KAPLAN INTEGRATED EXAM FUNDAMENTALS D NGN ACTUAL FINAL EXAM – QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
*Core Domains*
*• Nursing Fundamentals*
*• Pharmacology Principles*
*• Safety and Infection Control*
*• Health Promotion and Maintenance*
*• Physiological Adaptation*
*• Psychosocial Integrity*
*• Leadership and Management*
*• Legal and Ethical Practice*
*Introduction*
*The Kaplan Integrated Exam Fundamentals D NGN is designed to evaluate a*
*candidate's foundational knowledge and clinical judgment within the*
*nursing process. This assessment focuses on the core principles of*
*patient care, safety, and evidence-based practice essential for*
*entry-level competency. Through a combination of multiple-choice*
*questions and complex clinical scenarios, the exam measures the*
*ability to prioritize care, manage risks, and apply ethical standards*
*in diverse healthcare settings. The emphasis is placed on real-world*
*application, ensuring that candidates can make sound clinical decisions*
*under pressure while maintaining the highest standards of professional*
*conduct and patient-centered care.*
SECTION ONE: QUESTIONS 1–100
1. A nurse is caring for a client with a localized bacterial infection. Which white blood cell count differential
result would the nurse expect to see?
,A. Increased lymphocytes
B. Increased basophils
🟢 Correct answer C. Increased segmented neutrophils
D. Increased monocytes
🔴 RATIONALE: Segmented neutrophils (segs) are the mature white blood cells that serve as the primary
defense against bacterial infection through phagocytosis. An increase, known as a "shift to the right," is expected
in acute bacterial processes.
2. A nurse is preparing to administer an intramuscular injection to an infant. Which site is the most
appropriate for this age group?
🟢 Correct answer A. Vastus lateralis
B. Dorsogluteal
C. Deltoid
D. Ventrogluteal
🔴 RATIONALE: The vastus lateralis muscle is the preferred site for IM injections in infants because it is the most
developed muscle mass in children under the age of 12 months.
3. Which action by the nurse is the most important when performing a sterile dressing change?
A. Donning clean gloves to remove the old dressing
B. Checking the expiration date on the sterile supplies
🟢 Correct answer C. Maintaining the sterile field above the level of the waist
D. Explaining the procedure to the client before starting
🔴 RATIONALE: While all options are correct nursing actions, maintaining the sterile field above waist level is a
fundamental principle of surgical asepsis to prevent accidental contamination that occurs when the field is out of
,the direct line of sight.
4. A client who is Catholic is nearing death. Which religious practice should the nurse prioritize facilitating?
A. Reading from the Torah
🟢 Correct answer B. Administration of the Anointing of the Sick
C. Positioning the bed toward Mecca
D. Providing a vegetarian meal
🔴 RATIONALE: In the Catholic faith, the Anointing of the Sick (formerly known as Last Rites) is a vital sacrament
for those who are seriously ill or near death to provide spiritual healing and comfort.
5. A nurse observes a colleague documenting vital signs that were never actually taken. Which ethical
principle is the colleague violating?
A. Beneficence
B. Autonomy
🟢 Correct answer C. Veracity
D. Nonmaleficence
🔴 RATIONALE: Veracity is the obligation to tell the truth. Falsifying medical records is a direct violation of this
principle and professional integrity.
6. A client has a prescription for a clear liquid diet. Which item should the nurse remove from the client's tray?
🟢 Correct answer A. Vanilla pudding
B. Apple juice
C. Beef bouillon
D. Lemon gelatin
, 🔴 RATIONALE: Clear liquids are items that are transparent and liquid at room temperature. Pudding contains
dairy and is considered a full liquid, not a clear liquid.
7. While assessing a client's respirations, the nurse notes a rate of 24 breaths per minute with an irregular
rhythm. How should the nurse document this rate?
A. Bradypnea
B. Eupnea
🟢 Correct answer C. Tachypnea
D. Apnea
🔴 RATIONALE: Tachypnea is defined as a respiratory rate greater than 20 breaths per minute in an adult.
Eupnea is normal (12–20), and bradypnea is slow (less than 12).
8. Which vital sign change would the nurse expect to observe in a client experiencing acute pain?
🟢 Correct answer A. Increased heart rate
B. Decreased blood pressure
C. Decreased respiratory rate
D. Increased body temperature
🔴 RATIONALE: Acute pain triggers the sympathetic nervous system (the "fight or flight" response), which
typically results in an increased heart rate, increased blood pressure, and increased respiratory rate.
9. The nurse is teaching a client about a low-sodium diet. Which food choice indicates the client understands
the teaching?
