2023-2024 KAPLAN Pediatrics Predictor Exam With Answers (150 Solved Questions)

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KAPLAN PREDICTOR EXAM A|AII150 VERIFIED QUESTIONSANDANSWERS LATEST2023-2024(GRADED A+)1.Thenursecaresforaclientdiagnosedwithsuperficialpartialthicknessburn.Thenurseshouldassigntheclientto aroomwith whichclient?A.AclientdiagnosedwithCushing’sSyndrome.B.AclientDiagnosedwithcellulitisoftheleftleg.C.AClientdiagnosedwithacuteperitonsillarabscess.D.Aclientdiagnosedwithacutepelvicinflammatorydisease.Answer:A2.The nurse observes client care on a geriatric unit. The nurseshould intervene inwhichsituation?a.Astudentnurseassisttheclientoutofbedtowardtheclientsstrongside.b.A student nurse assistthe client to sit on the side of the bed by lifting the client’sshouldersandswinging theclient’slegs overtheedgeof thebed.c.A student nurse assists the client to stand from a sitting position by grasping theclient’selbows.d.Twostudentnursesuseadrawsheettoturnaclientinthebed.Answer:C3.The nurse evaluates the results of the client’s purified protein derivative (PPD) 2 ½days after the injection. The nurse noted the induration is 4 mm. which action by the nurseismostappropriate?a.Informtheclienttheresultsarenegativeb.Obtainthenamesoftheclient’sclosestcontacts.c.DeterminetheHIVstatusoftheclient.d.Waitandadditional24hourstoreadtheresults.Answer:A4.The nurse cores for the client with ahistory of schizophrenia. The nurse expects tonotewhich speechpattern?a.Repetitionofthewords usedbythenurse.b.Rapid,coherentconversationaboutunrelatedtopics.c.Immediatelyansweringquestionsappropriately.d.Slow,purposefulanswerstothenursesquestions.Answer:A5.The nurse cares for a 6-month-old infant. The parents report that the infant hadseverediarrhea fortwelve hours.The nurseanticipates whichfinding?a.Normalskinelasticity.b.Depressesanteriorfontanel.c.Paleyellowurine.d.Absent bowel sounds.Answer:B

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6.The nurse cares for a client receiving hydrocodone every 6 hours prn for pain. Theclientreportspainat1600.Thenursenotesthatthehydrocodonewas lastadministeredat

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1200,andthenurseproceedstoadministerhydromorphoneat1615.Afterdiscoveringtheerror,howshouldthenurse recordtheoccurrence?a.“Wrongpaintabletgivenearly.Clientwillbemonitoredclosely.Asleepnow.”b.“Hydromorphonegiveninsteadofhydrocodone.Nursingsupervisorawareoferror.”c.Hydrocodonetabletorderedevery6hours;painmedicationgivenafter4hours.Healthcare provider notified.”d.“Hydromorphonegiven at1615;healthcareprovidernotified.B/P122/80,RR16.”Answer:D7.The maleclient asks the nurse, “Why am I experiencing erectile dysfunction (ED)?”The nurse reviews the client’s medications. The nurse recognizes that which classificationincreasesthe risk forED?a.Non-steroidalanti-inflammatorydrugs.b.Antihypertensivemedications.c.Anticoagulantmedications.d.Histamine H2 inhibitors.Answer:B8.Thenurseinthehospitalcafeteriaoverhearstwonursingassistivepersonnel(NAP)discusstheclient’scondition. What isthePRIORITYaction forthenurseto take?a.Changethetopicoftheconversation.b.Reporttheemployeestotheirnursemanager.c.Informtheemployeesaboutpatientconfidentialityandtheclient’srighttoprivacy.d.Meetwiththeemployeesattheendoftheshiftandtellthemnottodiscussclientsinapublicplace.Answer:C9.The nurse cares for a client diagnosed with dehydration. The plan of care indicatesthe client is to drink two ounces of fluid every hour. The nurse determines the goal is met ifwhichis recordedon the intakeandoutput(I&O)sheetforan eight-hourshift?a.360mlb.160mlc.480mld.240ml1oz=30ml;60oz*8=480mlAnswer:C10.ThenurseandLPN/LVNcareforclientsonamedical-surgicalunit.TheRNshoulddelegatewhich activitytothe LPN/LVN?a.Follow up on the client’s report ofchest and back itching two hours after starting apatientcontrolledanalgesiapump.b.Provideinstructionfortheclientreceivingthefirstnicotinepatch.c.Inform the health care provider of the client’s history of peptic ulcer disease prior toadministrationofstreptokinase.d.Takethebloodpressureandheartratebeforeadministrationofenalapril.Answer:D

