FUNDAMENTALS KAPLAN TEST BANK ACTUAL
EXAM 100 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
The nurse and the licensed practical nurse (LP/LVN) provide care to clients on the
medical floor. Which task can the nurse delegate to the LPN/LVN? -
....ANSWER...Administer a tap-water enema.
A two day postoperative client reports pain, tenderness, and redness of the right calf.
Which findings are most critical for the nurse to report to the health care provider? -
....ANSWER...Chest pain and shortness of breath.
An older adult client is diagnosed with a fractured femur after a fall and is recovering at
home with a walker. The home health nurse educates the client about fall prevention.
Which nursing observation in the home indicates the client has an understanding the
information provided? - ....ANSWER...The bathroom is equipped with grab bars.
The nurse knows which statement is an important fact about warfarin? - ....ANSWER...It
has a prolonged action.
The nurse instructs a client how to successfully begin a regular exercise program. The
nurse determines teaching is successful if the client makes which statement? -
....ANSWER..."I am making a commitment to exercise regularly."
A client is admitted to the medical unit with a temperature of 101°F (38.3°C) and a white
blood cell (WBC) count of 3,000/mm? (3 X 10°). The nurse institutes which precautions?
- ....ANSWER...Neutropenic precautions.
The nurse provides care for a client on the medical surgical floor who is experiencing
difficulty sleeping at night. Which nursing action is most appropriate to promote
adequate sleep for the client? - ....ANSWER...Avoid unnecessary lights, noises, and
interruptions at night.
The nurse identifies which diet best meets the needs of a client with multiple wounds? -
....ANSWER...High-vitamin C, high-protein, high-carbohydrate diet.
The nurse cares for an older adult client and provides education about dietary needs.
Which information is included in the teaching? - ....ANSWER...As metabolism
decreases, caloric need decreases.
, The nurse identifies which findings are characteristic of chronic pain? -
....ANSWER...Withdrawal and fatigue.
The nurse teaches a client how to maintain an adequate intake of protein. The nurse
determines teaching is most effective if the client chooses which foods for breakfast? -
....ANSWER...Scrambled eggs and whole wheat bread.
• A client returns from surgery with a drain sutured into the surgical wound. Which
explanation is the purpose of the drain? - ....ANSWER...It decreases fluid accumulation
within the tissues.
One morning, a client demonstrates helpless behavior and tells the nurse, "I do not
have enough strength to make my bed." When the nurse offers to assist, the client
states, "No one here likes me. You all hate me!" Which response by the nurse is best? -
....ANSWER..."You seem upset. Let's sit down in your room to talk about it."
The nurse helps a client cough and deep breathe after surgery. For coughing and deep
breathing to be most effective, the nurse assists the client to assume which position? -
....ANSWER...High Fowler. (allows the client to deep breathe and cough most
effectively)
The nurse provides care for a client following surgery to repair a broken femur. The
client is restless, perspiring, and grimaces when trying to move in the bed. Which is the
most appropriate intervention for the nurse to implement first? - ....ANSWER...assess
the client's pain level
The nurse observes a staff member prepare to leave the room of a client on droplet
precautions. The nurse intervenes if which action is observed? - ....ANSWER...The staff
member holds onto the outer surface of the face mask while pulling mask away from
face.
A client asks the nurse to provide examples of foods rich in vitamin C. Which food is a
good source of vitamin C? - ....ANSWER...Tomatoes.
(citrus fruits, apricots, and strawberries are excellent sources of vitamin C.)
In which situation does the nurse consider withholding morphine until further
assessment is completed? - ....ANSWER...Client's level of consciousness fluctuates
from drowsy to lethargic.
The nurse cares for a client with an open, draining wound on the lower left leg. The
client has a white blood cell count of 16,000/mm (16 x 10°/L). Which intervention does
the nurse anticipate in the client's plan of care? - ....ANSWER...Obtain a culture of the
wound and send to the laboratory.
