NSG 4100 EXAM 2: ACTUAL QUESTIONS AND
ANSWERS LATEST UPDATED 2026/2027
(GRADED A+)
AT GALEN COLLEGE OF NURSING
The nurse is discussing ways to prevent DKA w/ a client newly
diagnosed w/ Type 1 DM, which instruction is most important to
discuss with the client?
a. refer them to the American Diabetes Association
b. Take the prescribed insulin even when unable to eat due to illness
c. Do not take any OTC meds
d. explain the need to get the annual flu and pneumonia vaccines
B
ED nurse is caring for pt with HHS who has BG of 680 mg/dl. Which
question should the nurse ask to determine the cause of acute
complications?
a. "when was the last time you took your insulin?"
b. "when do you have your last meal?"
c. "have you had some type of infection lately?"
d. "how long have you had diabetes?"
C
,Client w/ a diagnosis of Addisonian crisis is being admitted to the
ICU. Which findings will the inter-professional care team focus on?
Select all that apply:
a. hypotension
b. leuocytosis
c. hyperkalmeia
d. hypercalcemia
e. hypernatremia
A, C
Nurse is caring for a client after hypophysectomy and notes clear
nasal drainage from the client's nostril. The nurse should take which
initial action?
a. lower the head of the bed
b. test drainage for glucose
c. obtain culture of drainage
d. continue to observe drainage
B
, Nurse is admitting a client who is diagnosed w/ SIADH and has
serum sodium of 118 mEq/L. Which physician prescription should
the nurse anticipate receiving? Select all that apply:
a. Initiate infusion of 3% NaCl
b. administer IV furosemide
c. Restrict fluids to 800ml over 24hrs
d. elevate HOB to high fowler's
e. administer a vasopressin antagonist as prescribed
A, C, E
Nurse performing an assessment on a client w/ pheochromocytoma.
Which assessment data would indicate potential complication with
this disease?
a. urinary output of 50ml/h
b. coagulation time of 5 mins
c. HR that is 90bpm & irregular
d. BUN of 20 mg/dL
C
Client is to have transsphenoidal hypophysectomy to remove a
large, invasive pituitary tumor. The nurse should instruct the client
that the surgery will be performed through an incision in the
ANSWERS LATEST UPDATED 2026/2027
(GRADED A+)
AT GALEN COLLEGE OF NURSING
The nurse is discussing ways to prevent DKA w/ a client newly
diagnosed w/ Type 1 DM, which instruction is most important to
discuss with the client?
a. refer them to the American Diabetes Association
b. Take the prescribed insulin even when unable to eat due to illness
c. Do not take any OTC meds
d. explain the need to get the annual flu and pneumonia vaccines
B
ED nurse is caring for pt with HHS who has BG of 680 mg/dl. Which
question should the nurse ask to determine the cause of acute
complications?
a. "when was the last time you took your insulin?"
b. "when do you have your last meal?"
c. "have you had some type of infection lately?"
d. "how long have you had diabetes?"
C
,Client w/ a diagnosis of Addisonian crisis is being admitted to the
ICU. Which findings will the inter-professional care team focus on?
Select all that apply:
a. hypotension
b. leuocytosis
c. hyperkalmeia
d. hypercalcemia
e. hypernatremia
A, C
Nurse is caring for a client after hypophysectomy and notes clear
nasal drainage from the client's nostril. The nurse should take which
initial action?
a. lower the head of the bed
b. test drainage for glucose
c. obtain culture of drainage
d. continue to observe drainage
B
, Nurse is admitting a client who is diagnosed w/ SIADH and has
serum sodium of 118 mEq/L. Which physician prescription should
the nurse anticipate receiving? Select all that apply:
a. Initiate infusion of 3% NaCl
b. administer IV furosemide
c. Restrict fluids to 800ml over 24hrs
d. elevate HOB to high fowler's
e. administer a vasopressin antagonist as prescribed
A, C, E
Nurse performing an assessment on a client w/ pheochromocytoma.
Which assessment data would indicate potential complication with
this disease?
a. urinary output of 50ml/h
b. coagulation time of 5 mins
c. HR that is 90bpm & irregular
d. BUN of 20 mg/dL
C
Client is to have transsphenoidal hypophysectomy to remove a
large, invasive pituitary tumor. The nurse should instruct the client
that the surgery will be performed through an incision in the
