FUNDAMENTALS KAPLAN TEST BANK
QUESTIONS WITH ACCURATE ANSWERS
A client asks the nurse to provide examples of foods rich in vitamin C. Which food
is a good source of vitamin C?
1. Apple juice
2. Oatmeal
3. Lean chicken
4. Tomatoes correct answer 4. Tomatoes
A client diagnosed with a necrotizing spider bite is to perform dressing changes as
home. Which client statement indicates to the nurse a correct understanding of
medical asepsis?
1. "I need to buy sterile gloves to redress this wound"
2. "I should wash my hands before redressing my wound"
3. "I need to keep the wound covered at all times"
4. "I will use an over-the-counter antimicrobial ointment" correct answer 2. "I
should wash my hands before redressing my wound"
Medical asepsis does not require sterile gloves
A client is admitted to the medical unit with a temperature of 101 F and a white
blood cell count of 3000. The nurse institutes which precautions?
1. Contact precautions
,2. Airborne precautions
3. Droplet precautions
4. Neutropenic precautions correct answer 4. Neutropenic precautions
A client is experiencing an episode of acute pain. what physiological change
should the nurse expect to occur when the client experiences acute pain?
1. Decreased blood pressure
2. Decreased skin temperature
3. Decreased heart rate
4. Decreased respiration correct answer 2. Decreased skin temperature
Acute pain can cause increased perspiration to occur and skin becomes cool and
clammy
A client receives a prescription for a low-fat diet. Which food does the nurse
encourage the client to eat? Select all that apply
1. Whole milk and other milk products
2. Skinless fish and poultry
3. Fruits and plain vegetables
4. Seeds and nuts
5. Refined grains and cereals correct answer 2, 3, 4
A client recovering from spinal surgery requests to be moved in bed. Which action
does the nurse take when repositioning this client? Select all that apply
,1. Turn the client as one unit
2. Raise the bed to a working height
3. Ask one nurse to stand at the head of the bed
4. Have the client keep the arms and hands on the bed
5. Place two nurses on the side opposite the direction being turned correct
answer 1, 2, 3, 5
A client reports "coughing up bloody mucus" in the mornings. The nurse tries to
determine the source of the bleeding. Which action does the nurse take first?
1. Sends a specimen to the laboratory for analysis
2. Inspect oral cavity with a pen light
3. Inspects the nose and mouth to assess for bleeding
4. Listens to the client's lungs and breathing. correct answer 2. Inspect oral cavity
with a pen light
A client requires a dressing change. The LPN/LVN assigned to care for the client
reports never having performed the procedure before to the nurse. The nurse
takes which action?
1. Tells the LPN/LVN to review the hospital's procedure manual prior to
performing the dressing change.
2. Verbally reviews the steps of the dressing change with LPN/LVN.
3. Completes the dressing change while the LPN/LVN observes
, 4. Assigns a more experienced LPN/LVN to the client correct answer 3. Completes
the dressing change while the LPN/LVN observes
A client returns from surgery with a drain sutured into the surgical wound. Which
explanation is the purpose of the drain?
1. It decreases fluid accumulation within the tissues
2. It prevents infection by providing a means for bacteria to escape
3. It provides hemostasis
4. It creates a space that will facilitate reconstructive surgery correct answer 1. It
decreases fluid accumulation within the tissues
A client waiting for results of a breast biopsy sits in the waiting room crying.
Which statement from the nurse is therapeutic?
1. "Why are you crying?"
2. "Tell me how you are feeling right now."
3. "Let's wait for the results before crying about them."
4. "I'm sure that you will be fine. They know right away if it's cancer." correct
answer 2. "Tell me how you are feeling right now."
A client who was in a motor vehicle accident removes contact lenses a day later.
Which potential health problem should the nurse observe this client?
1. Cataract
2. Glaucoma
QUESTIONS WITH ACCURATE ANSWERS
A client asks the nurse to provide examples of foods rich in vitamin C. Which food
is a good source of vitamin C?
1. Apple juice
2. Oatmeal
3. Lean chicken
4. Tomatoes correct answer 4. Tomatoes
A client diagnosed with a necrotizing spider bite is to perform dressing changes as
home. Which client statement indicates to the nurse a correct understanding of
medical asepsis?
1. "I need to buy sterile gloves to redress this wound"
2. "I should wash my hands before redressing my wound"
3. "I need to keep the wound covered at all times"
4. "I will use an over-the-counter antimicrobial ointment" correct answer 2. "I
should wash my hands before redressing my wound"
Medical asepsis does not require sterile gloves
A client is admitted to the medical unit with a temperature of 101 F and a white
blood cell count of 3000. The nurse institutes which precautions?
1. Contact precautions
,2. Airborne precautions
3. Droplet precautions
4. Neutropenic precautions correct answer 4. Neutropenic precautions
A client is experiencing an episode of acute pain. what physiological change
should the nurse expect to occur when the client experiences acute pain?
1. Decreased blood pressure
2. Decreased skin temperature
3. Decreased heart rate
4. Decreased respiration correct answer 2. Decreased skin temperature
Acute pain can cause increased perspiration to occur and skin becomes cool and
clammy
A client receives a prescription for a low-fat diet. Which food does the nurse
encourage the client to eat? Select all that apply
1. Whole milk and other milk products
2. Skinless fish and poultry
3. Fruits and plain vegetables
4. Seeds and nuts
5. Refined grains and cereals correct answer 2, 3, 4
A client recovering from spinal surgery requests to be moved in bed. Which action
does the nurse take when repositioning this client? Select all that apply
,1. Turn the client as one unit
2. Raise the bed to a working height
3. Ask one nurse to stand at the head of the bed
4. Have the client keep the arms and hands on the bed
5. Place two nurses on the side opposite the direction being turned correct
answer 1, 2, 3, 5
A client reports "coughing up bloody mucus" in the mornings. The nurse tries to
determine the source of the bleeding. Which action does the nurse take first?
1. Sends a specimen to the laboratory for analysis
2. Inspect oral cavity with a pen light
3. Inspects the nose and mouth to assess for bleeding
4. Listens to the client's lungs and breathing. correct answer 2. Inspect oral cavity
with a pen light
A client requires a dressing change. The LPN/LVN assigned to care for the client
reports never having performed the procedure before to the nurse. The nurse
takes which action?
1. Tells the LPN/LVN to review the hospital's procedure manual prior to
performing the dressing change.
2. Verbally reviews the steps of the dressing change with LPN/LVN.
3. Completes the dressing change while the LPN/LVN observes
, 4. Assigns a more experienced LPN/LVN to the client correct answer 3. Completes
the dressing change while the LPN/LVN observes
A client returns from surgery with a drain sutured into the surgical wound. Which
explanation is the purpose of the drain?
1. It decreases fluid accumulation within the tissues
2. It prevents infection by providing a means for bacteria to escape
3. It provides hemostasis
4. It creates a space that will facilitate reconstructive surgery correct answer 1. It
decreases fluid accumulation within the tissues
A client waiting for results of a breast biopsy sits in the waiting room crying.
Which statement from the nurse is therapeutic?
1. "Why are you crying?"
2. "Tell me how you are feeling right now."
3. "Let's wait for the results before crying about them."
4. "I'm sure that you will be fine. They know right away if it's cancer." correct
answer 2. "Tell me how you are feeling right now."
A client who was in a motor vehicle accident removes contact lenses a day later.
Which potential health problem should the nurse observe this client?
1. Cataract
2. Glaucoma
