pulmonary embolism (PE). The nurse should administer
oxygen, assess vital signs, and notify the provider
immediately. Ambulation is contraindicated until PE is ruled out.
4. A client with schizophrenia is experiencing auditory hallucinations and
is agitated. Which of the following is the most therapeutic nursing
intervention?
• A) Tell the client to ignore the voices
• B) Ask the client what the voices are saying
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• C) Maintain a calm environment and offer PRN medication
• D) Place the client in seclusion for safety
Answer: C
Rationale: A calm environment and pharmacological intervention are
appropriate for agitation. Asking about the voices may increase distress.
Seclusion should be used as a last resort. Ignoring the voices is not
therapeutic.
5. The nurse is caring for a client with a nasogastric (NG) tube attached to
low intermittent suction. Which assessment finding indicates proper tube
placement?
• A) Aspirate pH of 4.0
• B) Aspirate pH of 7.0
• C) Aspirate pH of 8.0
• D) Aspirate pH of 6.5
Answer: A
Rationale: Gastric aspirate typically has a pH of ≤ 5.0, indicating
placement in the stomach. A pH > 6.0 may indicate placement in the
intestine or respiratory tract. X-ray is the gold standard for confirmation.
6. A client with diabetes mellitus type 1 is experiencing nausea and
vomiting. The client's blood glucose is 280 mg/dL. The nurse should
assess the client for signs of:
• A) Hypoglycemia
• B) Diabetic ketoacidosis (DKA)
• C) Hyperosmolar hyperglycemic state (HHS)
• D) Lactic acidosis
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Answer: B
Rationale: Nausea, vomiting, and elevated blood glucose in a client with
type 1 diabetes are signs of DKA, especially with concurrent illness. HHS
is more common in type 2 diabetes. Hypoglycemia would present with lower
glucose levels.
7. A client with a history of alcohol use disorder is admitted with acute
pancreatitis. Which laboratory finding is expected?
• A) Decreased serum amylase
• B) Elevated serum lipase
• C) Decreased WBC count
• D) Hypokalemia
Answer: B
Rationale: Acute pancreatitis is characterized by elevated serum lipase
and amylase. Lipase is more specific to pancreatic injury. WBC count is
typically elevated, not decreased. Hypokalemia is not a hallmark.
8. The nurse is providing teaching to a client with a new diagnosis of
hypothyroidism. Which statement by the client indicates understanding?
• A) "I will take my levothyroxine with my morning coffee."
• B) "I will take my levothyroxine on an empty stomach in the morning."
• C) "I can stop my medication when my symptoms improve."
• D) "I will take my levothyroxine with calcium supplements."
Answer: B
Rationale: Levothyroxine should be taken on an empty stomach, 30–60
minutes before breakfast, to maximize absorption. Calcium and caffeine
reduce absorption. The medication is lifelong; it should not be stopped.
KAPLAN INTEGRATED TEST 6 – NCLEX-RN EXAMINATION
2026/2027 COMPLETE (100) CURRENT TESTING
QUESTIONS AND CORRECT ANSWERS WITH DETAILED
RATIONALES.
NCLEX-RN
Prepare for the Kaplan Integrated Test 6 Exam with a focused study resource designed
to reinforce nursing knowledge across multiple clinical content areas. It supports
review of assessment, patient safety, prioritization, clinical judgment, nursing
interventions, and evidence-based care. Use the material to identify knowledge gaps,
strengthen test-taking strategies, and build confidence before the exam. This resource
is best suited for nursing students and NCLEX candidates preparing for
comprehensive integrated assessments.
MULTIPLE CHOICE.
1. The nurse is caring for a client with a new diagnosis of heart failure who
is prescribed furosemide. Which assessment finding indicates that the
medication is having the desired therapeutic effect?
• A) Increased peripheral edema
• B) Weight gain of 2 kg in 24 hours
• C) Decreased shortness of breath and crackles
• D) Increased jugular venous distension
Answer: C
Rationale: Furosemide is a loop diuretic used to reduce fluid volume
overload in heart failure. A decrease in shortness of breath and crackles
indicates improvement in pulmonary congestion. Increased edema, weight
gain, and JVD would indicate worsening fluid overload.
