NUR 112 Final Exam prac ce ques ons and answers |
Updated RATED A+ | New
An 18-year-old female client, 5′4′′ tall, weighing 113 kg, comes to the clinic for a nonhealing
wound on her lower leg, which she has had for two (2) weeks. Which disease process should
the nurse suspect the client has developed?
1. Type 1 diabetes.
2. Type 2 diabetes.
3. Gesta)onal diabetes.
4. Acanthosis nigricans.
2
The client diagnosed with type 1 diabetes has a glycosylated hemoglobin (A1c) of 8.1%. Which
interpreta)on should the nurse make based on this result?
1. This result is below normal levels.
2. This result is within acceptable levels.
3. This result is above recommended levels.
4. This result is dangerously high.
3
The nurse administered 28 units of Humulin N, an intermediate-ac)ng insulin, to a client
diagnosed with type 1 diabetes at 1600. Which interven)on should the nurse implement?
1. Ensure the client eats the bed)me snack.
2. Determine how much food the client ate at lunch.
3. Perform a glucometer reading at 0700.
4. Offer the client protein a5er administering insulin.
1
The nurse is discussing the importance of exercising with a client diagnosed with type 2
diabetes whose diabetes is well controlled with diet and exercise. Which informa)on should the
nurse include in the teaching about diabetes?
1. Eat a simple carbohydrate snack before exercising.
2. Carry peanut bu8er crackers when exercising.
3. Encourage the client to walk 20 minutes three (3) )mes a week.
4. Perform warmup and cool-down exercises.
4
,The nurse is assessing the feet of a client with long-term type 2 diabetes. Which assessment
data warrant immediate interven)on by the nurse?
1. The client has crumbling toenails.
2. The client has athlete's foot.
3. The client has a necro)c big toe.
4. The client has thickened toenails.
3
The home health nurse is comple)ng the admission assessment for a 76-year-old client
diagnosed with type 2 diabetes controlled with 70/30 insulin. Which interven)on should be
included in the plan of care?
1. Assess the client's ability to read small print.
2. Monitor the client's serum PT level.
3. Teach the client how to perform a hemoglobin A1c test daily.
4. Instruct the client to check the feet weekly.
1
The client with type 2 diabetes controlled with biguanide oral diabe)c medica)on is scheduled
for a computed tomography (CT) scan with contrast of the abdomen to evaluate pancrea)c
func)on. Which interven)on should the nurse implement?
1. Provide a high-fat diet 24 hours prior to test.
2. Hold the biguanide medica)on for 48 hours prior to test.
3. Obtain an informed consent form for the test.
4. Administer pancrea)c enzymes prior to the test.
2
The diabe)c educator is teaching a class on diabetes type 1 and is discussing sick-day rules.
Which interven)ons should the diabetes educator include in the discussion? Select all that
apply.
1. Take diabe)c medica)on even if unable to eat the client's normal diabe)c diet.
2. If unable to eat, drink liquids equal to the client's normal caloric intake.
3. It is not necessary to no)fy the health-care provider if ketones are in the urine.
4. Test blood glucose levels and test urine ketones once a day and keep a record.
5. Call the health-care provider if glucose levels are higher than 180 mg/dL.
1, 2, 5
The client received 10 units of Humulin R, a fast-ac)ng insulin, at 0700. At 1030 the unlicensed
assis)ve personnel (UAP) tells the nurse the client has a headache and is really ac)ng "funny."
,Which interven)on should the nurse implement first?
1. Instruct the UAP to obtain the blood glucose level.
2. Have the client drink eight (8) ounces of orange juice.
3. Go to the client's room and assess the client for hypoglycemia.
4. Prepare to administer one (1) ampule 50% dextrose intravenously.
3
The nurse at a freestanding health care clinic is caring for a 56-year-old male client who is
homeless and is a type 2 diabe)c controlled with insulin. Which ac)on is an example of client
advocacy?
1. Ask the client if he has somewhere he can go and live.
2. Arrange for someone to give him insulin at a local homeless shelter.
3. No)fy Adult Protec)ve Services about the client's situa)on.
4. Ask the HCP to take the client off insulin because he is homeless.
2
The nurse is developing a care plan for the client diagnosed with type 1 diabetes. The nurse
iden)fies the problem "high risk for hyperglycemia related to noncompliance with the
medica)on regimen." Which statement is an appropriate short-term goal for the client?
