Which of the following scenarios gives the most absolute confirmation client learning has taken place? Select all that apply.

A client demonstrates how to inject insulin into the abdomen

A client attends a course on exercise techniques

A client watches the nurse apply a dressing

A client lists food choices that are considered part of a healthy diet

A client nods when told how to take the blood pressure medication

Answer and Explanation

Correct Answer : A,D

A. Demonstrating an insulin injection shows hands-on learning and mastery of the skill.
B. Attending a course does not confirm comprehension or skill.
C. Watching a nurse apply a dressing does not guarantee learning; active participation is necessary.
D. Listing healthy food choices indicates understanding of dietary education.
E. Nodding does not confirm learning; it may only indicate acknowledgment.

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Correct Answer is E

Explanation

A. Providing care based on predetermined criteria may overlook individual client needs and cultural nuances.
B. Prioritizing hospital unit workflow may not align with the individual needs of clients.
C. Care aligned with professional healthcare values may not address the specific cultural values and preferences of diverse clients.
D. This approach may dismiss the client's autonomy and unique cultural context.
E. Honoring the client's differences and perspectives indicates a commitment to culturally responsive care, recognizing and respecting diverse backgrounds.

A. Normal sounds auscultated up against the sternum B. Bronchovesicular sounds that are normal over that location C. Bronchial sounds that are normal over that location D. Normal sounds auscultated over the trachea E. Vesicular breath sounds that are normal in that location

Correct Answer is E

Explanation

A. Normal sounds against the sternum would not be low-pitched or soft; they would typically be more pronounced.
B. Bronchovesicular sounds are medium-pitched and are not expected in the lower lobes; they are usually heard in the central area.
C. Bronchial sounds are high-pitched and hollow, typically heard over the trachea, not in the lower lobes.
D. Normal sounds over the trachea would not be described as low-pitched or soft.
E. Vesicular breath sounds are soft, low-pitched, and normal over peripheral lung fields, including the lower lobes, making this the correct interpretation.

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Which of the following scenarios gives the most absolute confirmation client learning has taken place? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care to a culturally diverse population. Which action indicates the nurse is successful in the role of providing culturally responsive care?

Correct Answer is E

Explanation

When auscultating the lungs of an adult client, the nurse notes that low-pitched, soft breath sounds are heard over the lower lobes. How would the nurse interpret these findings?

Correct Answer is E

Explanation

The nurse is assessing a 1-day post-operative client and discovers fine crackles at the bases of the right lung on inspiration. What does the nurse suspect is the cause of the adventitious lung sounds in the right lung?

A 67-year-old client states that he recently began to have pain in his left calf when climbing the 10 stairs to his apartment. This pain is relieved by sitting for about 2 minutes, then he is able to resume his activities. How would the nurse document this finding?

A nurse is preparing to teach clients. Which client finding will cause the nurse to postpone a teaching session? (Select all that apply)

A client with chronic cancer pain describes the pain as "sharp, tingling, with numbness. The nurse would document the pain as what?

The nurse receives orders for an opiate pain medication for a client with severe pain. What other order does the nurse anticipate getting?

The nurse is asked to describe what the heart sound S2 represents. What would be the correct response by the nurse?

When the nurse manager is evaluating the care of a client receiving oxygen through a nasal cannula, which finding indicates a need for more staff education about oxygen therapy?

When assessing tactile fremitus, increased tactile fremitus is expected under which condition?