Kaplan Diagnostic A Practice Test

These questions are part of the practice quiz. Start practicing

• During a routine prenatal visit, fetal heart rate (FHR) is auscultated. If the fetal position is left sacrum posterior (LSP), where is the FHT best heard?
• In acute phase rheumatoid arthritis, what is the primary nursing goal?
• During peritoneal dialysis, which finding indicates a malfunction of the system?
• Prior to discharge of a school-age child with Type I diabetes, which action should be taught for a sudden loss of consciousness?
• Which electrolyte disturbance is most likely to cause multifocal premature ventricular contractions?
• A patient is scheduled for cardiac catheterization. Which statement indicates effective teaching?
• Which statement best describes an appropriate exercise goal for a 50-year-old client with chronic bronchitis?
• Which sign would most readily indicate dehydration in a newborn?
• A nurse cares for a 6 lb 7 oz newborn delivered two hours ago. Which observation is expected?
• In primary adrenocortical insufficiency, which laboratory pattern is expected?
• When assessing an IV site on the left forearm, which finding would rule out the occurrence of IV infiltration?
• A healthcare provider orders tobramycin for a 3-year-old. The child does not have an identification bracelet. Which action by the nurse is most appropriate?
• What is the correct sequence when mixing regular insulin with NPH insulin in the same syringe?
• The nurse cares for four clients. Which client should be seen first?
• Which combination of signs is most typical of early septic shock?
• In a nursing QA scenario, which client is appropriately assigned to the LPN/LVN?
• A client with Alzheimer’s disease wanders around the unit and disturbs other clients. The client’s gate is steady. Which action is most appropriate?
• The nurse observes an LPN/LVN irrigating an abdominal wound. Which action by the LPN/LVN requires the nurse's intervention?
• During peritoneal dialysis, 2000 mL of dialysate is infused and 1000 mL returns. What action should the nurse take next?
• A patient learns how to use a walker. Which observation indicates that the walker is being used correctly?
• How should a charge nurse respond to a non-native English-speaking nurse who remains silent during a staff meeting to promote communication?
• After a right total hip arthroplasty, which finding justifies the nurse calling the healthcare provider?
• During the transition phase of labor, a client reports lightheadedness and tingling in the fingers. Which action is most appropriate?
• During patient education about medical records, a patient asks to view her medical record. Which action should the nurse take?
• During a dressing change, if a required dressing is missing after the pack is opened and sterile gloves are on, which action is correct?
• A prominent member of society is hospitalized; People are calling about the client’s condition. Which action should the nurse take?
• For a patient with COPD, which feeding approach is considered a priority to maintain energy and nutrition?
• A client is found lying face down on the floor. First action?
• Which statement indicates a need for further instruction after a cholecystectomy?
• A 60-year-old with polyuria and hyperglycemia; labs show hyperosmolar state; No ketones; The provider should initially order which treatment?
• During the transition phase of labor, a client reports lightheadedness and tingling in the fingers. Which action is most appropriate?
• Postoperative care after a right modified radical mastectomy includes which appropriate action?
• Five hours after knee replacement, which drainage observation is most consistent with expected postoperative drainage?
• A nurse administers morphine 10 mg IM; The order for morphine had been deleted and replaced with hydromorphone 4 mg IM; Which documentation is best?
• The nurse is caring for a school-aged child with cystic fibrosis who is receiving aerosol therapy. Which outcome best reflects the expected result of the therapy?
• Rheumatoid arthritis with activity intolerance should be addressed with which intervention?
• In the emergency department, after monitoring for a patient with chest pain, which action addresses potential oxygenation issues?
• Which auscultation finding is associated with a right-sided pneumothorax?
• A parent brings a 4-month-old for DTaP and IPV immunizations. Which statement indicates understanding of when to return for the next DTaP dose?
• Which statement best describes the primary purpose of neomycin in the treatment of hepatic encephalopathy?
• Which medication is contraindicated for a pregnant nurse to administer?
• A postpartum client reports tenderness in the groin and pain in the calf. What action should the nurse take first?
• Which observation indicates the walker is being used incorrectly?
• A client with bipolar disorder becomes angry and starts throwing objects. Which action should the nurse take first?
• The nurse supervises a nursing assistive personnel caring for a client after abdominal surgery. Which observation requires intervention?