EXAM 100 QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
The nurse and the licensed practical nurse (LP/LVN) provide care to clients on the
medical floor. Which task can the nurse delegate to the LPN/LVN? -
....ANSWER...Administer a tap-water enema.
A two day postoperative client reports pain, tenderness, and redness of the right calf.
Which findings are most critical for the nurse to report to the health care provider? -
....ANSWER...Chest pain and shortness of breath.
An older adult client is diagnosed with a fractured femur after a fall and is recovering at
home with a walker. The home health nurse educates the client about fall prevention.
Which nursing observation in the home indicates the client has an understanding the
information provided? - ....ANSWER...The bathroom is equipped with grab bars.
The nurse knows which statement is an important fact about warfarin? - ....ANSWER...It
has a prolonged action.
The nurse instructs a client how to successfully begin a regular exercise program. The
nurse determines teaching is successful if the client makes which statement? -
....ANSWER..."I am making a commitment to exercise regularly."
A client is admitted to the medical unit with a temperature of 101°F (38.3°C) and a white
blood cell (WBC) count of 3,000/mm? (3 X 10°). The nurse institutes which precautions?
- ....ANSWER...Neutropenic precautions.
The nurse provides care for a client on the medical surgical floor who is experiencing
difficulty sleeping at night. Which nursing action is most appropriate to promote
adequate sleep for the client? - ....ANSWER...Avoid unnecessary lights, noises, and
interruptions at night.
The nurse identifies which diet best meets the needs of a client with multiple wounds? -
....ANSWER...High-vitamin C, high-protein, high-carbohydrate diet.
The nurse cares for an older adult client and provides education about dietary needs.
Which information is included in the teaching? - ....ANSWER...As metabolism
decreases, caloric need decreases.
, The nurse identifies which findings are characteristic of chronic pain? -
....ANSWER...Withdrawal and fatigue.
The nurse teaches a client how to maintain an adequate intake of protein. The nurse
determines teaching is most effective if the client chooses which foods for breakfast? -
....ANSWER...Scrambled eggs and whole wheat bread.
• A client returns from surgery with a drain sutured into the surgical wound. Which
explanation is the purpose of the drain? - ....ANSWER...It decreases fluid accumulation
within the tissues.
One morning, a client demonstrates helpless behavior and tells the nurse, "I do not
have enough strength to make my bed." When the nurse offers to assist, the client
states, "No one here likes me. You all hate me!" Which response by the nurse is best? -
....ANSWER..."You seem upset. Let's sit down in your room to talk about it."
The nurse helps a client cough and deep breathe after surgery. For coughing and deep
breathing to be most effective, the nurse assists the client to assume which position? -
....ANSWER...High Fowler. (allows the client to deep breathe and cough most
effectively)
The nurse provides care for a client following surgery to repair a broken femur. The
client is restless, perspiring, and grimaces when trying to move in the bed. Which is the
most appropriate intervention for the nurse to implement first? - ....ANSWER...assess
the client's pain level
The nurse observes a staff member prepare to leave the room of a client on droplet
precautions. The nurse intervenes if which action is observed? - ....ANSWER...The staff
member holds onto the outer surface of the face mask while pulling mask away from
face.
A client asks the nurse to provide examples of foods rich in vitamin C. Which food is a
good source of vitamin C? - ....ANSWER...Tomatoes.
(citrus fruits, apricots, and strawberries are excellent sources of vitamin C.)
In which situation does the nurse consider withholding morphine until further
assessment is completed? - ....ANSWER...Client's level of consciousness fluctuates
from drowsy to lethargic.
The nurse cares for a client with an open, draining wound on the lower left leg. The
client has a white blood cell count of 16,000/mm (16 x 10°/L). Which intervention does
the nurse anticipate in the client's plan of care? - ....ANSWER...Obtain a culture of the
wound and send to the laboratory.
