New COMPS NSG 4800 exam
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, 10. The nurse is providing care to a client who is 6 hours post-total knee replacement. Which of
the following findings should the nurse report to the primary health care provider (PHCP)
immediately?
a. The client reports pain of 5/10 at the surgical site.
b. The client's temperature is 99.4°F.
c. The client's surgical dressing has a small amount of serosanguineous drainage.
d. The client's affected leg is cool to the touch, pedal pulse is weak, and the client reports
numbness and tingling in the toes. (neurovascular compromise – circulation check)
11. The nurse is caring for a client with a new diagnosis of type 1 diabetes mellitus. The client
asks why they cannot take oral medication instead of insulin injections. Which of the following is
the BEST response by the nurse?
a. "Oral medications work faster than insulin injections."
b. "Your doctor prefers insulin injections for all diabetes patients."
c. "You can switch to oral medications once your blood sugar is controlled."
d. "In type 1 diabetes, your pancreas does not produce insulin. Oral medications require some
insulin production to work, so you need insulin injections."
12. The nurse is caring for a client with Cushing's syndrome. Which of the following clinical
manifestations does the nurse expect to find?
a. Hypotension, weight loss, and bronze skin pigmentation.
b. Hypothermia, bradycardia, and dry coarse hair.
c. Moon face, buffalo hump, truncal obesity, thin extremities, purple striae, hyperglycemia,
and hypertension.
d. Exophthalmos, weight loss, and tachycardia.
13. The nurse is administering medications to a client with myasthenia gravis. The client is
prescribed pyridostigmine (Mestinon). Which of the following is the MOST important nursing
consideration when administering this medication?
,
, 10. The nurse is providing care to a client who is 6 hours post-total knee replacement. Which of
the following findings should the nurse report to the primary health care provider (PHCP)
immediately?
a. The client reports pain of 5/10 at the surgical site.
b. The client's temperature is 99.4°F.
c. The client's surgical dressing has a small amount of serosanguineous drainage.
d. The client's affected leg is cool to the touch, pedal pulse is weak, and the client reports
numbness and tingling in the toes. (neurovascular compromise – circulation check)
11. The nurse is caring for a client with a new diagnosis of type 1 diabetes mellitus. The client
asks why they cannot take oral medication instead of insulin injections. Which of the following is
the BEST response by the nurse?
a. "Oral medications work faster than insulin injections."
b. "Your doctor prefers insulin injections for all diabetes patients."
c. "You can switch to oral medications once your blood sugar is controlled."
d. "In type 1 diabetes, your pancreas does not produce insulin. Oral medications require some
insulin production to work, so you need insulin injections."
12. The nurse is caring for a client with Cushing's syndrome. Which of the following clinical
manifestations does the nurse expect to find?
a. Hypotension, weight loss, and bronze skin pigmentation.
b. Hypothermia, bradycardia, and dry coarse hair.
c. Moon face, buffalo hump, truncal obesity, thin extremities, purple striae, hyperglycemia,
and hypertension.
d. Exophthalmos, weight loss, and tachycardia.
13. The nurse is administering medications to a client with myasthenia gravis. The client is
prescribed pyridostigmine (Mestinon). Which of the following is the MOST important nursing
consideration when administering this medication?