• Which finding is most significant for a mother who just delivered an 8 lb 4 oz baby?
• A preschooler fears monsters and bogeymen in the bedroom at night. Which parental action indicates appropriate management of the child's fears?
• A patient who was assaulted becomes calm in the ED. This change is best explained by which reason?
• To support an Alzheimer's patient who wanders, which approach is most appropriate?
• Which statement indicates the client with alcoholism has gained insight?
• In the immediate postpartum period, which assessment most strongly indicates potential hemorrhage requiring action?
• Which action best supports the management of placenta previa with ongoing bleeding?
• A client with depression says, 'I'm too tired to take a shower. Please don't bother with me today.' Which action is most appropriate for the nurse to take?
• For a patient with a history of alcoholism, which discharge planning strategy best supports relapse prevention?
• A client with newly diagnosed type I diabetes asks why injection sites must be rotated. What is the best explanation?
• Which action best supports communication with a patient who has aphasia due to stroke?
• An adolescent on 10 units of intermediate-acting insulin every morning at 07:00; which symptom would suggest the dose should be reduced?
• In the management of a prolapsed umbilical cord, observation that indicates the initial nursing action is effective is most precisely which observation?
• A patient undergoing hemodialysis takes digoxin and furosemide. When should the digoxin be given?
• A pediatric client is on a continuous aminophylline infusion. Which finding requires immediate intervention?
• The preschool child is prescribed pancreatin capsules. Which parental statement indicates a need for further teaching?
• The nurse cares for the client diagnosed with a loss of ability to use language following a stroke; Which action does the nurse take?
• Which statement best reflects understanding about the cardiac catheterization procedure?
• After a right modified radical mastectomy, which action should the nurse avoid to prevent venous return impairment and edema in the affected arm?
• Which observation five hours after a right total knee arthroplasty requires nursing intervention?
• During peritoneal dialysis, which finding indicates a malfunction in the system?
• An initial nursing assessment of septic shock would most likely reveal which symptoms?
• The nurse is assigned to four clients. Which client should be seen first?
• The client with a long-leg walking cast reports numbness in the toes. Which action is most urgent to take first?
• Which of the following is the best initial action for a client with a new colostomy experiencing odor?
• What action should the nurse take first when a confused patient becomes belligerent and agitated?
• In addressing a disoriented client who is describing a fantasy world, which communication approach is most effective?
• A nurse who is three months pregnant is assigned to pass medications to a group of clients. The nurse asks another nurse to administer which medication?
• The nurse uses an otoscope to examine the tympanic membrane of an adult. Which behavior indicates proper technique?
• Which action helps prevent furosemide-induced hypokalemia?
• Which action is appropriate when a nurse identifies a discrepancy between a medication order and the administered dose?
• The nurse asks a family member about a partner's preference to withhold life-sustaining treatment; what is the nurse's first step?
• If the adolescent’s insulin dosage is reduced, which symptom would confirm the need for ongoing adjustment?
• The nurse cares for the client in labor at 35 weeks gestation. Which statement, if found by the nurse in the client's medical records, is unexpected?
• In managing a patient with a severe head injury, which assessment is essential to prevent secondary brain injury?
• A client receiving parenteral nutrition via a subclavian catheter requires a unit of packed red blood cells. What is the correct nursing action?
• A client experiencing a panic attack says, 'Get out of here, and leave me alone.' What action should the nurse take?
• When evaluating a patient’s understanding of treatment options, which statement demonstrates abstract thinking?
• Which discharge instruction indicates successful teaching about orchitis home care?
• In a patient with heart failure during a routine clinic visit, which question is most important for the nurse to ask first?
• A nurse cares for a client with a dramatic left leg amputation after an automobile accident. The client frequently presses the call light and makes angry remarks toward staff. Which statement best explains the reason for the client's behavior?
• To demonstrate abstract thinking in evaluating health decisions, which statement shows consideration of consequences and multiple perspectives?
• Which symptom requires an intervention in a client with a recently performed tracheostomy?
• If a nurse discovers a client in the bathroom attempting self-harm, which action should be taken first?
• The nurse cares for the client with an above-knee amputation four days post-op; The nurse teaches the client about care of the residual limb prior to being fitted with a temporary prosthesis; Which intervention is most important for the nurse to include in instruction?