1. The client will have a blood glucose level between 90 and 140 mg/dL.
2. The client will demonstrate appropriate insulin injec)on technique.
3. The nurse will monitor the client's blood glucose levels four (4) )mes a day.
4. The client will maintain normal kidney func)on with 30-mL/hr urine output.
1
The client diagnosed with type 2 diabetes is admi8ed to the intensive care unit with
hyperosmolar hyperglycemic nonketonic syndrome (HHNS) coma. Which assessment data
should the nurse expect the client to exhibit?
1. Kussmaul's respira)ons.
2. Diarrhea and epigastric pain.
3. Dry mucous membranes.
4. Ketone breath odor.
3
The elderly client is admi8ed to the intensive care department diagnosed with severe HHNS.
Which collabora)ve interven)on should the nurse include in the plan of care?
1. Infuse 0.9% normal saline intravenously.
2. Administer intermediate-ac)ng insulin.
, 3. Perform blood glucometer checks daily.
4. Monitor arterial blood gas results.
1
Which electrolyte replacement should the nurse an)cipate being ordered by the health-care
provider in the client diagnosed with DKA who has just been admi8ed to the ICU?
1. Glucose.
2. Potassium.
3. Calcium.
4. Sodium.
2
The client diagnosed with HHNS was admi8ed yesterday with a blood glucose level of 780
mg/dL. The client's blood glucose level is now 300 mg/dL. Which interven)on should the nurse
implement?
1. Increase the regular insulin IV drip.
1. Check the client's urine for ketones.
3. Provide the client with a therapeu)c diabe)c meal.
4. No)fy the HCP to obtain an order to decrease insulin.
4
The client diagnosed with type 1 diabetes is found lying unconscious on the floor of the
bathroom. Which interven)on should the nurse implement first?
1. Administer 50% dextrose IVP.
2. No)fy the health-care provider.
3. Move the client to the ICU.
4. Check the serum glucose level.
1
Which assessment data indicate the client diagnosed with diabe)c ketoacidosis is responding to
the medical treatment?
1. The client has tented skin turgor and dry mucous membranes.
2. The client is alert and oriented to date, )me, and place.
3. The client's ABG results are pH 7.29, PaCO2 44, HCO3 15.
4. The client's serum potassium level is 3.3 mEq/L.
2
Updated RATED A+ | New
An 18-year-old female client, 5′4′′ tall, weighing 113 kg, comes to the clinic for a nonhealing
wound on her lower leg, which she has had for two (2) weeks. Which disease process should
the nurse suspect the client has developed?
1. Type 1 diabetes.
2. Type 2 diabetes.
3. Gesta)onal diabetes.
4. Acanthosis nigricans.
2
The client diagnosed with type 1 diabetes has a glycosylated hemoglobin (A1c) of 8.1%. Which
interpreta)on should the nurse make based on this result?
1. This result is below normal levels.
2. This result is within acceptable levels.
3. This result is above recommended levels.
4. This result is dangerously high.
3
The nurse administered 28 units of Humulin N, an intermediate-ac)ng insulin, to a client
diagnosed with type 1 diabetes at 1600. Which interven)on should the nurse implement?
1. Ensure the client eats the bed)me snack.
2. Determine how much food the client ate at lunch.
3. Perform a glucometer reading at 0700.
4. Offer the client protein a5er administering insulin.
1
The nurse is discussing the importance of exercising with a client diagnosed with type 2
diabetes whose diabetes is well controlled with diet and exercise. Which informa)on should the
nurse include in the teaching about diabetes?
1. Eat a simple carbohydrate snack before exercising.
2. Carry peanut bu8er crackers when exercising.
3. Encourage the client to walk 20 minutes three (3) )mes a week.
4. Perform warmup and cool-down exercises.
4
,The nurse is assessing the feet of a client with long-term type 2 diabetes. Which assessment
data warrant immediate interven)on by the nurse?
1. The client has crumbling toenails.
2. The client has athlete's foot.
3. The client has a necro)c big toe.
4. The client has thickened toenails.
3
The home health nurse is comple)ng the admission assessment for a 76-year-old client
diagnosed with type 2 diabetes controlled with 70/30 insulin. Which interven)on should be
included in the plan of care?
1. Assess the client's ability to read small print.
2. Monitor the client's serum PT level.
3. Teach the client how to perform a hemoglobin A1c test daily.
4. Instruct the client to check the feet weekly.
1
The client with type 2 diabetes controlled with biguanide oral diabe)c medica)on is scheduled
for a computed tomography (CT) scan with contrast of the abdomen to evaluate pancrea)c
func)on. Which interven)on should the nurse implement?
