Fundamentals Kaplan Integrated Test (2026/2027) –
Kaplan Nursing Fundamentals | 80+ Questions and
Answers with Rationales|| LATEST UPDATE
1. A provider prescribes nutrition through a central vein for a client who cannot absorb
nutrients orally. What therapy is this?
Answer: Total parenteral nutrition (TPN)
Rationale: TPN delivers complete nutrition directly into the bloodstream, bypassing the
GI tract.
2. Which client is the best candidate for TPN?
Answer: A client with severe inflammatory bowel disease and malabsorption
Rationale: TPN is used when the GI tract cannot be used effectively.
3. A client consumes 2,400 mL of fluids in 24 hours. What urine output is expected?
Answer: About 2,400 mL
Rationale: Intake and output are approximately equal in a healthy adult.
4. Which nutrient is most important for wound healing?
Answer: Protein
Rationale: Protein supports tissue repair and cell regeneration.
5. Which position is best during tube feeding?
Answer: High Fowler’s
Rationale: This position reduces the risk of aspiration.
,Safety & Infection Control
6. Which precaution is required for tuberculosis?
Answer: Airborne precautions
Rationale: TB spreads through airborne particles.
7. Which disease requires airborne precautions?
Answer: Measles
Rationale: Measles is transmitted via airborne droplets.
8. What PPE is required when entering an airborne isolation room?
Answer: Fit-tested N95 respirator
Rationale: Prevents inhalation of infectious particles.
9. Which condition requires droplet precautions?
Answer: Influenza
Rationale: Influenza spreads through respiratory droplets.
10. When can isolation precautions be discontinued?
Answer: When the client is no longer infectious
Rationale: Discontinuation is based on clinical criteria, not time alone.
Elimination & Specimen Collection
, 11. What is the correct order for collecting a clean-catch urine sample?
Answer: Cleanse → void first stream → collect midstream → secure container
Rationale: This minimizes contamination.
12. A stool specimen falls into the toilet. What should the nurse do?
Answer: Discard and instruct the client to repeat collection
Rationale: Toilet water contaminates the specimen.
13. Normal urine output for an adult is at least:
Answer: 30 mL/hour
Rationale: Indicates adequate kidney perfusion.
14. What contributes most to constipation in older adults?
Answer: Low fiber intake
Rationale: Fiber promotes bowel movement.
Mobility & Ambulation
15. How should a nurse assist a client using a cane?
Answer: Hold the cane on the stronger side
Rationale: This improves balance and stability.
16. What should be assessed before ambulation?
Answer: Muscle strength and balance
Rationale: Prevents falls and injury.
Kaplan Nursing Fundamentals | 80+ Questions and
Answers with Rationales|| LATEST UPDATE
1. A provider prescribes nutrition through a central vein for a client who cannot absorb
nutrients orally. What therapy is this?
Answer: Total parenteral nutrition (TPN)
Rationale: TPN delivers complete nutrition directly into the bloodstream, bypassing the
GI tract.
2. Which client is the best candidate for TPN?
Answer: A client with severe inflammatory bowel disease and malabsorption
Rationale: TPN is used when the GI tract cannot be used effectively.
3. A client consumes 2,400 mL of fluids in 24 hours. What urine output is expected?
Answer: About 2,400 mL
Rationale: Intake and output are approximately equal in a healthy adult.
4. Which nutrient is most important for wound healing?
Answer: Protein
Rationale: Protein supports tissue repair and cell regeneration.
5. Which position is best during tube feeding?
Answer: High Fowler’s
Rationale: This position reduces the risk of aspiration.
,Safety & Infection Control
6. Which precaution is required for tuberculosis?
Answer: Airborne precautions
Rationale: TB spreads through airborne particles.
7. Which disease requires airborne precautions?
Answer: Measles
Rationale: Measles is transmitted via airborne droplets.
8. What PPE is required when entering an airborne isolation room?
Answer: Fit-tested N95 respirator
Rationale: Prevents inhalation of infectious particles.
9. Which condition requires droplet precautions?
Answer: Influenza
Rationale: Influenza spreads through respiratory droplets.
10. When can isolation precautions be discontinued?
Answer: When the client is no longer infectious
Rationale: Discontinuation is based on clinical criteria, not time alone.
Elimination & Specimen Collection
, 11. What is the correct order for collecting a clean-catch urine sample?
Answer: Cleanse → void first stream → collect midstream → secure container
Rationale: This minimizes contamination.
12. A stool specimen falls into the toilet. What should the nurse do?
Answer: Discard and instruct the client to repeat collection
Rationale: Toilet water contaminates the specimen.
13. Normal urine output for an adult is at least:
Answer: 30 mL/hour
Rationale: Indicates adequate kidney perfusion.
14. What contributes most to constipation in older adults?
Answer: Low fiber intake
Rationale: Fiber promotes bowel movement.
Mobility & Ambulation
15. How should a nurse assist a client using a cane?
Answer: Hold the cane on the stronger side
Rationale: This improves balance and stability.
16. What should be assessed before ambulation?
Answer: Muscle strength and balance
Rationale: Prevents falls and injury.
