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Kaplan Fundamentals Integrated Exam
200 Questions and Answers | 100%
Pass Guaranteed | Graded A+
1. A nurse is preparing to administer an oral medication to a client. The client states, "I do not
want to take that medication." Which of the following actions should the nurse take?
A. Crush the medication and mix it with applesauce.
B. Administer the medication via another route.
C. Withhold the medication and document the client's refusal.
D. Explain the consequences of refusing the medication.
Correct Answer: C
Explanation: The client has the right to refuse medication. The nurse should withhold the
medication, document the refusal, and notify the provider. Crushing (A) or administering via
another route (B) without consent is inappropriate. Explaining consequences (D) is part of
patient education but does not override the refusal.
,2
2. A nurse is caring for a client who has a nasogastric tube set to low intermittent suction.
Which of the following findings indicates that the tube is functioning properly?
A. The client reports no abdominal pain.
B. The pH of the gastric aspirate is 2.0.
C. The suction machine is set to continuous suction.
D. The drainage container shows 200 mL of greenish-yellow fluid.
Correct Answer: D
Explanation: The presence of gastric drainage indicates the tube is functioning properly. The
absence of abdominal pain (A) is a positive sign but does not confirm tube function. A pH of 2.0
(B) confirms gastric placement but not function. Continuous suction (C) is not the correct setting
for low intermittent suction.
3. A nurse is providing teaching to a client about the use of a patient-controlled analgesia
(PCA) pump. Which of the following statements by the client indicates an understanding of
the teaching?
A. "I will push the button every 10 minutes to stay ahead of the pain."
B. "I will ask my family member to push the button if I am sleeping."
,3
C. "I will push the button when I start to feel pain."
D. "I will use the PCA pump only for severe breakthrough pain."
Correct Answer: C
Explanation: The client should press the PCA button when pain begins to ensure adequate
analgesia. Pushing too frequently (A) can lead to overdose. Family members (B) should never
press the button. The PCA is for continuous pain control, not just breakthrough pain (D).
4. A nurse is preparing to insert an indwelling urinary catheter. Which of the following actions
should the nurse take to maintain sterile technique?
A. Wear sterile gloves and clean gloves over them.
B. Place the sterile field on the client's bedside table.
C. Use a sterile cotton ball to cleanse the meatus.
D. Open the catheter kit and place the sterile drape under the client's buttocks.
Correct Answer: D
Explanation: The sterile drape should be placed under the client's buttocks to maintain a sterile
field. Wearing two pairs of gloves (A) is not necessary. The sterile field should be placed on a
clean, dry surface (B). Sterile cotton balls (C) are used with sterile solution for cleansing.
, 4
5. A nurse is caring for a client who has a new diagnosis of diabetes mellitus. The nurse is
reinforcing teaching about foot care. Which of the following statements by the client
indicates a need for further teaching?
A. "I will inspect my feet daily."
B. "I will use a heating pad to keep my feet warm."
C. "I will wear cotton socks."
D. "I will trim my toenails straight across."
Correct Answer: B
Explanation: Clients with diabetes should avoid using heating pads or hot water bottles to
prevent burns due to decreased sensation. Daily foot inspection (A), wearing cotton socks (C),
and trimming nails straight across (D) are all correct statements.
6. A nurse is preparing to administer an enema to a client. In which of the following positions
should the nurse place the client?
Kaplan Fundamentals Integrated Exam
200 Questions and Answers | 100%
Pass Guaranteed | Graded A+
1. A nurse is preparing to administer an oral medication to a client. The client states, "I do not
want to take that medication." Which of the following actions should the nurse take?
A. Crush the medication and mix it with applesauce.
B. Administer the medication via another route.
C. Withhold the medication and document the client's refusal.
D. Explain the consequences of refusing the medication.
Correct Answer: C
Explanation: The client has the right to refuse medication. The nurse should withhold the
medication, document the refusal, and notify the provider. Crushing (A) or administering via
another route (B) without consent is inappropriate. Explaining consequences (D) is part of
patient education but does not override the refusal.
,2
2. A nurse is caring for a client who has a nasogastric tube set to low intermittent suction.
Which of the following findings indicates that the tube is functioning properly?
A. The client reports no abdominal pain.
B. The pH of the gastric aspirate is 2.0.
C. The suction machine is set to continuous suction.
D. The drainage container shows 200 mL of greenish-yellow fluid.
Correct Answer: D
Explanation: The presence of gastric drainage indicates the tube is functioning properly. The
absence of abdominal pain (A) is a positive sign but does not confirm tube function. A pH of 2.0
(B) confirms gastric placement but not function. Continuous suction (C) is not the correct setting
for low intermittent suction.
3. A nurse is providing teaching to a client about the use of a patient-controlled analgesia
(PCA) pump. Which of the following statements by the client indicates an understanding of
the teaching?
A. "I will push the button every 10 minutes to stay ahead of the pain."
B. "I will ask my family member to push the button if I am sleeping."
,3
C. "I will push the button when I start to feel pain."
D. "I will use the PCA pump only for severe breakthrough pain."
Correct Answer: C
Explanation: The client should press the PCA button when pain begins to ensure adequate
analgesia. Pushing too frequently (A) can lead to overdose. Family members (B) should never
press the button. The PCA is for continuous pain control, not just breakthrough pain (D).
4. A nurse is preparing to insert an indwelling urinary catheter. Which of the following actions
should the nurse take to maintain sterile technique?
A. Wear sterile gloves and clean gloves over them.
B. Place the sterile field on the client's bedside table.
C. Use a sterile cotton ball to cleanse the meatus.
D. Open the catheter kit and place the sterile drape under the client's buttocks.
Correct Answer: D
Explanation: The sterile drape should be placed under the client's buttocks to maintain a sterile
field. Wearing two pairs of gloves (A) is not necessary. The sterile field should be placed on a
clean, dry surface (B). Sterile cotton balls (C) are used with sterile solution for cleansing.
, 4
5. A nurse is caring for a client who has a new diagnosis of diabetes mellitus. The nurse is
reinforcing teaching about foot care. Which of the following statements by the client
indicates a need for further teaching?
A. "I will inspect my feet daily."
B. "I will use a heating pad to keep my feet warm."
C. "I will wear cotton socks."
D. "I will trim my toenails straight across."
Correct Answer: B
Explanation: Clients with diabetes should avoid using heating pads or hot water bottles to
prevent burns due to decreased sensation. Daily foot inspection (A), wearing cotton socks (C),
and trimming nails straight across (D) are all correct statements.
6. A nurse is preparing to administer an enema to a client. In which of the following positions
should the nurse place the client?
