KAPLAN FUNDAMENTALS INTEGRATED EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES
2026 Q&A | INSTANT DOWNLOAD PDF.
Core Domains
Safe and Effective Care Environment
Management of Care
Safety and Infection Prevention and Control
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity
Basic Care and Comfort
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Introduction
The Kaplan Fundamentals Integrated Exam is designed to assess
the entry-level nursing knowledge and clinical judgment required
for safe, effective practice. This assessment evaluates foundational
theory, applied professional knowledge, regulatory compliance, and
ethical standards. The exam utilizes multiple-choice and scenario-
based questions to measure critical thinking and decision-making
skills. Emphasis is placed on real-world application, ensuring
candidates can prioritize client needs and integrate evidence-based
practice into direct care situations. This comprehensive tool
prepares candidates for the demands of professional nursing by
testing the ability to analyze complex client data and implement
appropriate interventions.
,SECTION ONE: QUESTIONS 1–100
1. A nurse is preparing to administer a scheduled dose of
warfarin to a client. The client's most recent laboratory result
indicates an INR of 5.2. Which action should the nurse take first?
A. Administer the medication as prescribed.
B. Withhold the medication and notify the provider.
C. Prepare to administer vitamin K.
D. Document the finding and reassess in 24 hours.
🟢 B. Withhold the medication and notify the provider.
🔴 RATIONALE: An INR of 5.2 is significantly elevated, placing the
client at high risk for hemorrhage. The therapeutic range for
warfarin is typically 2.0 to 3.0. The nurse must withhold the dose
and inform the provider immediately to prevent serious bleeding
complications.
2. A nurse is caring for a client who has just returned from
surgery with a Jackson-Pratt drain in place. Which assessment
finding requires immediate intervention?
A. The drain has 30 mL of serosanguineous fluid in the bulb.
B. The bulb is compressed and creating suction.
C. The drainage has suddenly become bright red and increased to
100 mL in one hour.
D. The client reports mild discomfort at the drain site.
🟢 C. The drainage has suddenly become bright red and
increased to 100 mL in one hour.
🔴 RATIONALE: A sudden increase in bright red drainage
indicates active hemorrhage, which is a surgical emergency. The
,nurse must notify the surgeon immediately and prepare to
intervene.
3. A client with a history of heart failure is prescribed
furosemide. Which assessment finding indicates a potential
complication of this therapy?
A. Blood pressure of 118/72 mm Hg.
B. Serum potassium of 3.1 mEq/L.
C. Urine output of 50 mL/hr.
D. Weight loss of 1 kg over 24 hours.
🟢 B. Serum potassium of 3.1 mEq/L.
🔴 RATIONALE: Furosemide is a loop diuretic that causes
potassium loss. A serum potassium below 3.5 mEq/L indicates
hypokalemia, which can lead to cardiac dysrhythmias and muscle
weakness.
4. A nurse is teaching a client about the use of a metered-dose
inhaler with a spacer. Which statement by the client indicates a
need for further teaching?
A. "I will shake the inhaler before each use."
B. "I will exhale completely before activating the inhaler."
C. "I will inhale quickly and forcefully after activating the device."
D. "I will hold my breath for 10 seconds after inhaling the
medication."
🟢 C. "I will inhale quickly and forcefully after activating the
device."
🔴 RATIONALE: The client should inhale slowly and deeply over 3
to 5 seconds after activating the inhaler. A rapid inhalation may
cause the medication to deposit in the mouth and throat rather
than the lungs.
, 5. A nurse is assessing a client who is 24 hours postoperative
following a total hip arthroplasty. Which finding should the
nurse report to the provider immediately?
A. Temperature of 37.8°C (100.0°F).
B. Pain at the surgical site relieved by medication.
C. Shortness of breath and chest pain.
D. Hemoglobin of 10.5 g/dL.
🟢 C. Shortness of breath and chest pain.
🔴 RATIONALE: Shortness of breath and chest pain 24 hours after
hip surgery are classic signs of a pulmonary embolism, a life-
threatening complication. The nurse must report this immediately.
6. A client is admitted with a diagnosis of diabetic ketoacidosis.
Which laboratory value should the nurse expect to find?
A. Blood glucose of 120 mg/dL.
B. Serum pH of 7.50.
C. Serum bicarbonate of 12 mEq/L.
D. Urine ketones negative.
🟢 C. Serum bicarbonate of 12 mEq/L.
🔴 RATIONALE: Diabetic ketoacidosis is characterized by
metabolic acidosis. A serum bicarbonate below 15 mEq/L is
consistent with this diagnosis. The pH would be low, and ketones
would be present.
7. A nurse is preparing to administer an intramuscular injection
to an infant. Which site is most appropriate?