2. A client with chronic obstructive pulmonary disease (COPD) has an
oxygen saturation of 86% on room air. The nurse should initially:
, Page 2 of 43
• A) Apply oxygen at 2 L/min via nasal cannula
• B) Apply oxygen at 6 L/min via simple face mask
• C) Place the client in a high-Fowler's position
• D) Encourage the client to cough and deep breathe
Answer: A
Rationale: For clients with COPD, oxygen should be initiated at a low flow
rate (1–2 L/min) to avoid suppressing the hypoxic drive. The target SpO₂ is
88–92%. 6 L/min is too high; positioning and coughing are not the initial
priority for hypoxia.
3. The nurse is assessing a client who is 2 days post-operative from an
abdominal hysterectomy. The client reports sudden sharp chest pain and
shortness of breath. The nurse should first:
• A) Administer oxygen and notify the provider
• B) Encourage the client to take deep breaths
• C) Ambulate the client to promote circulation
• D) Administer a PRN analgesic
Answer: A
Rationale: Sudden chest pain and dyspnea in a post-operative client are
suspicious for a pulmonary embolism (PE). The nurse should administer
oxygen, assess vital signs, and notify the provider
immediately. Ambulation is contraindicated until PE is ruled out.
4. A client with schizophrenia is experiencing auditory hallucinations and
is agitated. Which of the following is the most therapeutic nursing
intervention?
• A) Tell the client to ignore the voices
• B) Ask the client what the voices are saying
, Page 3 of 43
• C) Maintain a calm environment and offer PRN medication
• D) Place the client in seclusion for safety
Answer: C
Rationale: A calm environment and pharmacological intervention are
appropriate for agitation. Asking about the voices may increase distress.
Seclusion should be used as a last resort. Ignoring the voices is not
therapeutic.
5. The nurse is caring for a client with a nasogastric (NG) tube attached to
low intermittent suction. Which assessment finding indicates proper tube
placement?
• A) Aspirate pH of 4.0
• B) Aspirate pH of 7.0
• C) Aspirate pH of 8.0
• D) Aspirate pH of 6.5
Answer: A
Rationale: Gastric aspirate typically has a pH of ≤ 5.0, indicating
placement in the stomach. A pH > 6.0 may indicate placement in the
intestine or respiratory tract. X-ray is the gold standard for confirmation.
6. A client with diabetes mellitus type 1 is experiencing nausea and
vomiting. The client's blood glucose is 280 mg/dL. The nurse should
assess the client for signs of:
• A) Hypoglycemia
• B) Diabetic ketoacidosis (DKA)
• C) Hyperosmolar hyperglycemic state (HHS)
• D) Lactic acidosis
, Page 4 of 43
Answer: B
Rationale: Nausea, vomiting, and elevated blood glucose in a client with
type 1 diabetes are signs of DKA, especially with concurrent illness. HHS
is more common in type 2 diabetes. Hypoglycemia would present with lower
glucose levels.
7. A client with a history of alcohol use disorder is admitted with acute
pancreatitis. Which laboratory finding is expected?
• A) Decreased serum amylase
• B) Elevated serum lipase
• C) Decreased WBC count
• D) Hypokalemia
Answer: B
Rationale: Acute pancreatitis is characterized by elevated serum lipase
and amylase. Lipase is more specific to pancreatic injury. WBC count is
typically elevated, not decreased. Hypokalemia is not a hallmark.
8. The nurse is providing teaching to a client with a new diagnosis of
hypothyroidism. Which statement by the client indicates understanding?
• A) "I will take my levothyroxine with my morning coffee."
• B) "I will take my levothyroxine on an empty stomach in the morning."
• C) "I can stop my medication when my symptoms improve."
• D) "I will take my levothyroxine with calcium supplements."
Answer: B
Rationale: Levothyroxine should be taken on an empty stomach, 30–60
minutes before breakfast, to maximize absorption. Calcium and caffeine
reduce absorption. The medication is lifelong; it should not be stopped.
