NUR 2300LTest_2_evolve
Points Awarded 103.00
Points Missed 36.00
Percentage 74.1%
1.
Parents of a toddler tell the nurse that their child eats little at mealtime, sits at the table
with the family only briefly, and wants snacks all the time. What recommendation should
the nurse provide?
A) Give the toddler nutritious snacks.
Feedback: CORRECT
B) Offer rewards for eating at mealtimes.
Feedback: INCORRECT
C) Avoid snacks so the child is hungry at mealtimes.
Feedback: INCORRECT
D) Explain to the child in a firm manner what is expected.
Feedback: INCORRECT
Feedback: CORRECT
At approximately 18 months of age, most toddlers manifest lower nutritional need and
decreased appetite, a phenomenon known as physiologic anorexia which is often
manifested as a picky, fussy eater with strong taste preferences, and erratic eating
patterns. Toddlers are learning to differentiate self and social boundaries and may be
disruptive while sitting at the table, so offering nutritious finger foods (A) is a good way
to ensure proper nutrition during this stage. Although rewards (B) act as reinforcers,
children may eat for nonnutritive reasons, which may affect subsequent eating habits. (C)
does not ensure that the toddler will eat at mealtime. Explanations about expectations (D)
are ineffective at this age. Category: Pediatrics
Points Earned: 1.0/1.0
Correct Answer(s): A
2.
The nurse is informed that a client is returning to the unit from the post-anesthesia care
unit following abdominal surgery. Which task is best to delegate to the unlicensed
assistive personnel (UAP)?
,NUR 2300LTest_2_evolve
A) Assess breathing pattern after transport is completed.
Feedback: INCORRECT
B) Notify the family that the client is returning from surgery.
Feedback: INCORRECT
C) Report to the charge nurse the appearance of the dressing.
Feedback: INCORRECT
D) Assist the transport team with transferring the client to the bed.
Feedback: CORRECT
Feedback: CORRECT
The UAP can be assigned to assist with transferring the client from the gurney to the bed
(D) since repositioning following abdominal surgery is not a high-risk intervention and
does not require nursing judgment. (A) requires judgment and should be performed by a
licensed person. (B) should be done by the nurse who may provide additional information
if requested. The nurse should directly observe the dressing (C) and should not rely on
the UAP's assessment of the dressing's appearance. Category: Management
Points Earned: 1.0/1.0
Correct Answer(s): D
3.
A nurse who adheres to the belief that life is sacred should be able to establish a
therapeutic relationship most effectively with which client?
A) A terminally ill and depressed client with cancer.
Feedback: CORRECT
B) A client who is planning to have an elective abortion.
Feedback: INCORRECT
C) A suicidal client who has made a highly-lethal attempt.
Feedback: INCORRECT
D) A client who refuses a blood transfusion due to religious beliefs.
Feedback: INCORRECT
Feedback: INCORRECT
,NUR 2300LTest_2_evolve
A nurse who believes in the sanctity of life may find it difficult to relate to individuals
who do not place the same high level of value on life. Clients with cancer, who have not
made a conscious decision to end their lives, are most likely to be easily understood by
this nurse (A). The clients in (B, C, and D) have exhibited behaviors contrary to the
nurse's beliefs, and it may be more difficult for this nurse to empathize with their
situation. Category: Psychiatric Mental Health
Points Earned: 0.0/1.0
Correct Answer(s): A
4.
A staff member tells the charge nurse that a float nurse assigned to work on the unit has
made several medication errors in the past, but is currently working with the education
department to improve this skill. What action is best for the charge nurse to take?
A) Dismiss the staff nurse's report about the float nurse because it may be just gossip.
Feedback: INCORRECT
B) Call the nursing supervisor and request a different employee be sent to the unit.
Feedback: INCORRECT
C) Assign the float nurse to function as a UAP for the day.
Feedback: INCORRECT
D) Arrange for someone to be available to assess and assist the float nurse.