• For a 2-month-old infant with hypospadias, which assessment is essential before surgical correction?
• The parent of a preschooler with a tracheostomy asks why suctioning is needed less frequently; the nurse's response should reflect that suctioning is least necessary when which situation occurs?
• Which toy is most appropriate for an 18-month-old child?
• The nurse cares for the client after the delivery of an 8 lb 7 oz newborn. Which measure carries the highest priority on the first day postpartum?
• Which signs and symptoms are expected with Ménière's disease?
• During assessment of a client with a chest tube and a three-chamber water-seal drainage system, which finding requires nursing intervention?
• The home health nurse changes dressings four times a week for the client with a stage III pressure ulcer; The hospital admitting nurse notes the dressing was not applied as ordered; Which action is most important to take?
• To auscultate for breath sounds in the middle lobe of the lung, which location is correct?
• Which statement by the nurse is best regarding a patient scheduled for a liver biopsy?
• Before discharge, the nurse teaches a client who underwent ileal conduit surgery. Which instruction is most important?
• In managing an adolescent with orchitis, which action is most important for the nurse to take?
• Which statement demonstrates understanding of the next DTaP vaccination visit?
• Which action in performing a urinary catheterization on a preschool child requires intervention?
• An adolescent is being evaluated for type I diabetes. Which statement would the nurse expect the parents to make?
• The parents bring their 9-month-old child to the clinic; Which observation by the nurse indicates a delay in development?
• A client with chronic alcohol abuse and a risk of thiamine deficiency requires which initial intervention to prevent deficiency-related complications?
• When turning a patient after left total hip arthroplasty, the nurse places the patient in which position?
• A 29-week pregnant client presents with symptoms of preterm labor. Which assessment is most helpful in confirming this diagnosis?
• A 10-day-old infant who is breast-fed is expected to have stools with which characteristics?
• The nurse demonstrates a focus on safety by initiating plans that address both clinical and psychosocial needs. Which action best reflects a comprehensive approach?
• A client who recently underwent surgery for a leg amputation demonstrates anger and frequently directs remarks toward staff. Which nursing action best addresses the client's body image concerns?
• Which common characteristic is associated with people at risk for anorexia nervosa?
• To promote skin integrity around a new ileal conduit, which nursing action is most appropriate?
• During a staff meeting about client care concerns, a nurse who is not a native English speaker remains silent. Which action should the charge nurse take to ensure understanding?
• Which statement indicates a traveler has a misunderstanding about hepatitis prevention?
• Which pattern is most indicative of fetal well-being and adequate oxygenation?
• After a total right hip arthroplasty, which immediate postoperative activity is most important for the nurse to assist the client with?
• When teaching a school-aged child to use crutches correctly, which action requires intervention?
• In parenteral nutrition therapy, if a PN container is unavailable, which solution is commonly hung temporarily to maintain glucose supply?
• During a dressing change, after opening a sterile pack and donning sterile gloves, the nurse notices the dressings needed are missing. What action should be taken next?
• Which action helps prevent dislocation after a left total hip arthroplasty?
• The nurse observed the student nurse suctioning a client. Which action indicates proper suctioning technique?
• Discharge teaching for emphysema. Which statement indicates the patient understands?
• A client with a left traumatic below-knee amputation has a tourniquet in place and a perineal tear. Which action should the nurse take first?
• Which nursing outcome is primary for a client with acute rheumatoid arthritis?
• Which action should be avoided to protect an arteriovenous fistula in the arm?
• Which milestone is expected for a 5-month-old infant?
• When transferring a patient from bed to a chair using a transfer belt, which step is essential for safety?
• Which statement demonstrates that teaching about nitroglycerin was successful?
• When administering a medication to a child who does not have an identification bracelet, which action is most appropriate?
• Which statement best explains phantom limb sensation after an amputation?
• A patient with rheumatoid arthritis is being evaluated. Which laboratory results are elevations expected in?
• During CPR for an 8-month-old, which observation would require intervention by the nurse?
• After attaching a cardiac monitor for a client with chest pain and shortness of breath, which order should the nurse implement first?
• Caring for a client with anorexia nervosa, which goal is the highest priority initially?
• A two-year-old on aminophylline infusion shows which sign requiring immediate attention?
