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 D

Explanation

A. A pulse of 60 is low but does not necessarily indicate a need to stop suctioning if the patient remains stable otherwise.
B. A pulse of 90 is within normal limits and does not require stopping suctioning.
C. An oxygen saturation of 92% is slightly low but still acceptable; suctioning can continue if the client is stable.
D. An oxygen saturation of 89% is below the acceptable threshold and indicates hypoxia, prompting the nurse to stop suctioning immediately to avoid further compromising the client's respiratory status.
E. A blood pressure of 130/80 is within normal limits and does not warrant cessation of suctioning.

A. pulmonic B. tricuspid C. aortic D. mitral

Correct Answer is ["A","C"]

Explanation

A. Pulmonic valve closure is best heard at the base of the heart, near the second intercostal space at the left sternal border.
B. Tricuspid valve sounds are best heard at the lower left sternal border, near the apex rather than the base of the heart.
C. Aortic valve closure is also best heard at the base of the heart, near the second intercostal space on the right sternal border.
D. Mitral valve sounds are heard best at the apex of the heart, near the fifth intercostal space in the midclavicular line, not the base.

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

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to suction a client. The pulse is 65 and pulse oximetry is 94%. Which finding will cause the nurse to stop suctioning?

Correct Answer is D

Explanation

When listening to heart sounds, which valve closures are heard best at the base of the heart. Select all that apply.

Correct Answer is ["A","C"]

Explanation

Which of the following scenarios gives the most absolute confirmation client learning has taken place? 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?

What subjective data should the nurse obtain about a client's cardiac status? Select all that apply.

The RN and certified nursing assistant/patient care assistance (CNA/PCA) are caring for five clients on a medical/surgical unit. Which of the following tasks would be most appropriate for the nurse to delegate to the CNA/PCA?

What subjective data should the nurse obtain about a client's respiratory status? Select all that apply.

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?

The nurse is percussing over the lungs of a client with pneumonia. What sound will the nurse expect to hear?

A client has been diagnosed with peripheral arterial insufficiency to the right leg. Which of these findings would the nurse expect to find with this condition?