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11.The nurses care for the client diagnosed with tuberculosis. Before discontinuingairborneprecautions, the nursemustconfirmwhich?a.Thetuberculinskintestisnegativeb.Noacid-fastbacteriaareinthesputum.c.Theclienthasreceivedanti-tuberculinmedicationforthreedays.d.The client’s temperature has returned to normal.Answer:B12.The nurse cares for the client at 28 weeksgestation diagnosed with a completeplacenta previa. The nurse determines discharge teachingis effectiveif the client makeswhichstatement toherhusband?a.Icangobacktoworktomorrowonapart-timebasisb.I’msorrytotellyouwecan’thavesexual relationsc.Iwillstillbeabletohaveavaginalbirthd.Ihavetocomebackin48hoursforavaginalexamAnswer:B13.Thenursepreparestheclientdiagnosedwithmyxedemafordischarge.Whichactionshouldthenurseteachrelatedtobodytemperature?a.“Alternateacetaminophenwithibupropheneveryfourhoursforfever”b.“Takeyourtemperatureandrecordtheresultsthreetimesaday.”c.“Putonmultiplelayersofclothesuntilyoufellcomfortablywarm.”d.“Useaheatingpadduringthedayandelectric blanketatnight.”Answer:C14.The nurse cares for clients in the labor and delivery unit. The nurse anticipateswhichclientis acandidate forinduction oflabor?a.Theclientwiththefetalfaceasthepresentingpart.b.Theclientdiagnosedwithpreeclampsia.c.Theclientdiagnosedwithactiveherpesinfection.d.The client experiencing late decelerations.Answer:B15.ThenursecaresfortheclientdiagnosedwithHIV.ThenursedetermineswhichgoalisMOSTimportant?a.PreventKaposi’ssarcoma.b.Preventdepressionc.Preventinfections.d.Prevent social isolation.Answer:C16.The nurse educator presents an in-service on acyanotic heart disease. Which is themostcommonsymptomofthisdisorderthatthenurse educatorshouldinclude?a.Severeretardedgrowth.b.Clubbingofthefingers andtoes.c.Presenceofanaudibleheartmurmur.

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d.Polycythemia.Answer:C17.Thenurseprovidescarefortheclientdiagnosedwithpneumoniawhohasposturaldrainage twice a day. Which clientresponse indicates to the nurse that treatment iseffective?a.“Myupsetstomachisbetter.”b.“Iamcoughingup moresputum.”c.“Mycoughisbetter.”d.“I don’t feel feverish anymore.”Answer:B18.Theriskmanagementdepartmentplansaprogramtoreduceerrors. Whichisthemostcommon causeoferrors in medication administration?a.Failuretofollowroutinepolicyandprocedures.b.Caringfortoomanyclients.c.Responsibleforadministeringnumerousmedications.d.Unfamiliarwithmonkofthenewpharmaceuticalsordered.Answer:A19.The nurse cares for the school-aged child newly diagnosed with type 1 diabetes.The nurse instructs the family that the child’s insulin needs will decrease during whichsituation?a.Activeexerciseb.Infectionc.Emotionalstress.d.Puberty.Answer:A20.The nurse cares for the client receiving lactulose. The nurse determines themedicationis effective ifwhichis observed?a.Theclient’sweight increasesby5pounds.b.Theclientdeniesshortnessofbreath.c.Theclient’surinaryoutputis2000mldaily.d.Theclientisalertandorientedtoperson,placeandtime.Answer:D21.Thenursecaresforthe three-year-oldpriorto asurgicalprocedure.Whichbehaviorindicatesthat thechildiscopingwith preoperativepreparation?a.The child hopsaround the room pretending to be a bunny while the nurse attemptstoobtain abloodpressure reading.b.The child talks about the picture of a nurse and client while coloring the pictureusinganumberofbrightcoloredcrayons.c.The child sits quietly reading a story about a boy who is going to have surgery whilethenurse reviews theconsent fromtheparents.

