(Perioperative, Diabetes,
Endocrine) LATEST 2026 -2027
QUESTIONS AND VERIFIED
CORRECT ANSWER GRADED
A+
A nurse is reviewing the health records of several clients in the PACU to identify risk factors that
can lead to postoperative complications. Which of the following clients are at risk for
complications? (Select all that apply.)
a. A client who has a WBC of 22,500/uL
b. A client who uses an insulin pump
c. A client who takes warfarin daily
d. A client who has heart failure
e. A client who has a BMI of 26 - CORRECT ANSWER-A, B, C, D
A nurse who is caring for a female client who mainfest indications of hypovolemia while in the
PACU. Which of the following findings requires action by the nurse?
a. urine output less than 25mL/hr
b. hematocrit 48%
c. BUN 24 mg/dL
d. tenting of skin over the sternum
e. apical pulse rate 62/min - CORRECT ANSWER-A, B, C, D
,A nurse is caring for a client who arrived in the PACU following a total hip arthroplasty. The
client is not responding to verbal stimuli. Which of the following actions should the nurse
perform first?
a. compare and contrast peripheral pulses
b. apply a warm blanket
c. assess dressings
d. place the client in a lateral position - CORRECT ANSWER-D
A nurse is planning care for a client to prevent postoperative atelectasis. Which of the following
interventions should the nurse include in the plan of care? (Select all that apply.)
a. encourage use of incentive spirometer every 2 hours
b. instruct the client to splint the incision when coughing and deep breathing
c. reposition the client every 2 hours
d. administer antibiotic therapy
e. assist with early ambulation - CORRECT ANSWER-A, B, C, E
A nurse is caring for a client who reports nausea and vomiting 2 days postoperative following a
hysterectomy. Which of the following actions should the nurse perform first?
a. Assess bowel sounds
b. administer antiemetic medications
c. restart prescribed IV fluids
D. insert a prescribed nasogastric tube - CORRECT ANSWER-A
A nurse is caring for a client who has a blood glucose 52 mg/dL. The client is lethargic but
arousable. Which of the following actions should the nurse perform first?
a. recheck blood glucose in 15 mins
b. provide a carbohydrate and protein
c. provide 4oz grape juice
, d. report findings to the provider - CORRECT ANSWER-c
a nurse is preparing to administer a morning dose of insulin aspart to a client who has type 1
diabetes mellitus. Which of the following actions should the nurse implement?
a. check blood glucose immediately after breakfast
b. administer insulin when breakfast arrives
c. hold breakfast for 1 hr after insulin administration
d. clarify the prescription because insulin should not be administered at this time - CORRECT
ANSWER-B
A nurse is preparing to administer morning doses of insulin glargine and regular insulin to a
client who has a blood glucose 278 mg/dL. Which of the following actions should the nurse
take?
a. Draw up the regular insulin and then the glargine insulin in the same syringe
b. draw up the glargline insulin then the regular insulin in the same syringe
c. draw up and administer regular and glargine insulin in separate syringes
d. administer the regular insulin wait 1 hour and then administer the glargine insulin - CORRECT
ANSWER-C
A nurse is presenting information to a group of clients about nutrition habits that prevents type
2 diabetes mellitus. Which of the following should the nurse include in the information? (Select
all that apply.)
a. Eat less meat and processed foods
b. decrease intake of saturated fats
c. increase daily fiber intake
d. limit saturated fat intake to 15% of daily caloric intake
e. include omega-3-fatty acids in the diet - CORRECT ANSWER-A, B, C, E