KAPLAN INTEGRATED EXAM
FUNDAMENTALS AB, C, D NGN
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF
Core Domains:
• Next Generation NCLEX (NGN) Clinical Judgment and Decision-
Making
• Delegation, Prioritization, and Patient Safety
• Fluid and Electrolyte Balance
• Infection Control and Medical Asepsis
• Pharmacology and Medication Administration
• Comfort, Rest, and Pain Management
• Perioperative and Wound Care
• Legal, Ethical, and Professional Standards
Introduction
This comprehensive Integrated Fundamentals examination is designed to
evaluate the nursing student's mastery of core nursing concepts, with a
special emphasis on the Next Generation NCLEX (NGN) clinical judgment
framework. The exam integrates knowledge from Fundamentals A, B, C,
and D forms, focusing on the application of the nursing process in complex
patient scenarios. The multiple-choice, case study, and scenario-based
questions assess the candidate's ability to prioritize care, delegate tasks
appropriately, and make sound clinical decisions based on the NGN six-
,step Clinical Judgment Model: Recognize Cues, Analyze Cues, Prioritize
Hypotheses, Generate Solutions, Take Action, and Evaluate Outcomes.
Emphasis is placed on the integration of pathophysiology, pharmacology,
patient safety, and professionalism. Candidates are expected to
demonstrate critical thinking by differentiating between stable and
unstable patients and identifying the priority nursing actions in diverse
healthcare settings.
SECTION ONE: QUESTIONS 1-100
Question 1
A nurse is using the Clinical Judgment Model to care for a patient. What
is the first step in this process?
A. Generate Solutions
B. Evaluate Outcomes
C. Recognize Cues
D. Take Action
C. Recognize Cues
RATIONALE: According to the NGN Clinical Judgment Model, the
first step is to "Recognize Cues" by gathering relevant patient data from
all sources. This precedes analysis, planning, and action .
Question 2
The nurse has identified several patient problems. What does it mean to
"Analyze Cues" in the clinical judgment process?
A. Determine the most likely or most dangerous problem
B. Create a list of possible interventions
C. Connect data and identify patterns
D. Evaluate if the interventions worked
C. Connect data and identify patterns
, RATIONALE: Analyzing cues involves connecting the gathered data
and identifying patterns that help interpret the patient's clinical status .
This leads to the formation of hypotheses .
Question 3
A patient reports new-onset chest pain radiating to the jaw. Which of the
following is the priority action based on the ABC priority framework?
A. Administer pain medication
B. Assess the patient's airway
C. Prepare the patient for an ECG
D. Notify the healthcare provider
B. Assess the patient's airway
RATIONALE: Chest pain is a life-threatening emergency, but the
immediate action is to maintain the ABCs (Airway, Breathing,
Circulation) . The airway is always the first priority. While the ECG and
notification are critical, assessment comes first.
Question 4
According to Maslow's Hierarchy of Needs, which patient problem
should the nurse address first?
A. Disturbed body image
B. Risk for injury
C. Ineffective breathing pattern
D. Impaired social interaction
C. Ineffective breathing pattern
RATIONALE: Maslow's hierarchy prioritizes physiological needs
(breathing, food, water, shelter) first . An ineffective breathing pattern is
a physiological emergency that must take precedence over safety,
psychosocial, and esteem needs.
Question 5
The charge nurse is making assignments. Which patient should be
assigned to the most experienced RN?
, A. A patient scheduled for discharge teaching
B. A patient with diabetes requiring insulin administration
C. A patient who is 2 hours post-operative with unstable vital signs
D. A patient needing a routine wound dressing change
C. A patient who is 2 hours post-operative with unstable vital signs
RATIONALE: Unstable patients with life-threatening conditions (post-
op with unstable vitals) require the assessment and nursing judgment of
an RN . Unstable patients always take priority over stable, chronic
issues .
Question 6
A patient with a new tracheostomy has an oxygen saturation of 88%.
Which action should the nurse take first?
A. Notify the healthcare provider
B. Suction the patient's airway
C. Document the finding
D. Increase the oxygen flow rate
B. Suction the patient's airway
RATIONALE: An SpO2 of 88% is a sign of respiratory distress. In a
patient with a new tracheostomy, this indicates a likely airway
obstruction (secretions, plug). The first action is to secure the airway .
Oxygen may be needed, but the priority is to clear the airway.
Question 7
A patient has been diagnosed with an infection. Which nursing action is
the highest priority?
