Test : Testing and Remediation Advanced Test
Question: 1 of 20
CORRECT
Time Remaining: 16:39:13
FLAG
A nurse caring for a client who has been off the unit for physical therapy for the past hour notes
that the infusion pump for the client's total parenteral nutrition (TPN) is turned off. The client
tells the nurse that the battery went dead while she was in physical therapy. The nurse should
monitor the client for which of the following manifestations?
Twitching muscles
To answer this item, start by critically reading the stem and reviewing the
scenario, as well as identifying the person of focus, key words, and what the
question is asking. Also, you should have determined if the question was
positively worded, negatively worded, or if it involves priority setting.
Scenario: A nurse caring for a client who has been off the unit for physical
therapy for the past hour notes that the infusion pump for the client’s TPN is
turned off. The client tells the nurse that the battery went dead while she
was in physical therapy.
Question: The nurse should monitor the client for which of the following
manifestations?
Person of Focus: The client who has been off the unit for physical therapy
Key Words: infusion pump, turned off, TPN
So, the question is asking which manifestation the nurse should observe for
when TPN has been abruptly stopped. This is a positively worded, traditional
multiple choice item, which means there are four options. Of these options,
one is correct, called the key, and three are incorrect, called the distracters.
Because the question indicates there is only one correct option, it is not a
priority setting item.
,Next you should review each option and determine if it is probably correct,
possibly correct, or probably incorrect, and assign the appropriate code to
each option.
Twitching muscles is incorrect. Muscle twitching is a manifestation of
hypercapnia, which can occur if the client is ventilator-dependent and the
prescribed TPN did not meet her energy requirements.
If you missed this item, your remediation should include an overview of TPN,
infusions, and potential complications of TPN.
Excessive thirst
To answer this item, start by critically reading the stem and reviewing the
scenario, as well as identifying the person of focus, key words, and what the
question is asking. Also, you should have determined if the question was
positively worded, negatively worded, or if it involves priority setting.
Scenario: A nurse caring for a client who has been off the unit for physical
therapy for the past hour notes that the infusion pump for the client’s TPN is
turned off. The client tells the nurse that the battery went dead while she
was in physical therapy.
Question: The nurse should monitor the client for which of the following
manifestations?
Person of Focus: The client who has been off the unit for physical therapy
Key Words: infusion pump, turned off, TPN
So, the question is asking which manifestation the nurse should observe for
when TPN has been abruptly stopped. This is a positively worded, traditional
multiple choice item, which means there are four options. Of these options,
one is correct, called the key, and three are incorrect, called the distracters.
Because the question indicates there is only one correct option, it is not a
priority setting item.
Next you should review each option and determine if it is probably correct,
possibly correct, or probably incorrect, and assign the appropriate code to
each option.
,Excessive thirst is incorrect. Excessive thirst is a manifestation of
hyperglycemia, which can occur if the client received too much TPN.
If you missed this item, your remediation should include an overview of TPN,
infusions, and potential complications of TPN.
Shakiness and diaphoresis
MY ANSWER
To answer this item, start by critically reading the stem and reviewing the
scenario, as well as identifying the person of focus, key words, and what the
question is asking. Also, you should have determined if the question was
positively worded, negatively worded, or if it involves priority setting.
Scenario: A nurse caring for a client who has been off the unit for physical
therapy for the past hour notes that the infusion pump for the client’s TPN is
turned off. The client tells the nurse that the battery went dead while she
was in physical therapy.
Question: The nurse should monitor the client for which of the following
manifestations?
Person of Focus: The client who has been off the unit for physical therapy
Key Words: infusion pump, turned off, TPN
So, the question is asking which manifestation the nurse should observe for
when TPN has been abruptly stopped. This is a positively worded, traditional
multiple choice item, which means there are four options. Of these options,
one is correct, called the key, and three are incorrect, called the distracters.
Because the question indicates there is only one correct option, it is not a
priority setting item.
Next you should review each option and determine if it is probably correct,
possibly correct, or probably incorrect, and assign the appropriate code to
each option.
Shakiness and diaphoresis is correct. The nurse should observe the client for
shakiness and diaphoresis. These are manifestations of hypoglycemia, which
, can occur if there is a sudden interruption in the delivery of TPN, resulting in
the client receiving below the prescribed amount.
Hypertension and crackles
To answer this item, start by critically reading the stem and reviewing the
scenario, as well as identifying the person of focus, key words, and what the
question is asking. Also, you should have determined if the question was
positively worded, negatively worded, or if it involves priority setting.
Scenario: A nurse caring for a client who has been off the unit for physical
therapy for the past hour notes that the infusion pump for the client’s TPN is
turned off. The client tells the nurse that the battery went dead while she
was in physical therapy.
Question: The nurse should monitor the client for which of the following
manifestations?
Person of Focus: The client who has been off the unit for physical therapy
Key Words: infusion pump, turned off, TPN
So, the question is asking which manifestation the nurse should observe for
when TPN has been abruptly stopped. This is a positively worded, traditional
multiple choice item, which means there are four options. Of these options,
one is correct, called the key, and three are incorrect, called the distracters.
Because the question indicates there is only one correct option, it is not a
priority setting item.
Next you should review each option and determine if it is probably correct,
possibly correct, or probably incorrect, and assign the appropriate code to
each option.
Hypertension and crackles is incorrect. Hypertension and crackles are
manifestations of fluid overload, which can occur if the client receives a fluid
bolus that exceeded requirements and alters her fluid balance.
If you missed this item, your remediation should include an overview of TPN,
infusions, and potential complications of TPN.