A. Canned tomato soup
B. Deli turkey breast
CORRECT ANSWERS (VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | INSTANT DOWNLOAD PDF.
*Core Domains*
*• Nursing Fundamentals*
*• Pharmacology Principles*
*• Safety and Infection Control*
*• Health Promotion and Maintenance*
*• Physiological Adaptation*
*• Psychosocial Integrity*
*• Leadership and Management*
*• Legal and Ethical Practice*
*Introduction*
*The Kaplan Integrated Exam Fundamentals D NGN is designed to evaluate a*
*candidate's foundational knowledge and clinical judgment within the*
*nursing process. This assessment focuses on the core principles of*
*patient care, safety, and evidence-based practice essential for*
*entry-level competency. Through a combination of multiple-choice*
*questions and complex clinical scenarios, the exam measures the*
*ability to prioritize care, manage risks, and apply ethical standards*
*in diverse healthcare settings. The emphasis is placed on real-world*
*application, ensuring that candidates can make sound clinical decisions*
*under pressure while maintaining the highest standards of professional*
*conduct and patient-centered care.*
SECTION ONE: QUESTIONS 1–100
1. A nurse is caring for a client with a localized bacterial infection. Which white blood cell count differential
result would the nurse expect to see?
,A. Increased lymphocytes
B. Increased basophils
🟢 Correct answer C. Increased segmented neutrophils
D. Increased monocytes
🔴 RATIONALE: Segmented neutrophils (segs) are the mature white blood cells that serve as the primary
defense against bacterial infection through phagocytosis. An increase, known as a "shift to the right," is expected
in acute bacterial processes.
2. A nurse is preparing to administer an intramuscular injection to an infant. Which site is the most
appropriate for this age group?
🟢 Correct answer A. Vastus lateralis
B. Dorsogluteal
C. Deltoid
D. Ventrogluteal
🔴 RATIONALE: The vastus lateralis muscle is the preferred site for IM injections in infants because it is the most
developed muscle mass in children under the age of 12 months.
3. Which action by the nurse is the most important when performing a sterile dressing change?
A. Donning clean gloves to remove the old dressing
B. Checking the expiration date on the sterile supplies
🟢 Correct answer C. Maintaining the sterile field above the level of the waist
D. Explaining the procedure to the client before starting
🔴 RATIONALE: While all options are correct nursing actions, maintaining the sterile field above waist level is a
fundamental principle of surgical asepsis to prevent accidental contamination that occurs when the field is out of
,the direct line of sight.
4. A client who is Catholic is nearing death. Which religious practice should the nurse prioritize facilitating?
A. Reading from the Torah
🟢 Correct answer B. Administration of the Anointing of the Sick
C. Positioning the bed toward Mecca
D. Providing a vegetarian meal
🔴 RATIONALE: In the Catholic faith, the Anointing of the Sick (formerly known as Last Rites) is a vital sacrament
for those who are seriously ill or near death to provide spiritual healing and comfort.
5. A nurse observes a colleague documenting vital signs that were never actually taken. Which ethical
principle is the colleague violating?
A. Beneficence
B. Autonomy
🟢 Correct answer C. Veracity
D. Nonmaleficence
🔴 RATIONALE: Veracity is the obligation to tell the truth. Falsifying medical records is a direct violation of this
principle and professional integrity.
6. A client has a prescription for a clear liquid diet. Which item should the nurse remove from the client's tray?
🟢 Correct answer A. Vanilla pudding
B. Apple juice
C. Beef bouillon
D. Lemon gelatin
, 🔴 RATIONALE: Clear liquids are items that are transparent and liquid at room temperature. Pudding contains
dairy and is considered a full liquid, not a clear liquid.
7. While assessing a client's respirations, the nurse notes a rate of 24 breaths per minute with an irregular
rhythm. How should the nurse document this rate?
A. Bradypnea
B. Eupnea
🟢 Correct answer C. Tachypnea
D. Apnea
🔴 RATIONALE: Tachypnea is defined as a respiratory rate greater than 20 breaths per minute in an adult.
Eupnea is normal (12–20), and bradypnea is slow (less than 12).
8. Which vital sign change would the nurse expect to observe in a client experiencing acute pain?
🟢 Correct answer A. Increased heart rate
B. Decreased blood pressure
C. Decreased respiratory rate
D. Increased body temperature
🔴 RATIONALE: Acute pain triggers the sympathetic nervous system (the "fight or flight" response), which
typically results in an increased heart rate, increased blood pressure, and increased respiratory rate.
9. The nurse is teaching a client about a low-sodium diet. Which food choice indicates the client understands
the teaching?
A. Canned tomato soup
B. Deli turkey breast
