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 illustrate
breach in basic health care ethics?
o Reporting a colleague who is late to work to the nurse manager.
o Writing a personal nursing story for 3 popular nursing journal.
o Discussing a patient’s history with a friend who works in the lab.
o Asking 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 parenteral
nutrition (TPN). Which of the following nursing actions should be included in
the immediate plan?.
o Teach the patient to test the urine for metabolites.
o Stop the infusion rate during periods of patient activity.
o Test the patient blood glucose every 4 to 6 hours.
o Place the patient on high fiber diet.
3. The best way for the nurse to verify the placement of an NG tube in a patient is
to:
o Invert the tube in a cup of sterile saline.
o Check the PH of aspirated stomach contents.
o Inject air and listen for a swoosh.
o Palpate the end of the tube in the patient’s abdomen.
4. The nurse is observing a nursing assistant provide an intermittent tube feeding
to a patient with a large bore NG tube. Which of the following reservations
would require an intervention by the nurse?.
1. Which of the followings actions, if performed by the nurse, would illustrate
breach in basic health care ethics?
o Reporting a colleague who is late to work to the nurse manager.
o Writing a personal nursing story for 3 popular nursing journal.
o Discussing a patient’s history with a friend who works in the lab.
o Asking 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 parenteral
nutrition (TPN). Which of the following nursing actions should be included in
the immediate plan?.
o Teach the patient to test the urine for metabolites.
o Stop the infusion rate during periods of patient activity.
o Test the patient blood glucose every 4 to 6 hours.
o Place the patient on high fiber diet.
3. The best way for the nurse to verify the placement of an NG tube in a patient is
to:
o Invert the tube in a cup of sterile saline.
o Check the PH of aspirated stomach contents.
o Inject air and listen for a swoosh.
o Palpate the end of the tube in the patient’s abdomen.
4. The nurse is observing a nursing assistant provide an intermittent tube feeding
to a patient with a large bore NG tube. Which of the following reservations
would require an intervention by the nurse?.
o The end of the NG tube is plugged while the nursing assistant gathers the
equipment.
o The barrel of the syringe is filled with the formula before the tube is unclamped.
o The plunger of the syringe is pushed to deliver the formula to the stomach.
o The 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?
o Ask the physician on call to see the client.
o Wait five minutes and then retake the client’s apical pulse.
o Take the client’s apical-radial pulses and assess the difference in rates.
o Ask the client’s if the pulse is usually regular.
6. To remove a fecal impaction from a 86-year-old patient, it is MOST important
for the nurse to:
o Position the patient prone with his head turned to the left side.
o Remove the entire fecal mass at one time.
o Provide an analgesic before the procedure.
o Periodically assess the patient’s heart rate during the procedure.
7. To administer a soap-suds enema to an adult before abdominal surgery, the
nurse should:
o fill the container with cold water to soother the intestinal mucosa.
o Insert the tip for the rectal tube 1-2 inches into the rectum.
o Raise the fluid container 12-18 inch above the patient’s anus.
o Remove and replace the rectal tube several times during the procedure.
equipment.
o The barrel of the syringe is filled with the formula before the tube is unclamped.
o The plunger of the syringe is pushed to deliver the formula to the stomach.
o The 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?
o Ask the physician on call to see the client.
o Wait five minutes and then retake the client’s apical pulse.
o Take the client’s apical-radial pulses and assess the difference in rates.
o Ask the client’s if the pulse is usually regular.
6. To remove a fecal impaction from a 86-year-old patient, it is MOST important
for the nurse to:
o Position the patient prone with his head turned to the left side.
o Remove the entire fecal mass at one time.
o Provide an analgesic before the procedure.
o Periodically assess the patient’s heart rate during the procedure.
7. To administer a soap-suds enema to an adult before abdominal surgery, the
nurse should:
o fill the container with cold water to soother the intestinal mucosa.
o Insert the tip for the rectal tube 1-2 inches into the rectum.
o Raise the fluid container 12-18 inch above the patient’s anus.
o Remove and replace the rectal tube several times during the procedure.
