a nurse is observing a client drawing up and mixing insulin. which of the following findings should the
nurse identify as an indication that psychomotor learning has taken place?
A. the client is able to discuss the appropriate technique
B. the client is able to demonstrate the appropriate technique
C. the client states an understanding of the process
D. the client is able to write the steps on a piece of paper - ANSWER B
a nurse in a provider's office is collecting data from the caregiver of a 12-month old infant who asks if the
child is old enough for toilet training. following an education session with the nurse, the client agrees to
postpone toilet training until the child is older. learning has occurred in which of the following domains?
A. cognitive
B. affective
C. psychomotor
D. kinesthetic - ANSWER B
a nurse is providing preoperative education for a client who will undergo a mastectomy the next day.
which of the following statements should the nurse identify as an indication that the client is ready to
learn?
A. "i dont want my spouse to see my incision."
B. "Will you give me pain medicine after the surgery?"
C. " can you tell me about how long the surgery will take?"
D. "my roommate listens to everything i say." - ANSWER C
a nurse is preparing an instructional session for a client about managing stress incontinence. which of
the following actions should the nurse take first when meeting with the client?
A. encourage the client to participate actively in learning.
B. select instructional materials
C. identify goals the nurse and the client agree are reasonable
,d. determine what the client knows about stress incontinence - ANSWER D
a nurse is evaluating how well a client learned the information presented in an instructional session
about following a heart healthy diet. which of the following actions should the nurse take to evaluate the
client's learning?
A. encourage the client to ask questions
B. ask the client to explain how to select or prepare meals
C. encourage the client to fill out an evaluation form about how the nurse presented the information
D. ask whether the client has resources for further instruction on this topic. - ANSWER B
a nurse is caring for a young adult at a college health clinic. which of the following actions should the
nurse take first?
A. give the client information about immunization against meningitis
B. tell the client to have a TB skin test every 2 years
C. determine the clients health risks
D. teach the client about exercise recommendations - ANSWER C
the first action that should be taken using the nursing process is assessment. talk with the client first to
determine what risk factors the client might have before initiating the health promotion and disease
prevention measures.
a nurse in a clinic is planning health promotion and disease prevention strategies for a client who has
multiple risk factors for cardiovascular disease. which of the following interventions should the nurse
include? (select all that apply)
A. help the client see the benefits of their actions
B. identify the clients support systems
C. suggest and recommend community resources
D. devise and set goals for the client
E. teach stress management strategies - ANSWER A, B, C, E
,A nurse in a health clinic is caring for a 21-year-old client who tells the nurse that their last physical
examination was in high school. which of the following health screenings should the nurse expect the
provider to perform for this client?
A. testicular examination
B. blood glucose
C. fecal occult blood
D. prostate-specific antigen - ANSWER A
a nurse at a health department is planning strategies related to heart disease. which of the following
activities should the nurse include as part of primary prevention?
A. providing cholesterol screening
B. teaching about a healthy diet
C. providing information about antihypertensive medications
D. developing a list of cardiac rehabilitation programs - ANSWER B
a nurse at a provider's office is talking about routine screenings with a 45- year old female client who has
no specific family history of cancer or diabetes mellitus. which of the following client statements
indicates that the client understands how to proceed?
A. "So i don't need the colon cancer procedure for another 2 to 3 years".
B. "for now, i should continue to have a mammogram each year."
C. "because the doctor just did a Pap smear, I'll come back next year for another one."
D. " I had my blood glucose test last year, so I won't need it again for 4 years." - ANSWER B
1. A nurse is preparing information for a change of shift report. Which of the following information
should the nurse include in the report?
A. Input and output for the shift
B. BP from the previous day.
C. Bone scan scheduled for the day.
, D. Medication routine from the MAR. - ANSWER C correct
The bone scan is important because the nurse might have to modify the clients care to accomodate
leaving the unit.
Rationales incorrect
AB&D
A. Unless there is significant change in I&O, the ongoing nurse can read the information in the chart.
B. Unless there is significant change in BP measurement from previous day, the ongoing nurse can read
the information in the chart.
D. Unless there is a significant change in medication routine, the ongoing nurse can also read the
information in the chart.
2. A nurse is discussing the HIPAA privacy rule with nurses during new employee orientation. Which of
the following information should the nurse include? SATA
A. A single electronic records password is provided for the nurses on the same unit.
B. Family members should provide a code prior to receiving client health information.
C. Communication of client information can occur at the nurses station
D. A client can request a copy of her medical record.
E. A nurse may photocopy a clients medical record for transfer to another facility. - ANSWER B C D & E
Correct
B. The HIPAA Privacy Rule states that communication about a client should only be disclosed to
authorized individuals to whom the client has provided consent. Many hospitals use a code system to
identify these individuals and should only provide information if the individuals can give the code.
C, the HIPAA Privacy Rule states that about a client should only take place in a private setting where
unauthorized individuals can't overhear it. A unit nurses station is considered a private and secure
location.
D. The HIPAA Privacy Rule states that clients gave a right to read and obtain a copy of their medical
record
E. The HIPAA Privacy Rule states that that nurses may only photocopy a clients medical record if it is to
be used for transfer to another facility or provider
Rationale incorrect A