Readiness Assessments

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Sample questions from Readiness Assessments

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.A 58-year-old client with newly diagnosed type 2 diabetes is seen in a primary care clinic. The client says, "I know my blood sugar is high, but I am not ready to change what I eat." Vital signs are stable, and the client has no acute symptoms. Which response by the nurse best reflects an assessment of readiness to learn?

   • A.Give the client a detailed meal plan and ask them to follow it starting today.
   • B.Ask what concerns the client most about making a dietary change.
   • C.Tell the client that complications are likely unless they change their diet.
   • D.Document that the client is noncompliant and end the teaching session.

   Rationale: Exploring the client's concerns assesses motivation and barriers without imposing change, so teaching can be tailored to readiness. Giving a meal plan assumes readiness, warning about complications may provoke defensiveness, and labeling the client noncompliant does not assess or support change. The exam takeaway is to assess willingness and barriers before teaching or setting goals.

2. 2.A 76-year-old client is admitted to a medical unit with pneumonia, temperature 38.4 C (101.1 F), oxygen saturation 89% on room air, and new confusion. The nurse plans to teach the client about incentive spirometry. What should the nurse do first?

   • A.Assess and address the client's oxygenation and acute confusion.
   • B.Demonstrate the spirometer and ask the client to return-demonstrate.
   • C.Ask the client's family to teach the client how to use the device.
   • D.Provide a printed handout so the client can review it later.

   Rationale: Hypoxemia and acute confusion can impair both safety and learning, so stabilization and reassessment come before teaching. Demonstration, family teaching, and written materials may be useful later but do not address the immediate physiologic barriers. The exam takeaway is that physiologic readiness precedes education.

3. 3.A 42-year-old client is scheduled for an elective laparoscopic procedure at an outpatient surgery center. The client has received a sedative, is drowsy, and asks to sign the consent form. Vital signs are stable. Which action should the nurse take?

   • A.Ask the client to sign now because the procedure is elective.
   • B.Have a family member sign because the client is drowsy.
   • C.Notify the provider that consent should be addressed when the client is able to participate.
   • D.Explain the procedure and obtain the client's signature.

   Rationale: Sedation can impair the client's capacity to understand and voluntarily consent, so the nurse should alert the provider and defer the process until the client can participate. A family member cannot automatically substitute for a capable adult, and the nurse does not obtain consent by providing the procedural explanation. Stable vital signs do not establish decision-making readiness.

4. 4.A 35-year-old client with asthma is being discharged from the emergency department after treatment for wheezing. Oxygen saturation is 97% on room air, and the client is alert. Which action best assesses readiness to manage the prescribed inhaler at home?

   • A.Ask whether the client has used an inhaler before.
   • B.Give the client a brochure about asthma medications.
   • C.Ask the client to describe the medication schedule from memory.
   • D.Ask the client to demonstrate use of the inhaler and correct technique as needed.

   Answer and rationale are in the full material.

5. 5.A 67-year-old client with heart failure is preparing for discharge. The client is alert, has blood pressure 128/76 mm Hg, and has a prescription for daily weights. Which client statement best indicates readiness to perform this self-management task?

   • A.I will weigh myself once a week after breakfast.
   • B.I will weigh myself every morning after urinating, using the same scale.
   • C.I will weigh myself whenever my ankles look swollen.
   • D.I will weigh myself each evening before taking my medications.

   Answer and rationale are in the full material.