FUNDAMENTALS KAPLAN TEST BANK ACTUAL
EXAM 100 QUESTIONS AND VERIFIED
DETAILED ANSWERS WITH RATIONALES
(CORRECT ANSWERS) |ALREADY GRADED A+
2025/2026
1.The nurse is caring for a patient with a new diagnosis of type 2 diabetes. Which
statement indicates a negative coping response?"
a. ―"I will look up information about diabetes."
b. ―"I will join a support group."
c. ―"I will only focus on learning to manage my medication first."
d. ―"I will make changes slowly so I can adapt to each change."ANS: C
When the patient puts limits on learning by stating he/she will only learn about
medication, he/she is using avoidance strategies to alleviate stress. Using
strategies such as information gathering (seeking information about diabetes) is
positive. Joining support groups and making changes slowly to adapt is also taking
direct action by moving forward. Chapter 32
2.The nurse is caring for a patient who is undergoing a major cardiac procedure.
When the patient complains of a racing heart and nausea, the nurse recognizes
these complaints as part
of what hormone response?
a. Sense of coherence
b. Stress appraisal
c. Fight or flight
d. Sympathoadrenal response ANS: C
. In the ―fight or flight‖ response, the corticotropin-releasing hormone (CRH)
released by the hypothalamus stimulates the pituitary to release
adrenocorticotropic hormone (ACTH). These hormones increase the heart rate,
resulting in increased cardiac output, and the motility of the digestive tract is
decreased, slowing digestive processes that could result in abdominal distress.
1|Page
,Sense of coherence (SOC) is a characteristic of personality that references one's
perception of the world as comprehensible, meaningful, and manageable. Stress
appraisal is the automatic, often unconscious, assessment of a demand, or
stressor. The sympathoadrenal response is a consequence of hypothalamic
activation in sympathetic stimulation, which triggers epinephrine and
norepinephrine release from the adrenal medulla. Chapter 32
3.When the nurse measures the patient's blood glucose levels after an acute
myocardial
infarction (MI), the nurse knows this action is based on which rationale?
a. Damaged muscle tissue releases glucose.
b. Corticosteroids increase glucose.
c. Myocardial infarctions are often seen in diabetics.
d. All patients should have their blood glucose checked.ANS: B
The endocrine system responds to stress on the body such as what happens
during an acute MI. Corticosteroids are important in the stress response because
they increase serum glucose levels and inhibit the inflammatory response.
Although MIs can be seen in diabetics, there is nothing to indicate this patient is
diabetic. All patients do not routinely have their blood glucose checked regularly.
Chapter 32
4.The nurse is teaching a patient about the difference between mild anxiety and
moderate anxiety. Which statement by the patient indicates a need for further
education?
a. "Mild anxiety can help me remember things."
b. "Moderate anxiety will narrow my focus."
c. "Mild anxiety will help me be creative."
d. "Moderate anxiety will increase my perception."ANS: D
Moderate anxiety narrows a person's focus, dulls perception, and may challenge a
person to pay attention or use appropriate problem-solving skills. Mild anxiety
2|Page
,can be motivational, foster creativity, and increase a person's ability to think
clearly. Chapter 32
5.The nurse is providing discharge instructions for a patient with multiple
sclerosis. Which discharge instruction is aimed at preventing a future
exacerbation?
a. Engage in some form of exercise as tolerated.
b. Avoid highly stressful situations.
c. Check your skin regularly for pressure sores.
d. Eat a diet with lots of fiber.ANS: B
High stress levels are known to exacerbate multiple sclerosis and other
autoimmune diseases. Exercise helps keep muscles loose and helps with balance.
Assessing skin for pressure sores and eating a diet with high fiber prevents
complications from multiple sclerosis. Chapter 32
6.The nurse is assessing the level of stress in a patient from another culture.
