1|Page
NURS 215 EXAM 3 (ARIZONA COLLEGE OF NURSING)
ACTUAL VERIFIED EXAM COMPLETE 150
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+||NEWEST EXAM!!!
The nurse screening for diabetes mellitus at a health fair
obtains these results. Which client should be referred to a
primary healthcare provider for further evaluation? -
ANSWER-Random blood glucose 195 mg/dl
The metabolic abnormalities that lead to type 2 diabetes
include which of the following? - ANSWER-Insulin
resistance
During periods of fasting and starvation, the glucocorticoid
and other corticosteroid hormones are critical for survival
because of their stimulation of gluconeogenesis by the
liver. When the glucocorticoid hormones remain elevated
for extended periods of time, what can occur? - ANSWER-
Hyperglycemia
Research has identified a cycle of insulin-induced
posthypoglycemic episodes. What is this phenomenon
called? - ANSWER-Somogyi effect
,2|Page
The nurse is caring for a client who received regular
insulin at 7 am. Four hours later the nurse finds the client
diaphoretic, cool, and clammy. Which of these
interventions is the priority? - ANSWER-Give the client a
concentrated carbohydrate.
A diabetic client's most recent blood work indicated a
decreased glomerular filtration rate and urine testing
revealed + microalbuminuria. Which priority self-care
measures should the client's care team prescribe for this
client? - ANSWER-Diet, exercise, and prescriptions to
lower blood pressure below 140/80 mm Hg
The nurse is caring for a client with diabetes who has
developed gastroparesis. Which of these symptoms does
the nurse expect the client to report? - ANSWER-Vomiting
after eating
A client with type 1 diabetes has started a new exercise
routine. Knowing there may be some increase risks
associated with exercise, the health care provider should
encourage the client to: - ANSWER-Carry a snack with
carbs to prevent profound hypoglycemia
,3|Page
A client diagnosed with type 2 diabetes has been
instructed about managing his condition with diet. The
nurse determines further teaching is necessary when the
client states: - ANSWER-"I must avoid all candies and
cookies, but can eat unlimited amounts of pasta and
breads."
The health care provider has prescribed Repaglinide 2 mg
for a client diagnosed with type 2 diabetes. The most
important information for the nurse to give the client would
be: - ANSWER-"Take the medication 15 to 30 minutes
before each meal."
Which of the following clients likely faces the greatest risk
of a gastrointestinal bleed? - ANSWER-A client who takes
aspirin with each meal to control symptoms of
osteoarthritis
Which of the following statements most accurately
describes the function of the secretory glands in the
gastrointestinal (GI) tract? - ANSWER-The secretory
glands produce mucus to lubricate and protect the
mucosal layer of the GI tract wall.
Colonic microorganisms play a role in the synthesis of
which of the following vitamins? - ANSWER-K
, 4|Page
A student is comparing the actions of the gastrointestinal
hormones. Which of the following hormones acts as an
appetite-stimulating signal? - ANSWER-Ghrelin
Which of the following is the primary purpose of the
mucosal barrier in the gastrointestinal tract? - ANSWER-
Protection from acid secretion
The patient chews an apple and starts the three phases of
swallowing. As food enters the patient's esophagus,
stretching and _____ nerve impulses initiate _______ that
are controlled by the swallowing center. - ANSWER-vagus;
peristaltic waves
Fat that is not absorbed in the intestine is excreted in the
stool. Which of the following terms is used to describe fatty
stools? - ANSWER-Steatorrhea
While assessing a client who is experiencing diarrhea
caused by Clostridium difficile, the nurse should anticipate
hearing: - ANSWER-Hyperactive bowel sounds
Which enzyme is found in the mouth and is the first to
initiate the breakdown of starches? - ANSWER-Amylase
NURS 215 EXAM 3 (ARIZONA COLLEGE OF NURSING)
ACTUAL VERIFIED EXAM COMPLETE 150
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+||NEWEST EXAM!!!
The nurse screening for diabetes mellitus at a health fair
obtains these results. Which client should be referred to a
primary healthcare provider for further evaluation? -
ANSWER-Random blood glucose 195 mg/dl
The metabolic abnormalities that lead to type 2 diabetes
include which of the following? - ANSWER-Insulin
resistance
During periods of fasting and starvation, the glucocorticoid
and other corticosteroid hormones are critical for survival
because of their stimulation of gluconeogenesis by the
liver. When the glucocorticoid hormones remain elevated
for extended periods of time, what can occur? - ANSWER-
Hyperglycemia
Research has identified a cycle of insulin-induced
posthypoglycemic episodes. What is this phenomenon
called? - ANSWER-Somogyi effect
,2|Page
The nurse is caring for a client who received regular
insulin at 7 am. Four hours later the nurse finds the client
diaphoretic, cool, and clammy. Which of these
interventions is the priority? - ANSWER-Give the client a
concentrated carbohydrate.
A diabetic client's most recent blood work indicated a
decreased glomerular filtration rate and urine testing
revealed + microalbuminuria. Which priority self-care
measures should the client's care team prescribe for this
client? - ANSWER-Diet, exercise, and prescriptions to
lower blood pressure below 140/80 mm Hg
The nurse is caring for a client with diabetes who has
developed gastroparesis. Which of these symptoms does
the nurse expect the client to report? - ANSWER-Vomiting
after eating
A client with type 1 diabetes has started a new exercise
routine. Knowing there may be some increase risks
associated with exercise, the health care provider should
encourage the client to: - ANSWER-Carry a snack with
carbs to prevent profound hypoglycemia
,3|Page
A client diagnosed with type 2 diabetes has been
instructed about managing his condition with diet. The
nurse determines further teaching is necessary when the
client states: - ANSWER-"I must avoid all candies and
cookies, but can eat unlimited amounts of pasta and
breads."
The health care provider has prescribed Repaglinide 2 mg
for a client diagnosed with type 2 diabetes. The most
important information for the nurse to give the client would
be: - ANSWER-"Take the medication 15 to 30 minutes
before each meal."
Which of the following clients likely faces the greatest risk
of a gastrointestinal bleed? - ANSWER-A client who takes
aspirin with each meal to control symptoms of
osteoarthritis
Which of the following statements most accurately
describes the function of the secretory glands in the
gastrointestinal (GI) tract? - ANSWER-The secretory
glands produce mucus to lubricate and protect the
mucosal layer of the GI tract wall.
Colonic microorganisms play a role in the synthesis of
which of the following vitamins? - ANSWER-K
, 4|Page
A student is comparing the actions of the gastrointestinal
hormones. Which of the following hormones acts as an
appetite-stimulating signal? - ANSWER-Ghrelin
Which of the following is the primary purpose of the
mucosal barrier in the gastrointestinal tract? - ANSWER-
Protection from acid secretion
The patient chews an apple and starts the three phases of
swallowing. As food enters the patient's esophagus,
stretching and _____ nerve impulses initiate _______ that
are controlled by the swallowing center. - ANSWER-vagus;
peristaltic waves
Fat that is not absorbed in the intestine is excreted in the
stool. Which of the following terms is used to describe fatty
stools? - ANSWER-Steatorrhea
While assessing a client who is experiencing diarrhea
caused by Clostridium difficile, the nurse should anticipate
hearing: - ANSWER-Hyperactive bowel sounds
Which enzyme is found in the mouth and is the first to
initiate the breakdown of starches? - ANSWER-Amylase
