1|Page
KAPLAN MEDICAL-SURGICAL NURSING NEWEST 2025 EXAM
WITH 70 ACCURATE AND VERIFIED QUESTIONS COVERING
ADULT HEALTH CONDITIONS, CLINICAL JUDGMENT, NURSING
INTERVENTIONS, AND PATIENT SAFETY.
A nurse is reviewing information about advance directives with a newly admitted client. Which
of the following statements by the client indicates an understanding of the teaching?
a) "I need to have an attorney sign my advance directives"
b) "I have a living will that outlines my wishes if I am unable to make decisions"
c) "I must have a family member appointed to make my health care decisions"
d) "I will need to sign a document stating that I want to be resuscitated if I required CPR" -
ANSWER-b) "I have a living will that outlines my wishes if I am unable to make decisions"
A nurse is planning a community education program about colorectal cancer. Which of the
following risk factors should the nurse identify as modifiable? (Select all that apply)
a) smoking
b) alcohol consumption
c) inflammatory bowel disease
d) high-fat diet
e) colorectal polyps - ANSWER-a) smoking
b) alcohol consumption
d) high-fat diet
,2|Page
A nurse is planning to administer several medications to a client through a nasogastric (NG)
tube. Which of the following actions should the nurse take?
a) mix the medications together and administer through the NG tube.
b) crush the sublingual medication into powder form.
c) dissolve crushed tablet medications in sterile water.
d) flush the tube with 5 mL saline between each medication. - ANSWER-c) dissolve crushed
tablet medications in sterile water.
A nurse is preparing to perform a sterile dressing change for a client who has a surgical wound.
Which of the following actions should the nurse take to prevent contamination during the
dressing change?
a) remove a piece of the new dressing that falls 5cm (2 inches) from the edge of the sterile field
during the dressing change.
b) begin the dressing change by applying sterile gloves and removing the existing dressing.
c) restart the procedure if the sterile solution splashes onto the sterile field when pouring into
the dressing tray.
d) place the existing dressing on the outermost portion of the sterile field and discard it when
the dressing change is finished. - ANSWER-c) restart the procedure if the sterile solution
splashes onto the sterile field when pouring into the dressing tray.
A nurse is reviewing the health history of an older adult client who has a hip fracture. The nurse
should identify that which of the following findings places the client at risk for developing a
pressure injury?
a) osteoporosis
b) urinary incontinence
c) maculardegeneration
,3|Page
d) psoriasis - ANSWER-b) urinary incontinence
A nurse is performing a focused assessment for a client who has dysrhythmia. Which of the
following indicates ineffective cardiac contractions?
a) carotid bruit
b) heart murmur
c) pulse deficit
d) bounding radial pulse - ANSWER-c) pulse deficit
A nurse is preparing to transfer a client from a chair to the client's bed. The client can bear
partial weight and has upper body strength. Which of the following devices should the nurse
use to transfer the client?
a) stand-assist lift
b) footboard
c) slide boards
d) mechanical lift with a full body sling - ANSWER-a) stand-assist lift
A charge nurse is making assignments for the upcoming shift. Which of the following client
assignments should the charge nurse assign to a licensed practical nurse (LPN)?
a) a client who has received moderate (conscious) sedation
b) a client who was just admitted with multiple rib fractures.
c) a client who is scheduled for a bone marrow transplant.
d) a client who has dehydration and inflammatory bowel disease. - ANSWER-d) a client who has
dehydration and inflammatory bowel disease.
, 4|Page
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.
KAPLAN MEDICAL-SURGICAL NURSING NEWEST 2025 EXAM
WITH 70 ACCURATE AND VERIFIED QUESTIONS COVERING
ADULT HEALTH CONDITIONS, CLINICAL JUDGMENT, NURSING
INTERVENTIONS, AND PATIENT SAFETY.
A nurse is reviewing information about advance directives with a newly admitted client. Which
of the following statements by the client indicates an understanding of the teaching?
a) "I need to have an attorney sign my advance directives"
b) "I have a living will that outlines my wishes if I am unable to make decisions"
c) "I must have a family member appointed to make my health care decisions"
d) "I will need to sign a document stating that I want to be resuscitated if I required CPR" -
ANSWER-b) "I have a living will that outlines my wishes if I am unable to make decisions"
A nurse is planning a community education program about colorectal cancer. Which of the
following risk factors should the nurse identify as modifiable? (Select all that apply)
a) smoking
b) alcohol consumption
c) inflammatory bowel disease
d) high-fat diet
e) colorectal polyps - ANSWER-a) smoking
b) alcohol consumption
d) high-fat diet
,2|Page
A nurse is planning to administer several medications to a client through a nasogastric (NG)
tube. Which of the following actions should the nurse take?
a) mix the medications together and administer through the NG tube.
b) crush the sublingual medication into powder form.
c) dissolve crushed tablet medications in sterile water.
d) flush the tube with 5 mL saline between each medication. - ANSWER-c) dissolve crushed
tablet medications in sterile water.
A nurse is preparing to perform a sterile dressing change for a client who has a surgical wound.
Which of the following actions should the nurse take to prevent contamination during the
dressing change?
a) remove a piece of the new dressing that falls 5cm (2 inches) from the edge of the sterile field
during the dressing change.
b) begin the dressing change by applying sterile gloves and removing the existing dressing.
c) restart the procedure if the sterile solution splashes onto the sterile field when pouring into
the dressing tray.
d) place the existing dressing on the outermost portion of the sterile field and discard it when
the dressing change is finished. - ANSWER-c) restart the procedure if the sterile solution
splashes onto the sterile field when pouring into the dressing tray.
A nurse is reviewing the health history of an older adult client who has a hip fracture. The nurse
should identify that which of the following findings places the client at risk for developing a
pressure injury?
a) osteoporosis
b) urinary incontinence
c) maculardegeneration
,3|Page
d) psoriasis - ANSWER-b) urinary incontinence
A nurse is performing a focused assessment for a client who has dysrhythmia. Which of the
following indicates ineffective cardiac contractions?
a) carotid bruit
b) heart murmur
c) pulse deficit
d) bounding radial pulse - ANSWER-c) pulse deficit
A nurse is preparing to transfer a client from a chair to the client's bed. The client can bear
partial weight and has upper body strength. Which of the following devices should the nurse
use to transfer the client?
a) stand-assist lift
b) footboard
c) slide boards
d) mechanical lift with a full body sling - ANSWER-a) stand-assist lift
A charge nurse is making assignments for the upcoming shift. Which of the following client
assignments should the charge nurse assign to a licensed practical nurse (LPN)?
a) a client who has received moderate (conscious) sedation
b) a client who was just admitted with multiple rib fractures.
c) a client who is scheduled for a bone marrow transplant.
d) a client who has dehydration and inflammatory bowel disease. - ANSWER-d) a client who has
dehydration and inflammatory bowel disease.
, 4|Page
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.
