KAPLAN FUNDAMENTALS INTEGRATED TEST | 100
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES | BRAND NEW 2025/2026 VERSION
Core Domains
1. Basic Nursing Care – Hygiene, Mobility, Nutrition, Elimination, Sleep/Rest, Pain
Management, Comfort, Wound Care
2. Safety and Infection Control – Standard/Transmission Precautions, Hand Hygiene,
PPE, Restraints, Seizure Precautions, Fall Prevention, Emergency Response
3. Professional Nursing – Legal and Ethical Issues, Advance Directives, HIPAA,
Informed Consent, Delegation, Scope of Practice, Documentation
4. Communication and Psychosocial Support – Therapeutic Communication,
Cultural Competence, Grief and Loss, Coping Mechanisms, Client Advocacy
5. Pharmacological and Parenteral Therapies – Medication Administration, Routes,
Dosage Calculations, Adverse Effects, IV Therapy, Blood Products
6. Health Promotion and Maintenance – Health Screening, Immunizations, Disease
Prevention, Developmental Stages, Aging Process, Client Education
7. Physiological Adaptation – Fluid and Electrolyte Balance, Acid-Base Balance, Vital
Signs, Medical Emergencies, Perioperative Care
8. Reduction of Risk Potential – Diagnostic Tests, Lab Values, Therapeutic
Procedures, Unexpected Responses, Client Monitoring
9. NGN – Clinical Judgment, Bow-Tie Case Studies, Extended Multiple Response
(SATA), Unfolding Cases, Prioritization
10. NGN – Interprofessional Collaboration, Quality Improvement, Care Coordination,
Health Teaching, Transition of Care
Introduction
This comprehensive practice examination is designed for nursing students preparing
for the Kaplan Fundamentals Integrated Test. The assessment covers all essential
domains required for successful program completion and NCLEX readiness,
including basic nursing care, safety and infection control, professional nursing,
,communication, pharmacological therapies, health promotion, physiological
adaptation, and reduction of risk potential. Through a combination of multiple-choice
questions, Select-All-That-Apply (SATA), and Next Generation NCLEX (NGN) style
case studies, candidates will demonstrate their understanding of fundamental
nursing concepts, clinical judgment, and decision-making in diverse patient
scenarios. Each question includes a detailed rationale explaining the correct answer
and reinforcing key concepts. Successful completion of this examination
demonstrates readiness for the official Kaplan Fundamentals Integrated Test and the
NCLEX licensure examination.
SECTION ONE: QUESTIONS 1-100
1. A nurse is preparing to administer a medication to a client. Which of the
following actions is the most important for the nurse to take to ensure client
safety?
A. Check the client's identification using two identifiers
B. Assess the client's vital signs prior to administration
C. Document the medication after administration
D. Confirm the client's allergies
A. Check the client's identification using two identifiers
RATIONALE: Identifying the client using two identifiers is the most important
safety measure to ensure the right client receives the medication. The "Rights" of
medication administration include right client, right drug, right dose, right route, right
time, and right documentation.
2. A nurse is caring for a client who has a nasogastric tube. Which of the following
actions should the nurse take to verify proper tube placement?
A. Auscultate for air insufflation over the epigastrium
B. Aspirate gastric contents and check the pH
C. Measure the length of the exposed tube
D. Obtain an X-ray
, D. Obtain an X-ray
RATIONALE: An X-ray is the gold standard for confirming proper placement of a
nasogastric tube. While pH testing of aspirated gastric contents is a common
bedside method, an X-ray provides definitive confirmation and is the safest
approach.
3. A nurse is providing discharge teaching to a client who has a new prescription
for warfarin. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I will avoid leafy green vegetables."
B. "I will take ibuprofen for headaches."
C. "I will have my INR checked regularly."
D. Both A and C
D. Both A and C
RATIONALE: Clients on warfarin should avoid vitamin K-rich foods (leafy green
vegetables) to maintain therapeutic INR levels, and they should have INR monitored
regularly. Ibuprofen increases bleeding risk and should be avoided.