A. Administer ordered antibiotics
B. Monitor the patient's vital signs
C. Place the patient on appropriate transmission-based precautions
D. Encourage fluid intake
C. Place the patient on appropriate transmission-based precautions
FUNDAMENTALS AB, C, D NGN
QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS
RATIONALES 2026 Q&A | INSTANT
DOWNLOAD PDF
Core Domains:
• Next Generation NCLEX (NGN) Clinical Judgment and Decision-
Making
• Delegation, Prioritization, and Patient Safety
• Fluid and Electrolyte Balance
• Infection Control and Medical Asepsis
• Pharmacology and Medication Administration
• Comfort, Rest, and Pain Management
• Perioperative and Wound Care
• Legal, Ethical, and Professional Standards
Introduction
This comprehensive Integrated Fundamentals examination is designed to
evaluate the nursing student's mastery of core nursing concepts, with a
special emphasis on the Next Generation NCLEX (NGN) clinical judgment
framework. The exam integrates knowledge from Fundamentals A, B, C,
and D forms, focusing on the application of the nursing process in complex
patient scenarios. The multiple-choice, case study, and scenario-based
questions assess the candidate's ability to prioritize care, delegate tasks
appropriately, and make sound clinical decisions based on the NGN six-
,step Clinical Judgment Model: Recognize Cues, Analyze Cues, Prioritize
Hypotheses, Generate Solutions, Take Action, and Evaluate Outcomes.
Emphasis is placed on the integration of pathophysiology, pharmacology,
patient safety, and professionalism. Candidates are expected to
demonstrate critical thinking by differentiating between stable and
unstable patients and identifying the priority nursing actions in diverse
healthcare settings.
SECTION ONE: QUESTIONS 1-100
Question 1
A nurse is using the Clinical Judgment Model to care for a patient. What
is the first step in this process?
A. Generate Solutions
B. Evaluate Outcomes
C. Recognize Cues
D. Take Action
C. Recognize Cues
RATIONALE: According to the NGN Clinical Judgment Model, the
first step is to "Recognize Cues" by gathering relevant patient data from
all sources. This precedes analysis, planning, and action .
Question 2
The nurse has identified several patient problems. What does it mean to
"Analyze Cues" in the clinical judgment process?
A. Determine the most likely or most dangerous problem
B. Create a list of possible interventions
C. Connect data and identify patterns
D. Evaluate if the interventions worked
C. Connect data and identify patterns
, RATIONALE: Analyzing cues involves connecting the gathered data
and identifying patterns that help interpret the patient's clinical status .
This leads to the formation of hypotheses .
Question 3
A patient reports new-onset chest pain radiating to the jaw. Which of the
following is the priority action based on the ABC priority framework?
A. Administer pain medication
B. Assess the patient's airway
C. Prepare the patient for an ECG
D. Notify the healthcare provider
B. Assess the patient's airway
RATIONALE: Chest pain is a life-threatening emergency, but the
immediate action is to maintain the ABCs (Airway, Breathing,
Circulation) . The airway is always the first priority. While the ECG and
notification are critical, assessment comes first.
Question 4
According to Maslow's Hierarchy of Needs, which patient problem
should the nurse address first?
A. Disturbed body image
B. Risk for injury
C. Ineffective breathing pattern
D. Impaired social interaction
C. Ineffective breathing pattern
RATIONALE: Maslow's hierarchy prioritizes physiological needs
(breathing, food, water, shelter) first . An ineffective breathing pattern is
a physiological emergency that must take precedence over safety,
psychosocial, and esteem needs.
Question 5
The charge nurse is making assignments. Which patient should be
assigned to the most experienced RN?
, A. A patient scheduled for discharge teaching
B. A patient with diabetes requiring insulin administration
C. A patient who is 2 hours post-operative with unstable vital signs
D. A patient needing a routine wound dressing change
C. A patient who is 2 hours post-operative with unstable vital signs
RATIONALE: Unstable patients with life-threatening conditions (post-
op with unstable vitals) require the assessment and nursing judgment of
an RN . Unstable patients always take priority over stable, chronic
issues .
Question 6
A patient with a new tracheostomy has an oxygen saturation of 88%.
Which action should the nurse take first?
A. Notify the healthcare provider
B. Suction the patient's airway
C. Document the finding
D. Increase the oxygen flow rate
B. Suction the patient's airway
RATIONALE: An SpO2 of 88% is a sign of respiratory distress. In a
patient with a new tracheostomy, this indicates a likely airway
obstruction (secretions, plug). The first action is to secure the airway .
Oxygen may be needed, but the priority is to clear the airway.
Question 7
A patient has been diagnosed with an infection. Which nursing action is
the highest priority?
A. Administer ordered antibiotics
B. Monitor the patient's vital signs
C. Place the patient on appropriate transmission-based precautions
D. Encourage fluid intake
C. Place the patient on appropriate transmission-based precautions
