KAPLAN MEDICAL SURGICAL INTEGRATED TEST
QUESTIONS AND WELL DETAILED
(VERIFIED)ANSWERS||LATEST 2024/2025
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. - CORRECT
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. - CORRECT
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. - CORRECT ANSWER b) perform palpitation after auscultation.
A nurse is discusses immunity with a client who has received an
immunization. The nurse should identify that an immunization functions
as part of the which of following types of immunity?
a) passive immunity.
b) active immunity.
c) cellular immunity.
d) acquired immunity. - CORRECT ANSWER d) acquired immunity.
A nurse is reviewing the medical records of a group of older adult
clients. The nurse should identify that which of the following is a risk
factor that places older clients at an increased risk for developing
infections?
a) overproduction of lymphocytes.
b) elevated albumin levels.
,c) lowered immune system function.
d) increased body fat. - CORRECT ANSWER c) lowered immune
system function.
A nurse is teaching the client who has asthma the use of a metered dose
inhaler. Which of the following instructions should the nurse include in
the teaching?
a) hold your breath for 6 seconds after inhaling the medication.
b) do not shake the medication in the inhaler.
c) inhale the medication deeply for 5 seconds.
d) hold the inhaler 3 inches away from your mouth. - CORRECT
ANSWER c) inhale the medication deeply for 5 seconds.
A nurse is assessing the pain level of a client who has dementia and
difficulty communicating. Which of the following pain assessment
techniques should the nurse use?
a) numerical pain scale.
b) faces pain scale
c) verbal description
d) behavioural indicators - CORRECT ANSWER d) behavioural
indicators.
, A nurse in an emergency department is monitoring the hydration status
of a client who is receiving oral rehydration. Which of the following
findings should the nurse identify as requiring further interventions?
a) heart rate 120/min
b) BP 121/74 mmHg
c) Temperature 37.78C (100F)
d) Urine specific gravity 1.020 - CORRECT ANSWER a) heart rate
120/min
A nurse in a provider's office is assessing the motor skill development of
a 15 month old toddler during a well child visit. Which of the following
gross motor skills should the nurse expect?
a) takes several steps on tip toes.
b) walks without assistance using a wide stance.
c) has an accentuated cervical curvature when standing.
d) stands with the feet turned slightly inward. - CORRECT ANSWER
b) walks without assistance using a wide stance.
A nurse is teaching a group of parents and guardians about safety risks
for adolescents. Which of the following statements should the nurse
include in the teaching?
a) "exploring the environment commonly leads to injuries for this age
group"
QUESTIONS AND WELL DETAILED
(VERIFIED)ANSWERS||LATEST 2024/2025
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. - CORRECT
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. - CORRECT
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. - CORRECT ANSWER b) perform palpitation after auscultation.
A nurse is discusses immunity with a client who has received an
immunization. The nurse should identify that an immunization functions
as part of the which of following types of immunity?
a) passive immunity.
b) active immunity.
c) cellular immunity.
d) acquired immunity. - CORRECT ANSWER d) acquired immunity.
A nurse is reviewing the medical records of a group of older adult
clients. The nurse should identify that which of the following is a risk
factor that places older clients at an increased risk for developing
infections?
a) overproduction of lymphocytes.
b) elevated albumin levels.
,c) lowered immune system function.
d) increased body fat. - CORRECT ANSWER c) lowered immune
system function.
A nurse is teaching the client who has asthma the use of a metered dose
inhaler. Which of the following instructions should the nurse include in
the teaching?
a) hold your breath for 6 seconds after inhaling the medication.
b) do not shake the medication in the inhaler.
c) inhale the medication deeply for 5 seconds.
d) hold the inhaler 3 inches away from your mouth. - CORRECT
ANSWER c) inhale the medication deeply for 5 seconds.
A nurse is assessing the pain level of a client who has dementia and
difficulty communicating. Which of the following pain assessment
techniques should the nurse use?
a) numerical pain scale.
b) faces pain scale
c) verbal description
d) behavioural indicators - CORRECT ANSWER d) behavioural
indicators.
, A nurse in an emergency department is monitoring the hydration status
of a client who is receiving oral rehydration. Which of the following
findings should the nurse identify as requiring further interventions?
a) heart rate 120/min
b) BP 121/74 mmHg
c) Temperature 37.78C (100F)
d) Urine specific gravity 1.020 - CORRECT ANSWER a) heart rate
120/min
A nurse in a provider's office is assessing the motor skill development of
a 15 month old toddler during a well child visit. Which of the following
gross motor skills should the nurse expect?
a) takes several steps on tip toes.
b) walks without assistance using a wide stance.
c) has an accentuated cervical curvature when standing.
d) stands with the feet turned slightly inward. - CORRECT ANSWER
b) walks without assistance using a wide stance.
A nurse is teaching a group of parents and guardians about safety risks
for adolescents. Which of the following statements should the nurse
include in the teaching?
a) "exploring the environment commonly leads to injuries for this age
group"
