Fundamentals Kaplan Integrated Test
Study online at https://quizlet.com/_e7pcs6
1. A physician orders nutritional therapy administered via a central vein for a
client who cannot take foods orally. What is the term for this type of nutrition?-
: Total parenteral nutrition (TPN)
2. Which client would be a candidate for total parenteral nutrition?: A client with
colitis and bloody diarrhea
3. A nurse is developing a plan of care for a client who is at high risk for
developing pressure injuries. Which intervention should the nurse include
in the plan to prevent the development of pressure injuries? Select all that
apply.: provide incontinent care every 2 hours and as needed.
turn the client every 2 hours when the client is in bed.
encourage the client to take fluids every 2 hours.
4. Which nursing interventions reflect the accurate use of heat or cold during
wound care? Select all that apply.: The nurse makes more frequent checks of the
skin of an older adult using a 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.
5. The nurse is caring for a client with an ankle sprain. Which client statement
regarding an ice pack indicates that nursing teaching has been effective?: "I
will put a layer of cloth between my skin and the ice pack."
6. A nurse is caring for a postoperative client. What intervention(s) will help
prevent thrombophlebitis? Select all that apply.: Leg range of motion exercises
Sequential compression devices (SCDs) and antiembolic stockings
Early ambulation as tolerated
Frequent turning and positioning
7. The nurse observes a client independently move all the joints through their
normal motions. Which range of motion has the client demonstrated?: Active
range of motion
8. A client has had a stroke and will require long-term tube feeding. Which type
of feeding tubes would be most appropriate for this client's needs?: Gastros-
tomy tube
9. A new unlicensed assistive personnel (UAP) is preparing 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?: Tell the UAP that the RN will assist the UAP with the client's ambulation.
10. The physician has ordered that the client should 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?: Medicate the client and wait to
ambulate later.
1/6
, Fundamentals Kaplan Integrated Test
Study online at https://quizlet.com/_e7pcs6
11. The nurse is caring for an older adult client who states the need to use the
restroom. Which safety intervention must the nurse perform first?: Assess the
need for assistance with ambulation.
12. The nurse is caring for a client who is postoperative 3 days from coronary
artery bypass graft. The client has a prescription to ambulate. What is the
best action by the nurse?: Discuss with the client the need for assistance during
ambulation.
13. A client who is bedridden and dependent has been ordered to resume an
oral diet. When feeding the client, the nurse should perform what action?: As-
sist the client into a high-Fowler's position.
14. The charge nurse is observing a new nurse care for a client who is receiv-
ing a continuous feeding through a nasogastric feeding tube. Which action by
the new nurse would require intervention by the charge nurse?: The new nurse
places the client in the left lateral recumbent position.
15. A nurse is assisting a client with the use of a bedpan. The nurse under-
stands that which statement about bedpans is true?: The largest part of a
regular bedpan should be placed under the client's buttocks.
16. The client is preparing to obtain a clean-catch midstream urine specimen.
List in order the steps needed to complete the diagnostic test.: Provide instruc-
tion to the client.
Clean the area surrounding the urinary meatus with the provided cloth.
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.
17. The nurse needs to collect a stool specimen for culture from a client. The
client passed stool into the toilet instead of using the collection container.
What is the next step for the nurse?: Reinstruct the client on use of collection
container for next bowel movement.
18. 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?: protein
19. The emergency room nurse is caring for a client who will need a lumbar
puncture. The health care provider prescribes lidocaine 2.5% and prilocaine
2.5% cream (EMLA) to decrease the pain associated with the procedure. When
should the nurse administer the cream?: One hour prior to the procedure
20. A nurse is providing oral care to an unconscious client. When planning
this intervention, the nurse should prioritize which nursing diagnosis?: Risk
for Aspiration
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Study online at https://quizlet.com/_e7pcs6
1. A physician orders nutritional therapy administered via a central vein for a
client who cannot take foods orally. What is the term for this type of nutrition?-
: Total parenteral nutrition (TPN)
2. Which client would be a candidate for total parenteral nutrition?: A client with
colitis and bloody diarrhea
3. A nurse is developing a plan of care for a client who is at high risk for
developing pressure injuries. Which intervention should the nurse include
in the plan to prevent the development of pressure injuries? Select all that
apply.: provide incontinent care every 2 hours and as needed.
turn the client every 2 hours when the client is in bed.
encourage the client to take fluids every 2 hours.
4. Which nursing interventions reflect the accurate use of heat or cold during
wound care? Select all that apply.: The nurse makes more frequent checks of the
skin of an older adult using a 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.
5. The nurse is caring for a client with an ankle sprain. Which client statement
regarding an ice pack indicates that nursing teaching has been effective?: "I
will put a layer of cloth between my skin and the ice pack."
6. A nurse is caring for a postoperative client. What intervention(s) will help
prevent thrombophlebitis? Select all that apply.: Leg range of motion exercises
Sequential compression devices (SCDs) and antiembolic stockings
Early ambulation as tolerated
Frequent turning and positioning
7. The nurse observes a client independently move all the joints through their
normal motions. Which range of motion has the client demonstrated?: Active
range of motion
8. A client has had a stroke and will require long-term tube feeding. Which type
of feeding tubes would be most appropriate for this client's needs?: Gastros-
tomy tube
9. A new unlicensed assistive personnel (UAP) is preparing 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?: Tell the UAP that the RN will assist the UAP with the client's ambulation.
10. The physician has ordered that the client should 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?: Medicate the client and wait to
ambulate later.
1/6
, Fundamentals Kaplan Integrated Test
Study online at https://quizlet.com/_e7pcs6
11. The nurse is caring for an older adult client who states the need to use the
restroom. Which safety intervention must the nurse perform first?: Assess the
need for assistance with ambulation.
12. The nurse is caring for a client who is postoperative 3 days from coronary
artery bypass graft. The client has a prescription to ambulate. What is the
best action by the nurse?: Discuss with the client the need for assistance during
ambulation.
13. A client who is bedridden and dependent has been ordered to resume an
oral diet. When feeding the client, the nurse should perform what action?: As-
sist the client into a high-Fowler's position.
14. The charge nurse is observing a new nurse care for a client who is receiv-
ing a continuous feeding through a nasogastric feeding tube. Which action by
the new nurse would require intervention by the charge nurse?: The new nurse
places the client in the left lateral recumbent position.
15. A nurse is assisting a client with the use of a bedpan. The nurse under-
stands that which statement about bedpans is true?: The largest part of a
regular bedpan should be placed under the client's buttocks.
16. The client is preparing to obtain a clean-catch midstream urine specimen.
List in order the steps needed to complete the diagnostic test.: Provide instruc-
tion to the client.
Clean the area surrounding the urinary meatus with the provided cloth.
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.
17. The nurse needs to collect a stool specimen for culture from a client. The
client passed stool into the toilet instead of using the collection container.
What is the next step for the nurse?: Reinstruct the client on use of collection
container for next bowel movement.
18. 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?: protein
19. The emergency room nurse is caring for a client who will need a lumbar
puncture. The health care provider prescribes lidocaine 2.5% and prilocaine
2.5% cream (EMLA) to decrease the pain associated with the procedure. When
should the nurse administer the cream?: One hour prior to the procedure
20. A nurse is providing oral care to an unconscious client. When planning
this intervention, the nurse should prioritize which nursing diagnosis?: Risk
for Aspiration
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