KAPLAN PREDICTOR COMBINED
VERSION A,B,C NEWEST
ACTUAL EXAM WITH NGN FORMAT
COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY
GRADED A+
TheJnurseJshowsJaJteenagerJhowJtoJuseJaJmeteredJdoseJinhalerJofJipratropiumJ(Atrovent).JWhichJst atementJifJmadeJbyJtheJclientJtoJtheJnurse,JindicatesJteachingJisJeffective?J-JCORRECTJANSWER- "IJshouldJuseJthisJmedicineJtoJpreventJasthmaJattacks." AnJolderJclientJisJscheduledJforJaJmagneticJresonanceJimagingJMRIJprocedure.JWhichJofJtheJfollowi ngJstatements,JifJmadeJbyJtheJclientJtoJtheJnurse,JshouldJbeJreportedJtoJtheJtechnicianJbeforeJtheJte st?J-JCORRECTJANSWER-IJhadJaJkneeJreplacementJ5JyearsJago TheJnurseJmakesJtheJfollowingJobservationsJofJaJ6JhourJoldJnewborn:JaxillaryJtemperatureJ96.4JFJ(3 5.8JC),JapicalJpulseJ148,JrespirationsJirregularJatJ48/minute,JblackJstickyJstool,JbloodJglucoseJ60mg/ dL.JItJisJmostJimportantJforJtheJnurseJtoJtakeJwhichJaction?J-JCORRECTJANSWER- WrapJtheJnewbornJinJaJwarmedJblanket AJclientJisJreturnedJtoJtheJunitJatJ10AMJafterJlaparoscopicJgallbladderJsurgery.JTheJnurseJplansJtoJge tJtheJpatientJoutJofJbedJforJtheJfirstJtimeJatJ4PM.JItJisJMOSTJimportantJforJtheJnurseJtoJtakeJwhichJofJt heJfollowingJactions?J-JCORRECTJANSWER-OfferJpainJmedicationJtoJtheJpatientJatJ3:30Jpm.
OLDJANSWER:JTurnJtheJptJfromJsideJtoJsideJatJ2JPM
TheJactivityJtherapyJstaffJtakesJaJgroupJofJpsychiatricJpatientsJonJaJtripJtoJtheJzoo.JTheJnurseJshouldJi nterveneJwithJwhichJofJtheJfollowingJpatientsJbeforeJtheirJdeparture?J-JCORRECTJANSWER- AJ38JyearJoldJfemaleJwhoJisJreceivingJchlorpromazineJ(Thorazine)JandJisJwearingJaJsundressJwithou tJaJhatJorJglasses AJpatientJexperiencesJskinJeruptionsJdueJtoJanJallergicJreactionJtoJaJmedication.JTheJnurseJdemonst ratesJtheJBESTJdocumentationJwithJwhichJofJtheJfollowing?J-JCORRECTJANSWER- "MultipleJredJweltsJnotedJoverJtrunkJandJbothJarms.JPatientJstatesJthatJweltsJitch" 1 / 4
AnJolderJclientJdiagnosedJwithJemphysemaJisJadmittedJtoJtheJpsychiatricJunitJforJtreatmentJofJbipol arJdisorder.JTheJclientJreceivesJoxygenJperJnasalJcannula.JTheJclientJexpressesJconcernJtoJtheJnurseJ thatJsomeoneJwillJcomeJinJandJchangeJtheJamountJofJoxygenJtheJclientJisJreceiving.JINITIALLY,JtheJn urseJshouldJtakeJwhichJofJtheJfollowingJactions?J-JCORRECTJANSWER- PlaceJaJsignJaboveJtheJpatientsJbedJstatingJthatJtheJoxygenJlevelJisJnotJtoJbeJchanged.AJteenagerJhasJaJpositiveJhomeJpregnancyJtestJandJcomesJtoJtheJprenatalJclinic.JTheJgirlJisJuncertain JofJtheJdateJofJherJlastJmenstrualJperiod.JTheJnurseJpalpatesJtheJuterineJfundusJmidwayJbetweenJth