FUNDAMENTALS KAPLAN FINAL EXAM 2025 WITH
ACTUAL QUESTIONS AND VERIFIED ANSWERS BEST
GRADED
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? - -answer--Assess the need for assistance with
ambulation.
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? - -answer--
Discuss with the client the need for assistance during ambulation.
A client recovering from spinal surgery requests to be moved in bed. Which action does the
nurse taken when reposition this client? - -answer--Ensure the client's shoulder, hips, and legs
are moved simultaneously
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? - -answer--Total parenteral
nutrition (TPN)
Which client would be a candidate for total parenteral nutrition? - -answer--A client with colitis
and bloody diarrhea
The nurse provides care for clients in a long term care facility. Which client indicates a need for
the nurse to reinforce teaching about the use of assistive devices? - -answer--The client places
weight on the axilla when taking a step using crutches
The client places a can in the hand on the side of the affected leg
The client uses a four-point crutch gait with no weight bearing on the affected leg
, 2
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. - -answer--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.
Which nursing interventions reflect the accurate use of heat or cold during wound care? Select
all that apply. - -answer--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.
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? - -answer--"I will put a layer of cloth
between my skin and the ice pack."
A nurse is caring for a postoperative client. What intervention(s) will help prevent
thrombophlebitis? Select all that apply. - -answer--Leg range of motion exercises
Sequential compression devices (SCDs) and antiembolic stockings
Early ambulation as tolerated
Frequent turning and positioning
The nurse observes a client independently move all the joints through their normal motions.
Which range of motion has the client demonstrated? - -answer--Active range of motion
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? - -answer--Gastrostomy tube
, 3
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? - -answer--Tell the UAP that the RN will assist the
UAP with the client's ambulation.
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? - -answer--Medicate the client and wait to ambulate later.
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? - -answer--Assist the client into a
high-Fowler's position.
The charge nurse is observing a new nurse care for a client who is receiving a continuous
feeding through a nasogastric feeding tube. Which action by the new nurse would require
intervention by the charge nurse? - -answer--The new nurse places the client in the left lateral
recumbent position.
A nurse is assisting a client with the use of a bedpan. The nurse understands that which
statement about bedpans is true? - -answer--The largest part of a regular bedpan should be
placed under the client's buttocks.
The client is preparing to obtain a clean-catch midstream urine specimen. List in order the steps
needed to complete the diagnostic test. - -answer--Provide instruction 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.