Feedback: CORRECT
Feedback: CORRECT
The float nurse is receiving education, but careful assessment of her/his skills and
assistance, as needed, is still warranted, so (D) is the best choice. Though the staff
member's report may indeed be gossip, failure to pay attention to the information could
constitute negligence on the part of the charge nurse (A). (B) is not the best way to
manage the unit. (C) is not the best use of a licensed person, and would also eliminate the
float nurse's opportunity to improve medication administration skills. Category:
Management
Points Earned: 1.0/1.0
Correct Answer(s): D
5.
, NUR 2300LTest_2_evolve
An older adult client begins wearing binaural hearing aids due to presbycusis. Which
instruction should the nurse provide to assist the client in adapting to the new hearing
aids?
A) Begin wearing the aids in quiet environments to experiment with adjustments.
Feedback: CORRECT
B) Wear the hearing aids for an hour a day at first, gradually increasing the time.
Feedback: INCORRECT
C) Keep the volume on low until the conditions with noises are audible.
Feedback: INCORRECT
D) Use one hearing aid until comfortable, then add the second aid.
Feedback: INCORRECT
Feedback: INCORRECT
Initially, the use of hearing aids should be restricted to quiet situations in the home (A).
As adjustments occur, the client should gradually be exposed to conditions with
background noise and the outdoors. Time restriction (B) is not necessary. (C and D) do
not help the client adjust as well as gradually introducing various sound conditions.
Category: Medical-Surgical
Points Earned: 0.0/1.0
Correct Answer(s): A
6.
The nurse is teaching a client how to self-administer a subcutaneous injection. To help
ensure sterility of the procedure, which subject is most important for the nurse to include
in the teaching plan?
A) Hand washing prior to preparation of the injection.
Feedback: INCORRECT
B) Method used to aspirate medication from a vial.
Feedback: CORRECT
C) Selection and rotation of injection sites.
Feedback: INCORRECT
D) Proper disposal of injection equipment.
Feedback: INCORRECT
Points Awarded 103.00
Points Missed 36.00
Percentage 74.1%
1.
Parents of a toddler tell the nurse that their child eats little at mealtime, sits at the table
with the family only briefly, and wants snacks all the time. What recommendation should
the nurse provide?
A) Give the toddler nutritious snacks.
Feedback: CORRECT
B) Offer rewards for eating at mealtimes.
Feedback: INCORRECT
C) Avoid snacks so the child is hungry at mealtimes.
Feedback: INCORRECT
D) Explain to the child in a firm manner what is expected.
Feedback: INCORRECT
Feedback: CORRECT
At approximately 18 months of age, most toddlers manifest lower nutritional need and
decreased appetite, a phenomenon known as physiologic anorexia which is often
manifested as a picky, fussy eater with strong taste preferences, and erratic eating
patterns. Toddlers are learning to differentiate self and social boundaries and may be
disruptive while sitting at the table, so offering nutritious finger foods (A) is a good way
to ensure proper nutrition during this stage. Although rewards (B) act as reinforcers,
children may eat for nonnutritive reasons, which may affect subsequent eating habits. (C)
does not ensure that the toddler will eat at mealtime. Explanations about expectations (D)
are ineffective at this age. Category: Pediatrics
Points Earned: 1.0/1.0
Correct Answer(s): A
2.
The nurse is informed that a client is returning to the unit from the post-anesthesia care
unit following abdominal surgery. Which task is best to delegate to the unlicensed
assistive personnel (UAP)?
,NUR 2300LTest_2_evolve
A) Assess breathing pattern after transport is completed.
Feedback: INCORRECT
B) Notify the family that the client is returning from surgery.
Feedback: INCORRECT
C) Report to the charge nurse the appearance of the dressing.
Feedback: INCORRECT
D) Assist the transport team with transferring the client to the bed.
