FUNDAMENTALS KAPLAN TEST BANK ACTUAL
EXAM 100 QUESTIONS AND VERIFIED
DETAILED ANSWERS WITH RATIONALES
(CORRECT ANSWERS) |ALREADY GRADED A+
1.The nurse evaluates the laboratory results of several clients. For
which client would the nurse expect a decreased serum albumin?
1. The client who is underweight with a BMI of 19 kg/m2
2. The client with a superficial thickness burn
3. The client with severe liver disease
4. The client who is dehydrated...ANSWER..3. The client with severe
liver disease
Albumin is a protein formed in the liver
2.A middle-age client is admitted to the hospital for hematuria. The
client has no previous history of illness, is married, and has 3 children in
high school. Which task of middle adulthood is most likely to be
disturbed by a physical disability?
1. Assisting the children to grow to adulthood
2. Coping with a role transition
3. Renewing earlier relationships
4. Developing adult leisure time activities...ANSWER..1. Assisting the
children to grow to adulthood
Middle adulthood is the time is guiding the next generation
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,3.The nurse provides care for an older adult client with a diagnosis of
constipation. The nurse understands which factor contributes to the
development of constipation in the older adult? Select all that apply
1. Older adult clients may eat a diet with inadequate fluids and bulk.
2. Older adults experience slowed peristalsis and decreased muscle
tone.
3. Older adults have neurological changes in the GI tract.
4. Older adults may ignore the sensation to defecate.
5. Older adults are typically more sedentary and less likely to
exercise....ANSWER..1, 2, 4, 5
4.The nurse teaches a client with a new diagnosis of eczema. Which
common foods are likely contributing factors of eczema the client
should eliminate in the diet?
1. Fish, nuts, chocolate
2. Strawberries, tomato, apples
3. Milk, wheat, egg whites
4. Soybeans, orange juice, egg yolks...ANSWER..3. Milk, wheat, egg
whites
Eczema is caused by an immune response. Those are common
allergens associated with eczema
5.The nurse provides care for a client at risk for developing a pressure
injury. The nurse knowns which factor puts the client at risk? Select all
that apply
1. Decreased skin moisture
2. Ambulation with an assistive device
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,3. Bony prominences
4. Early stage Alzheimer disease
5. Immobility
6. Low serum albumin...ANSWER..3, 5, 6
Low serum albumin level contributes to poor wound healing
6.The nurse identifies a staff member is using standard precautions
appropriately if which action is observed?
1. The staff member wears gloves when taking the blood pressure of a
client diagnosed with AIDS.
2. The staff member places contaminated linens in a leak-proof bag
3. The staff member irrigates an abdominal wound wearing a gown and
gloves
4. The staff member removes gloves after bathing a client and puts on a
clean pair of gloves to bathe another client...ANSWER..2. The staff
member places contaminated linens in a leak-proof bag
This prevents contact with skin and mucous membranes with any
contaminated linen
7.Which nonverbal behavior observed by the nurse indicates the client
may be experiencing acute pain? Select all that apply
1. Grunting with movement
2. Clenching teeth
3. Grimacing
4. Wrinkled forehead
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, 5. Restlessness
6. Grabbing abdomen
7. Tightly closed eyes and mouth
8. Laughing and conversing
9. Reduced attention span...ANSWER..1, 2, 3, 4, 5, 6, 7, 9
8.The nurse documents a Nurse's Note. The nurse enters the client's
room to perform an assessment and change the client's abdominal
dressing. Which 3 observations does the nurse address immediately?
1. Visitors conversing and laughing loudly
2. Television turned on with volume high
3. Client crying and states "it hurts to take a deep breath or cough"
4. Pain medication in the IV is making the client dizzy and sleepy
5. Client last medicated for pain 6 hours ago
6. Client states need to wait for pain medication until after dressing
change
7. Spouse concerned client will become addicted to pain
medication...ANSWER..3, 6, 7
For each goal in the client's plan of care, click to indicate appropriate
nursing interventions. Each goal may support more than 1 potential
nursing intervention.