4. A nurse is caring for a client who is postoperative and has a prescription for a
sequential compression device (SCD). Which of the following is the primary
purpose of this device?
A. Prevent muscle atrophy
B. Improve circulation to the lower extremities
C. Prevent deep vein thrombosis
D. Reduce edema
C. Prevent deep vein thrombosis
RATIONALE: Sequential compression devices are used to prevent deep vein
thrombosis (DVT) by promoting venous return from the lower extremities and
reducing stasis of blood.
, 5. A nurse is preparing to insert an indwelling urinary catheter for a female client.
Which of the following actions should the nurse take?
A. Place the client in a side-lying position
B. Insert the catheter 1-2 inches into the urethra
C. Advance the catheter an additional 2-3 inches after urine begins to flow
D. Use sterile gloves for the procedure
D. Use sterile gloves for the procedure
RATIONALE: Sterile gloves should be used for urinary catheter insertion to
prevent infection. The client should be in the dorsal recumbent position. The
catheter should be inserted 2-3 inches into the urethra and advanced 1-2 inches
after urine begins to flow.
6. A nurse is assessing a client's skin turgor. Which of the following findings
indicates adequate hydration?
A. Skin that remains tented after being pinched
B. Skin that returns to normal immediately after being pinched
C. Skin that feels dry and scaly
D. Skin that is warm to the touch
B. Skin that returns to normal immediately after being pinched
RATIONALE: Normal skin turgor is characterized by skin that returns to its original
position immediately after being pinched. Skin tenting that remains indicates
dehydration.
7. A nurse is providing teaching to a client about the use of a patient-controlled
analgesia (PCA) pump. Which of the following statements by the client indicates
an understanding of the teaching?
A. "I will ask my family member to push the button for me if I am asleep."
B. "I will push the button whenever I feel pain."
C. "I will push the button before physical therapy."
D. "I will notify the nurse if the pain is not relieved."
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES | BRAND NEW 2025/2026 VERSION
Core Domains
1. Basic Nursing Care – Hygiene, Mobility, Nutrition, Elimination, Sleep/Rest, Pain
Management, Comfort, Wound Care
2. Safety and Infection Control – Standard/Transmission Precautions, Hand Hygiene,
PPE, Restraints, Seizure Precautions, Fall Prevention, Emergency Response
3. Professional Nursing – Legal and Ethical Issues, Advance Directives, HIPAA,
Informed Consent, Delegation, Scope of Practice, Documentation
4. Communication and Psychosocial Support – Therapeutic Communication,
Cultural Competence, Grief and Loss, Coping Mechanisms, Client Advocacy
5. Pharmacological and Parenteral Therapies – Medication Administration, Routes,
Dosage Calculations, Adverse Effects, IV Therapy, Blood Products
6. Health Promotion and Maintenance – Health Screening, Immunizations, Disease
Prevention, Developmental Stages, Aging Process, Client Education
7. Physiological Adaptation – Fluid and Electrolyte Balance, Acid-Base Balance, Vital
Signs, Medical Emergencies, Perioperative Care
8. Reduction of Risk Potential – Diagnostic Tests, Lab Values, Therapeutic
Procedures, Unexpected Responses, Client Monitoring
9. NGN – Clinical Judgment, Bow-Tie Case Studies, Extended Multiple Response
(SATA), Unfolding Cases, Prioritization
10. NGN – Interprofessional Collaboration, Quality Improvement, Care Coordination,
Health Teaching, Transition of Care
Introduction
This comprehensive practice examination is designed for nursing students preparing
for the Kaplan Fundamentals Integrated Test. The assessment covers all essential
domains required for successful program completion and NCLEX readiness,
including basic nursing care, safety and infection control, professional nursing,
,communication, pharmacological therapies, health promotion, physiological
adaptation, and reduction of risk potential. Through a combination of multiple-choice
questions, Select-All-That-Apply (SATA), and Next Generation NCLEX (NGN) style
case studies, candidates will demonstrate their understanding of fundamental
nursing concepts, clinical judgment, and decision-making in diverse patient
scenarios. Each question includes a detailed rationale explaining the correct answer
and reinforcing key concepts. Successful completion of this examination
demonstrates readiness for the official Kaplan Fundamentals Integrated Test and the
NCLEX licensure examination.
