Kozier & Erb’s Fundamentals of Nursing, 10/E
Chapter 27
Question 1
Type: MCSA
The nurse has completed client teaching regarding medication administration. Which client statement best
illustrates compliance?
1. “I’m glad to know about my medications. It makes taking them a lot easier.”
2. “I already knew most of what you told me.”
3. “I think you should have waited until I was ready to go home. Maybe I’d remember better.”
4. “If I take my medications as prescribed, I’ll feel better.”
Question 2
Type: MCSA
A nurse is planning a community health education project that deals with organ donation, and the target audience
is a group of adults. When following andragogy concepts, the nurse should make sure that the teaching includes
which information?
1. Past statistics about organ donors
2. Written pamphlets
3. Directions about how to become an organ donor
4. Information on how this group can influence their children
Question 3
Type: MCSA
The nurse is instructing a client on self-administration of a subcutaneous injection. The nurse is using which
theoretical construct of learning?
1. Thorndike’s behaviorism
2. Skinner’s positive reinforcement
3. Pavlov’s conditioning response
4. Bandura’s imitation
Question 4
Type: MCSA
A nursing student is presenting a teaching project to the class using each of Bloom’s domains. The student has
several activities included in the project. Which activity is an example of the affective domain?
1. Each member of the class must identify two attitudinal changes that have occurred in their lives since beginning
their nursing education.
2. All members must list the technical skills they’ve learned.
3. Members must demonstrate a favorite nursing skill at the end of the class period.
4. Members must read a paragraph about a new clinical trial, summarize the information, and present it to the rest
of the class.
Question 5
Type: MCSA
A client is practicing using an incentive spirometer after surgery. The nurse has explained the use, demonstrated
how it works, and also given the rationale for the client to continue to use this device. When mastering the use of
this device, the client will demonstrate learning in which of Bloom’s domains?
1. Cognitive
2. Psychomotor
3. Affective
4. Imitation
Question 6
Type: MCSA
A nurse is presenting teaching sessions to a group of residents in a home for long-term physical rehabilitation.
Which client exhibits the highest motivation?
1. An individual who has been struggling with following nursing directives regarding discharge goals
2. The client who has just moved in and is already waiting for discharge
3. A client who is excited to learn about his new prosthesis
4. A client who has been there the longest and is a great “coach” for newcomers
Question 7
Type: MCSA
A nurse is working in a neonatal intensive care unit, teaching parents how to care for their tiny babies while they
are still in the hospital. Which statement by a parent reflects a readiness to learn?
1. “I’m so afraid I’ll hurt my baby with all these tubes.”
2. “I want to make sure my spouse is here, in case I don’t hear everything that’s said.”
3. “When my baby is just a little bigger, I’ll be able to handle him.”
4. “You’ll give us written instructions before we go home, correct?”
Question 8
Type: MCSA
The nurse is instructing a client on self-administration of insulin. Which statement regarding feedback will be
most beneficial to the client?
1. “You know, there are children who can learn to do this.”
2. “Maybe it would be better if we taught your spouse to help you with this.”
3. “Next time, dart the needle in your skin, instead of pushing it in.”
4. “If you don’t learn this, you can’t be discharged.”
Question 9
Type: MCSA
A home health client having difficulty keeping his medication schedule organized says “There are so many pills
and the names are all confusing to me. I don’t even understand what they’re for.” What should the nurse do?
1. Help the client remember color and size in relationship to dosing time.
2. Write out the generic and trade name of all the pills for the client.
3. Fill a pill bar and tell the client not to worry, and just take the pills according to that system.
4. Have the physician talk to the client about his medications.
Question 10
Type: MCSA
At the end of a busy clinical day a staff nurse asks the instructor if a student would like to administer a Z-track
injected medication. This is a skill that the students have not yet been exposed to yet. What should the instructor
respond to the staff nurse that supports timing and learning environment?
1. “It will take me a moment to explain the procedure to the students because we’ve not practiced this, but I’ll find
somebody to administer it.”
2. “Would it be OK if the students observed today? Then, we’ll do it next time we’re here.”
3. “We’re leaving now, but thanks for asking.”
4. “I’ll check with the students and see if one of them would like to volunteer.”
Question 11
Type: MCSA
A client with an incision necessitating a complex dressing change is being discharged and will require continued
dressings at home. Which statement by the client indicates a need to postpone teaching?
1. “It’s going to take time for me to understand this whole thing.”
2. “Let’s make sure my spouse is around before you start explaining.”
3. “I wish my doctor would have explained this more in depth.”
