FUNDAMENTALS KAPLAN TEST BANK ACTUAL EXAM 250 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
Acreage Reporting Date - (ANSWER)The deadline for providing the insurer with an acreage
report, which is used to determine the amount of coverage needed and the premium
charged for a particular crop. What are cognitive symptoms of psychotic disorders -
(ANSWER)-disordered thinkinFamotidine ( pepcid ) , Ranitidine, Cimetidine, Nizatidine -
(ANSWER)- Suppress SeWhich action shoulA physician orders nutritional therapy
administered via a central vein for a client who cannot take foods orally. What is the term
for this type of nutrition? - (ANSWER)Total parenteral nutrition (TPN)
Which client would be a candidate for total parenteral nutrition? - (ANSWER)A client with
colitis and bloody diarrhea
A nurse is developing a plan of care for a client who is at high risk for developing pressure
injuries. Which intervention should the nurse include in the plan to prevent the
development of pressure injuries? Select all that apply. - (ANSWER)provide incontinent
care every 2 hours and as needed.
turn the client every 2 hours when the client is in bed.
encourage the client to take fluids every 2 hours.
Which nursing interventions reflect the accurate use of heat or cold during wound care?
Select all that apply. - (ANSWER)The nurse makes more frequent checks of the skin of an
older adult using a heating pad.
The nurse fills an ice bag with small pieces of ice to about two-thirds full.
The nurse covers a cold pack with a cotton sleeve to keep it in place on an arm.
The nurse is caring for a client with an ankle sprain. Which client statement regarding an
ice pack indicates that nursing teaching has been effective? - (ANSWER)"I will put a layer
of cloth between my skin and the ice pack."
,A nurse is caring for a postoperative client. What intervention(s) will help prevent
thrombophlebitis? Select all that apply. - (ANSWER)Leg range of motion exercises
Sequential compression devices (SCDs) and antiembolic stockings
Early ambulation as tolerated
Frequent turning and positioning
The nurse observes a client independently move all the joints through their normal
motions. Which range of motion has the client demonstrated? - (ANSWER)Active range of
motion
A client has had a stroke and will require long-term tube feeding. Which type of feeding
tubes would be most appropriate for this client's needs? - (ANSWER)Gastrostomy tube
A new unlicensed assistive personnel (UAP) is preparing to ambulate an obese client. The
registered nurse (RN) is concerned about the UAP's ability to safely ambulate the client.
Which would be the nurse's most appropriate action? - (ANSWER)Tell the UAP that the RN
will assist the UAP with the client's ambulation.
The physician has ordered that the client should ambulate 3 times a day. The nurse enters
the room to ambulate the client and the client reports pain. What is the nurse's most
appropriate action? - (ANSWER)Medicate the client and wait to ambulate later.
The nurse is caring for an older adult client who states the need to use the restroom.
Which safety intervention must the nurse perform first? - (ANSWER)Assess the need for
assistance with ambulation.
The nurse is caring for a client who is postoperative 3 days from coronary artery bypass
graft. The client has a prescription to ambulate. What is the best action by the nurse? -
(ANSWER)Discuss with the client the need for assistance during ambulation.
,A client who is bedridden and dependent has been ordered to resume an oral diet. When
feeding the client, the nurse should perform what action? - (ANSWER)Assist the client into
a high-Fowler's position.
The charge nurse is observing a new nurse care for a client who is receiving a continuous
feeding through a nasogastric feeding tube. Which action by the new nurse would require
intervention by the charge nurse? - (ANSWER)The new nurse places the client in the left
lateral recumbent position.
A nurse is assisting a client with the use of a bedpan. The nurse understands that which
statement about bedpans is true? - (ANSWER)The largest part of a regular bedpan should
be placed under the client's buttocks.
The client is preparing to obtain a clean-catch midstream urine specimen. List in order the
steps needed to complete the diagnostic test. - (ANSWER)Provide instruction to the client.
Clean the area surrounding the urinary meatus with the provided cloth.
Void a small amount into stool.
Void into the provided collection device.
Secure the lid on the specimen container.
Submit collected specimen to the health care professional.
The nurse needs to collect a stool specimen for culture from a client. The client passed
stool into the toilet instead of using the collection container. What is the next step for the
nurse? - (ANSWER)Reinstruct the client on use of collection container for next bowel
movement.
A client has just had abdominal surgery, and the nurse is consulting with him about his
diet now that he is allowed to eat. Which nutrient is most important for wound healing? -
(ANSWER)protein
, The emergency room nurse is caring for a client who will need a lumbar puncture. The
health care provider prescribes lidocaine 2.5% and prilocaine 2.5% cream (EMLA) to
decrease the pain associated with the procedure. When should the nurse administer the
cream? - (ANSWER)One hour prior to the procedure
A nurse is providing oral care to an unconscious client. When planning this intervention,
the nurse should prioritize which nursing diagnosis? - (ANSWER)Risk for Aspiration
When providing oral care, what does the nurse recognize as the most important
component of the oral care process? - (ANSWER)a thorough, mechanical cleaning
Which health problem is most clearly suggestive of a history of inadequate dental care? -
(ANSWER)periodontitis
When teaching a client, which laboratory tests will the nurse identify that assess cardiac
and vascular disease risk? Select all that apply. - (ANSWER)cholesterol level
lipoprotein level
triglyceride level
A nurse is caring for a client with fecal impaction. Which factors cause fecal impaction?
Select all that apply. - (ANSWER)weak abdominal muscles
severe dehydration
unrelieved constipation
The nurse is performing digital removal of a fecal impaction. Which nursing actions follow
guidelines for this procedure? Select all that apply. - (ANSWER)place the client in a side-
lying position.
Use nonsterile gloves for the procedure because the intestinal tract is not sterile.