• During the admission assessment, a client with a history of schizophrenia tells the nurse, 'I must submerge myself in hot water to atone for my sins.' The nurse is most concerned if which observation is made?
• The client receives parenteral nutrition (PN) via the internal jugular vein. Which action does the nurse take if the next container of PN solution is not available when it is needed?
• A penicillin infusion is to occur over 20 minutes. Which action can the nurse take while this medication infuses?
• After cholecystectomy, the T-tube drainage is 300 mL of greenish brown fluid. What action should the nurse take initially?
• In a patient with tuberculosis under airborne precautions, which observation by a nursing assistant would not require an intervention?
• A newborn displays the stepping (dance) reflex. What is the appropriate interpretation?
• After thyroidectomy, hoarseness may indicate injury to which structure?
• In the above scenario of the below-knee amputation care, which option best describes the patient’s transport for report handoff?
• A quality assurance evaluation of assignments among three RNs and one LPN/LVN is performed. The assignments are appropriate if the LPN/LVN is assigned to which client?
• During the second stage of labor, a partner asks to go to the cafeteria. Best nurse response?
• The nurse discusses foods that are included on a diabetic diet. Which food, if selected by the client diagnosed with type I diabetes, indicates the nurse teaching is successful?
• Which feeding approach should be used for a patient with COPD to support energy needs?
• During the second stage of labor, a partner asks to leave. Which response is appropriate?
• What is the best nursing intervention to support energy conservation for a patient with rheumatoid arthritis?
• A client scheduled for a vaginal hysterectomy expresses a desire to read her medical record. Which action should the nurse take?
• The client's family reports the patient has early-stage Alzheimer's disease. Which symptom would you expect to observe first?
• The results of a recent CBC for the female client are WBC 1000 cells/mm3, Platelets 200,000/mm3, Hgb 14 g/dL, Hct 39%. Which is the most important nursing goal for this client?
• When taking ferrous sulfate, which statement indicates the patient understands the education?
• Which statement best describes the munchies commonly seen with marijuana use?
• Which position is used after left total hip arthroplasty to help prevent dislocation?
• Which finding indicates a chest tube is functioning properly?
• Which statement about applying nitroglycerin ointment is a safety concern?
• In a four-month-old who has stopped breathing, which action is recommended by nursing practice?
• Which statement indicates a need for further instruction after a cholecystectomy?
• Which statement best reflects the appropriate nursing support for a frightened hospitalized patient?
• During a physical assessment of a school-age child, which behavior demonstrates proper technique for examining the deep tendon reflexes?
• In a nursing team consisting of one RN, one LPN/LVN, and an experienced nursing assistant (NAP), which task distribution is appropriate for: straight catheterization for urinary retention after cholecystectomy, tracheostomy care two days after laryngectomy, and a blood glucose determination for a patient receiving PN through a central venous catheter?
• A patient with Alzheimer's disease wanders from room to room. Which action is appropriate?
• The parents of an 18-month-old with a fractured femur plan to leave the room. Which statement should the nurse suggest the parents tell the child?
• The nurse cares for the client with a history of chronic alcohol abuse, nutritional problems, and confabulation. In planning for the client's nursing care, which action is the first priority of the nurse?
• In third-trimester bleeding with dark red spotting and no uterine pain or tenderness, which condition is most likely?
• After administration of preoperative medication for cataract surgery, the patient is found on the floor at the foot of the bed 10 minutes later. What action should the nurse take first?
• A client is prescribed digoxin 0.25 mg and furosemide 40 mg daily. Which action should the nurse take?
• The nurse cares for a client six hours after his traditional cholecystectomy. It is most beneficial for the nurse to take which action before encouraging the client to cough and deep breathe?
• What is the correct sequence for using a metered-dose inhaler with a spacer for a bronchodilator?
• Which technique is correct for venipuncture to establish IV access?
• The nurse cares for the client diagnosed with menopause. The client asks the nurse, 'why is estrogen replacement therapy (ERT) given?' Which explanation by the nurse is most accurate?
• When a four-month-old stops breathing, which action is the recommended first intervention by the nurse?
• A client with breast cancer receives tamoxifen citrate. Tamoxifen acts as which of the following?
• A client in a manic phase of bipolar disorder shows improvement. Which behavior most clearly indicates improvement?
