1. The nurse is giving preoperative instructions to a 14 year y/o female client who is scheduled for surgery to correct a spinal curvature. Which statement by the client best demonstrates that learning has taken place? A. "I will read all the literature you gave me before surgery" B. "I have had surgery before when I broke my wrist in a bike acdient, so I know what to expect" C. "All the things people have told me will help me take care of my back" D. "I understand that I will be in a body cast and I will show you how taught me to turn": Answer: D Rationale: Outcome of learning is best demonstrated when the client not only verbalizes an understanding but can also provide a return demonstration (D) A: 14 y/o might not do that B: Spinal surgery is different from wrist surgery C: Client may be saying what the nurse wants to hear w/o expressing any real understanding of what to do after surgery 2. A 2 y/o with Down syndrome is brought to the clinic for his regular physical examination. The nurse knows which problem is frequently associated with Down syndrome? A. Congenital heart disease B. Fragile X chromosome C. Trisomy 13 D. Pyloric stenosis: Answer: