ADULT HEALTH EXAM 4
OFFICIAL STANDARD
EXAMINATION QUESTIONS
WITH FULLY EXPLAINED
STEP-BY –STEP \EXPERT
VERIFIED ANSWERS FOR A+
STUDENTS AND ADVANCED
ACADEMIC PREPARATIONS
A nurse is preparing to obtain a capillary blood glucose level from a child who has diabetes mellitus.
Which of the following actions should the nurse take?
Position the finger in a dependent position prior to collecting the specimen.
MY ANSWER
The nurse should hold the child's finger in a dependent position to increase blood flow to the puncture
site.
A nurse is teaching about administering insulin injections to the guardians of a child who was recently
diagnosed with type 1 diabetes mellitus. Which of the following information should the nurse include
in the teaching?
If the child has been running and playing, the injection should be given in the abdomen.
MY ANSWER
The nurse should reinforce to the guardians to avoid administering insulin in an extremity that the child
is actively using during play time. Injecting insulin into the extremity used during active play can alter the
absorption of the insulin.
A nurse is assessing a child who has diabetes mellitus. The nurse should identify that which of the
following is a manifestation of hypoglycemia?
,Headache
MY ANSWER
The nurse should recognize that headache is a manifestation of hypoglycemia.
A nurse is teaching about the carbohydrate counting diet with a parent of a child who has diabetes
mellitus. Which of the following information should the nurse include in the teaching?
"One carbohydrate choice is equivalent to 15 grams of carbohydrates."
MY ANSWER
When teaching about the carbohydrate counting diet, the nurse should include that a set number of
carbohydrates should be consumed with each meal and snack throughout the day. One carbohydrate
choice is equivalent to 15 g of carbohydrates.
A nurse is preparing to administer 6 units of regular insulin and 20 units of NPH insulin to a client.
Which of the following actions should the nurse take first?
Inject 20 units of air into the NPH insulin vial.
When drawing up regular insulin and NPH insulin into the same syringe, the first step the nurse should
take is to inject the amount of air into the NPH vial equal to the amount of insulin they will withdraw
from the NPH vial. This action will prevent contamination of the regular insulin with the protein in the
NPH insulin.
A nurse is preparing to administer an insulin injection to a client. Which of the following actions
should the nurse take?
Insert the needle at a 45° angle into pinched skin.
When administering a subcutaneous injection, the nurse must be sure to access the subcutaneous
tissue. Unless the client has adipose tissue of greater than 2.5 cm (1 in), the nurse should pinch the skin
and insert the needle at a 45° to 60° angle.
A nurse is preparing to administer an insulin injection. Which of the following needles should the
nurse select?
30 gauge, 5/8-inch needle
The nurse should use a 25 or 30 gauge, 5/8-inch needle when administering a subcutaneous injection at
a 45° angle, and a 25 or 30 gauge, 3/8-inch needle when administering a subcutaneous injection at a 90°
angle. The nurse should base this decision on the size of the client and the amount of adipose tissue at
the site.
A nurse is teaching a client about selecting injection sites for insulin. Which of the following sites
should the nurse recommend as best for injection?
The abdomen below the costal margins to the iliac crests
Compared to other injection sites, the abdomen provides for the fastest and most consistent absorption
of insulin. The client should use sites at least 5 cm (2 in) from the umbilicus.
,A nurse is teaching a client who is to start self-administering a regimen of regular and NPH insulin
twice each day. Which of the following instructions should the nurse include?
Keep prefilled syringes in the refrigerator for up to 1 week.
The client can prefill syringes with the appropriate dose and keep them in the refrigerator for up to 1
week. He should keep the syringes in the upright position, which will prevent clogging of the needle, and
resuspend the insulin prior to administering by gentle agitation.
A nurse is caring for a client who has developed agranulocytosis as a result of taking propylthiouracil
to treat hyperthyroidism. The nurse should understand that this client is at increased risk for which of
the following conditions?
Excessive bleeding
Ecchymosis
Infection
Hyperglycemia
infection
Agranulocytosis is a failure of the bone marrow to make enough white blood cells, cauing neutropenia
and lowering the body defenses against infection
A nurse is caring for a client who has diabetes insipidus and is receiving vasopressin. The nurse should
identify which of the following findings as an indication that the medication is effective?
