KAPLAN Fundamentals Practice Exam with Answers (75 Solved Questions)

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KAPLAN FUNDAMENTALS I, II.1. Which of the followings actions, if performed by the nurse, would illustratebreach in basic health care ethics?oReporting a colleague who is late to work to the nurse manager.oWriting a personal nursing story for 3 popular nursing journal.oDiscussing a patient’s history with a friend who works in the lab.oAsking a nursing assistant to leave her assignment to help you turn a patient.2. The nurse is planning care for a patient who is to receive total parenteralnutrition (TPN). Which of the following nursing actions should be included inthe immediate plan?.oTeach the patient to test the urine for metabolites.oStop the infusion rate during periods of patient activity.oTest the patient blood glucose every 4 to 6 hours.oPlace the patient on high fiber diet.3. The best way for the nurse to verify the placement of an NG tube in a patient isto:oInvert the tube in a cup of sterile saline.oCheck the PH of aspirated stomach contents.oInject air and listen for a swoosh.oPalpate the end of the tube in the patient’s abdomen.4. The nurse is observing a nursing assistant provide an intermittent tube feedingto a patient with a large bore NG tube. Which of the following reservationswould require an intervention by the nurse?.

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oThe end of the NG tube is plugged while the nursing assistant gathers theequipment.oThe barrel of the syringe is filled with the formula before the tube is unclamped.oThe plunger of the syringe is pushed to deliver the formula to the stomach.oThe tube is clamped before the barrel of the syringe is removed from the end.5. The nurse assesses a 24-year-old client’s apical pulse to be 100 and irregular.What is the NEXT action the nurse should take?oAsk the physician on call to see the client.oWait five minutes and then retake the client’s apical pulse.oTake the client’s apical-radial pulses and assess the difference in rates.oAsk the client’s if the pulse is usually regular.6. To remove a fecal impaction from a 86-year-old patient, it is MOST importantfor the nurse to:oPosition the patient prone with his head turned to the left side.oRemove the entire fecal mass at one time.oProvide an analgesic before the procedure.oPeriodically assess the patient’s heart rate during the procedure.7.To administer a soap-suds enema to an adult before abdominal surgery, thenurse should:ofill the container with cold water to soother the intestinal mucosa.oInsert the tip for the rectal tube 1-2 inches into the rectum.oRaise the fluid container 12-18 inch above the patient’s anus.oRemove and replace the rectal tube several times during the procedure.

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8. Which of the followings symptoms would indicate to the nurse that a 6-year-old girl needs to be suctioned?oThe patient is drooling(babeando).oThe patient is hoarse(ronco) when she talks.oThe patient complains of a sore throat(dolor de garganta).oThe patient’s lips are chapped(agrietados).9. A client who has been placed on a low-fat diet asks the nurse for the best choiceamong these foods. The nurse should select:oChicken noodle and apple juice.oMacaroni and cheese and iced tea.oCooked oatmeal with whole milk and black coffee.oWhole wheat toast and orange juice.10.On the way to work. The nurse encounters a school bus that has just hit a tree.The driver is unhurt but several children are bruised and bleeding. Aftercalling the emergency number, the nurse’s BEST course of action is to:oTalk to the children to keep calm until the paramedics arrive to initiate care.oAdminister first aid to the most injured children and direct the driver tohandle the unhurt children.oRun to the nearest occupied building for help, or stop another car on the roadand ask for volunteers.oMake sure no one is in immediate danger then drive to work and check on theaccident victims during break.11.To place a 67-year-old patient who is immobile on a bedpan the nurse should:

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oRaise(elevar) the head of the patient’s bed 60 degrees.oRemove all the top linen from the patient bed.oPosition the bedpan with the open rim facing the foot of the head.oLift(levanter) the patient onto the center of the bedpan.12.The nurse is teaching a client about a bone narrow biopsy. The client asks thenurse where the biopsy will be done. Which of the following is the BESTresponse by the nurse?oThe doctor decides the location based on personal preference.oThe location will depend on how you can tolerate remaining in fixed position.oA small chip from the end your leg bone will be removedoA sample of the marrow(medulla osea) will be taken from your hip.13. The nurse is teaching a client about a low-residue diet. The nurse knows thatfurther teaching is necessary if the client selects which of the following loods?oWhole milk.oCorn on the cob.oEgg custard(flan de huevo)omashed potatoes.14. Nurse is preparing to change the dressing on an infected abdominal wound fora patient with active pulmonary tuberculosis. The nurse should wear:oA surgical mask, gloves and shoe covers.oA face shield, gown and gloves.oA hair net, gown and eye guard.oThe particulate mask, gown, and gloves.

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15.The nurse is assisting a left-handed patient who has paralysis of the right sidedue to a cerebrovascular accident(CVA). The nurse should perform which ofthe following actions?oPlace a bib around the patient’s neck.oEncourage(alentar) the patient’s family to feed him.oCut the patient’s food into small pieces.oAdd additional milk to the patient pudding.16.The nurse observes a patient using an incentive spirometer. Which of thefollowing observations would cause the nurse to intervene.oThe patient is sitting in a chair at the bedside.oThe patient’s lips completely cover the mouthpiece.oThe patient inhales rapidly.oThe patient exhales slowly.17.The nurse is preparing to move a patient with right-sided paralysis from thebed to the wheelchair. It is MOST important for the nurse do:oPlace the wheelchair on the left side of the patient’s bed.oWear a transfer belt for the patient to grab.oMove the patient from the right side to the left side.oApply a sling to the patient’s left arm before the transfer.

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