The nurse is teaching a male adolescent recently diagnosed with type 1 diabetes mellitus (DM) about self-injecting insulin. Which approach is best for the nurse to use to evaluate the effectiveness of the teaching?

Have the adolescent list the procedural steps for safe insulin administration.

Review his glycosylated hemoglobin level 3 months after the teaching session.

Observe him as he demonstrates the self-injection technique to another diabetic adolescent.

Ask the adolescent to describe his level of comfort with injecting himself with insulin.

Answer and Explanation

The Correct Answer is C

Choice A reason: Listing the procedural steps is helpful but does not demonstrate practical competence.

Choice B reason: Reviewing glycosylated hemoglobin levels provides information about long-term glucose control but does not directly assess the technique.

Choice C reason: Adolescents (ages 12–18) are in a developmental stage where peer validation is a powerful motivator. By demonstrating to a peer, the adolescent is forced to internalize the steps well enough to explain them. This confirms a higher level of mastery than simply repeating steps back to a dynamic authority figure like a nurse. In a testing environment, "demonstrating the technique" to a peer does not mean the nurse allows the adolescent to actually stick a needle into another person. It means the adolescent acts out the procedure (perhaps using a practice pad, an orange, or a needleless syringe) while explaining the steps to the peer. The nurse is the observer in this scenario. The adolescent is the "teacher," and the peer is the "audience."

Choice D reason: Describing the level of comfort provides insight into his confidence but not necessarily his technical competence.

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Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A reason: Avoiding strenuous activity for 2 weeks is not typically required after a cystoscopy.

Choice B reason: Reporting painful urination, blood in urine, or fever is important as these may indicate complications such as infection.

Choice C reason: Shellfish or iodine allergies are not relevant for a cystoscopy, as contrast dyes are not typically used in this procedure.

Choice D reason: Laying prone for 24 hours is not necessary after a cystoscopy.

A. Sodium intake with meals and snacks affects the blood pressure. B. Hypotension leading to sudden shock can develop at any time. C. Elevated blood pressure must be anticipated and identified quickly. D. Blood pressure fluctuations mean that the condition has become chronic.

Correct Answer is C

Explanation

Choice A reason: While sodium intake can affect blood pressure, this response does not address the importance of frequent blood pressure monitoring in the context of acute glomerulonephritis.

Choice B reason: Hypotension leading to sudden shock is not a common complication of acute glomerulonephritis; instead, hypertension is more likely due to fluid retention and kidney impairment.

Choice C reason: Elevated blood pressure is a significant concern in acute glomerulonephritis due to fluid retention and decreased kidney function. Early identification and management of hypertension are crucial to prevent complications such as seizures or heart failure.

Choice D reason: Blood pressure fluctuations do not necessarily indicate that the condition has become chronic. Frequent monitoring is necessary to manage acute symptoms and prevent complications.

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The nurse is teaching a male adolescent recently diagnosed with type 1 diabetes mellitus (DM) about self-injecting insulin. Which approach is best for the nurse to use to evaluate the effectiveness of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which instruction should the nurse provide to a client who is preparing to have a cystoscopy?

Correct Answer is B

Explanation

While a child is hospitalized with acute glomerulonephritis, the parents ask why blood pressure readings are taken so often. Which response by the nurse is most accurate?

Correct Answer is C

Explanation

The nurse leading a care team on a medical surgical unit is assigning client care to a practical nurse (PN) and an unlicensed assistive personnel (UAP). Which activity should the nurse assign to the UAP?

A client who weighs 160 pounds receives a prescription for gentamicin 5 mg/kg/day IV in divided doses every 8 hours. How many mg should the nurse administer with each dose? (Enter numerical value only. If rounding is required, round to the nearest whole number.)

The nurse knows that a medication has the side effect of orthostatic hypotension. Which assessment should the nurse make before administering the medication?

A client with a non-healing wound and excessive drainage is using a wound VAC system. The nurse notices increased drainage and signs of possible infection. What is the most appropriate nursing intervention?

The nurse caring for a child with mononucleosis can expect the child to exhibit which symptoms?

While the nurse is assessing an older client's fall risk, the client reports living at home alone and never falling. Which action should the nurse take?

When assessing a client who had a transurethral resection of the prostate (TURP) one day ago, the nurse observes that his scrotum and penis are edematous. Which intervention(s) should the nurse implement? Select all that apply.