eJsymphysisJpubisJandJtheJumbilicus.JWhichJstatementJbyJtheJnurseJisJBEST?J-JCORRECTJANSWER- "YouJareJ16JweeksJpregnant.JLetsJtalkJaboutJwhatJthatJmeans." AJclientJisJadmittedJtoJtheJpsychiatricJunitJwithJcomplaintsJofJfatigue,JinabilityJtoJconcentrate,JlackJo fJappetite,JandJrepetitiveJthoughts.JTheJclientJisJreluctantJtoJtakeJtheJprescribedJmedications,Jfearin gJthatJtheyJareJharmful.JAfterJtheJnurseJgivesJtheJclientJtheJmedication,JtheJnurseJshouldJtakeJwhich JofJtheJfollowingJactions?J-JCORRECTJANSWER- InstructJtheJclientJtoJopenJherJmouthJandJmoveJherJtongueJupJandJdownJandJtoJeachJsideJwhileJtheJ nurseJlooksJinside TheJnurseJassessesJaJpatientJ72JhoursJafterJaJtotalJjointJreplacementJofJtheJrightJhip.JWhichJfindingJr equiresJanJinterventionJbyJtheJnurse?J-JCORRECTJANSWER-TheJpatientsJlegsJareJinternallyJrotated AJclientJnewlyJdiagnosedJwithJMeniere'sJdiseaseJplansJaJtripJtoJanJamusementJparkJwithJtheJfamily.J TheJclientJasksJtheJclinicJnurseJwhichJofJtheJfollowingJridesJisJbest.JTheJnurseJshouldJsuggestJwhichJo fJtheJfollowingJrides?J-JCORRECTJANSWER-Train .JAJclientJisJdischargedJfromJtheJhospitalJafterJcoronaryJbypassJ(CABG)JsurgeryJ3JdaysJago.JDuringJdi schargeJteaching,JtheJclientJasksJtheJnurseJ"WhenJcanJIJresumeJsexualJintercourseJwithJmyJwife?"JitJ isJbestJforJtheJnurseJtoJmakeJwhichJofJtheJfollowingJstatements?J-JCORRECTJANSWER- YouJcanJresumeJsexualJactivityJwhenJyouJareJableJtoJwalkJoneJblockJwithoutJchestJpainJorJdiscomfor t AJwomanJcomplainsJtoJtheJnurseJaboutJtheJcareJprovidedJtoJherJhusbandJbyJtheJnursingJstaffJtheJpr eviousJnight.JInitially,JtheJnurseJshouldJtakeJwhichJofJtheJfollowingJactionsJ-JCORRECTJANSWER- AskJtheJwifeJtoJvoiceJherJexpectationsJaboutJaJsolutionJtoJtheJproblem AJpatientJisJrestrainedJbodilyJbyJtheJnursingJteam.JTheJhandsJofJtheJnurseJassignedJtoJholdJdownJth eJpatientsJlegJshouldJbeJplacedJinJwhichJofJtheJfollowingJpositions?J-JCORRECTJANSWER- OneJhandJdirectlyJaboveJtheJpatient'sJkneeJandJtheJotherJhandJdirectlyJaboveJtheJpatient'sJankle TheJnurseJinJtheJcommunityJmentalJhealthJcenterJworksJwithJaJclientJwhoJisJdiagnosedJwithJdepres sion.JCognitiveJtherapyJisJinitiated.JTheJnurseJshouldJtakeJwhichJofJtheJfollowingJactions?J- JCORRECTJANSWER-HelpJtheJclientJtoJidentifyJtheJsourceJofJhisJdepression 2 / 4
