Answers.
During advanced cardiac life support (ACLS) training, a nurse performs defibrillation using a
mannequin. Which teaching strategy is being employed?
a. One-to-one instruction
b. Role modeling
c. Computer-assisted instruction
d. Simulation - Answer D
Several weeks after a stroke your male patient has urinary incontinence resulting from and
impaired awareness of bladder fullness. Your bladder retraining program for this patient should
include
a. Assist patient to toilet or commode or urinal every 1 - 2 hours while awake
b. Use an external "condom" catheter to protect the skin and avoid embarrassment
c. Limit fluid intake to 1000ml daily to reduce urine volume
d. Perform intermittent catheterization after every voiding to check for residual urine in bladder
- Answer A
The health care provider orders a culture and sensitivity test on urine from your patient with an
indwelling (Foley) catheter. What will you do to collect the specimen correctly?
a. Inflate the catheter balloon with the specified amount of sterile water.
b. Wipe the drain of the urine collection bag with alcohol and release the urine into a sterile
specimen container.
c. Instruct the patient about obtaining a clean catch specimen.
d. Use a sterile syringe to collect the specimen from the catheter access port. - Answer D
The highest incidence of urinary tract infections (UTI) is associated with:
a. limiting fluid intake
b. vaginal infections
c. urinary catheterization
d. infrequent voiding ("holding your urine") - Answer C
There are a variety of teaching methodologies that may be utilized to meet the client's needs.
Which teaching method is best applied to a cognitive learning need?
a. Modeling of behavior
b. Demonstration of a procedure
, c. Discussion of feelings
d. Computer-assisted instruction - Answer D
There are many factors are assessed before teaching the client to learn insulin injection sites,
but the most important factor for the nurse to assess first is the:
a. Willingness of the client to want to learn the injection sites
b. Financial resources available to the client for the equipment
c. Previous knowledge level of the client
d. Intelligence and developmental level of the individual client - Answer A
What assessment finding do you expect from your patient who has both recent onset of
urethral blockage due to his enlarged prostate, as well as decreased bladder muscle tone?
a. A loss of the urge to void
b. Pain and burning on urination
c. A feeling of bladder pressure and voiding of small amounts
d. Severe flank pain and hematuria - Answer C
Which of the following statements should the nurse use to instruct the nursing assistant caring
for a patient with an indwelling urinary catheter?
a. Empty the drainage bag at least every 8 hours
b. Clean up the length of the catheter to the perineum
c. Use clean technique to obtain a specimen for culture and sensitivity
d. Place the drainage bag on the patient's lap while transporting the patient to testing - Answer
A
While teaching the client about management of his heart disease, a nurse might use a strategy
that is implemented to promote learning in the affective domain such as:
a. Providing brochures both on current exercises and on nutrition guidelines
b. Asking the client what he needs to know about the diagnosis
c. Having the client return-demonstrate self-measurement of his own blood pressure
d. Encouraging the client to personally discuss his feelings about his health status - Answer D
You are about to teach a freshman level high school health class about nutrition. What is the
best instructional approach to ensure that the students meet the learning outcomes?
a. Provide clear information using a lecture.
b. Use simple words to promote understanding.
c. Develop topics for discussion that require problem solving.