DETAILED ANSWERS WITH RATIONALES
Acreage Reporting Date - (ANSWER)The deadline for providing the insurer with an acreage
report, which is used to determine the amount of coverage needed and the premium
charged for a particular crop. What are cognitive symptoms of psychotic disorders -
(ANSWER)-disordered thinkinFamotidine ( pepcid ) , Ranitidine, Cimetidine, Nizatidine -
(ANSWER)- Suppress SeWhich action shoulA physician orders nutritional therapy
administered via a central vein for a client who cannot take foods orally. What is the term
for this type of nutrition? - (ANSWER)Total parenteral nutrition (TPN)
Which client would be a candidate for total parenteral nutrition? - (ANSWER)A client with
colitis and bloody diarrhea
A nurse is developing a plan of care for a client who is at high risk for developing pressure
injuries. Which intervention should the nurse include in the plan to prevent the
development of pressure injuries? Select all that apply. - (ANSWER)provide incontinent
care every 2 hours and as needed.
turn the client every 2 hours when the client is in bed.
encourage the client to take fluids every 2 hours.
Which nursing interventions reflect the accurate use of heat or cold during wound care?
Select all that apply. - (ANSWER)The nurse makes more frequent checks of the skin of an
older adult using a heating pad.
The nurse fills an ice bag with small pieces of ice to about two-thirds full.
The nurse covers a cold pack with a cotton sleeve to keep it in place on an arm.
The nurse is caring for a client with an ankle sprain. Which client statement regarding an
ice pack indicates that nursing teaching has been effective? - (ANSWER)"I will put a layer
of cloth between my skin and the ice pack."
,A nurse is caring for a postoperative client. What intervention(s) will help prevent
thrombophlebitis? Select all that apply. - (ANSWER)Leg range of motion exercises
Sequential compression devices (SCDs) and antiembolic stockings
Early ambulation as tolerated
Frequent turning and positioning
The nurse observes a client independently move all the joints through their normal
motions. Which range of motion has the client demonstrated? - (ANSWER)Active range of
motion
A client has had a stroke and will require long-term tube feeding. Which type of feeding
tubes would be most appropriate for this client's needs? - (ANSWER)Gastrostomy tube
A new unlicensed assistive personnel (UAP) is preparing to ambulate an obese client. The
registered nurse (RN) is concerned about the UAP's ability to safely ambulate the client.
Which would be the nurse's most appropriate action? - (ANSWER)Tell the UAP that the RN
will assist the UAP with the client's ambulation.
The physician has ordered that the client should ambulate 3 times a day. The nurse enters
the room to ambulate the client and the client reports pain. What is the nurse's most
appropriate action? - (ANSWER)Medicate the client and wait to ambulate later.
The nurse is caring for an older adult client who states the need to use the restroom.
Which safety intervention must the nurse perform first? - (ANSWER)Assess the need for
assistance with ambulation.
The nurse is caring for a client who is postoperative 3 days from coronary artery bypass
graft. The client has a prescription to ambulate. What is the best action by the nurse? -
(ANSWER)Discuss with the client the need for assistance during ambulation.
,A client who is bedridden and dependent has been ordered to resume an oral diet. When
feeding the client, the nurse should perform what action? - (ANSWER)Assist the client into
a high-Fowler's position.
The charge nurse is observing a new nurse care for a client who is receiving a continuous
feeding through a nasogastric feeding tube. Which action by the new nurse would require
intervention by the charge nurse? - (ANSWER)The new nurse places the client in the left
lateral recumbent position.
A nurse is assisting a client with the use of a bedpan. The nurse understands that which
statement about bedpans is true? - (ANSWER)The largest part of a regular bedpan should
be placed under the client's buttocks.
The client is preparing to obtain a clean-catch midstream urine specimen. List in order the
steps needed to complete the diagnostic test. - (ANSWER)Provide instruction to the client.
Clean the area surrounding the urinary meatus with the provided cloth.
Void a small amount into stool.
Void into the provided collection device.
Secure the lid on the specimen container.
Submit collected specimen to the health care professional.
The nurse needs to collect a stool specimen for culture from a client. The client passed
stool into the toilet instead of using the collection container. What is the next step for the
nurse? - (ANSWER)Reinstruct the client on use of collection container for next bowel
movement.
A client has just had abdominal surgery, and the nurse is consulting with him about his
diet now that he is allowed to eat. Which nutrient is most important for wound healing? -
(ANSWER)protein
, The emergency room nurse is caring for a client who will need a lumbar puncture. The
health care provider prescribes lidocaine 2.5% and prilocaine 2.5% cream (EMLA) to
decrease the pain associated with the procedure. When should the nurse administer the
cream? - (ANSWER)One hour prior to the procedure
A nurse is providing oral care to an unconscious client. When planning this intervention,
the nurse should prioritize which nursing diagnosis? - (ANSWER)Risk for Aspiration
When providing oral care, what does the nurse recognize as the most important
component of the oral care process? - (ANSWER)a thorough, mechanical cleaning
Which health problem is most clearly suggestive of a history of inadequate dental care? -
(ANSWER)periodontitis
When teaching a client, which laboratory tests will the nurse identify that assess cardiac
and vascular disease risk? Select all that apply. - (ANSWER)cholesterol level
lipoprotein level
triglyceride level
A nurse is caring for a client with fecal impaction. Which factors cause fecal impaction?
Select all that apply. - (ANSWER)weak abdominal muscles
severe dehydration
unrelieved constipation
The nurse is performing digital removal of a fecal impaction. Which nursing actions follow
guidelines for this procedure? Select all that apply. - (ANSWER)place the client in a side-
lying position.
Use nonsterile gloves for the procedure because the intestinal tract is not sterile.
