Verified Answers 2025/2026
A nurse is updating a plan of care after an evaluation of a client who has
dysphagia. Which of the following interventions should the nurse include in
the plan?
a) Ask the client to tilt their head back when swallowing
b) Have the client sit upright for 1 hour following meals.
c) Administer liquids to the client using a syringe.
d) Allow the client to rest of 10 min prior to eating. - ANSWER--b) Have the
client sit upright for 1 hour following meals.
A nurse is assessing the IV infusion site of client who reports pain at the
site. The site is red and there is warmth along the course of the vein. Which
of the following actions should the nurse take?
a) initiate a new IV line below the original insertion site.
b) discontinue the infusion.
c) raise the head of the bed.
d) obtain a culture from the area of the insertion site. - ANSWER--b)
discontinue the infusion.
A nurse is preparing to perform a routine abdominal assessment for a
client. Which of the following actions should the nurse take?
a) document shiny, taut skin as an expected finding.
b) perform palpitation after auscultation.
c) listen for 1 minute before documenting absent bowel sounds.
, Kaplan Medical Surgical Integrated Exam with
Verified Answers 2025/2026
d) perform auscultation immediately after the client has consumed a meal. -
ANSWER--b) perform palpitation after auscultation.
A nurse is discusses immunity with a client who has received an
immunization. The nurse should identify that an immunization functions as
part of the which of following types of immunity?
a) passive immunity.
b) active immunity.
c) cellular immunity.
d) acquired immunity. - ANSWER--d) acquired immunity.
A nurse is reviewing the medical records of a group of older adult clients.
The nurse should identify that which of the following is a risk factor that
places older clients at an increased risk for developing infections?
a) overproduction of lymphocytes.
b) elevated albumin levels.
c) lowered immune system function.
d) increased body fat. - ANSWER--c) lowered immune system function.
A nurse is teaching the client who has asthma the use of a metered dose
inhaler. Which of the following instructions should the nurse include in the
teaching?
a) hold your breath for 6 seconds after inhaling the medication.