1|Page
Kaplan med-surg exam, medical surgical
integrated test, Kaplan nursing questions,
med-surg clinical exam, Kaplan 2025,
nursing exam prep, verified Kaplan
answers
Shock - ANSWER>>systemic pressure is too low to carry
necessary oxygen, nutrients to vital organs and cells
NI: ensure patent airway, maintain breathing and circulation,
restore circulating blood volume, insert indwelling catheter, I's &
O's every 15-30 minutes, determine cause of shock, lab tests,
elevate feet slightly, meds prescribed, maintain body temp,
avoid too much heat
Parkinson's - ANSWER>>fine, slow spreading tremors, muscular
rigidity, altered gait
NI: finger exercises, ROM as appropriate, ambulation
modification, refer to physical therapy
Treatment for detached retina - ANSWER>>NI: maintain bedrest,
patch affecter or both eyes, position so area of detachment is in
dependent position, teach client to take precautions to avoid
bumping head, moving eyes rapidly or rapidly jerking head
,2|Page
- Instruct client to avoid hair washing for 1 week, strenuous
activity for 3 months, bending down or straining at stool
Cystic fibrosis - ANSWER>>S/S: wheezing, crackles
Hereditary dysfunction of exocrine glands, causing obstruction
of flow of thick mucus
NI: postural drainage, chest physiotherapy, breathing exercises,
expectorants, mucolytic agents, replacement of pancreatic
enzymes, aerosol therapy with bronchodilators, mucolytics
assist in loosening secretions, relief of bronchospasm
Appropriate diet for chronic renal failure - ANSWER>>Low
protein, low potassium, low sodium
Warfarin - ANSWER>>Anticoagulant; interferes with synthesis of
Vitamin K-dependent clotting factors, has prolonged action of 2-
5 days
AE: hemorrhage, alopecia
NI: Monitor PT (1.5-2 times the control is therapeutic level),
observe for petechiae, bleeding gums, bruises and dark stools
What is the antidote for Warfarin? - ANSWER>>Vitamin K
, 3|Page
What is the therapeutic level of prothrombin time for a patient
on Warfarin? - ANSWER>>1.5-2 times the control
Which diet best meets the need of a person with multiple
wounds?
A. high-protein, low fat, high-iron diet
B. high vitamin c, high protein, high carb
C. high vit A, high calcium, high fat
D. high vit B, high protein, low carb - ANSWER>>B. high vitamin c
(wound healing), high protein (tissue growth), high carb (energy)
- Also, vit A, E, and minerals like zinc
A nurse observes a staff member entering the patient's room
wearing a protective respiratory device. The nurse determines
care is appropriate if the staff member is caring for which of the
following patients?
A. Patient with varicella
B. Patient with mumps
C. Patient with vancomycin-resitant Enterococcus (VRE)
D. Patient diagnosed with pneumonia - ANSWER>>A. Patient
with varicella (chickenpox)
Protective respiratory device is for pathogens transmitted by
airborne route; need private room with negative air pressure,
keep door closed, keep mask on patient when transporting
Kaplan med-surg exam, medical surgical
integrated test, Kaplan nursing questions,
med-surg clinical exam, Kaplan 2025,
nursing exam prep, verified Kaplan
answers
Shock - ANSWER>>systemic pressure is too low to carry
necessary oxygen, nutrients to vital organs and cells
NI: ensure patent airway, maintain breathing and circulation,
restore circulating blood volume, insert indwelling catheter, I's &
O's every 15-30 minutes, determine cause of shock, lab tests,
elevate feet slightly, meds prescribed, maintain body temp,
avoid too much heat
Parkinson's - ANSWER>>fine, slow spreading tremors, muscular
rigidity, altered gait
NI: finger exercises, ROM as appropriate, ambulation
modification, refer to physical therapy
Treatment for detached retina - ANSWER>>NI: maintain bedrest,
patch affecter or both eyes, position so area of detachment is in
dependent position, teach client to take precautions to avoid
bumping head, moving eyes rapidly or rapidly jerking head
,2|Page
- Instruct client to avoid hair washing for 1 week, strenuous
activity for 3 months, bending down or straining at stool
Cystic fibrosis - ANSWER>>S/S: wheezing, crackles
Hereditary dysfunction of exocrine glands, causing obstruction
of flow of thick mucus
NI: postural drainage, chest physiotherapy, breathing exercises,
expectorants, mucolytic agents, replacement of pancreatic
enzymes, aerosol therapy with bronchodilators, mucolytics
assist in loosening secretions, relief of bronchospasm
Appropriate diet for chronic renal failure - ANSWER>>Low
protein, low potassium, low sodium
Warfarin - ANSWER>>Anticoagulant; interferes with synthesis of
Vitamin K-dependent clotting factors, has prolonged action of 2-
5 days
AE: hemorrhage, alopecia
NI: Monitor PT (1.5-2 times the control is therapeutic level),
observe for petechiae, bleeding gums, bruises and dark stools
What is the antidote for Warfarin? - ANSWER>>Vitamin K
, 3|Page
What is the therapeutic level of prothrombin time for a patient
on Warfarin? - ANSWER>>1.5-2 times the control
Which diet best meets the need of a person with multiple
wounds?
A. high-protein, low fat, high-iron diet
B. high vitamin c, high protein, high carb
C. high vit A, high calcium, high fat
D. high vit B, high protein, low carb - ANSWER>>B. high vitamin c
(wound healing), high protein (tissue growth), high carb (energy)
- Also, vit A, E, and minerals like zinc
A nurse observes a staff member entering the patient's room
wearing a protective respiratory device. The nurse determines
care is appropriate if the staff member is caring for which of the
following patients?
A. Patient with varicella
B. Patient with mumps
C. Patient with vancomycin-resitant Enterococcus (VRE)
D. Patient diagnosed with pneumonia - ANSWER>>A. Patient
with varicella (chickenpox)
Protective respiratory device is for pathogens transmitted by
airborne route; need private room with negative air pressure,
keep door closed, keep mask on patient when transporting