Question: 1 of 20
CORRECT
Time Remaining: 16:39:13
FLAG
A nurse caring for a client who has been off the unit for physical therapy for the past hour notes
that the infusion pump for the client's total parenteral nutrition (TPN) is turned off. The client
tells the nurse that the battery went dead while she was in physical therapy. The nurse should
monitor the client for which of the following manifestations?
Twitching muscles
To answer this item, start by critically reading the stem and reviewing the
scenario, as well as identifying the person of focus, key words, and what the
question is asking. Also, you should have determined if the question was
positively worded, negatively worded, or if it involves priority setting.
Scenario: A nurse caring for a client who has been off the unit for physical
therapy for the past hour notes that the infusion pump for the client’s TPN is
turned off. The client tells the nurse that the battery went dead while she
was in physical therapy.
Question: The nurse should monitor the client for which of the following
manifestations?
Person of Focus: The client who has been off the unit for physical therapy
Key Words: infusion pump, turned off, TPN
So, the question is asking which manifestation the nurse should observe for
when TPN has been abruptly stopped. This is a positively worded, traditional
multiple choice item, which means there are four options. Of these options,
one is correct, called the key, and three are incorrect, called the distracters.
Because the question indicates there is only one correct option, it is not a
priority setting item.
,Next you should review each option and determine if it is probably correct,
possibly correct, or probably incorrect, and assign the appropriate code to
each option.
Twitching muscles is incorrect. Muscle twitching is a manifestation of
hypercapnia, which can occur if the client is ventilator-dependent and the
prescribed TPN did not meet her energy requirements.
If you missed this item, your remediation should include an overview of TPN,
infusions, and potential complications of TPN.
Excessive thirst
To answer this item, start by critically reading the stem and reviewing the
scenario, as well as identifying the person of focus, key words, and what the
question is asking. Also, you should have determined if the question was
positively worded, negatively worded, or if it involves priority setting.
Scenario: A nurse caring for a client who has been off the unit for physical
therapy for the past hour notes that the infusion pump for the client’s TPN is
turned off. The client tells the nurse that the battery went dead while she
was in physical therapy.
Question: The nurse should monitor the client for which of the following
manifestations?
Person of Focus: The client who has been off the unit for physical therapy
Key Words: infusion pump, turned off, TPN
So, the question is asking which manifestation the nurse should observe for
when TPN has been abruptly stopped. This is a positively worded, traditional
multiple choice item, which means there are four options. Of these options,
one is correct, called the key, and three are incorrect, called the distracters.
Because the question indicates there is only one correct option, it is not a
priority setting item.
Next you should review each option and determine if it is probably correct,
possibly correct, or probably incorrect, and assign the appropriate code to
each option.
,Excessive thirst is incorrect. Excessive thirst is a manifestation of
hyperglycemia, which can occur if the client received too much TPN.
If you missed this item, your remediation should include an overview of TPN,
infusions, and potential complications of TPN.
Shakiness and diaphoresis
MY ANSWER
To answer this item, start by critically reading the stem and reviewing the
scenario, as well as identifying the person of focus, key words, and what the
question is asking. Also, you should have determined if the question was
positively worded, negatively worded, or if it involves priority setting.
Scenario: A nurse caring for a client who has been off the unit for physical
therapy for the past hour notes that the infusion pump for the client’s TPN is
turned off. The client tells the nurse that the battery went dead while she
was in physical therapy.
Question: The nurse should monitor the client for which of the following
manifestations?
Person of Focus: The client who has been off the unit for physical therapy
Key Words: infusion pump, turned off, TPN
So, the question is asking which manifestation the nurse should observe for
when TPN has been abruptly stopped. This is a positively worded, traditional
multiple choice item, which means there are four options. Of these options,
one is correct, called the key, and three are incorrect, called the distracters.
Because the question indicates there is only one correct option, it is not a
priority setting item.
Next you should review each option and determine if it is probably correct,
possibly correct, or probably incorrect, and assign the appropriate code to
each option.
Shakiness and diaphoresis is correct. The nurse should observe the client for
shakiness and diaphoresis. These are manifestations of hypoglycemia, which
, can occur if there is a sudden interruption in the delivery of TPN, resulting in
the client receiving below the prescribed amount.
Hypertension and crackles
To answer this item, start by critically reading the stem and reviewing the
scenario, as well as identifying the person of focus, key words, and what the
question is asking. Also, you should have determined if the question was
positively worded, negatively worded, or if it involves priority setting.
Scenario: A nurse caring for a client who has been off the unit for physical
therapy for the past hour notes that the infusion pump for the client’s TPN is
turned off. The client tells the nurse that the battery went dead while she
was in physical therapy.
Question: The nurse should monitor the client for which of the following
manifestations?
Person of Focus: The client who has been off the unit for physical therapy
Key Words: infusion pump, turned off, TPN
So, the question is asking which manifestation the nurse should observe for
when TPN has been abruptly stopped. This is a positively worded, traditional
multiple choice item, which means there are four options. Of these options,
one is correct, called the key, and three are incorrect, called the distracters.
Because the question indicates there is only one correct option, it is not a
priority setting item.
Next you should review each option and determine if it is probably correct,
possibly correct, or probably incorrect, and assign the appropriate code to
each option.
Hypertension and crackles is incorrect. Hypertension and crackles are
manifestations of fluid overload, which can occur if the client receives a fluid
bolus that exceeded requirements and alters her fluid balance.
If you missed this item, your remediation should include an overview of TPN,
infusions, and potential complications of TPN.
