nclex practice exam 3 - /20 questions
and answers
Which type of evaluation occurs continuously throughout the
teaching and learning process?
A. Formative.
B. Retrospective.
C. Summative.
D. Informative. - -Correct answer: A
Formative (or concurrent) evaluation occurs continuously
throughout the teaching and learning process. It includes
assessing needs, process, implementation and potential
outcomes. One benefit is that the nurse can adjust teaching
strategies as necessary to enhance learning. Retrospective or
summative evaluation occurs at the conclusion of teaching and
learning sessions and often evaluates how a group has done. It
includes outcomes assessment, cost-effectiveness, and impact.
Informative isn't a type of evaluation.
-A client with chest pain arrives in the emergency room and
receives nitroglycerin, morphine, oxygen, and aspirin. The client
is diagnosed with acute coronary syndrome and suspected
myocardial infarction. The client arrives on the unit, and his vital
signs are stable and he has no complaints of pain. The nurse is
reviewing the physician's orders. In addition to the medications
given, which other medication does the nurse expect the
physician to order?
A. A -blocker, such as carvedilol (Coreg®).
B. Digoxin (Lanoxin®).
C. Furosemide (Lasix®).
D. Nitroprusside. - -Correct answer: A
A patient who is admitted with suspected myocardial infarction
should receive aspirin, nitroglycerin, morphine, and a -blocker,
such as carvedilol. Digoxin in indicated for arrhythmia rather
than acute coronary syndrome. Furosemide would be used if the
client had signs of heart failure, such as peripheral or pulmonary
, edema, but this is not evident. Nitroprusside is used to increase
blood pressure, but the client has stable vital signs and is not
hypotensive.
-The nurse is caring for a client after a lung lobectomy. The
nurse notes fluctuating water levels in the water-seal chamber of
the client's chest tube. What action should the nurse take?
A. Do nothing, but continue to monitor the client.
B. Call the physician immediately.
C. Check the chest tube for a loose connection.
D. Add more water to the water-seal chamber. - -Correct
answer: A
Fluctuation in the water-seal chamber is a normal finding that
occurs as the client breathes. No action is required except for
continued monitoring of the client. The nurse doesn't need to
notify the physician. Continuous bubbling in the water-seal
chamber indicates an air leak in the chest tube system, such as
from a loose connection in the chest tube tubing. The water-seal
chamber should be filled initially to the 2 cm line, and no more
water should be added.
-A hospice program director was examining various activities
related to client care with the intent of improving quality. The
director determined that many are clients were being admitted
on service without an advanced directive. The director along
with a team of individuals developed a plan including goals,
objectives, and a timeline to address the issue. This is an
example of which of the following approaches?
A. Risk management project.
B. Performance improvement project.
C. Client care initiative.
D. Palliative care project. - -Correct answer: B
Performance improvement projects are an approach to design,
measure, assess, and improve organizational performance. Risk
management differs in that it is a planned program of loss
prevention and liability control. Although this is an initiative that
involves client care, the span of the issue extends beyond direct
and answers
Which type of evaluation occurs continuously throughout the
teaching and learning process?
A. Formative.
B. Retrospective.
C. Summative.
D. Informative. - -Correct answer: A
Formative (or concurrent) evaluation occurs continuously
throughout the teaching and learning process. It includes
assessing needs, process, implementation and potential
outcomes. One benefit is that the nurse can adjust teaching
strategies as necessary to enhance learning. Retrospective or
summative evaluation occurs at the conclusion of teaching and
learning sessions and often evaluates how a group has done. It
includes outcomes assessment, cost-effectiveness, and impact.
Informative isn't a type of evaluation.
-A client with chest pain arrives in the emergency room and
receives nitroglycerin, morphine, oxygen, and aspirin. The client
is diagnosed with acute coronary syndrome and suspected
myocardial infarction. The client arrives on the unit, and his vital
signs are stable and he has no complaints of pain. The nurse is
reviewing the physician's orders. In addition to the medications
given, which other medication does the nurse expect the
physician to order?
A. A -blocker, such as carvedilol (Coreg®).
B. Digoxin (Lanoxin®).
C. Furosemide (Lasix®).
D. Nitroprusside. - -Correct answer: A
A patient who is admitted with suspected myocardial infarction
should receive aspirin, nitroglycerin, morphine, and a -blocker,
such as carvedilol. Digoxin in indicated for arrhythmia rather
than acute coronary syndrome. Furosemide would be used if the
client had signs of heart failure, such as peripheral or pulmonary
, edema, but this is not evident. Nitroprusside is used to increase
blood pressure, but the client has stable vital signs and is not
hypotensive.
-The nurse is caring for a client after a lung lobectomy. The
nurse notes fluctuating water levels in the water-seal chamber of
the client's chest tube. What action should the nurse take?
A. Do nothing, but continue to monitor the client.
B. Call the physician immediately.
C. Check the chest tube for a loose connection.
D. Add more water to the water-seal chamber. - -Correct
answer: A
Fluctuation in the water-seal chamber is a normal finding that
occurs as the client breathes. No action is required except for
continued monitoring of the client. The nurse doesn't need to
notify the physician. Continuous bubbling in the water-seal
chamber indicates an air leak in the chest tube system, such as
from a loose connection in the chest tube tubing. The water-seal
chamber should be filled initially to the 2 cm line, and no more
water should be added.
-A hospice program director was examining various activities
related to client care with the intent of improving quality. The
director determined that many are clients were being admitted
on service without an advanced directive. The director along
with a team of individuals developed a plan including goals,
objectives, and a timeline to address the issue. This is an
example of which of the following approaches?
A. Risk management project.
B. Performance improvement project.
C. Client care initiative.
D. Palliative care project. - -Correct answer: B
Performance improvement projects are an approach to design,
measure, assess, and improve organizational performance. Risk
management differs in that it is a planned program of loss
prevention and liability control. Although this is an initiative that
involves client care, the span of the issue extends beyond direct
