Fundamentals Kaplan Integrated
Assessment Complete Prep Pack
Featuring Updated Questions, Answers &
Clinical Rationales
A physician orders nutritional therapy administered via a Total parenteral nutrition (TPN)
central vein for a client who cannot take foods orally.
What is the term for this type of nutrition?
Which client would be a candidate for total parenteral A client with colitis and bloody diarrhea
nutrition?
A nurse is developing a plan of care for a client who is at provide incontinent care every 2 hours and as needed.
high risk for developing pressure injuries. Which turn the client every 2 hours when the client is in bed.
intervention should the nurse include in the plan to encourage the client to take fluids every 2 hours.
prevent the development of pressure injuries? Select all
that apply.
Which nursing interventions reflect the accurate use of The nurse makes more frequent checks of the skin of an older adult using a
heat or cold during wound care? Select all that apply. heating pad.
The nurse fills an ice bag with small pieces of ice to about two-thirds full.
The nurse covers a cold pack with a cotton sleeve to keep it in place on an arm.
The nurse is caring for a client with an ankle sprain. Which "I will put a layer of cloth between my skin and the ice pack."
client statement regarding an ice pack indicates that
nursing teaching has been effective?
A nurse is caring for a postoperative client. What Leg range of motion exercises
intervention(s) will help prevent thrombophlebitis? Select Sequential compression devices (SCDs) and antiembolic stockings
all that apply. Early ambulation as tolerated
Frequent turning and positioning
, The nurse observes a client independently move all the Active range of motion
joints through their normal motions. Which range of
motion has the client demonstrated?
A client has had a stroke and will require long-term tube Gastrostomy tube
feeding. Which type of feeding tubes would be most
appropriate for this client's needs?
A new unlicensed assistive personnel (UAP) is preparing Tell the UAP that the RN will assist the UAP with the client's ambulation.
to ambulate an obese client. The registered nurse (RN) is
concerned about the UAP's ability to safely ambulate the
client. Which would be the nurse's most appropriate
action?
The physician has ordered that the client should Medicate the client and wait to ambulate later.
ambulate 3 times a day. The nurse enters the room to
ambulate the client and the client reports pain. What is
the nurse's most appropriate action?
The nurse is caring for an older adult client who states Assess the need for assistance with ambulation.
the need to use the restroom. Which safety intervention
must the nurse perform first?
The nurse is caring for a client who is postoperative 3 Discuss with the client the need for assistance during ambulation.
days from coronary artery bypass graft. The client has a
prescription to ambulate. What is the best action by the
nurse?
A client who is bedridden and dependent has been Assist the client into a high-Fowler's position.
ordered to resume an oral diet. When feeding the client,
the nurse should perform what action?
The charge nurse is observing a new nurse care for a The new nurse places the client in the left lateral recumbent position.
client who is receiving a continuous feeding through a
nasogastric feeding tube. Which action by the new nurse
would require intervention by the charge nurse?
A nurse is assisting a client with the use of a bedpan. The The largest part of a regular bedpan should be placed under the client's buttocks.
nurse understands that which statement about bedpans is
true?
The client is preparing to obtain a clean-catch midstream Provide instruction to the client.
urine specimen. List in order the steps needed to Clean the area surrounding the urinary meatus with the provided cloth.
complete the diagnostic test. Void a small amount into stool.
Void into the provided collection device.
Secure the lid on the specimen container.
Submit collected specimen to the health care professional.
The nurse needs to collect a stool specimen for culture Reinstruct the client on use of collection container for next bowel movement.
from a client. The client passed stool into the toilet
instead of using the collection container. What is the next
step for the nurse?