KAPLAN FUNDAMENTALS INTEGRATED
TEST COMPLETE QUESTIONS WITH
100% VERIFIED ANSWERS
1. A client has just had abdominal surgery, and the nurse is consulting
with him about his diet now that he is allowed to eat. Which nutrient
is most important for wound healing?
A) Carbohydrates
B) Protein
C) Vitamin C
D) Fats
Correct answer: B
Explanation: Protein is essential for tissue repair, collagen formation,
and immune function. Carbohydrates provide energy but not structural
repair. Vitamin C supports collagen but is not the primary
macronutrient for healing. Fats are important for cell membranes but
not the key healing nutrient.
2. A nurse is caring for a client with fecal impaction. Which factors
cause fecal impaction? Select all that apply.
A) High-fiber diet
B) Weak abdominal muscles
C) Severe dehydration
D) Daily laxative use
E) Unrelieved constipation
,Correct answers: B, C, E
Explanation: Weak abdominal muscles reduce defecation force. Severe
dehydration hardens stool. Unrelieved constipation allows stool to
accumulate and harden. High-fiber diet prevents impaction. Daily
laxative use may cause diarrhea, not impaction.
3. Which nursing interventions reflect the accurate use of heat or cold
during wound care? Select all that apply.
A) The nurse makes more frequent checks of the skin of an older adult
using a heating pad.
B) The nurse fills an ice bag with large ice cubes to the brim.
C) The nurse fills an ice bag with small pieces of ice to about two-
thirds full.
D) The nurse covers a cold pack with a cotton sleeve to keep it in place
on an arm.
E) The nurse places a heating pad directly on a wound with an open
dressing.
Correct answers: A, C, D
Explanation: Older adults have fragile skin, requiring frequent checks.
Ice bags should be partially filled to mold to the body. A barrier
prevents cold injury. Large cubes and overfilling reduce contact. Direct
heat on open wounds risks burns.
4. A nurse is assisting client from a bed to a wheelchair. Which nursing
action is appropriate?
A) The nurse lifts the client without assistance regardless of weight.
B) The nurse uses assistive devices when lifting more than 35 lb (16
,kg) of client weight.
C) The nurse always uses a mechanical lift for any client.
D) The nurse positions the wheelchair facing away from the bed.
Correct answer: B
Explanation: Lifting >35 lb without assistive devices risks nurse injury.
Mechanical lifts are not always needed. Wheelchair should face the bed
at an angle.
5. A nurse is providing oral care to an unconscious client. When
planning this intervention, the nurse should prioritize which nursing
diagnosis?
A) Impaired Oral Mucous Membrane
B) Risk for Aspiration
C) Imbalanced Nutrition: Less Than Body Requirements
D) Deficient Fluid Volume
Correct answer: B
Explanation: Unconscious clients cannot protect their airway; aspiration
of fluids or debris is the greatest immediate risk. Other diagnoses may
exist but are secondary.
6. The nurse has admitted a client on airborne precautions onto the
medical-surgical unit. When the client asks, "When will these airborne
precautions be removed?" what is the appropriate nursing response?
A) "When your fever is gone."
B) "When your sputum culture is negative."
, C) "After 48 hours of antibiotics."
D) "When your cough stops."
Correct answer: B
Explanation: Negative sputum cultures confirm resolution of airborne
pathogens like TB. Fever or symptom improvement alone does not
guarantee noninfectious status.
7. The nurse is caring for a client with tuberculosis. Which precautions
will the nurse select for this client?
A) Contact
B) Airborne
C) Droplet
D) Protective
Correct answer: B
Explanation: TB spreads via small droplet nuclei that remain airborne.
Airborne precautions require N95 mask and negative pressure room.
8. A client scheduled for a colonoscopy is scheduled to receive a
hypertonic enema prior to the procedure. A hypertonic enema is
classified as which type of enema?
