Kaplan Fundamentals Practice Tests A & B -
Complete Question Set with Verified Answers
& Rationales 100%
1. A nurse is caring for a client who is at risk for falls. Which intervention is most
appropriate?
A. Raise all four side rails at all times
B. Keep the bed in the lowest position and ensure the call light is within reach
C. Apply restraints when the nurse leaves the room
D. Encourage the client to ambulate without assistance
Correct Answer: B
Rationale: Keeping the bed low and the call light accessible helps prevent falls while promoting
client independence. Raising all four side rails may be considered a restraint.
2. Which action demonstrates proper hand hygiene?
A. Wash hands for at least 20 seconds with soap and water when visibly soiled
B. Wear gloves instead of washing hands
C. Use hand sanitizer after touching bodily fluids if hands are visibly dirty
D. Wash hands only before patient contact
Correct Answer: A
Rationale: Soap and water are required when hands are visibly soiled or contaminated with
bodily fluids.
3. Which vital sign finding should the nurse report immediately?
,A. Temperature 98.6°F (37°C)
B. Respiratory rate 16/min
C. Blood pressure 84/50 mm Hg with dizziness
D. Pulse 76/min
Correct Answer: C
Rationale: Hypotension with symptoms may indicate inadequate tissue perfusion and requires
prompt assessment.
4. A nurse is using the nursing process. Which step comes after assessment?
A. Evaluation
B. Planning
C. Diagnosis
D. Implementation
Correct Answer: C
Rationale: The sequence is Assessment → Diagnosis → Planning → Implementation →
Evaluation.
5. Which client should the nurse assess first?
A. Client with chronic back pain requesting medication
B. Client with a new onset of chest pain
C. Client awaiting discharge instructions
D. Client requesting assistance with hygiene
Correct Answer: B
Rationale: Chest pain may indicate a life-threatening condition and takes priority.
6. Which statement by a client indicates informed consent?
A. "My spouse signed the form for me."
B. "The nurse explained the procedure and risks."
C. "I signed because the doctor told me to."
D. "I don't understand the procedure, but I signed anyway."
, Correct Answer: B
Rationale: Informed consent requires understanding of the procedure, risks, benefits, and
alternatives.
7. Which position is best for a client experiencing shortness of breath?
A. Supine
B. Trendelenburg
C. High Fowler's
D. Prone
Correct Answer: C
Rationale: High Fowler's promotes lung expansion and improves breathing.
8. Which finding indicates adequate oxygenation?
A. Cyanotic nail beds
B. Oxygen saturation of 98%
C. Restlessness and confusion
D. Respiratory rate of 32/min
Correct Answer: B
Rationale: An oxygen saturation of 98% is generally within the normal range.
9. The nurse receives a prescription that appears unclear. What is the nurse's first action?
A. Ask another nurse what it means
B. Clarify the prescription with the provider
C. Carry out the order as written
D. Delay care until the next shift
Correct Answer: B
Rationale: Unclear prescriptions must be clarified before implementation.
Complete Question Set with Verified Answers
& Rationales 100%
1. A nurse is caring for a client who is at risk for falls. Which intervention is most
appropriate?
A. Raise all four side rails at all times
B. Keep the bed in the lowest position and ensure the call light is within reach
C. Apply restraints when the nurse leaves the room
D. Encourage the client to ambulate without assistance
Correct Answer: B
Rationale: Keeping the bed low and the call light accessible helps prevent falls while promoting
client independence. Raising all four side rails may be considered a restraint.
2. Which action demonstrates proper hand hygiene?
A. Wash hands for at least 20 seconds with soap and water when visibly soiled
B. Wear gloves instead of washing hands
C. Use hand sanitizer after touching bodily fluids if hands are visibly dirty
D. Wash hands only before patient contact
Correct Answer: A
Rationale: Soap and water are required when hands are visibly soiled or contaminated with
bodily fluids.
3. Which vital sign finding should the nurse report immediately?
,A. Temperature 98.6°F (37°C)
B. Respiratory rate 16/min
C. Blood pressure 84/50 mm Hg with dizziness
D. Pulse 76/min
Correct Answer: C
Rationale: Hypotension with symptoms may indicate inadequate tissue perfusion and requires
prompt assessment.
4. A nurse is using the nursing process. Which step comes after assessment?
A. Evaluation
B. Planning
C. Diagnosis
D. Implementation
Correct Answer: C
Rationale: The sequence is Assessment → Diagnosis → Planning → Implementation →
Evaluation.
5. Which client should the nurse assess first?
A. Client with chronic back pain requesting medication
B. Client with a new onset of chest pain
C. Client awaiting discharge instructions
D. Client requesting assistance with hygiene
Correct Answer: B
Rationale: Chest pain may indicate a life-threatening condition and takes priority.
6. Which statement by a client indicates informed consent?
A. "My spouse signed the form for me."
B. "The nurse explained the procedure and risks."
C. "I signed because the doctor told me to."
D. "I don't understand the procedure, but I signed anyway."
, Correct Answer: B
Rationale: Informed consent requires understanding of the procedure, risks, benefits, and
alternatives.
7. Which position is best for a client experiencing shortness of breath?
A. Supine
B. Trendelenburg
C. High Fowler's
D. Prone
Correct Answer: C
Rationale: High Fowler's promotes lung expansion and improves breathing.
8. Which finding indicates adequate oxygenation?
A. Cyanotic nail beds
B. Oxygen saturation of 98%
C. Restlessness and confusion
D. Respiratory rate of 32/min
Correct Answer: B
Rationale: An oxygen saturation of 98% is generally within the normal range.
9. The nurse receives a prescription that appears unclear. What is the nurse's first action?
A. Ask another nurse what it means
B. Clarify the prescription with the provider
C. Carry out the order as written
D. Delay care until the next shift
Correct Answer: B
Rationale: Unclear prescriptions must be clarified before implementation.