SECTION ONE: QUESTIONS 1-100
1. A nurse is preparing to administer a medication to a client. Which of the
following actions is the most important for the nurse to take to ensure client
safety?
A. Check the client's identification using two identifiers
B. Assess the client's vital signs prior to administration
C. Document the medication after administration
D. Confirm the client's allergies
A. Check the client's identification using two identifiers
RATIONALE: Identifying the client using two identifiers is the most important
safety measure to ensure the right client receives the medication. The "Rights" of
medication administration include right client, right drug, right dose, right route, right
time, and right documentation.
2. A nurse is caring for a client who has a nasogastric tube. Which of the following
actions should the nurse take to verify proper tube placement?
A. Auscultate for air insufflation over the epigastrium
B. Aspirate gastric contents and check the pH
C. Measure the length of the exposed tube
D. Obtain an X-ray
, D. Obtain an X-ray
RATIONALE: An X-ray is the gold standard for confirming proper placement of a
nasogastric tube. While pH testing of aspirated gastric contents is a common
bedside method, an X-ray provides definitive confirmation and is the safest
approach.
3. A nurse is providing discharge teaching to a client who has a new prescription
for warfarin. Which of the following statements by the client indicates an
understanding of the teaching?
A. "I will avoid leafy green vegetables."
B. "I will take ibuprofen for headaches."
C. "I will have my INR checked regularly."
D. Both A and C
D. Both A and C
RATIONALE: Clients on warfarin should avoid vitamin K-rich foods (leafy green
vegetables) to maintain therapeutic INR levels, and they should have INR monitored
regularly. Ibuprofen increases bleeding risk and should be avoided.
4. A nurse is caring for a client who is postoperative and has a prescription for a
sequential compression device (SCD). Which of the following is the primary
purpose of this device?
A. Prevent muscle atrophy
B. Improve circulation to the lower extremities
C. Prevent deep vein thrombosis
D. Reduce edema
C. Prevent deep vein thrombosis
RATIONALE: Sequential compression devices are used to prevent deep vein
thrombosis (DVT) by promoting venous return from the lower extremities and
reducing stasis of blood.
, 5. A nurse is preparing to insert an indwelling urinary catheter for a female client.
Which of the following actions should the nurse take?
A. Place the client in a side-lying position
B. Insert the catheter 1-2 inches into the urethra
C. Advance the catheter an additional 2-3 inches after urine begins to flow
D. Use sterile gloves for the procedure
D. Use sterile gloves for the procedure
RATIONALE: Sterile gloves should be used for urinary catheter insertion to
prevent infection. The client should be in the dorsal recumbent position. The
catheter should be inserted 2-3 inches into the urethra and advanced 1-2 inches
after urine begins to flow.
6. A nurse is assessing a client's skin turgor. Which of the following findings
indicates adequate hydration?
A. Skin that remains tented after being pinched
B. Skin that returns to normal immediately after being pinched
C. Skin that feels dry and scaly
D. Skin that is warm to the touch
B. Skin that returns to normal immediately after being pinched
RATIONALE: Normal skin turgor is characterized by skin that returns to its original
position immediately after being pinched. Skin tenting that remains indicates
dehydration.
7. A nurse is providing teaching to a client about the use of a patient-controlled
analgesia (PCA) pump. Which of the following statements by the client indicates
an understanding of the teaching?
A. "I will ask my family member to push the button for me if I am asleep."
B. "I will push the button whenever I feel pain."
C. "I will push the button before physical therapy."
D. "I will notify the nurse if the pain is not relieved."