Feedback: CORRECT
Feedback: CORRECT
The UAP can be assigned to assist with transferring the client from the gurney to the bed
(D) since repositioning following abdominal surgery is not a high-risk intervention and
does not require nursing judgment. (A) requires judgment and should be performed by a
licensed person. (B) should be done by the nurse who may provide additional information
if requested. The nurse should directly observe the dressing (C) and should not rely on
the UAP's assessment of the dressing's appearance. Category: Management
Points Earned: 1.0/1.0
Correct Answer(s): D
3.
A nurse who adheres to the belief that life is sacred should be able to establish a
therapeutic relationship most effectively with which client?
A) A terminally ill and depressed client with cancer.
Feedback: CORRECT
B) A client who is planning to have an elective abortion.
Feedback: INCORRECT
C) A suicidal client who has made a highly-lethal attempt.
Feedback: INCORRECT
D) A client who refuses a blood transfusion due to religious beliefs.
Feedback: INCORRECT
Feedback: INCORRECT
,NUR 2300LTest_2_evolve
A nurse who believes in the sanctity of life may find it difficult to relate to individuals
who do not place the same high level of value on life. Clients with cancer, who have not
made a conscious decision to end their lives, are most likely to be easily understood by
this nurse (A). The clients in (B, C, and D) have exhibited behaviors contrary to the
nurse's beliefs, and it may be more difficult for this nurse to empathize with their
situation. Category: Psychiatric Mental Health
Points Earned: 0.0/1.0
Correct Answer(s): A
4.
A staff member tells the charge nurse that a float nurse assigned to work on the unit has
made several medication errors in the past, but is currently working with the education
department to improve this skill. What action is best for the charge nurse to take?
A) Dismiss the staff nurse's report about the float nurse because it may be just gossip.
Feedback: INCORRECT
B) Call the nursing supervisor and request a different employee be sent to the unit.
Feedback: INCORRECT
C) Assign the float nurse to function as a UAP for the day.
Feedback: INCORRECT
D) Arrange for someone to be available to assess and assist the float nurse.
Feedback: CORRECT
Feedback: CORRECT
The float nurse is receiving education, but careful assessment of her/his skills and
assistance, as needed, is still warranted, so (D) is the best choice. Though the staff
member's report may indeed be gossip, failure to pay attention to the information could
constitute negligence on the part of the charge nurse (A). (B) is not the best way to
manage the unit. (C) is not the best use of a licensed person, and would also eliminate the
float nurse's opportunity to improve medication administration skills. Category:
Management
Points Earned: 1.0/1.0
Correct Answer(s): D
5.
, NUR 2300LTest_2_evolve
An older adult client begins wearing binaural hearing aids due to presbycusis. Which
instruction should the nurse provide to assist the client in adapting to the new hearing
aids?
A) Begin wearing the aids in quiet environments to experiment with adjustments.
Feedback: CORRECT
B) Wear the hearing aids for an hour a day at first, gradually increasing the time.
Feedback: INCORRECT
C) Keep the volume on low until the conditions with noises are audible.
Feedback: INCORRECT
D) Use one hearing aid until comfortable, then add the second aid.
Feedback: INCORRECT
Feedback: INCORRECT
Initially, the use of hearing aids should be restricted to quiet situations in the home (A).
As adjustments occur, the client should gradually be exposed to conditions with
background noise and the outdoors. Time restriction (B) is not necessary. (C and D) do
not help the client adjust as well as gradually introducing various sound conditions.
Category: Medical-Surgical
Points Earned: 0.0/1.0
Correct Answer(s): A
6.
The nurse is teaching a client how to self-administer a subcutaneous injection. To help
ensure sterility of the procedure, which subject is most important for the nurse to include
in the teaching plan?
A) Hand washing prior to preparation of the injection.
Feedback: INCORRECT
B) Method used to aspirate medication from a vial.
Feedback: CORRECT
C) Selection and rotation of injection sites.
Feedback: INCORRECT
D) Proper disposal of injection equipment.
Feedback: INCORRECT