4. “I’m feeling nauseous, but go ahead and start anyway.”
Question 12
Type: MCSA
A nurse is working with the family of a child who is hospitalized with asthma. The family members speak little
English, and the child is being sent home on nebulizer treatments as well as an inhaler. In addition to enlisting an
interpreter to help with the language barrier, the nurse should
1. provide written instructions before discharge.
2. address any healing beliefs the family has.
3. make sure the child comes back for the follow-up appointment.
4. make sure the parents can set up the treatments for their child.
Question 13
Type: MCSA
A client who is legally blind requires vitamin B12 injections every 2 weeks and insists on self-administration.
What is the best way for the nurse to assist this client?
1. Teach the spouse to draw up the medication, then the client can give the injection.
2. Make sure that the injection is scheduled during a visit, so the nurse can supervise.
3. Prefill syringes with the correct dose, so the client can use them for self-administration.
4. Schedule the client’s clinic appointments in accordance with the dosing schedule, then give the injection when
the client is at the clinic.
Question 14
Type: MCSA
A client has been diagnosed with diabetes mellitus and must learn how to do his own finger stick blood sugar
analysis as part of his treatment. The client has been sullen and uncommunicative since receiving the diagnosis.
How can the nurse best increase the client’s motivation to learn?
1. Demonstrating the finger stick on the nurse
2. Offering to do the procedure for the client each time it is scheduled
3. Teaching the client’s support system how to perform the procedure
4. Encouraging the client’s participation each time the procedure is performed
Question 15
Type: MCSA
The nurse is working with a group of older clients through a community senior citizens center. Utilizing an
understanding of health literacy, the nurse will make sure that
1. information given to this group is written at a third-grade level.
2. teaching includes a variety of approaches.
3. information includes pictures.
4. there is ample time for teaching.
Question 16
Type: MCSA
A client being discharged after a myocardial infarction has been prescribed several new medications and a low-fat
diet. The client states: “I’m never going to understand what to do, when to do it, and why I should be doing all
these things.” Which nursing diagnosis should the nurse formulate for this client?
1. Health-Seeking Behavior related to desire to prevent heart problems
2. Deficient Knowledge (diet and medication regimen) related to inexperience
3. Noncompliance related to situational factors
4. Risk for Myocardial Infarction related to deficient knowledge
Question 17
Type: MCSA
The nursing diagnosis Readiness for Enhanced Knowledge (Nutrition) related to desire to improve nutritional
intake has been formulated for a client who has decided to change his eating habits to be more nutritionally sound.
What would be an appropriate outcome for this client?
1. Client will understand the importance of eating healthy.
2. Client will be able to lose weight.
3. Client will list foods that are nutritionally sound, low fat, and high fiber.
4. Client will appreciate the value of using the Food Guide Pyramid.
Question 18
Type: MCSA
A home health nurse is working with a client who has pulmonary fibrosis. Of the following teaching priorities,
which will take the highest priority?
1. Client will be able to set up and administer a nebulizer treatment by the end of the day.
2. Client will have increased activity level by the end of the week.
3. Client will be able to do activities of daily living (ADLs) without shortness of breath in 3 days.
4. Client will have a positive attitude about the diagnosis by the end of the month.
Question 19
Type: MCMA
A school nurse is putting together a program for adolescents about positive lifestyle choices. What should the
nurse keep in mind when preparing content to present to this age group?
Standard Text: Select all that apply.
1. Based on learning outcomes
2. Current
3. Adjusted to the adolescent client
4. Based on sources available within the school system
5. Consistent with the teaching topics
Question 20
Type: MCSA
The nurse is going to be working with a client who has a permanent colostomy and is ready to go home within the
next several days. When organizing the teaching/learning experience, the nurse should
1. start from the beginning and proceed through all material.
2. break up sessions into shortened time periods.
3. discover what the learner knows before proceeding with further teaching.
4. make sure the client’s spouse is present before the teaching session begins.
Question 21
Type: MCSA
A client needs discharge teaching regarding the use of a walker before going home. The client’s room is small and
adjacent to a soda machine and small lounge area. In planning a teaching session, which is the best thing the nurse
can do?
1. Wait until just prior to discharge, then do the teaching in the hospital lobby.
2. Close the door to the client’s room and make sure there is no clutter on the floor before the teaching session
begins.
3. Take the client to a larger area (treatment room, for example) for teaching, then evaluate on the way back to the
client’s room.
4. Make sure a physical therapist is available to do the teaching and can see the client before discharge.