FUNDAMENTALS KAPLAN INTEGRATED 2026 TEST BANK EXAM
QUESTIONS AND 100% CORRECT ANSWERS WITH RATIONALE
(GUARANTEED PASS)
Question 1
A nurse is caring for a client who is postoperative day 1 following
abdominal surgery. The client reports a pain level of 8 on a 0–10 scale.
Which of the following actions should the nurse take first?
A) Administer prescribed PRN opioid analgesic
B) Reposition the client
C) Assess the surgical incision
D) Offer nonpharmacological pain relief
VERIFIED ANSWER: C
Rationale: Assess first (incision for complications like infection,
dehiscence) before intervening. Pain management follows assessment.
Question 2
A client is on fall precautions. Which of the following is the most important
intervention?
A) Place the call light within reach
B) Keep the bed in the lowest position
C) Use a bed alarm
D) Lock the bed wheels
,VERIFIED ANSWER: B
Rationale: Lowest bed position minimizes injury distance if the client falls;
this is a priority fall prevention measure.
Question 3
A nurse is preparing to insert an indwelling urinary catheter. Which of the
following techniques demonstrates proper sterile technique?
A) Opening the sterile kit after applying sterile gloves
B) Placing the sterile drape with the non-dominant hand
C) Using the dominant hand to clean each meatus with a single cotton ball
D) Holding the catheter with the sterile gloved dominant hand
VERIFIED ANSWER: D
Rationale: The dominant sterile gloved hand handles the catheter; the
non-dominant sterile gloved hand is used for cleansing.
Question 4
A client with heart failure has an order for furosemide 40 mg IV push.
Before administration, the nurse should assess which laboratory value?
A) Serum sodium
B) Serum potassium
C) Serum calcium
D) Serum magnesium
,VERIFIED ANSWER: B
Rationale: Furosemide is a loop diuretic that causes potassium wasting;
hypokalemia increases risk of arrhythmias.
Question 5
A nurse is providing discharge teaching to a client with a new colostomy.
Which statement by the client indicates a need for further teaching?
A) "I will empty my pouch when it is one-third full."
B) "I can take a shower with my pouch on."
C) "I will change my pouch every day."
D) "I will avoid carbonated beverages to reduce gas."
VERIFIED ANSWER: C
Rationale: Colostomy pouches should be changed every 3–7 days unless
leaking; daily changing irritates peristomal skin.
Question 6
A nurse is caring for a client who has a nasogastric (NG) tube set to low
intermittent suction. Which finding indicates tube displacement?
A) pH of gastric aspirate is 4
B) Client reports nausea
C) Bilateral breath sounds are clear
D) Aspirate has a fecal odor
, VERIFIED ANSWER: D
Rationale: Fecal odor suggests the tube has migrated into the small
intestine or colon, not the stomach.
Question 7
A client is receiving a blood transfusion. Fifteen minutes after initiation,
the client reports chills and low back pain. Which action should the nurse
take first?
A) Administer acetaminophen
B) Slow the infusion rate
C) Stop the transfusion
D) Notify the provider
VERIFIED ANSWER: C
Rationale: Chills and back pain indicate a possible hemolytic transfusion
reaction; stop the transfusion immediately.
Question 8
A nurse is performing a sterile wound dressing change. After applying
sterile gloves, the nurse touches a non-sterile surface. What should the
nurse do next?
A) Continue, because the gloves are still clean
B) Remove the gloves and apply new sterile gloves
QUESTIONS AND 100% CORRECT ANSWERS WITH RATIONALE
(GUARANTEED PASS)
Question 1
A nurse is caring for a client who is postoperative day 1 following
abdominal surgery. The client reports a pain level of 8 on a 0–10 scale.
Which of the following actions should the nurse take first?
A) Administer prescribed PRN opioid analgesic
B) Reposition the client
C) Assess the surgical incision
D) Offer nonpharmacological pain relief
VERIFIED ANSWER: C
Rationale: Assess first (incision for complications like infection,
dehiscence) before intervening. Pain management follows assessment.
Question 2
A client is on fall precautions. Which of the following is the most important
intervention?
A) Place the call light within reach
B) Keep the bed in the lowest position
C) Use a bed alarm
D) Lock the bed wheels
,VERIFIED ANSWER: B
Rationale: Lowest bed position minimizes injury distance if the client falls;
this is a priority fall prevention measure.
Question 3
A nurse is preparing to insert an indwelling urinary catheter. Which of the
following techniques demonstrates proper sterile technique?
A) Opening the sterile kit after applying sterile gloves
B) Placing the sterile drape with the non-dominant hand
C) Using the dominant hand to clean each meatus with a single cotton ball
D) Holding the catheter with the sterile gloved dominant hand
VERIFIED ANSWER: D
Rationale: The dominant sterile gloved hand handles the catheter; the
non-dominant sterile gloved hand is used for cleansing.
Question 4
A client with heart failure has an order for furosemide 40 mg IV push.
Before administration, the nurse should assess which laboratory value?
A) Serum sodium
B) Serum potassium
C) Serum calcium
D) Serum magnesium
,VERIFIED ANSWER: B
Rationale: Furosemide is a loop diuretic that causes potassium wasting;
hypokalemia increases risk of arrhythmias.
Question 5
A nurse is providing discharge teaching to a client with a new colostomy.
Which statement by the client indicates a need for further teaching?
A) "I will empty my pouch when it is one-third full."
B) "I can take a shower with my pouch on."
C) "I will change my pouch every day."
D) "I will avoid carbonated beverages to reduce gas."
VERIFIED ANSWER: C
Rationale: Colostomy pouches should be changed every 3–7 days unless
leaking; daily changing irritates peristomal skin.
Question 6
A nurse is caring for a client who has a nasogastric (NG) tube set to low
intermittent suction. Which finding indicates tube displacement?
A) pH of gastric aspirate is 4
B) Client reports nausea
C) Bilateral breath sounds are clear
D) Aspirate has a fecal odor
, VERIFIED ANSWER: D
Rationale: Fecal odor suggests the tube has migrated into the small
intestine or colon, not the stomach.
Question 7
A client is receiving a blood transfusion. Fifteen minutes after initiation,
the client reports chills and low back pain. Which action should the nurse
take first?
A) Administer acetaminophen
B) Slow the infusion rate
C) Stop the transfusion
D) Notify the provider
VERIFIED ANSWER: C
Rationale: Chills and back pain indicate a possible hemolytic transfusion
reaction; stop the transfusion immediately.
Question 8
A nurse is performing a sterile wound dressing change. After applying
sterile gloves, the nurse touches a non-sterile surface. What should the
nurse do next?
A) Continue, because the gloves are still clean
B) Remove the gloves and apply new sterile gloves
