Reasoning Scenario Performance related to Outcomes:
*See Score Explanation and Interpretation below for additional details.
Body Function Strong Satisfactory Improvement Needs
Ingestion, Digestion, Absorption & Elimin
...
Reasoning Scenario Performance related to Outcomes:
*See Score Explanation and Interpretation below for additional details.
Body Function Strong Satisfactory Improvement Needs
Ingestion, Digestion, Absorption & Elimination 100%
Regulation and Metabolism 88.9% 11.1%
Reproduction 75% 25%
NCLEX RN Strong Satisfactory Improvement Needs
Health Promotion and Maintenance RN 2010 100%
Pharmacological and Parenteral Therapies RN 2010 100%
Reduction of Risk Potential RN 2010 100%
Physiological Adaptation RN 2010 66.7% 33.3%
Management of Care RN 2013 100%
Safety and Infection Control RN 2013 100%
Health Promotion and Maintenance RN 2013 100%
Pharmacological and Parenteral Therapies RN 2013 100%
Physiological Adaptation RN 2013 100%
QSEN Strong Satisfactory Improvement Needs
Safety 60% 40%
Patient-Centered Care 100%
Evidence Based Practice 100%
Decision Log:
Optimal Decision
Scenario Nurse Ellen is calculating Ms. Anderson¶s estimated date of delivery.
Question Nurse Ellen is calculating Ms. Anderson¶s estimated date of delivery. Which of
the following is an appropriate response by Ellen?
Selected Option "Your estimated date of delivery is April 20th."
Rationale Using Naegele's rule, the nurse should calculate the estimated date of delivery
by determining the first day of the client¶s last menstrual cycle, adding 7 days,
and then counting forward 9 months.
Report Created on: 7/5/2019 05:46 PM EDT REP_RSIndv_ModuleReport_1_0
Page 2 of
Optimal Decision
Scenario Nurse Ellen is converting Ms. Anderson¶s weight to pounds.
Question Nurse Ellen is converting Ms. Anderson¶s weight to pounds. If Ms. Anderson
weighs 113 kg, how many pounds does she weigh? (Round to the nearest
tenth.)
Selected Option 248.6
Rationale STEP 1: What is the unit of measurement to calculate?lbSTEP 2: Set up the
equation and solve for X.2.2 lb/1 kg = X lb/113kgX = 248.6STEP 3: Round, if
necessarySTEP 4: Reassess to determine the amount to administer makes
sense. If 1 kg = 2.2 lb, it makes sense that 113 kg = 248.6 lb.
Optimal Decision
Scenario Nurse Ellen is the explaining risk factors of gestational diabetes to Ms.
Anderson.
Question Nurse Ellen is explaining the risk factors for developing gestational diabetes to
Ms. Anderson. Which of the following should Ellen include? (Select all that
apply.)
Selected Ordering Obesity Maternal age over 30Family history of diabetes mellitus
Rationale Risk factors for the development of gestational diabetes include obesity, familial
history, and maternal age over 30. The client¶s history of smoking and her first
pregnancy are not risk factors.
Optimal Decision
Scenario Nurse Ellen is discussing the 1-hr oral glucose tolerance test with Ms. Anderson.
Question Nurse Ellen is preparing to administer a 1-hr oral glucose tolerance test for Ms.
Anderson. Which of the following actions should Ellen take?
Selected Option Obtain a blood specimen 1 hr after Ms. Anderson ingests the oral glucose
solution.
Rationale The nurse should obtain a blood specimen from the client 1 hr after she ingests
the oral glucose solution.
Optimal Decision
Scenario Nurse Jill is explaining the results of the 1-hr oral glucose tolerance test to Ms.
Anderson.
Question Nurse Jill is explaining the results of the 1-hr oral glucose tolerance test to Ms.
Anderson. Which of the following is an appropriate response?
Selected Option "You will need to have the 3-hour oral glucose tolerance test."
Rationale A blood glucose level of 142 mg/dL is above the expected reference range.
Therefore, the client should have a 3-hr oral glucose tolerance test.
Optimal Decision
Scenario Nurse Jill is preparing to perform a 3-hr oral glucose tolerance test to confirm a
diagnosis of gestational diabetes.
Report Created on: 7/5/2019 05:46 PM EDT REP_RSIndv_ModuleReport_1_0
Page 3 of 6
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