• In planning care for a client with a severe head injury, which is the highest priority?
• In the scenario where the nurse must complete several tasks before handing off the report, which sequence is correct for the order of tasks?
• Which statement indicates a student traveler needs further teaching about preventing hepatitis during travel?
• The test for phenylketonuria (PKU) is most reliable at which timeframe?
• When monitoring a child on prednisone, which parameter should be most closely watched?
• Which statement demonstrates successful discharge teaching for orchitis?
• After a right total hip arthroplasty, which assessment finding warrants immediate provider notification?
• For testing the biceps reflex in a child, which action specifically demonstrates proper technique?
• When performing an otoscopic examination on an adult, which technique demonstrates proper visualization of the tympanic membrane?
• A client with back pain has a partner who reports increased alcohol use; which symptom cluster would indicate withdrawal?
• A patient has a radium implant for cervical cancer. Which intervention is appropriate for the nurse to implement?
• For a 2-month-old infant admitted for surgical correction of hypospadias, which assessment should the nurse complete?
• Which statement about activity therapy for a depressed client is most accurate?
• A partner of a client with a history of myocardial infarction and heart failure tells the nurse, 'I do not want my partner to be kept alive on machines if the heart stops.' Which action is most important for the nurse to take?
• During rounds, a client with schizophrenia states, 'I know you are conspiring with my spouse to keep me locked away.' What is the most appropriate nurse response?
• At 32 weeks gestation, a patient reports dizziness. Which condition best explains this symptom?
• Which symptom cluster best supports a Ménière's disease diagnosis?
• A client who has undergone an above-knee amputation reports the missing limb still feels present. Which statement best explains this sensation?
• For a client with an ileal conduit, which action is essential to prevent leakage and skin irritation around the stoma?
• Which menu demonstrates an effective dietary adjustment for osteoporosis?
• During oral hygiene for a patient with a cuffed tracheostomy, the cuff is deflated; which action should the nurse take to document cuff status?
• A client with type I diabetes asks why an insulin pill is not used. What is the best nursing response?
• Which observation is within expected parameters after knee arthroplasty?
• The nurse finds one of the housekeeping staff sleeping in an unoccupied client room. Which action does the nurse take?
• A client with peptic ulcer bleeding has multifocal premature ventricular contractions. Which electrolyte disturbance is most likely the cause?
• For Buck’s extension traction in an 18-month-old, which action is most important for the nurse to perform?
• A client is taking naproxen. Which symptom should be reported to the healthcare provider as most important?
• Postoperative orders after a left total hip arthroplasty include turning. In which position should the patient be placed to implement this order?
• Which fetal heart rate pattern indicates uteroplacental insufficiency?
• In interpreting a Mantoux skin test, which finding is used to determine a positive reaction?
• Which description best matches the stool of a 10-day-old breast-fed infant?
• Post subtotal thyroidectomy, which observation is most concerning?
• Which action should be avoided when caring for a patient with a newly created arteriovenous fistula?
• Which observation indicates a significant Mantoux reaction in an HIV-positive client?
• To ensure a safe hospital environment for a 2-year-old toddler, which intervention is appropriate?
• A six-year-old's blood pressure is needed, but a properly sized cuff is unavailable. Which action should the nurse take?
• Morning care for a client with a cuffed tracheostomy cuff deflated; next action?
• Which statement by a client taking amitriptyline indicates adequate understanding of the medication?
• Which laboratory pair is most consistent with active inflammation in rheumatoid arthritis?
• When delirium is suspected in a hospitalized patient, which approach helps reduce risk?
• A client with a new double-barrel colostomy complains of odor. What action should the nurse take initially?
• Which snack choice would be appropriate for a four-year-old during daycare snack time considering choking risk?
• During morning rounds, a teenager who recently had rotator cuff repair refuses fentanyl 100 mcg IV PRN. Which action should the nurse take first?
• If a chest tube becomes disconnected from the drainage system, which action should be performed first?
• A client diagnosed with primary adrenocortical insufficiency is being evaluated. Which laboratory finding would you expect?
• A five-month-old infant at a well-baby visit shows which finding that is unexpected?
• Before discharge, which instruction about care of an arteriovenous fistula in the right arm is correct?
• During a routine Mantoux skin test, which action assesses the test's outcome?
