Online Practice Test 27

Your Results for: "NCLEX® Review"

Print this page

Site Title: Kozier & Erb's Fundamentals of Nursing Book Title: Kozier & Erb's Fundamentals of Nursing Location on Site: Chapter 27 > NCLEX® Review Date/Time Submitted: July 16, 2012 at 3:26 PM (UTC/GMT)

Summary of Results 60% Correct of 10 Scored items: 6 Correct:  60% 4 Incorrect:  40% More information about scoring

1.		The nurse has offered a diabetic education program. What is the best indication of client compliance with a diabetic treatment plan? Your Answer: The client is able to discuss diabetes treatment and passes a test on program content with a score of 90%. Correct Answer: The client willingly learns about diabetes treatment and follows the treatment plan.
		Objective: Describe the attributes of learning. Rationale: Evaluation of compliance involves evaluating the extent to which the client recognizes and accepts the need to learn, and then follows through with appropriate behavior. Clients may learn the educational material and still not be compliant. Nursing Process: Evaluation Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
2.		The nurse is developing a teaching plan on self-injection of insulin for a group of diabetic clients. The plan includes information about injections and types of insulin, and demonstrations of injection technique. What affective component is important for the nurse to plan to include in educating these clients?  Your Answer: Helping clients accept the need for daily injections
		Objective: Describe the three domains of learning. Rationale: The affective domain of learning is the feeling domain, and involves emotions, attitudes, interests, and appreciations. The cognitive domain is the thinking domain, and involves intellectual abilities. The psychomotor domain is the skill domain, and involves motor skills. All three domains should be included in planning client education. Nursing Process: Planning Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection
3.		A nurse who is applying behaviorist learning theory offers a block of information on risk factors for heart disease in a straightforward, non-distracting way. What teaching strategies are appropriate for the nurse applying this learning theory to use next? Your Answer: Assess clients' developmental and individual learning readiness, and adapt teaching strategies accordingly Correct Answer: Give a short test, and provide positive feedback
		Objective: Discuss the learning theories of behaviorism, cognitivism, and humanism and how nurses can use each of these theories. Rationale: Nurses applying behaviorist theory should include: careful identification of material to be taught; strategies that avoid distracting information; immediate and repeat testing; positive feedback; and role modeling. Strategies in choice "1" and "3" are consistent with cognitive theory. Strategies in choice "4" are consistent with humanism. Nursing Process: Implementation Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
4.		Prior to beginning a teaching session on self-care of a colostomy, the nurse will assess the client's readiness to learn by assessing: Your Answer: Client's pain and comfort levels, and willingness to learn
		Objective: Identify factors that affect learning. Rationale: Readiness involves both willingness to learn and ability to learn at a specific time. Pain or discomfort may make it difficult for a client to learn, and must be addressed prior to teaching. The other factors should be assessed as well, but are not indicative of readiness. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection
5.		A client who is doing a return demonstration of how to change a wound dressing to the leg contaminates the dressing after appropriately cleansing the wound. The best nursing response is to: Your Answer: Say, "You did a good job of cleansing the wound. Let's look at ways to best put the dressing on."
		Objective: Identify factors that affect learning. Rationale: Clients need positive feedback on performance to enhance learning. Positive feedback can include praise, positively worded corrections, and suggestions of alternate methods. Negative feedback is often viewed as punishment, and may cause the client to avoid the nurse or refuse to participate further. Nursing Process: Implementation Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection
6.		The nurse is assessing a client's psychomotor ability to learn how to care for a colostomy. Aspects to include in the assessment are: Your Answer: Muscle strength and motor coordination
		Objective: Identify factors that affect learning. Rationale: Psychomotor assessment should include muscle strength, motor coordination, energy level, and sensory acuity. The other factors should also be assessed, but are not part of psychomotor ability. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
7.		The nurse is planning an educational program on cancer detection for a community group. What should be included in the plan to assure that the program will address various learning styles of clients? Your Answer: Audiovisuals, examples, group discussions, and activities
		Objective: Identify methods to evaluate learning. Rationale: When teaching a group, utilize strategies to address visual, auditory, manipulative, group, and problem-solving types of learners. Using varying techniques and varying activities is a good way to match the varying learning styles of group participants. Nursing Process: Planning Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
8.		A client from a homeless shelter who has had minor surgery and has been given an instruction sheet in preparation for discharge is noted to be noncompliant with instructions when dressing for discharge. When asked by the nurse if the instructions were clear, the client said, "I'll read them later, when I have my glasses; besides, I know all that stuff." Based on these behaviors, the nurse may suspect that: Your Answer: The client doesn't understand the instructions Correct Answer: The client may be unable to read the instructions
		Objective: Identify nursing diagnoses, outcomes, and interventions that reflect the learning needs of clients. Rationale: Clients who can't read may be noncompliant, insist that they know information, or have excuses for not reading the instructions. Behaviors such as these should alert the nurse to the need to further assess literacy. Nursing Process: Assessment Client Need: Health Promotion and Maintenance Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection
9.		A client presents with the following: recent medical diagnosis of congestive heart failure, four new medications, and reduced activity levels due to shortness of breath. The most appropriate nursing diagnosis based upon this information is: Your Answer: Noncompliance with medical treatment plan related to lack of energy for activity Correct Answer: Deficient Knowledge (medication) related to inexperience with newly ordered therapy
		Objective: Identify nursing diagnoses, outcomes, and interventions that reflect the learning needs of clients Rationale: Deficient Knowledge is used as a diagnostic label when the client is seeking health information or the nurse has identified a learning need. The area of deficiency should be included in the diagnosis. Nursing Process: Analysis Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
10.		The nurse is teaching a client about reducing blood cholesterol levels through dietary management. The most appropriate learning outcome for the teaching would be: Your Answer: The client will accurately select low-fat foods from a list of common foods
		Objective: Identify nursing diagnoses, outcomes, and interventions that reflect the learning needs of clients. Rationale: Learning outcomes should state expected client behavior; should reflect an observable, measurable activity; and may have conditions or modifiers stating conditions of performance. Words such as know, understand, feel, and believes are not measurable. Nursing Process: Planning Client Need: Health Promotion and Maintenance Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.