RN Learning System Fundamentals Final Quiz CLOSE
Question 1 loaded rationals provided
Question: 1 of 50 CORRECT Time Elapsed: 00:00:32 TOOLS
SHOW HINT FLAG
A nurse is teaching a client how to self-administer insulin. Which of the following actions should the nurse take to evaluate
the client's understanding of the process within the pyschomotor domain of learning?
Ask the client if he wants to self-administer his insulin.
INCORRECT
Asking the client if he wants to self-administer his insulin evaluates the client’s understanding within the a ective domain of
learning.
Have the client list the steps of the procedure
INCORRECT
Having the client list the steps of the procedure evaluates the client’s learning within the cognitive domain of learning.
• Have the client demonstrates the procedure.
CORRECT
Having the client demonstrate the procedure provides the nurse the ability to evaluate the client’s understanding within the
psychomotor domain of learning.
Ask the client if he understands the purpose of insulin.
INCORRECT
Asking the client if he understands the purpose of insulin evaluates the client’s understanding within the cognitive domain of
learning.
, RN Learning System Fundamentals Final Quiz CLOSE
Question 2 loaded rationals provided
Question: 2 of 50 CORRECT Time Elapsed: 00:01:04 TOOLS
SHOW HINT FLAG
A nurse is preparing to administer a cleansing enema to a client. Which of the following actions should the nurse plan to take?
Insert the rectal tube 15.2 cm (6 in).
INCORRECT
The nurse should insert the rectal tube 7 to 10 cm (3 to 4 in).
Wear sterile gloves to insert the tubing.
INCORRECT
The nurse should wear clean (nonsterile) gloves to prevent contamination.
• Position the client on his left side.
CORRECT
Positioning is an important aspect of administering an enema. Having the client lie on his left side facilitates the ow of the
enema solution into the sigmoid and descending colon.
Hold the solution bag 91 cm (36 in) above the client's rectum.
INCORRECT
The nurse should hold the solution bag 30 cm (12 in) above the client’s rectum for a low enema and 45 cm (18 in) for a high
enema. If the nurse holds the solution bag too high, the solution might run in too fast, causing discomfort and spasms that
make it more di cult for the client to retain the enema.
, RN Learning System Fundamentals Final Quiz CLOSE
Question 3 loaded rationals provided
Question: 3 of 50 CORRECT Time Elapsed: 00:01:24 TOOLS
SHOW HINT FLAG
A client who reports shortness of breath requests her nurse's help in changing positions. After repositioning the client, which
of the following actions should the nurse take next?
Encourage the client to take deep breaths.
INCORRECT
Encouraging the client to take deep breaths can increase the client’s intake of oxygen. However, there is another action the
nurse should take rst.
• Observe the rate, depth, and character of the client's respirations.
CORRECT
The nurse should apply the nursing process priority-setting framework when caring for this client. The nurse can use the
nursing process to plan client care and prioritize nursing actions. Each step of the nursing process builds on the previous step,
beginning with assessment or data collection. Before the nurse can formulate a plan of action, implement a nursing
intervention, or notify a provider of a change in the client's status, the nurse must rst collect adequate data from the client.
Assessing or collecting additional data will provide the nurse with knowledge to make an appropriate decision; therefore, the
rst action the nurse should take is to assess the client's respiratory status.
Prepare to administer oxygen.
INCORRECT
Preparing to administer oxygen is important because oxygen is frequently administered when a client is experiencing
dyspnea. However, there is another action the nurse should take rst.
Give the client a back rub to help her relax.
INCORRECT
Giving the client a back rub is a relaxation technique that can reduce dyspnea. However, there is another action the nurse
should take rst.
, RN Learning System Fundamentals Final Quiz CLOSE
Question 4 loaded rationals provided
Question: 4 of 50 CORRECT Time Elapsed: 00:01:42 TOOLS
SHOW HINT FLAG
A nurse is caring for a client who has bilateral casts on her hands. Which of the following actions should the nurse take when
assisting the client with feeding?
• Sit at the bedside while feeding the client.
CORRECT
The nurse should avoid appearing to be in a hurry. Sitting at the bedside provides the client with the nurse's full attention
during the feeding.
Order pureed foods.
INCORRECT
Without any mouth or throat injuries that make it di cult to chew or swallow, the client should be served foods of an
appropriate variety of textures. Pureed foods are for clients who cannot chew, have di culty swallowing, or do not have
teeth.
Make sure feedings are at room temperature.
INCORRECT
The nurse should ask the client if the food is the correct temperature.
O er the client a drink of uid after every bite.
INCORRECT
If the client is unable to communicate, the nurse should o er the client uids after every three to four mouthfuls. However,
there is no indication that this client is unable to communicate. Therefore, the client should tell the nurse when she would like
a drink.