KAPLAN MEDICAL SURGICAL
COMPREHENSIVE AND EXAM
FOCUSED EXAM WITH OVER 200
QUESTIONS AND CORRECT ANSWERS|
VERIFIED!
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.
d) perform auscultation immediately after the client has consumed a meal. - Answer b) perform
palpitation after auscultation.
A nurse is discussion 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.
b) do not shake the medication in the inhaler.
c) inhale the medication deeply for 5 seconds.
d) hold the inhaler 3 inches away from your mouth. - Answer c) inhale the medication deeply for
5 seconds.
A nurse is assessing the pain level of a client who has dementia and difficulty communicating.
Which of the following pain assessment techniques should the nurse use?
a) numerical pain scale.
b) faces pain scale
c) verbal description
d) behavioural indicators - Answer d) behavioural indicators.
A nurse in an emergency department is monitoring the hydration status of a client who is
receiving oral rehydration. Which of the following findings should the nurse identify as requiring
further interventions?
a) heart rate 120/min
b) BP 121/74 mmHg
c) Temperature 37.78C (100F)
d) Urine specific gravity 1.020 - Answer a) heart rate 120/min
A nurse in a provider's office is assessing the motor skill development of a 15 month old toddler
during a well child visit. Which of the following gross motor skills should the nurse expect?
a) takes several steps on tip toes.
b) walks without assistance using a wide stance.
, c) has an accentuated cervical curvature when standing.
d) stands with the feet turned slightly inward. - Answer b) walks without assistance using a wide
stance.
A nurse is teaching a group of parents and guardians about safety risks for adolescents. Which of
the following statements should the nurse include in the teaching?
a) "exploring the environment commonly leads to injuries for this age group"
b) "most injuries sustained during this time of life are caused by developing motor skills"
c) "at this age, peer influence to participate in high-risk behaviours can lead to injury"
d) "the risk for injuries sustained during this age are often a result of a change in cognitive
function" - Answer c) "at this age, peer influence to participate in high-risk behaviours can lead
to injury"
A nurse is caring for a client who expresses anxiety about an upcoming surgery. Which of the
following actions should the nurse take?
a) ask the client to describe their feelings.
b) discuss the competency of the surgeon with the client.
c) inform the client that others have had the procedure without problems.
d) ask the client why they are experiencing anxiety. - Answer a) ask the client to describe their
feelings.
A nurse is reviewing information about advance directives with a newly admitted client. Which
of the following statements by the client indicates an understanding of the teaching?
a) "I need to have an attorney sign my advance directives"
b) "I have a living will that outlines my wishes if I am unable to make decisions"
c) "I must have a family member appointed to make my health care decisions"
COMPREHENSIVE AND EXAM
FOCUSED EXAM WITH OVER 200
QUESTIONS AND CORRECT ANSWERS|
VERIFIED!
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.
d) perform auscultation immediately after the client has consumed a meal. - Answer b) perform
palpitation after auscultation.
A nurse is discussion 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.
b) do not shake the medication in the inhaler.
c) inhale the medication deeply for 5 seconds.
d) hold the inhaler 3 inches away from your mouth. - Answer c) inhale the medication deeply for
5 seconds.
A nurse is assessing the pain level of a client who has dementia and difficulty communicating.
Which of the following pain assessment techniques should the nurse use?
a) numerical pain scale.
b) faces pain scale
c) verbal description
d) behavioural indicators - Answer d) behavioural indicators.
A nurse in an emergency department is monitoring the hydration status of a client who is
receiving oral rehydration. Which of the following findings should the nurse identify as requiring
further interventions?
a) heart rate 120/min
b) BP 121/74 mmHg
c) Temperature 37.78C (100F)
d) Urine specific gravity 1.020 - Answer a) heart rate 120/min
A nurse in a provider's office is assessing the motor skill development of a 15 month old toddler
during a well child visit. Which of the following gross motor skills should the nurse expect?
a) takes several steps on tip toes.
b) walks without assistance using a wide stance.
, c) has an accentuated cervical curvature when standing.
d) stands with the feet turned slightly inward. - Answer b) walks without assistance using a wide
stance.
A nurse is teaching a group of parents and guardians about safety risks for adolescents. Which of
the following statements should the nurse include in the teaching?
a) "exploring the environment commonly leads to injuries for this age group"
b) "most injuries sustained during this time of life are caused by developing motor skills"
c) "at this age, peer influence to participate in high-risk behaviours can lead to injury"
d) "the risk for injuries sustained during this age are often a result of a change in cognitive
function" - Answer c) "at this age, peer influence to participate in high-risk behaviours can lead
to injury"
A nurse is caring for a client who expresses anxiety about an upcoming surgery. Which of the
following actions should the nurse take?
a) ask the client to describe their feelings.
b) discuss the competency of the surgeon with the client.
c) inform the client that others have had the procedure without problems.
d) ask the client why they are experiencing anxiety. - Answer a) ask the client to describe their
feelings.
A nurse is reviewing information about advance directives with a newly admitted client. Which
of the following statements by the client indicates an understanding of the teaching?
a) "I need to have an attorney sign my advance directives"
b) "I have a living will that outlines my wishes if I am unable to make decisions"
c) "I must have a family member appointed to make my health care decisions"