TheJnurseJplansJtoJperformJaJphysicalJassessmentJofJaJyoungJadultJwhoJhasJbeenJdeafJsinceJbirth.JAl thoughJtheJclientJindicatesJusingJsignJlanguage,JnoJinterpreterJisJavailable.JTheJnurseJshouldJtakeJw hichJaction?J-JCORRECTJANSWER- WriteJoutJeachJquestion,JandJaskJtheJclientJtoJwriteJoutJeachJanswer AJpatientJreceivedJmorphineJ4JmgJIVJ2JhoursJagoJforJtheJcomplaintsJofJpostoperativeJpain.JTheJpati entJturnsJonJtheJcallJlightJandJtellsJtheJnurseJheJhasJtoJgoJtoJtheJbathroom.JTheJpatientJhasJbathroo mJprivileges.JTheJnurseJshouldJtakeJwhichJofJtheJfollowingJactions?J-JCORRECTJANSWER- AskJtheJpatientJtoJsitJonJtheJsideJofJtheJbedJbeforeJproceedingJtoJtheJbathroom TheJnurseJcaresJforJaJpatientJonJtheJpsychiatricJunitJwithJaJhistoryJofJdrugJuseJandJpoorJimpulseJcont rol.JAfterJtheJpatient'sJmotherJvisits,JtheJpatientJbeginsJpacingJrapidly,JwithJarmsJswinging,JandJkick ingJatJchairJlegs.JTheJnurseJshouldJapproachJtheJpatientJandJtakeJwhichJofJtheJfollowingJactions?J- JCORRECTJANSWER-StandJfacingJtheJpatientJwithJlegsJapart,JkneesJlocked,JandJweightJonJbackJleg TheJnurseJobservesJtheJnursingJassistantJgivingJmorningJcareJtoJanJelderlyJclientJwhoJhasJanJareaJofJ warm,JreddenedJskinJonJtheJsacrumJthatJdoesJnotJblanchJwithJpressure.JWhichJactionJbyJtheJnursin gJassistantJrequiresJanJinterventionJbyJtheJnurse?J-JCORRECTJANSWER- TheJaidJfirmlyJmassagesJtheJreddenedJareaJinJaJcircularJmotion TheJschoolJnurseJidentifiesJseveralJchildrenJwhoJhaveJfoodJallergies.JWhichJsequenceJshouldJtheJnu rseJteachJtheJstaffJtoJfollowJifJanJallergicJreactionJisJobservedJinJaJchild?J-JCORRECTJANSWER- AdministerJtheJEpiPen,JcallJ911,JcallJtheJphysician,JcallJtheJparents AJclientJcomesJtoJtheJERJcomplainingJofJshortnessJofJbreath,Jfatigue,Jinsomnia,JandJweightJloss.JThe JclientJstatesJthatJtheJclient'sJcompanyJforcedJtheJclientJintoJearlyJretirement.JTheJclientJsaysJthatJth eJclientJhasJbeenJsickJeverJsinceJtheJclientJstoppedJworking.JTheJnurseJshouldJtakeJwhichJofJtheJfollo wingJactionsJfirst?J-JCORRECTJANSWER- HelpJtheJclientJseeJaJconnectionJbetweenJhisJsymptomsJandJemotions,JwhileJinvestigatingJeachJsy mptom.TheJnurseJteachesJtheJwomanJdiagnosedJwithJtypeJ1JdiabetesJwhoJisJpregnantJforJtheJfirstJtime.JTh eJnurseJteachesJtheJclientJthatJasJtheJpregnancyJadvances,JtheJclientJmayJrequireJwhichJimplement ation?J-JCORRECTJANSWER-IncreasedJamountsJofJinsulin TheJnurseJcaresJforJaJpatientJafterJaJcolonJresection.JTheJpatientJhasJaJSalemJsumpJtubeJconnectedJt oJintermittentJsuction.JTheJpatientJasksJtheJnurse,J"WhenJwillJIJbeJableJtoJeat?"JWhichJisJtheJBESTJre sponseJbyJtheJnurse?J-JCORRECTJANSWER- YouJwillJbeJstartedJonJclearJliquidsJwhenJweJhearJyourJstomachJmakeJnoises 3 / 4
