KAPLAN MEDICAL SURGICAL INTEGRATED TEST ACTUAL
EXAM QUESTIONA SND VERIFIED ANSWERS LATEST
UPDATED
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.
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.
b) perform palpitation after auscultation.
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.
b) Have the client sit upright for 1 hour following meals.
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.
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.
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.
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
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
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.
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"
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.
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?
EXAM QUESTIONA SND VERIFIED ANSWERS LATEST
UPDATED
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.
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.
b) perform palpitation after auscultation.
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.
b) Have the client sit upright for 1 hour following meals.
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.
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.
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.
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
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
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.
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"
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.
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?