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d.Thechildsitsontheparent’slapandsucksthechild’sthumbwhilethenurseusespuppetstodemonstrate the useofthepulseoximeter.Answer:B22.Thenurseinstructstheclientafteratotalhiparthroplasty.Theclientwillutilizewhichassistivedevices in thehome?a.Wheelchairb.Along-handledshoehorn.c.Areachingdevice.d.Araisedtoiletseat.e.Atrochanterroll.f.Ashowerbench.Answer:B,C,D,FNote:totalhipreplacementisthesameasarthroplasty23.Theclientreportsvomitinganddiarrheaforthreedays.Whichassessmentfindingdoesthenurse anticipate?a.Bradycardiab.Decreasedbloodpressure.c.Peripheraledema.d.Moistcrackles.Answer:B24.The nurse cares for the client in active labor. The health care provider orders anoxytocininfusion.WhichactionshouldthenursetakeFIRSTafterinitiatingtheinfusion?a.Timeandrecordthelengthandstrengthofthecontractions.b.Preparetheclientforanemergencycesareanbirth.c.Checktheclient’sperineumforbulging.d.Monitorthefetalheartrate.Answer:A25.The intensive care nurse cares for the client two hours after a myocardial infarctionisdiagnosed. The nurse’sPRIORITYis tofocusonwhich action?a.Relievepain.b.Preventembolism.c.Monitorthetelemetry.d.Reduce apprehension.Answer:A26.Thehomehealthnurse instructsthefamilyhowto“allergy-proof”theirpreschooler’s bedroom. The nurse determines teachingis successfulif which of thefollowingis observed?a.Therearemini-blindsonthewindowswithoutcurtains.b.Thefeatherpillowsareenclosedindoublepillowcases.c.Thechild’s dollcollectionisdisplayed highonashelf.

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d.Therearenopictureshungonthewalls.Answer:D27.The nurse cares for infants in the newborn nursery. Which observation requires thenurseto contact thephysician?a.TheAsianfemale,12hoursold,hasalargebluishareanotedacrossthesacrumandlefthip.b.AnAfrican-Americanmake,2hoursold,hasfinebi-basilarcrackles.c.Uneven skin folds are noted on a the upper legs of a Mexican-American female born6hours ago.d.TheanteriorfontanelofaCaucasianmaleborn28hoursagoismoderatelyfirmandflat.Answer:C28.The nurse cares for the client diagnosed with partial thickness burns to the entiretyof both arms. Using the Rule-of-Nines, the nurse estimates the injury is which percentage?a.18%b.29%c.36%d.9%Answer:A4.5%frontand4.5%back,wholearm9%29.The home care nurse visits the client diagnosed with late stage Parkinson’s disease.The client sits in a wheelchair. Which statement, if made by the caretaker, indicates to thehomecare nurse teachingiseffective?a.“My Client should push the hips up from the wheelchair for about 10 seconds everyhourorso.”b.“Myclientshouldelevatethekneeswithapillowwhenlyinginbed.”c.“Iwilllimitmyclient’stimeinthewheelchair to30minuteseachday.”d.“Iwillencouragemyclienttochangepositioneverysixhours.”Answer:A30.Thehomecarenursemakesavisittotheclientdiagnosedwithheartfailure.Theclient reports having difficulty sleeping at times. Thenurse should take which actionFIRST?a.Recommendtakingover-the-counterdiphenhydramine(Benadryl)b.Encourageahalfhourofmoderateexercisepriortogoingtobed.c.Obtainathoroughsleepassessmenthistory.d.Instructtheclienttonapduringtheday.Answer:C31.The nurse cares for the client admitted to the critical care unit. The nurse observessplinterhemorrhagesinthenails,painfulnodulesonthefingertipsandsplenomegaly.ItisMOSTimportantforthenurse to takewhich action?a.Determineifclientcancomplywithhome IVtherapy.

