KAPLAN NCLEX EXAM PREDICTOR 2021/ 2022 VERSION 2 With Question And Answers

Predictor Version 2

1. The nurse shows a teenager how to use a metered dose inhaler of ipratropium (Atrovent).

Which statement, if made by the client to the nurse, indicates teaching iseffective?

1. “I should use this medicine to stop the coughing that leads to an asthma attack”

2. “I should use this medicine if I begin to have an asthma attack”

3. “I should use this medicine right after I have an asthma attack”

4. “I should use this medicine to prevent an asthma attack”

Answer#2

2. An older client is scheduled for a magnetic resonance imaging MRI procedure. Which ofthe

following statements, if made by the client to the nurse, should be reported to the technician

before the test?

1. “I take medication to control my blood pressure”

2. “I have had diabetes for about 10 years now”

3. “I had a knee replacement 5 years ago”

4. “I am allergic to penicillin and sulfa medications”

Answer#3

3. The nurse makes the following observations of a 6 hour old newborn: axillary temperature

96.4 F (35.8 C), apical pulse 148, respirations irregular at 48/minute, blacksticky stool, blood

glucose 60mg/dL. It is most important for the nurse to take which action?

1. Feed the newborn 30mL of infant formula

2. Administer low flow oxygen to the newborn

3. Wrap the newborn in a warmed blanket

4. Perform a guaiac test on the newborns stool

Answer#3

4. A client is returned to the unit at 10AM after laparoscopic gallbladder surgery. The

nurse plans to get the patient out of bed for the first time at 4PM. It is MOST important

for the nurse to take which of the following actions?

1. Turn the patient from side to side at 2 PM

2. Offer pain medication to the patient at 3:30PM

3. Encourage the patient to use the incentive spirometer at 3PM

4. Cough and deep-breathe the patient at 2:30PM

Answer#1

5. The activity therapy staff takes a group of psychiatric patients on a trip to the zoo. The

nurse should intervene with which of the following patients before their departure?

1. A 50 year old female who is having difficulty with sleeping, eating, and social

interaction.

2. A 40 year old male who just received his third dose of trazodone (Desyrel) and is 20

pounds overweight.

3. A 42 year old female who has problems with decision making who paces

continuously, wringing her hands.

4. A 38 year old female who is receiving chlorpromazine (Thorazine) and is wearing a

sundress without a hat or sunglasses.

Answer#4 (photosensitivity;causes sensitivity to sun)

6. A patient experiences skin eruptions due to an allergic reaction to a medication. The

nurse demonstrates the BEST documentation with which of the following?

1. “Patient complains of rash and itching over most of his body. Patient is concerned

about how it looks”

2. “Multiple red welts noted over trunk and both arms. Patient states that welts itch”

3. “Allergic skin reaction to medication experienced by patient. Started several hoursago”

4. “Vital signs stable. Patient scratching arms and chest area frequently”

Answer#2

7. An older client diagnosed with emphysema is admitted to the psychiatric unit for

treatment of bipolar disorder. The client receives oxygen per nasal cannula. The client

expresses concern to the nurse that someone will come in and change the amount of

oxygen the client is receiving. INITIALLY, the nurse should take which of the following

actions?

1. Schedule an in-service with the staff about emphysema

2. Place a sign above the patient’s bed stating that the oxygen level is not to be

changed

3. Tell the patient she will be well cared for in the hospital

4. Convey the patient’s concern to the nursing staff

Answer#2

8. A teenager has a positive home pregnancy test and comes to the prenatal clinic. The girl is

uncertain of the date of her last menstrual period. The nurse palpates the uterine fundus midway

between the symphysis pubis and the umbilicus. Which statement by the nurseis BEST?

1. “You are 24 weeks pregnant. It is good that you came in for prenatal care”

2. “You are 30 weeks pregnant. Prenatal care is important for you and your baby”

3. “You are 16 weeks pregnant. Let’s talk about what that means”

4. “You are 8 weeks pregnant. Are your periods usually irregular?”

Answer#3

9. A client is admitted to the psychiatric unit with complaints of fatigue, inability to

concentrate, lack of appetite, and repetitive thoughts. The client is reluctant to take the

prescribed medications, fearing that they are harmful. After the nurse gives the client the

medication, the nurse should take which of the following actions?

1. Instruct the client to open her mouth and move her tongue up and down and to eachside

while the nurse looks inside.

2. Ask the client if she has swallowed the medication completely.

3. Watch the client’s behavior to see if the medication is having its desired effect.

4. Observe the clients throat while she swallows several times after putting the

medication in her mouth.

Answer#1

10. The nurse assesses a patient 72 hours after a total joint replacement of the right hip.

Which finding requires an intervention by the nurse?

1. There is a pillow between the patients legs

2. The patient’s legs are internally rotated

3. The patients hip joint is flexed at a 70 degree angle when the patient sits in the chair

4. The patient has not requested pain medication for 12 hours.

Answer#2 (prevent internal or external rotation, that means se safó)

11. A client newly diagnosed with Meniere’s disease plans a trip to an amusement park with

the family. The client asks the clinic nurse which of the following rides is best. The nurse

should suggest which of the following rides?

1. Roller coaster

2. Merry go round

3. Ferris wheel

4. Train

Answer#4

12. A client is discharged from the hospital after coronary bypass (CABG) surgery 3 days

ago. During discharge teaching, the client asks the nurse “When can I resume sexual

intercourse with my wife?” it is best for the nurse to make which of the followingstatements?

1. “You can resume sexual activity when you feel strong enough”

2. “You can resume sexual activity when you are able to walk one block without chestpain

or discomfort”

3. “You may have difficulty maintaining an erection because of your recent surgery”

4. “You should abstain from sexual activity because it may be detrimental to your

recovery”

Answer#2 (one block or two flights of stairs without chest pain)

13. A woman complains to the nurse about the care provided to her husband by the nursingstaff

the previous night. Initially, the nurse should take which of the following actions?

1. Ask the wife to voice her expectations about a solution to the problem

2. Gain consensus with the woman on the specific steps that will be taken care for her

husband

3. Explain to the wife that the problems she identified will be fixed

4. Notify the wife that everything possible is being done for her husband

Answer#1

14. A patient is restrained bodily by the nursing team. The hands of the nurse assigned tohold

down the patients leg should be placed in which of the following positions?

1. One hand on the patients knee and the other hand on the patients ankle

2. One hand directly above the patient’s knee and the other hand directly above the

patient’s ankle

3. Both hands side by side on the patients thighs

4. One hand at the patients groin and the other hand at the patients mid-calf area

Answer#2

15. The nurse in the community mental health center works with a client who is diagnosedwith

depression. Cognitive therapy is initiated. The nurse should take which of the following

actions?

1. Assist the client to review past intellectual achievements

2. Help the client develop more positive thoughts

3. Help the client to identify the source of his depression

4. Change the client’s values and beliefs.

Answer#3

Cognitive Therapy; determined that how individuals feel and behave is determined by howthey

think about the world and their place in it.

16. The nurse plans to perform a physical assessment of a young adult who has been deafsince

birth. Although the client indicates using sign language, no interpreter is available. The nurse

should take which action?

1. Face the client and speak slowly using low-pitched voice

2. Write out each question, and ask the client to write out each answer

3. Sit on the clients right side and use gestures and nonverbal clues

4. Show the client pictures of the parts of the body that will be examined

Answer#2