Kaplan Fundamentals Integrated Test
Kaplan Integrated Fundamentals Test
Complete Prep Pack Featuring Updated
Questions, Accurate Answers & Clinical
Rationales
The nurse evaluates the laboratory results of several 3. The client with severe liver disease
clients. For which client would the nurse expect a
decreased serum albumin? Albumin is a protein formed in the liver
1. The client who is underweight with a BMI of 19 kg/m2
2. The client with a superficial thickness burn
3. The client with severe liver disease
4. The client who is dehydrated
A middle-age client is admitted to the hospital for 1. Assisting the children to grow to adulthood
hematuria. The client has no previous history of illness, is
married, and has 3 children in high school. Which task of Middle adulthood is the time is guiding the next generation
middle adulthood is most likely to be disturbed by a
physical disability?
1. Assisting the children to grow to adulthood
2. Coping with a role transition
3. Renewing earlier relationships
4. Developing adult leisure time activities
,The nurse provides care for an older adult client with a 1, 2, 4, 5
diagnosis of constipation. The nurse understands which
factor contributes to the development of constipation in
the older adult? Select all that apply
1. Older adult clients may eat a diet with inadequate fluids
and bulk.
2. Older adults experience slowed peristalsis and
decreased muscle tone.
3. Older adults have neurological changes in the GI tract.
4. Older adults may ignore the sensation to defecate.
5. Older adults are typically more sedentary and less
likely to exercise.
The nurse teaches a client with a new diagnosis of 3. Milk, wheat, egg whites
eczema. Which common foods are likely contributing
factors of eczema the client should eliminate in the diet? Eczema is caused by an immune response. Those are common allergens
associated with eczema
1. Fish, nuts, chocolate
2. Strawberries, tomato, apples
3. Milk, wheat, egg whites
4. Soybeans, orange juice, egg yolks
The nurse provides care for a client at risk for developing 3, 5, 6
a pressure injury. The nurse knowns which factor puts the
client at risk? Select all that apply Low serum albumin level contributes to poor wound healing
1. Decreased skin moisture
2. Ambulation with an assistive device
3. Bony prominences
4. Early stage Alzheimer disease
5. Immobility
6. Low serum albumin
The nurse identifies a staff member is using standard 2. The staff member places contaminated linens in a leak-proof bag
precautions appropriately if which action is observed?
This prevents contact with skin and mucous membranes with any contaminated
1. The staff member wears gloves when taking the blood linen
pressure of a client diagnosed with AIDS.
2. The staff member places contaminated linens in a leak-
proof bag
3. The staff member irrigates an abdominal wound
wearing a gown and gloves
4. The staff member removes gloves after bathing a client
and puts on a clean pair of gloves to bathe another client
, Which nonverbal behavior observed by the nurse 1, 2, 3, 4, 5, 6, 7, 9
indicates the client may be experiencing acute pain?
Select all that apply
1. Grunting with movement
2. Clenching teeth
3. Grimacing
4. Wrinkled forehead
5. Restlessness
6. Grabbing abdomen
7. Tightly closed eyes and mouth
8. Laughing and conversing
9. Reduced attention span
The nurse documents a Nurse's Note. The nurse enters 3, 6, 7
the client's room to perform an assessment and change
the client's abdominal dressing. Which 3 observations
does the nurse address immediately?
1. Visitors conversing and laughing loudly
2. Television turned on with volume high
3. Client crying and states "it hurts to take a deep breath
or cough"
4. Pain medication in the IV is making the client dizzy and
sleepy
5. Client last medicated for pain 6 hours ago
6. Client states need to wait for pain medication until after
dressing change
7. Spouse concerned client will become addicted to pain
medication
For each goal in the client's plan of care, click to indicate 2 & 3
appropriate nursing interventions. Each goal may support
more than 1 potential nursing intervention.
The clients pain will be controlled during the dressing
change
1. Pull tape around soiled dressing from client's skin
rapidly
2. Position the client in low Fowler position with knees
slightly bent
3. Administer pain medication 15-30 minutes prior to
dressing change
For each goal in the client's plan of care, click to indicate 2 & 3
appropriate nursing interventions. Each goal may support
more than 1 potential nursing intervention.