9.The clients pain will be controlled during the dressing change
1. Pull tape around soiled dressing from client's skin rapidly
2. Position the client in low Fowler position with knees slightly bent
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EXAM 100 QUESTIONS AND VERIFIED
DETAILED ANSWERS WITH RATIONALES
(CORRECT ANSWERS) |ALREADY GRADED A+
1.The nurse evaluates the laboratory results of several clients. For
which client would the nurse expect a decreased serum albumin?
1. The client who is underweight with a BMI of 19 kg/m2
2. The client with a superficial thickness burn
3. The client with severe liver disease
4. The client who is dehydrated...ANSWER..3. The client with severe
liver disease
Albumin is a protein formed in the liver
2.A middle-age client is admitted to the hospital for hematuria. The
client has no previous history of illness, is married, and has 3 children in
high school. Which task of middle adulthood is most likely to be
disturbed by a physical disability?
1. Assisting the children to grow to adulthood
2. Coping with a role transition
3. Renewing earlier relationships
4. Developing adult leisure time activities...ANSWER..1. Assisting the
children to grow to adulthood
Middle adulthood is the time is guiding the next generation
1|Page
,3.The nurse provides care for an older adult client with a diagnosis of
constipation. The nurse understands which factor contributes to the
development of constipation in the older adult? Select all that apply
1. Older adult clients may eat a diet with inadequate fluids and bulk.
2. Older adults experience slowed peristalsis and decreased muscle
tone.
3. Older adults have neurological changes in the GI tract.
4. Older adults may ignore the sensation to defecate.
5. Older adults are typically more sedentary and less likely to
exercise....ANSWER..1, 2, 4, 5
4.The nurse teaches a client with a new diagnosis of eczema. Which
common foods are likely contributing factors of eczema the client
should eliminate in the diet?
1. Fish, nuts, chocolate
2. Strawberries, tomato, apples
3. Milk, wheat, egg whites
4. Soybeans, orange juice, egg yolks...ANSWER..3. Milk, wheat, egg
whites
Eczema is caused by an immune response. Those are common
allergens associated with eczema
5.The nurse provides care for a client at risk for developing a pressure
injury. The nurse knowns which factor puts the client at risk? Select all
that apply
1. Decreased skin moisture
2. Ambulation with an assistive device
2|Page
,3. Bony prominences
4. Early stage Alzheimer disease
5. Immobility
6. Low serum albumin...ANSWER..3, 5, 6
Low serum albumin level contributes to poor wound healing
6.The nurse identifies a staff member is using standard precautions
appropriately if which action is observed?
1. The staff member wears gloves when taking the blood pressure of a
client diagnosed with AIDS.
2. The staff member places contaminated linens in a leak-proof bag
3. The staff member irrigates an abdominal wound wearing a gown and
gloves
4. The staff member removes gloves after bathing a client and puts on a
clean pair of gloves to bathe another client...ANSWER..2. The staff
member places contaminated linens in a leak-proof bag
This prevents contact with skin and mucous membranes with any
contaminated linen
7.Which nonverbal behavior observed by the nurse indicates the client
may be experiencing acute pain? Select all that apply
1. Grunting with movement
2. Clenching teeth
3. Grimacing
4. Wrinkled forehead
3|Page
, 5. Restlessness
6. Grabbing abdomen
7. Tightly closed eyes and mouth
8. Laughing and conversing
9. Reduced attention span...ANSWER..1, 2, 3, 4, 5, 6, 7, 9
8.The nurse documents a Nurse's Note. The nurse enters the client's
room to perform an assessment and change the client's abdominal
dressing. Which 3 observations does the nurse address immediately?
1. Visitors conversing and laughing loudly
2. Television turned on with volume high
3. Client crying and states "it hurts to take a deep breath or cough"
4. Pain medication in the IV is making the client dizzy and sleepy
5. Client last medicated for pain 6 hours ago
6. Client states need to wait for pain medication until after dressing
change
7. Spouse concerned client will become addicted to pain
medication...ANSWER..3, 6, 7
For each goal in the client's plan of care, click to indicate appropriate
nursing interventions. Each goal may support more than 1 potential
nursing intervention.
9.The clients pain will be controlled during the dressing change
1. Pull tape around soiled dressing from client's skin rapidly
2. Position the client in low Fowler position with knees slightly bent
4|Page