A decrease in blood sugar
A decrease in blood pressure
A decrease in urine output
A decrease in specific gravity
A decrease in urine output
The major manifestations of diabetes insipidus are excessive urination and extreme thirst. Vasopressin is
used to control frequent urination, increased thirst, and loss of water associated with diabetes insipidus.
A decreased urine output is the desired outcome
A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the
nurse expect?
Dehydration
Polyphagia
Hyperglycemia
Bradycardia
Dehydration
, Diabetes insipidus causes excessive excretion of dilute urine, resulting in dehydration.
Polyphagia and hyperglycemia are found in diabetes mellitus.
Tachycardia, not bradycardia, is a manifestation of diabetes insipidus.
A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism. The
nurse should anticipate an elevation of which of the following laboratory values?
Thyroid stimulating hormone (TSH)
Free T4
Serum T4
Serum T3
Thyroid stimulating hormone (TSH)
The nurse should anticipate that TSH will be elevated.
Free T4 will be decreased
Serum T4 will be decreased
Serum T3 will be decreased
A nurse is proving teaching to a client who has a new diagnosis of hypothyroidism. On which of the
following medications should the nurse prepare to instruct the client?
Radioactive iodine
Levothyroxine
Sumatriptan
Levofloxacin
Levothyoxine
Levothyroxine is a synthetic thyroid hormone that is chemically identical to thyroxine (T4). It is used in
the treatment of hypothyroidism. The nurse should be prepared to instruct the client on the use of this
medication
Radioactive iodine is an anti-thyroid med that treats thyroid cancer, hyperthyroidism, and is used as a
diagnostic aid for thyroid function studies
Sumatriptan is an anti-migraine agent used for acute treatment migraine and cluster headaches.
Levofloxacin is a broad spectrum anti-infective of the quinolone class that is used to treat infections of
the sinuses, skin, lungs, ears, airways, bones, joints, and urinary tract
A nurse is caring for a client who had total thyroidectomy and a serum calcium level of 7.6 mg/dL.
Which of the following findings should the nurse expect?
OFFICIAL STANDARD
EXAMINATION QUESTIONS
WITH FULLY EXPLAINED
STEP-BY –STEP \EXPERT
VERIFIED ANSWERS FOR A+
STUDENTS AND ADVANCED
ACADEMIC PREPARATIONS
A nurse is preparing to obtain a capillary blood glucose level from a child who has diabetes mellitus.
Which of the following actions should the nurse take?
Position the finger in a dependent position prior to collecting the specimen.
MY ANSWER
The nurse should hold the child's finger in a dependent position to increase blood flow to the puncture
site.
A nurse is teaching about administering insulin injections to the guardians of a child who was recently
diagnosed with type 1 diabetes mellitus. Which of the following information should the nurse include
in the teaching?
If the child has been running and playing, the injection should be given in the abdomen.
MY ANSWER
The nurse should reinforce to the guardians to avoid administering insulin in an extremity that the child
is actively using during play time. Injecting insulin into the extremity used during active play can alter the
absorption of the insulin.
A nurse is assessing a child who has diabetes mellitus. The nurse should identify that which of the
following is a manifestation of hypoglycemia?
,Headache
MY ANSWER
The nurse should recognize that headache is a manifestation of hypoglycemia.
A nurse is teaching about the carbohydrate counting diet with a parent of a child who has diabetes
mellitus. Which of the following information should the nurse include in the teaching?
"One carbohydrate choice is equivalent to 15 grams of carbohydrates."
MY ANSWER
When teaching about the carbohydrate counting diet, the nurse should include that a set number of
carbohydrates should be consumed with each meal and snack throughout the day. One carbohydrate
choice is equivalent to 15 g of carbohydrates.
A nurse is preparing to administer 6 units of regular insulin and 20 units of NPH insulin to a client.
Which of the following actions should the nurse take first?
Inject 20 units of air into the NPH insulin vial.
When drawing up regular insulin and NPH insulin into the same syringe, the first step the nurse should
take is to inject the amount of air into the NPH vial equal to the amount of insulin they will withdraw
from the NPH vial. This action will prevent contamination of the regular insulin with the protein in the
NPH insulin.
