KAPLAN MEDICAL SURGICAL
INTEGRATED ACTUAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
/.A nurse is updating a plan of care after an evaluation of a client who has dysphagia.
Which of the following interventions should the nurse include in the plan?
a) Ask the client to tilt their head back when swallowing
b) Have the client sit upright for 1 hour following meals.
c) Administer liquids to the client using a syringe.
d) Allow the client to rest of 10 min prior to eating. - Answer-✅b) Have the client sit
upright for 1 hour following meals.
/.A nurse is assessing the IV infusion site of client who reports pain at the site. The site
is red and there is warmth along the course of the vein. Which of the following actions
should the nurse take?
a) initiate a new IV line below the original insertion site.
b) discontinue the infusion.
c) raise the head of the bed.
d) obtain a culture from the area of the insertion site. - Answer-✅b) discontinue the
infusion.
/.A nurse is preparing to perform a routine abdominal assessment for a client. Which of
the following actions should the nurse take?
a) document shiny, taut skin as an expected finding.
b) perform palpitation after auscultation.
c) listen for 1 minute before documenting absent bowel sounds.
d) perform auscultation immediately after the client has consumed a meal. - Answer-✅b)
perform palpitation after auscultation.
/.A nurse is discusses immunity with a client who has received an immunization. The
nurse should identify that an immunization functions as part of the which of following
types of immunity?
, a) passive immunity.
b) active immunity.
c) cellular immunity.
d) acquired immunity. - Answer-✅d) acquired immunity.
/.A nurse is reviewing the medical records of a group of older adult clients. The nurse
should identify that which of the following is a risk factor that places older clients at an
increased risk for developing infections?
a) overproduction of lymphocytes.
b) elevated albumin levels.
c) lowered immune system function.
d) increased body fat. - Answer-✅c) lowered immune system function.
/.A nurse is teaching the client who has asthma the use of a metered dose inhaler.
Which of the following instructions should the nurse include in the teaching?
a) hold your breath for 6 seconds after inhaling the medication.
b) do not shake the medication in the inhaler.
c) inhale the medication deeply for 5 seconds.
d) hold the inhaler 3 inches away from your mouth. - Answer-✅c) inhale the medication
deeply for 5 seconds.
/.A nurse is assessing the pain level of a client who has dementia and difficulty
communicating. Which of the following pain assessment techniques should the nurse
use?
a) numerical pain scale.
b) faces pain scale
c) verbal description
d) behavioural indicators - Answer-✅d) behavioural indicators.
/.A nurse in an emergency department is monitoring the hydration status of a client who
is receiving oral rehydration. Which of the following findings should the nurse identify as
requiring further interventions?
a) heart rate 120/min
b) BP 121/74 mmHg
c) Temperature 37.78C (100F)
d) Urine specific gravity 1.020 - Answer-✅a) heart rate 120/min
/.A nurse in a provider's office is assessing the motor skill development of a 15 month
old toddler during a well child visit. Which of the following gross motor skills should the
nurse expect?
a) takes several steps on tip toes.
INTEGRATED ACTUAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
/.A nurse is updating a plan of care after an evaluation of a client who has dysphagia.
Which of the following interventions should the nurse include in the plan?
a) Ask the client to tilt their head back when swallowing
b) Have the client sit upright for 1 hour following meals.
c) Administer liquids to the client using a syringe.
d) Allow the client to rest of 10 min prior to eating. - Answer-✅b) Have the client sit
upright for 1 hour following meals.
/.A nurse is assessing the IV infusion site of client who reports pain at the site. The site
is red and there is warmth along the course of the vein. Which of the following actions
should the nurse take?
a) initiate a new IV line below the original insertion site.
b) discontinue the infusion.
c) raise the head of the bed.
d) obtain a culture from the area of the insertion site. - Answer-✅b) discontinue the
infusion.
/.A nurse is preparing to perform a routine abdominal assessment for a client. Which of
the following actions should the nurse take?
a) document shiny, taut skin as an expected finding.
b) perform palpitation after auscultation.
c) listen for 1 minute before documenting absent bowel sounds.
d) perform auscultation immediately after the client has consumed a meal. - Answer-✅b)
perform palpitation after auscultation.
/.A nurse is discusses immunity with a client who has received an immunization. The
nurse should identify that an immunization functions as part of the which of following
types of immunity?
, a) passive immunity.
b) active immunity.
c) cellular immunity.
d) acquired immunity. - Answer-✅d) acquired immunity.
/.A nurse is reviewing the medical records of a group of older adult clients. The nurse
should identify that which of the following is a risk factor that places older clients at an
increased risk for developing infections?
a) overproduction of lymphocytes.
b) elevated albumin levels.
c) lowered immune system function.
d) increased body fat. - Answer-✅c) lowered immune system function.
/.A nurse is teaching the client who has asthma the use of a metered dose inhaler.
Which of the following instructions should the nurse include in the teaching?
a) hold your breath for 6 seconds after inhaling the medication.
b) do not shake the medication in the inhaler.
c) inhale the medication deeply for 5 seconds.
d) hold the inhaler 3 inches away from your mouth. - Answer-✅c) inhale the medication
deeply for 5 seconds.
/.A nurse is assessing the pain level of a client who has dementia and difficulty
communicating. Which of the following pain assessment techniques should the nurse
use?
a) numerical pain scale.
b) faces pain scale
c) verbal description
d) behavioural indicators - Answer-✅d) behavioural indicators.
/.A nurse in an emergency department is monitoring the hydration status of a client who
is receiving oral rehydration. Which of the following findings should the nurse identify as
requiring further interventions?
a) heart rate 120/min
b) BP 121/74 mmHg
c) Temperature 37.78C (100F)
d) Urine specific gravity 1.020 - Answer-✅a) heart rate 120/min
/.A nurse in a provider's office is assessing the motor skill development of a 15 month
old toddler during a well child visit. Which of the following gross motor skills should the
nurse expect?
a) takes several steps on tip toes.