• Immediately after a percutaneous liver biopsy, the nurse places the client in which position?
• The nurse teaches the client what to expect during a cardiac catheterization. Which statement indicates further teaching is necessary?
• Observation that indicates the initial nursing action for a prolapsed umbilical cord is effective is most precisely which observation?
• Preoperative teaching for a total right hip arthroplasty includes postoperative exercises. Which exercise, if performed, indicates further teaching is necessary?
• A nurse assesses a client who uses crack cocaine several times a week. Which assessment finding most strongly suggests withdrawal?
• An adolescent scheduled for facial scar repair demonstrates abstract thinking when responding to which statement?
• Which situation most suggests that a nurse may be addicted to alcohol or habit-forming medications?
• An adolescent with full-thickness burns on the upper chest and partial-thickness burns on the hands, arms, and face, which communication method should the nurse encourage?
• To obtain a urine specimen from a client with an indwelling catheter, which action is performed first?
• A parent arrives from overseas to visit; the child is depressed, disheveled and suspicious of family; Which nursing order should be included in the care plan?
• In a client admitted for evaluation of epilepsy, which action is the highest priority for the nurse?
• A nurse who previously worked in a rural hospital with total client care now works in a suburban hospital with a team-based system. What is the most appropriate initial action to address this difference?
• When caring for a school-age child on prednisone, which information is most important to assess?
• Following a postoperative fall while awaiting cataract surgery, which action demonstrates the safety priority?
• When a client with a history of drug abuse says, I can’t imagine life without them, what is the best initial nurse response?
• During peritoneal dialysis, if 1000 mL returns after a 2000 mL exchange, what is the recommended next action?
• In a patient with schizophrenia, which observation would most require immediate safety intervention due to risk of self-harm?
• A client has a chest tube attached to a three-chamber water-sealed drainage system. If the chest tube becomes disconnected from the system, what action should the nurse take first?
• During bucks traction for a hip fracture, which observation requires intervention?
• Which snack is best for a four-year-old during snack time in a daycare setting?
• In placenta previa, which practice should be avoided to prevent bleeding complications?
• A newborn two hours old shows which of the following observations would be unexpected?
• Which principle best guides nursing care for pregnant adolescents?
• A client with neutropenia is admitted. Which measure is most important to reduce infection risk?
• A client with low back pain has a partner who reports increased alcohol use since the back injury. Which symptom cluster would the nurse observe?
• A confused client discusses thoughts about a fantasy world. Which action should the nurse take?
• In the emergency department after an assault and robbery, which intervention is the most appropriate initial response?
• Which toy is most appropriate for an 18-month-old child?
• A client with epilepsy asks about managing the condition. Which statement indicates a need for further teaching?
• A hospitalized client says, 'I’m not sure I want to stay here. I feel so frightened and alone.' Which response by the nurse is most appropriate?
• In environmental rounds, which problem should the nurse address first?
• While teaching self-monitoring blood glucose (SMBG), which action by the client indicates successful learning?
• During a penicillin infusion over 20 minutes, which concurrent action is appropriate for the nurse to perform?
• A client with aphasia after a stroke; Which communication approach is most effective?
• In a manic patient, which behavior most clearly indicates improvement?
• Which technique correctly describes how to mix intermediate-acting insulin with short-acting insulin?
• A client with type I diabetes asks why an insulin pill cannot be used. Which is the correct nursing explanation?
• A nurse asks how to tell if a teenage child is under the influence of marijuana. Which statement by the teen's parent is best?
• Which TB teaching statement indicates effective understanding at discharge?
• Which parental statement indicates a need for further teaching about pancreatin administration?
• The client reports menstruating constantly for one year. Which question is most important for the nurse to ask?
• An hour and a half after admission to the nursery, the nurse observe spontaneous jerky movements of the limbs in an infant born to a mother with diabetes mellitus; Based on these signs, which condition does the nurse expect in the infant?
• A patient found lying face down on the floor; which action should be taken first?
• The nurse plans care for the client diagnosed with osteoporosis. Which exercise is recommended to help maintain bone density?
• The nurse cares for the client in the psychiatric Hospital. The client has not slept for several nights, talks rapidly, and wrings the hands. Which is the highest nursing priority during the first few days of hospitalization for this client?
• In suspected toxic shock syndrome, what is the first nursing action?