A nurse is preparing to administer an insulin injection to a client. Which of the following actions
should the nurse take?
Insert the needle at a 45° angle into pinched skin.
When administering a subcutaneous injection, the nurse must be sure to access the subcutaneous
tissue. Unless the client has adipose tissue of greater than 2.5 cm (1 in), the nurse should pinch the skin
and insert the needle at a 45° to 60° angle.
A nurse is preparing to administer an insulin injection. Which of the following needles should the
nurse select?
30 gauge, 5/8-inch needle
The nurse should use a 25 or 30 gauge, 5/8-inch needle when administering a subcutaneous injection at
a 45° angle, and a 25 or 30 gauge, 3/8-inch needle when administering a subcutaneous injection at a 90°
angle. The nurse should base this decision on the size of the client and the amount of adipose tissue at
the site.
A nurse is teaching a client about selecting injection sites for insulin. Which of the following sites
should the nurse recommend as best for injection?
The abdomen below the costal margins to the iliac crests
Compared to other injection sites, the abdomen provides for the fastest and most consistent absorption
of insulin. The client should use sites at least 5 cm (2 in) from the umbilicus.
,A nurse is teaching a client who is to start self-administering a regimen of regular and NPH insulin
twice each day. Which of the following instructions should the nurse include?
Keep prefilled syringes in the refrigerator for up to 1 week.
The client can prefill syringes with the appropriate dose and keep them in the refrigerator for up to 1
week. He should keep the syringes in the upright position, which will prevent clogging of the needle, and
resuspend the insulin prior to administering by gentle agitation.
A nurse is caring for a client who has developed agranulocytosis as a result of taking propylthiouracil
to treat hyperthyroidism. The nurse should understand that this client is at increased risk for which of
the following conditions?
Excessive bleeding
Ecchymosis
Infection
Hyperglycemia
infection
Agranulocytosis is a failure of the bone marrow to make enough white blood cells, cauing neutropenia
and lowering the body defenses against infection
A nurse is caring for a client who has diabetes insipidus and is receiving vasopressin. The nurse should
identify which of the following findings as an indication that the medication is effective?
A decrease in blood sugar
A decrease in blood pressure
A decrease in urine output
A decrease in specific gravity
A decrease in urine output
The major manifestations of diabetes insipidus are excessive urination and extreme thirst. Vasopressin is
used to control frequent urination, increased thirst, and loss of water associated with diabetes insipidus.
A decreased urine output is the desired outcome
A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the
nurse expect?
Dehydration
Polyphagia
Hyperglycemia
Bradycardia
Dehydration
, Diabetes insipidus causes excessive excretion of dilute urine, resulting in dehydration.
Polyphagia and hyperglycemia are found in diabetes mellitus.
Tachycardia, not bradycardia, is a manifestation of diabetes insipidus.
A nurse in a clinic is reviewing the laboratory values of a client who has primary hypothyroidism. The
nurse should anticipate an elevation of which of the following laboratory values?
Thyroid stimulating hormone (TSH)
Free T4
Serum T4
Serum T3
Thyroid stimulating hormone (TSH)
The nurse should anticipate that TSH will be elevated.
Free T4 will be decreased
Serum T4 will be decreased
Serum T3 will be decreased
A nurse is proving teaching to a client who has a new diagnosis of hypothyroidism. On which of the
following medications should the nurse prepare to instruct the client?
Radioactive iodine
Levothyroxine
Sumatriptan
Levofloxacin
Levothyoxine
Levothyroxine is a synthetic thyroid hormone that is chemically identical to thyroxine (T4). It is used in
the treatment of hypothyroidism. The nurse should be prepared to instruct the client on the use of this
medication
Radioactive iodine is an anti-thyroid med that treats thyroid cancer, hyperthyroidism, and is used as a
diagnostic aid for thyroid function studies
Sumatriptan is an anti-migraine agent used for acute treatment migraine and cluster headaches.
Levofloxacin is a broad spectrum anti-infective of the quinolone class that is used to treat infections of
the sinuses, skin, lungs, ears, airways, bones, joints, and urinary tract
A nurse is caring for a client who had total thyroidectomy and a serum calcium level of 7.6 mg/dL.
Which of the following findings should the nurse expect?