1. Provide a high-fat diet 24 hours prior to test.
2. Hold the biguanide medica)on for 48 hours prior to test.
3. Obtain an informed consent form for the test.
4. Administer pancrea)c enzymes prior to the test.
2
The diabe)c educator is teaching a class on diabetes type 1 and is discussing sick-day rules.
Which interven)ons should the diabetes educator include in the discussion? Select all that
apply.
1. Take diabe)c medica)on even if unable to eat the client's normal diabe)c diet.
2. If unable to eat, drink liquids equal to the client's normal caloric intake.
3. It is not necessary to no)fy the health-care provider if ketones are in the urine.
4. Test blood glucose levels and test urine ketones once a day and keep a record.
5. Call the health-care provider if glucose levels are higher than 180 mg/dL.
1, 2, 5
The client received 10 units of Humulin R, a fast-ac)ng insulin, at 0700. At 1030 the unlicensed
assis)ve personnel (UAP) tells the nurse the client has a headache and is really ac)ng "funny."
,Which interven)on should the nurse implement first?
1. Instruct the UAP to obtain the blood glucose level.
2. Have the client drink eight (8) ounces of orange juice.
3. Go to the client's room and assess the client for hypoglycemia.
4. Prepare to administer one (1) ampule 50% dextrose intravenously.
3
The nurse at a freestanding health care clinic is caring for a 56-year-old male client who is
homeless and is a type 2 diabe)c controlled with insulin. Which ac)on is an example of client
advocacy?
1. Ask the client if he has somewhere he can go and live.
2. Arrange for someone to give him insulin at a local homeless shelter.
3. No)fy Adult Protec)ve Services about the client's situa)on.
4. Ask the HCP to take the client off insulin because he is homeless.
2
The nurse is developing a care plan for the client diagnosed with type 1 diabetes. The nurse
iden)fies the problem "high risk for hyperglycemia related to noncompliance with the
medica)on regimen." Which statement is an appropriate short-term goal for the client?
1. The client will have a blood glucose level between 90 and 140 mg/dL.
2. The client will demonstrate appropriate insulin injec)on technique.
3. The nurse will monitor the client's blood glucose levels four (4) )mes a day.
4. The client will maintain normal kidney func)on with 30-mL/hr urine output.
1
The client diagnosed with type 2 diabetes is admi8ed to the intensive care unit with
hyperosmolar hyperglycemic nonketonic syndrome (HHNS) coma. Which assessment data
should the nurse expect the client to exhibit?
1. Kussmaul's respira)ons.
2. Diarrhea and epigastric pain.
3. Dry mucous membranes.
4. Ketone breath odor.
3
The elderly client is admi8ed to the intensive care department diagnosed with severe HHNS.
Which collabora)ve interven)on should the nurse include in the plan of care?
1. Infuse 0.9% normal saline intravenously.
2. Administer intermediate-ac)ng insulin.
, 3. Perform blood glucometer checks daily.
4. Monitor arterial blood gas results.
1
Which electrolyte replacement should the nurse an)cipate being ordered by the health-care
provider in the client diagnosed with DKA who has just been admi8ed to the ICU?
1. Glucose.
2. Potassium.
3. Calcium.
4. Sodium.
2
The client diagnosed with HHNS was admi8ed yesterday with a blood glucose level of 780
mg/dL. The client's blood glucose level is now 300 mg/dL. Which interven)on should the nurse
implement?
1. Increase the regular insulin IV drip.
1. Check the client's urine for ketones.
3. Provide the client with a therapeu)c diabe)c meal.
4. No)fy the HCP to obtain an order to decrease insulin.
4
The client diagnosed with type 1 diabetes is found lying unconscious on the floor of the
bathroom. Which interven)on should the nurse implement first?
1. Administer 50% dextrose IVP.
2. No)fy the health-care provider.
3. Move the client to the ICU.
4. Check the serum glucose level.
1
Which assessment data indicate the client diagnosed with diabe)c ketoacidosis is responding to
the medical treatment?
1. The client has tented skin turgor and dry mucous membranes.
2. The client is alert and oriented to date, )me, and place.
3. The client's ABG results are pH 7.29, PaCO2 44, HCO3 15.
4. The client's serum potassium level is 3.3 mEq/L.
2