8. Which of the followings symptoms would indicate to the nurse that a 6-year-
old girl needs to be suctioned?
o The patient is drooling(babeando).
o The patient is hoarse(ronco) when she talks.
o The patient complains of a sore throat(dolor de garganta).
o The patient’s lips are chapped(agrietados).
9. A client who has been placed on a low-fat diet asks the nurse for the best choice
among these foods. The nurse should select:
o Chicken noodle and apple juice.
o Macaroni and cheese and iced tea.
o Cooked oatmeal with whole milk and black coffee.
o Whole 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. After
calling the emergency number, the nurse’s BEST course of action is to:
o Talk to the children to keep calm until the paramedics arrive to initiate care.
o Administer first aid to the most injured children and direct the driver to
handle the unhurt children.
o Run to the nearest occupied building for help, or stop another car on the road
and ask for volunteers.
o Make sure no one is in immediate danger then drive to work and check on the
accident victims during break.
11. To place a 67-year-old patient who is immobile on a bedpan the nurse should:
old girl needs to be suctioned?
o The patient is drooling(babeando).
o The patient is hoarse(ronco) when she talks.
o The patient complains of a sore throat(dolor de garganta).
o The patient’s lips are chapped(agrietados).
9. A client who has been placed on a low-fat diet asks the nurse for the best choice
among these foods. The nurse should select:
o Chicken noodle and apple juice.
o Macaroni and cheese and iced tea.
o Cooked oatmeal with whole milk and black coffee.
o Whole 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. After
calling the emergency number, the nurse’s BEST course of action is to:
o Talk to the children to keep calm until the paramedics arrive to initiate care.
o Administer first aid to the most injured children and direct the driver to
handle the unhurt children.
o Run to the nearest occupied building for help, or stop another car on the road
and ask for volunteers.
o Make sure no one is in immediate danger then drive to work and check on the
accident victims during break.
11. To place a 67-year-old patient who is immobile on a bedpan the nurse should:
o Raise(elevar) the head of the patient’s bed 60 degrees.
o Remove all the top linen from the patient bed.
o Position the bedpan with the open rim facing the foot of the head.
o Lift(levanter) the patient onto the center of the bedpan.
12.The nurse is teaching a client about a bone narrow biopsy. The client asks the
nurse where the biopsy will be done. Which of the following is the BEST
response by the nurse?
o The doctor decides the location based on personal preference.
o The location will depend on how you can tolerate remaining in fixed position.
o A small chip from the end your leg bone will be removed
o A 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 that
further teaching is necessary if the client selects which of the following loods?
o Whole milk.
o Corn on the cob.
o Egg custard(flan de huevo)
o mashed potatoes.
14. Nurse is preparing to change the dressing on an infected abdominal wound for
a patient with active pulmonary tuberculosis. The nurse should wear:
o A surgical mask, gloves and shoe covers.
o A face shield, gown and gloves.
o A hair net, gown and eye guard.
o The particulate mask, gown, and gloves.
o Remove all the top linen from the patient bed.
o Position the bedpan with the open rim facing the foot of the head.
o Lift(levanter) the patient onto the center of the bedpan.
12.The nurse is teaching a client about a bone narrow biopsy. The client asks the
nurse where the biopsy will be done. Which of the following is the BEST
response by the nurse?
o The doctor decides the location based on personal preference.
o The location will depend on how you can tolerate remaining in fixed position.
o A small chip from the end your leg bone will be removed
o A 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 that
further teaching is necessary if the client selects which of the following loods?
o Whole milk.
o Corn on the cob.
o Egg custard(flan de huevo)
o mashed potatoes.
14. Nurse is preparing to change the dressing on an infected abdominal wound for
a patient with active pulmonary tuberculosis. The nurse should wear:
o A surgical mask, gloves and shoe covers.
o A face shield, gown and gloves.
o A hair net, gown and eye guard.
o The particulate mask, gown, and gloves.
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