The surgical incision is healing without further infection
1. Apply split gauze around Penrose drain with clean
gloves
2. Monitor client's vital signs and lab results daily
3. Report any increase in redness or drainage to
physician
Kaplan Integrated Fundamentals Test
Complete Prep Pack Featuring Updated
Questions, Accurate Answers & Clinical
Rationales
The nurse evaluates the laboratory results of several 3. The client with severe liver disease
clients. For which client would the nurse expect a
decreased serum albumin? Albumin is a protein formed in the liver
1. The client who is underweight with a BMI of 19 kg/m2
2. The client with a superficial thickness burn
3. The client with severe liver disease
4. The client who is dehydrated
A middle-age client is admitted to the hospital for 1. Assisting the children to grow to adulthood
hematuria. The client has no previous history of illness, is
married, and has 3 children in high school. Which task of Middle adulthood is the time is guiding the next generation
middle adulthood is most likely to be disturbed by a
physical disability?
1. Assisting the children to grow to adulthood
2. Coping with a role transition
3. Renewing earlier relationships
4. Developing adult leisure time activities
,The nurse provides care for an older adult client with a 1, 2, 4, 5
diagnosis of constipation. The nurse understands which
factor contributes to the development of constipation in
the older adult? Select all that apply
1. Older adult clients may eat a diet with inadequate fluids
and bulk.
2. Older adults experience slowed peristalsis and
decreased muscle tone.
3. Older adults have neurological changes in the GI tract.
4. Older adults may ignore the sensation to defecate.
5. Older adults are typically more sedentary and less
likely to exercise.
The nurse teaches a client with a new diagnosis of 3. Milk, wheat, egg whites
eczema. Which common foods are likely contributing
factors of eczema the client should eliminate in the diet? Eczema is caused by an immune response. Those are common allergens
associated with eczema
1. Fish, nuts, chocolate
2. Strawberries, tomato, apples
3. Milk, wheat, egg whites
4. Soybeans, orange juice, egg yolks
The nurse provides care for a client at risk for developing 3, 5, 6
a pressure injury. The nurse knowns which factor puts the
client at risk? Select all that apply Low serum albumin level contributes to poor wound healing
1. Decreased skin moisture
2. Ambulation with an assistive device
3. Bony prominences
4. Early stage Alzheimer disease
5. Immobility
6. Low serum albumin
The nurse identifies a staff member is using standard 2. The staff member places contaminated linens in a leak-proof bag
precautions appropriately if which action is observed?
This prevents contact with skin and mucous membranes with any contaminated
1. The staff member wears gloves when taking the blood linen
pressure of a client diagnosed with AIDS.
2. The staff member places contaminated linens in a leak-
proof bag
3. The staff member irrigates an abdominal wound
wearing a gown and gloves
4. The staff member removes gloves after bathing a client
and puts on a clean pair of gloves to bathe another client
, Which nonverbal behavior observed by the nurse 1, 2, 3, 4, 5, 6, 7, 9
indicates the client may be experiencing acute pain?
Select all that apply
1. Grunting with movement
2. Clenching teeth
3. Grimacing
4. Wrinkled forehead
5. Restlessness
6. Grabbing abdomen
7. Tightly closed eyes and mouth
8. Laughing and conversing
9. Reduced attention span
The nurse documents a Nurse's Note. The nurse enters 3, 6, 7
the client's room to perform an assessment and change
the client's abdominal dressing. Which 3 observations
does the nurse address immediately?
1. Visitors conversing and laughing loudly
2. Television turned on with volume high
3. Client crying and states "it hurts to take a deep breath
or cough"
4. Pain medication in the IV is making the client dizzy and
sleepy
5. Client last medicated for pain 6 hours ago
6. Client states need to wait for pain medication until after
dressing change
7. Spouse concerned client will become addicted to pain
medication
For each goal in the client's plan of care, click to indicate 2 & 3
appropriate nursing interventions. Each goal may support
more than 1 potential nursing intervention.
The clients pain will be controlled during the dressing
change
1. Pull tape around soiled dressing from client's skin
rapidly
2. Position the client in low Fowler position with knees
slightly bent
3. Administer pain medication 15-30 minutes prior to
dressing change
For each goal in the client's plan of care, click to indicate 2 & 3
appropriate nursing interventions. Each goal may support
more than 1 potential nursing intervention.
The surgical incision is healing without further infection
1. Apply split gauze around Penrose drain with clean
gloves
2. Monitor client's vital signs and lab results daily
3. Report any increase in redness or drainage to
physician