Which question is the most appropriate in helping the nurse understand the
impact of the patient's belief system?
a. Do you engage in prayer to help you during times of stress?‖
b. Do you go to church or other form of organized worship?‖
c. Do you have certain beliefs that are helpful during times of stress?‖
d. Do you want spiritual counseling while you are here?‖ ANS: C
The nurse needs to obtain a knowledge base of the patient's culture as well as
identify health beliefs and cultural values from the patient's worldview. Asking
the patient specific questions about prayer or church or spiritual counseling is
inappropriate until the nurse first understands what the patient's own beliefs and
practices are. Chapter 32
7.The nurse is performing a physical assessment of a patient who is undergoing a
bone marrow biopsy. What finding by the nurse indicates the patient is
experiencing stress?
a. Blood pressure of 120/84
3|Page
, b. Temperature of 99.5 °F (37.5 °C)
c. Heart rate of 110 beats/min
d. Respiratory rate of 10 breaths/min ANS: C
The release of hormones increases the heart rate, resulting in increased cardiac
output and elevated blood pressure. A reading of 120/84 is a normal blood
pressure, and temperature is elevated is indicative of an infection. The respiratory
rate increases in stress not decreases. Chapter 32
8.The nurse is assessing the patient's use of coping skills in response to stressful
situations. The nurse identifies which question is the most useful.
a. ―Have you been evaluated for stress?‖
b. ―Do you have someone you can go to for help when you are stressed?‖
c. ―How have you managed stressful situations in the past?‖
d. ―Does stress cause you to experience muscle tension or headaches?‖ ANS: C
The use of open-ended questions assists in obtaining accurate information
regarding the patient's stressors and coping skills. Questions that elicit yes/no
answers will not allow the patient to provide as much information. Asking the
patient about headaches and tension is asking about physical symptoms, not
coping skills.
Chapter 32
9.The nurse is caring for a patient on a medical-surgical inpatient unit when the
patient tells the nurse he is very sad and is considering suicide. What is the first
thing the nurse should do?
a. Notify the health care provider.
b. Make a referral to psychiatric services.
c. Implement one-on-one observations.
d. Document in the electronic medical record. ANS: C
Verbalization of suicidal ideation or a suicide plan must be taken seriously. In the
case of a hospitalized patient, one-on-one observation should be implemented to
4|Page
EXAM 100 QUESTIONS AND VERIFIED
DETAILED ANSWERS WITH RATIONALES
(CORRECT ANSWERS) |ALREADY GRADED A+
2025/2026
1.The nurse is caring for a patient with a new diagnosis of type 2 diabetes. Which
statement indicates a negative coping response?"
a. ―"I will look up information about diabetes."
b. ―"I will join a support group."
c. ―"I will only focus on learning to manage my medication first."
d. ―"I will make changes slowly so I can adapt to each change."ANS: C
When the patient puts limits on learning by stating he/she will only learn about
medication, he/she is using avoidance strategies to alleviate stress. Using
strategies such as information gathering (seeking information about diabetes) is
positive. Joining support groups and making changes slowly to adapt is also taking
direct action by moving forward. Chapter 32
2.The nurse is caring for a patient who is undergoing a major cardiac procedure.
When the patient complains of a racing heart and nausea, the nurse recognizes
these complaints as part
of what hormone response?
a. Sense of coherence
b. Stress appraisal
c. Fight or flight
d. Sympathoadrenal response ANS: C
. In the ―fight or flight‖ response, the corticotropin-releasing hormone (CRH)
released by the hypothalamus stimulates the pituitary to release
adrenocorticotropic hormone (ACTH). These hormones increase the heart rate,
resulting in increased cardiac output, and the motility of the digestive tract is
decreased, slowing digestive processes that could result in abdominal distress.
1|Page
,Sense of coherence (SOC) is a characteristic of personality that references one's
perception of the world as comprehensible, meaningful, and manageable. Stress
appraisal is the automatic, often unconscious, assessment of a demand, or
stressor. The sympathoadrenal response is a consequence of hypothalamic
activation in sympathetic stimulation, which triggers epinephrine and
norepinephrine release from the adrenal medulla. Chapter 32
3.When the nurse measures the patient's blood glucose levels after an acute
myocardial
infarction (MI), the nurse knows this action is based on which rationale?
a. Damaged muscle tissue releases glucose.
b. Corticosteroids increase glucose.
c. Myocardial infarctions are often seen in diabetics.
d. All patients should have their blood glucose checked.ANS: B
The endocrine system responds to stress on the body such as what happens
during an acute MI. Corticosteroids are important in the stress response because
they increase serum glucose levels and inhibit the inflammatory response.