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b.Auscultatetheprecordiumformurmurs.(ENDOCARDITIS)c.Instructtheclientabouttheimportanceofbalancingrestandactivity.d.Encouragetheclienttoperformoral hygienetwiceaday.Answer:B32.Thenurseinstructstheclientaboutstableangina.Thenursedeterminesteachingiseffectiveif theclientmakes which statement?a.Anginapainusuallyfeelslikebeingstabbedwithaknifeb.EachtimeIhaveangina,myheartisdamaged.c.MychestpaincanoccurifIoverexertmyself.d.If I have chest pain, then I’m probably having another heart attack.Answer:C33.Thenursecaresfortheclientinpain.WhichfactorisMOSTimportanttodetermineiftheclient isa candidate forpatientcontrolledanalgesia?a.Theclienthasasurgicalprocedureof 30minutes.b.Bodymassindexdoesnotexceed30kg/m2c.Theclientshas ahistoryofchronicpain.d.The client is mentally alert.Answer:D34.Thenursereceivedreportfromthepreviousshift.WhichclientshouldthenurseseeFIRST?a.The client recently admitted from the operating room who is drowsy and requestingsomethingforpain.b.TheclientrecentlydiagnosedwithasthmawithanO2saturationof97%c.The client scheduled fordischarge later in the day and is reporting increasedshortnessof breath.d.The client who had an open cholecystectomy 24 hours ago with a temperature of100 degreesAnswer:C35.Thenursereviewsthearterialbloodgas(ABG)report.ThePHis7.50;CO2is40mm;HCO3is30mm.Which istheMOSTimportantquestiontoasktheclient?Pg234a.Doyousmoke?b.Doyouhaveahistoryof emphysema?c.Howlonghaveyoubeenvomiting?d.Do you take insulin for your diabetes?Answer:C36.Thenursepreparesalistofdelegatedtasksforthenursingassistivepersonnel(NAP).Which taskwouldbe APPROPRIATE?a.Feedtheclientdiagnosedwithdysphagiarelatedtoastrokeb.Assisttheclientonedaypostoperativelytoambulatefollowingkneereplacement.c.Turnandrepositiontheclientdiagnosedwithquadriplegia.d.ObtainvitalsignsfortheclientwhoselastB/Pwas188/104

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Answer:C37.The nurse cares for the client diagnosed with anorexia nervosa. The nurse shouldincludewhich in theclient’splanofcare?a.Allowasmuchtimeasneededforeachmeal.b.Observeclientduringandonehouraftereachmeal.c.Explaintheimportanceofanadequatediet.d.Usearandompatternforweighassessments.Answer:B38.The nurse cares for the client diagnosed withobsessive-compulsive personalitydisorder(OCD).Whichdoesthenurse expecttheclient todemonstrate?a.Doubts,fears,andindecisivenessb.Markedemotionalmaturity.c.Anelaboratedelusionalsystem.d.Rapid,frequentmoodswings.Answer:A39.The nurse prepares to administer medications. Which medicationcannot be givendirectlyintravenously?a.50%dextroseb.Potassiumchloride(KCI)c.Furosemide(Lasix)d.Calciumgluconate.Answer:B40.Thenursecaresforaclientdiagnosedwithpancreaticcancer.Whentalkingtotheclientaboutthediagnosis, thenurseanticipatestheclientwillmakewhichstatement?a.HowcanIhavecancer whenIdon’thurtanywhereonmyentirebody?b.I’vebeenfeelingfineanddidn’tgotothedoctoruntilmyskinwaskindofyellow.c.Ishouldhaveknownsomethingwaswrong whenIgained10poundsinsixweeks.d.Mylastcoupleofbowelmovementshavelookalmostblackincolor.Answer:B41.The parent of an adolescent diagnosed with hemophilia calls the nurse todiscussthe adolescent’s desire to participate in sports. Which activity should the nurserecommend?a.Soccerb.Gymnasticsc.Swimmingd.SnowboardingAnswer:C42.Thenursepreparestoadministermedicationstothefollowingclients.WhichmedicationshouldthenursepassFIRST?

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