A. Deltoid muscle.
B. Ventrogluteal muscle.
CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES
2026 Q&A | INSTANT DOWNLOAD PDF.
Core Domains
Safe and Effective Care Environment
Management of Care
Safety and Infection Prevention and Control
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity
Basic Care and Comfort
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Introduction
The Kaplan Fundamentals Integrated Exam is designed to assess
the entry-level nursing knowledge and clinical judgment required
for safe, effective practice. This assessment evaluates foundational
theory, applied professional knowledge, regulatory compliance, and
ethical standards. The exam utilizes multiple-choice and scenario-
based questions to measure critical thinking and decision-making
skills. Emphasis is placed on real-world application, ensuring
candidates can prioritize client needs and integrate evidence-based
practice into direct care situations. This comprehensive tool
prepares candidates for the demands of professional nursing by
testing the ability to analyze complex client data and implement
appropriate interventions.
,SECTION ONE: QUESTIONS 1–100
1. A nurse is preparing to administer a scheduled dose of
warfarin to a client. The client's most recent laboratory result
indicates an INR of 5.2. Which action should the nurse take first?
A. Administer the medication as prescribed.
B. Withhold the medication and notify the provider.
C. Prepare to administer vitamin K.
D. Document the finding and reassess in 24 hours.
🟢 B. Withhold the medication and notify the provider.
🔴 RATIONALE: An INR of 5.2 is significantly elevated, placing the
client at high risk for hemorrhage. The therapeutic range for
warfarin is typically 2.0 to 3.0. The nurse must withhold the dose
and inform the provider immediately to prevent serious bleeding
complications.
2. A nurse is caring for a client who has just returned from
surgery with a Jackson-Pratt drain in place. Which assessment
finding requires immediate intervention?
A. The drain has 30 mL of serosanguineous fluid in the bulb.
B. The bulb is compressed and creating suction.
C. The drainage has suddenly become bright red and increased to
100 mL in one hour.
D. The client reports mild discomfort at the drain site.
🟢 C. The drainage has suddenly become bright red and
increased to 100 mL in one hour.
🔴 RATIONALE: A sudden increase in bright red drainage
indicates active hemorrhage, which is a surgical emergency. The
,nurse must notify the surgeon immediately and prepare to
intervene.
3. A client with a history of heart failure is prescribed
furosemide. Which assessment finding indicates a potential
complication of this therapy?
A. Blood pressure of 118/72 mm Hg.
B. Serum potassium of 3.1 mEq/L.
C. Urine output of 50 mL/hr.
D. Weight loss of 1 kg over 24 hours.
🟢 B. Serum potassium of 3.1 mEq/L.
🔴 RATIONALE: Furosemide is a loop diuretic that causes
potassium loss. A serum potassium below 3.5 mEq/L indicates
hypokalemia, which can lead to cardiac dysrhythmias and muscle
weakness.
4. A nurse is teaching a client about the use of a metered-dose
inhaler with a spacer. Which statement by the client indicates a
need for further teaching?
A. "I will shake the inhaler before each use."
B. "I will exhale completely before activating the inhaler."
C. "I will inhale quickly and forcefully after activating the device."
D. "I will hold my breath for 10 seconds after inhaling the
medication."
🟢 C. "I will inhale quickly and forcefully after activating the
device."
🔴 RATIONALE: The client should inhale slowly and deeply over 3
to 5 seconds after activating the inhaler. A rapid inhalation may
cause the medication to deposit in the mouth and throat rather
than the lungs.
, 5. A nurse is assessing a client who is 24 hours postoperative
following a total hip arthroplasty. Which finding should the
nurse report to the provider immediately?
A. Temperature of 37.8°C (100.0°F).
B. Pain at the surgical site relieved by medication.
C. Shortness of breath and chest pain.
D. Hemoglobin of 10.5 g/dL.
🟢 C. Shortness of breath and chest pain.
🔴 RATIONALE: Shortness of breath and chest pain 24 hours after
hip surgery are classic signs of a pulmonary embolism, a life-
threatening complication. The nurse must report this immediately.
6. A client is admitted with a diagnosis of diabetic ketoacidosis.
Which laboratory value should the nurse expect to find?
A. Blood glucose of 120 mg/dL.
B. Serum pH of 7.50.
C. Serum bicarbonate of 12 mEq/L.
D. Urine ketones negative.
🟢 C. Serum bicarbonate of 12 mEq/L.
🔴 RATIONALE: Diabetic ketoacidosis is characterized by
metabolic acidosis. A serum bicarbonate below 15 mEq/L is
consistent with this diagnosis. The pH would be low, and ketones
would be present.
7. A nurse is preparing to administer an intramuscular injection
to an infant. Which site is most appropriate?
A. Deltoid muscle.
B. Ventrogluteal muscle.