A) Retention enema
B) Cleansing enema
C) Carminative enema
D) Medicated enema
TEST COMPLETE QUESTIONS WITH
100% VERIFIED ANSWERS
1. A client has just had abdominal surgery, and the nurse is consulting
with him about his diet now that he is allowed to eat. Which nutrient
is most important for wound healing?
A) Carbohydrates
B) Protein
C) Vitamin C
D) Fats
Correct answer: B
Explanation: Protein is essential for tissue repair, collagen formation,
and immune function. Carbohydrates provide energy but not structural
repair. Vitamin C supports collagen but is not the primary
macronutrient for healing. Fats are important for cell membranes but
not the key healing nutrient.
2. A nurse is caring for a client with fecal impaction. Which factors
cause fecal impaction? Select all that apply.
A) High-fiber diet
B) Weak abdominal muscles
C) Severe dehydration
D) Daily laxative use
E) Unrelieved constipation
,Correct answers: B, C, E
Explanation: Weak abdominal muscles reduce defecation force. Severe
dehydration hardens stool. Unrelieved constipation allows stool to
accumulate and harden. High-fiber diet prevents impaction. Daily
laxative use may cause diarrhea, not impaction.
3. Which nursing interventions reflect the accurate use of heat or cold
during wound care? Select all that apply.
A) The nurse makes more frequent checks of the skin of an older adult
using a heating pad.
B) The nurse fills an ice bag with large ice cubes to the brim.
C) The nurse fills an ice bag with small pieces of ice to about two-
thirds full.
D) The nurse covers a cold pack with a cotton sleeve to keep it in place
on an arm.
E) The nurse places a heating pad directly on a wound with an open
dressing.
Correct answers: A, C, D
Explanation: Older adults have fragile skin, requiring frequent checks.
Ice bags should be partially filled to mold to the body. A barrier
prevents cold injury. Large cubes and overfilling reduce contact. Direct
heat on open wounds risks burns.
4. A nurse is assisting client from a bed to a wheelchair. Which nursing
action is appropriate?
A) The nurse lifts the client without assistance regardless of weight.
B) The nurse uses assistive devices when lifting more than 35 lb (16
,kg) of client weight.
C) The nurse always uses a mechanical lift for any client.
D) The nurse positions the wheelchair facing away from the bed.
Correct answer: B
Explanation: Lifting >35 lb without assistive devices risks nurse injury.
Mechanical lifts are not always needed. Wheelchair should face the bed
at an angle.
5. A nurse is providing oral care to an unconscious client. When
planning this intervention, the nurse should prioritize which nursing
diagnosis?
A) Impaired Oral Mucous Membrane
B) Risk for Aspiration
C) Imbalanced Nutrition: Less Than Body Requirements
D) Deficient Fluid Volume
Correct answer: B
Explanation: Unconscious clients cannot protect their airway; aspiration
of fluids or debris is the greatest immediate risk. Other diagnoses may
exist but are secondary.
6. The nurse has admitted a client on airborne precautions onto the
medical-surgical unit. When the client asks, "When will these airborne
precautions be removed?" what is the appropriate nursing response?
A) "When your fever is gone."
B) "When your sputum culture is negative."
, C) "After 48 hours of antibiotics."
D) "When your cough stops."
Correct answer: B
Explanation: Negative sputum cultures confirm resolution of airborne
pathogens like TB. Fever or symptom improvement alone does not
guarantee noninfectious status.
7. The nurse is caring for a client with tuberculosis. Which precautions
will the nurse select for this client?
A) Contact
B) Airborne
C) Droplet
D) Protective
Correct answer: B
Explanation: TB spreads via small droplet nuclei that remain airborne.
Airborne precautions require N95 mask and negative pressure room.
8. A client scheduled for a colonoscopy is scheduled to receive a
hypertonic enema prior to the procedure. A hypertonic enema is
classified as which type of enema?
A) Retention enema
B) Cleansing enema
C) Carminative enema
D) Medicated enema