TheJnurseJsupervisesJcareJprovidedJforJaJclientJimmediatelyJafterJcardioversion.JWhichJobservation ,JifJmadeJbyJtheJnurse,JindicatesJtheJneedJforJanJintervention?J-JCORRECTJANSWER- TheJoxygenJtheJpatientJwasJreceivingJbeforeJtheJprocedureJremainsJdisconnected TheJnurseJcaresJforJaJclientJdiagnosedJwithJbursitisJofJtheJrightJshoulder.JTheJnurseJexpectsJtheJclien tJtoJexperienceJwhichJofJtheJfollowing?J-JCORRECTJANSWER- PainJwithJextension,JflexionJandJinternalJrotationJofJtheJrightJarm TheJnurseJsupervisesJcareJprovidedJbyJtheJnursingJassistiveJpersonnelJ(NAP)JtoJtheJolderJclientJinJth eJconvalescentJphaseJafterJaJstroke.JTheJnurseJshouldJinterveneJifJwhichJactionJisJobservedJ- JCORRECTJANSWER-TheJclientJisJsupineJwithJaJpillowJunderJtheJhead AnJolderJpatientJfallsJonJtheJfloorJofJtheJpsychiatricJunit.JToJdetermineJtheJcauseJofJtheJfall,JitJisJMOS TJimportantJforJtheJnurseJtoJdoJwhichJofJtheJfollowing?J-JCORRECTJANSWER- EvaluateJtheJfloorJwhereJtheJpatientJfell TheJnurseJinstructsJaJprenatalJclassJforJfirst- timeJmothers.JAJgroupJofJmothersJstateJtheyJareJafraidJbecauseJtheyJhaveJheardJthatJbabiesJoftenJd ieJinJtheirJsleepJbeforeJtheirJfirstJbirthday.JTheJmothersJaskJwhatJtheyJcanJdoJtoJpreventJthis.JItJisJBES TJforJtheJnurseJtoJmakeJwhichJofJtheJfollowingJresponsesJ-JCORRECTJANSWER- It'sJbestJtoJpositionJtheJbabyJonJitsJbackJorJsideJinJbed.JThereJseemsJtoJbeJanJincreaseJinJthisJconditio nJwhenJbabiesJareJputJtoJsleepJonJtheirJstomach AJclientJattendsJaJsupportJgroupJforJincestJsurvivorsJatJtheJcommunityJmentalJhealthJcenter.JTheJcli entJtellsJtheJnurse,J"IJdon'tJgetJit.JPeopleJkeepJtellingJmeJIJtalkJjustJlikeJmyJfather.JHe'sJtheJlastJpersonJ I'dJwantJtoJactJlike!"JwhichJresponseJbyJtheJnurseJisJBEST?J-JCORRECTJANSWER- SomeJpeopleJunconsciouslyJtakeJonJtheJcharacteristicsJofJpeopleJwhoJexertJpowerJoverJthem TheJfamilyJofJaJpatientJadmittedJtoJtheJpsychiatricJunitJ3JdaysJagoJarrivesJforJaJvisitJcarryingJtwoJsuit cases.JTheJnurseJinformsJtheJfamilyJthatJbeforeJtheyJcanJproceedJintoJtheJunit,JtheJsuitcasesJneedJto JbeJsearched.JTheJfamilyJasksJwhyJthisJneedsJtoJbeJdone.JWhichJisJtheJBESTJresponseJbyJtheJnurse?J-
JCORRECTJANSWER-
"ThingsJthatJyouJmayJnotJthinkJofJasJbeingJharmfulJmayJbeJusedJforJharmJbyJtheJpatient" TheJnurseJasksJtheJnursingJassistantJtoJobtainJmorningJvitalJsignsJonJseveralJpatients.JItJisJbestJforJth eJnurseJtoJmakeJwhichJofJtheJfollowingJstatements?J-JCORRECTJANSWER- "GoJcheckJtheJvitalJsignsJforJtheJpatientJinJroomsJ321JandJ322.JRecordJyourJfindingsJonJthisJsheetJan dJthenJreturnJitJtoJme" TheJnurseJreviewsJbasicJcommunicationJskillsJwithJaJnewJgroupJofJnursingJassistants.JItJisJBESTJforJt heJnurseJtoJmakeJwhichJofJtheJfollowingJstatements?J-JCORRECTJANSWER- "NonverbalJbehaviorJisJbestJconsideredJinJcombinationJwithJverbalJcommunication"
- / 4