Although MIs can be seen in diabetics, there is nothing to indicate this patient is
diabetic. All patients do not routinely have their blood glucose checked regularly.
Chapter 32
4.The nurse is teaching a patient about the difference between mild anxiety and
moderate anxiety. Which statement by the patient indicates a need for further
education?
a. "Mild anxiety can help me remember things."
b. "Moderate anxiety will narrow my focus."
c. "Mild anxiety will help me be creative."
d. "Moderate anxiety will increase my perception."ANS: D
Moderate anxiety narrows a person's focus, dulls perception, and may challenge a
person to pay attention or use appropriate problem-solving skills. Mild anxiety
2|Page
,can be motivational, foster creativity, and increase a person's ability to think
clearly. Chapter 32
5.The nurse is providing discharge instructions for a patient with multiple
sclerosis. Which discharge instruction is aimed at preventing a future
exacerbation?
a. Engage in some form of exercise as tolerated.
b. Avoid highly stressful situations.
c. Check your skin regularly for pressure sores.
d. Eat a diet with lots of fiber.ANS: B
High stress levels are known to exacerbate multiple sclerosis and other
autoimmune diseases. Exercise helps keep muscles loose and helps with balance.
Assessing skin for pressure sores and eating a diet with high fiber prevents
complications from multiple sclerosis. Chapter 32
6.The nurse is assessing the level of stress in a patient from another culture.
Which question is the most appropriate in helping the nurse understand the
impact of the patient's belief system?
a. Do you engage in prayer to help you during times of stress?‖
b. Do you go to church or other form of organized worship?‖
c. Do you have certain beliefs that are helpful during times of stress?‖
d. Do you want spiritual counseling while you are here?‖ ANS: C
The nurse needs to obtain a knowledge base of the patient's culture as well as
identify health beliefs and cultural values from the patient's worldview. Asking
the patient specific questions about prayer or church or spiritual counseling is
inappropriate until the nurse first understands what the patient's own beliefs and
practices are. Chapter 32
7.The nurse is performing a physical assessment of a patient who is undergoing a
bone marrow biopsy. What finding by the nurse indicates the patient is
experiencing stress?
a. Blood pressure of 120/84
3|Page
, b. Temperature of 99.5 °F (37.5 °C)
c. Heart rate of 110 beats/min
d. Respiratory rate of 10 breaths/min ANS: C
The release of hormones increases the heart rate, resulting in increased cardiac
output and elevated blood pressure. A reading of 120/84 is a normal blood
pressure, and temperature is elevated is indicative of an infection. The respiratory
rate increases in stress not decreases. Chapter 32
8.The nurse is assessing the patient's use of coping skills in response to stressful
situations. The nurse identifies which question is the most useful.
a. ―Have you been evaluated for stress?‖
b. ―Do you have someone you can go to for help when you are stressed?‖
c. ―How have you managed stressful situations in the past?‖
d. ―Does stress cause you to experience muscle tension or headaches?‖ ANS: C
The use of open-ended questions assists in obtaining accurate information
regarding the patient's stressors and coping skills. Questions that elicit yes/no
answers will not allow the patient to provide as much information. Asking the
patient about headaches and tension is asking about physical symptoms, not
coping skills.
Chapter 32
9.The nurse is caring for a patient on a medical-surgical inpatient unit when the
patient tells the nurse he is very sad and is considering suicide. What is the first
thing the nurse should do?
a. Notify the health care provider.
b. Make a referral to psychiatric services.
c. Implement one-on-one observations.
d. Document in the electronic medical record. ANS: C
Verbalization of suicidal ideation or a suicide plan must be taken seriously. In the
case of a hospitalized patient, one-on-one observation should be implemented to
4|Page
