Page 1 of 52
NUR 445: EXAM 1 REVIEW TESTBANK QUESTIONS 2026
QUESTIONS EXAM LATEST VERSION SOLVED QUESTIONS
& ANSWERS VERIFIED
The nurse monitors for which clinical manifestations in the patient diagnosed
with type 1 diabetes mellitus? decision? Select all that apply.
1. Weight gain
2. Sweating
3. Extreme hunger
4. Excessive thirst
5. Large volume of urine output
3. Extreme hunger
4. Excessive thirst
5. Large volume of urine output
A patient is having testing to diagnose type 1 diabetes mellitus. Which
diagnostic tests might be prescribed for this patient? Select all that apply.
1. Hemoglobin A1c
2. 2-hour postprandial
3. Serum triglycerides
4. Fasting blood glucose
5. Random blood glucose
1. Hemoglobin A1c
2. 2-hour postprandial
4. Fasting blood glucose
5. Random blood glucose
The nurse provides education to a patient who is diagnosed with type 1
diabetes mellitus (DM). Which patient statements indicate the need for
additional teaching regarding self-monitoring of blood glucose? Select all that
apply.
, Page 2 of 52
1. “I will check my blood glucose daily before meals and at bedtime.”
2. “I will monitor my blood glucose levels more frequently when I have the flu.”
3. “I don’t need to document the results of my blood glucose if it is within the
normal limits.”
4. “Because I am using an insulin pump, I don’t need to check my blood
glucose as often as before.”
5. “Because my fasting blood glucose levels are consistent with my A1c, I
don’t need to increase the frequency of monitoring my glucose.”
3. "I don't need to document the results of my blood glucose if it is within the normal
limits."
4. "Because I am using an insulin pump, I don't need to check my blood glucose as
often as before."
The nurse correlates which assessment findings as modifiable risk factors for
developing type 2 diabetes mellitus? Select all that apply.
1. Serum triglycerides 200 mg/dL
2. Sedentary lifestyle
3. Body mass index 29
4. Blood pressure 140/90 mm Hg
5. HDL less than 25 mg/dL
2. Sedentary lifestyle
3. Body mass index 29
4. Blood pressure 140/90 mm Hg
The nurse monitors for which clinical manifestations in the patient diagnosed
with type 2 diabetes mellitus? Select all that apply.
1. Fatigue
2. Muscle cramps
3. Visual disturbances
4. Poor wound healing
5. Recurrent infections
1. Fatigue
3. Visual disturbances
4. Poor wound healing
5. Recurrent infections
, Page 3 of 52
The nurse is providing care to a patient diagnosed with diabetic ketoacidosis.
The following laboratory results are available:
Serum sodium 147 mEq/L
Serum potassium 3.0 mEq/L
Serum chloride 110 mEq/L
Serum bicarbonate 20 mEq/L
Serum glucose 275 mg/dL
The nurse calculates the anion gap. What is the value? Record as a whole
number.
17
Feedback: The anion gap is calculated using three laboratory values: positively
charged sodium, negatively charged chloride, and negatively charged HCO3. Anion
gap = Na+ - (Cl- + HCO3-) 147 - (110 + 20) = 17
The nurse is providing care for a patient receiving curative care who is
experiencing chronic painas a result of cancer. Which type of care should the
nurse plan for on discharge for this patient?
1. Home healthcare
2. Palliative care
3. Hospice care
4. Rehabilitative care
2. Palliative care
Rationale: Palliative care is a specialized form of care that focuses on relief of pain
and other symptoms and stress associated with a severe illness.
It is most important for the nurse to provide education regarding hospice
services to which patient?
1. The patient with stage 4 liver cancer who is classified as terminal
2. The patient with stage 2 lung cancer who is receiving radiation therapy
3. The patient with stage 4 brain cancer who is receiving intravenous
chemotherapy4. The patient with stage
4 breast cancer experiencing bone pain and hormone therapy treatment.
, Page 4 of 52
1. The patient with stage 4 liver cancer who is classified as terminal
Rationale: The patient with a terminal diagnosis is anticipated to live 6 months or
less based on the current diagnosis. It is appropriate for this patient to receive
information regarding hospice services.
(5) The nurse is assessing the patient for palliative care. When assessing the
social domain, which should the nurse include?
1. Financial concerns
2. Funeral preferences
3. Depression
4. Spiritual concerns
1. Financial concerns
Rationale: Assessing the patient's financial concerns is included when conducting an
assessment for the social aspects related to palliative care.
A competent older adult patient has an advance directive that expresses the
patient's desire to avoid resuscitation and heroic life support measures. The
patient's family, however, is not supportive of this directive and plans to
contest the living will. Which nursing action is appropriate based on the
current situation?
1. Notify the hospital attorney.
2. Contact the social services department.
3. Place the document on the patient's medical record.
4. Explain to the patient that the conflict could invalidate the document.
3. Place the document on the patient's medical record.
Rationale: This patient is competent; therefore, the wishes of the patient take priority.
The document should be placed on the patient's medical record and the healthcare
provider notified
The nurse is providing care to a patient who is approaching death. Which
family member statement regarding the physical and psychological changes
associated with death is reflective of this late stage?
NUR 445: EXAM 1 REVIEW TESTBANK QUESTIONS 2026
QUESTIONS EXAM LATEST VERSION SOLVED QUESTIONS
& ANSWERS VERIFIED
The nurse monitors for which clinical manifestations in the patient diagnosed
with type 1 diabetes mellitus? decision? Select all that apply.
1. Weight gain
2. Sweating
3. Extreme hunger
4. Excessive thirst
5. Large volume of urine output
3. Extreme hunger
4. Excessive thirst
5. Large volume of urine output
A patient is having testing to diagnose type 1 diabetes mellitus. Which
diagnostic tests might be prescribed for this patient? Select all that apply.
1. Hemoglobin A1c
2. 2-hour postprandial
3. Serum triglycerides
4. Fasting blood glucose
5. Random blood glucose
1. Hemoglobin A1c
2. 2-hour postprandial
4. Fasting blood glucose
5. Random blood glucose
The nurse provides education to a patient who is diagnosed with type 1
diabetes mellitus (DM). Which patient statements indicate the need for
additional teaching regarding self-monitoring of blood glucose? Select all that
apply.
, Page 2 of 52
1. “I will check my blood glucose daily before meals and at bedtime.”
2. “I will monitor my blood glucose levels more frequently when I have the flu.”
3. “I don’t need to document the results of my blood glucose if it is within the
normal limits.”
4. “Because I am using an insulin pump, I don’t need to check my blood
glucose as often as before.”
5. “Because my fasting blood glucose levels are consistent with my A1c, I
don’t need to increase the frequency of monitoring my glucose.”
3. "I don't need to document the results of my blood glucose if it is within the normal
limits."
4. "Because I am using an insulin pump, I don't need to check my blood glucose as
often as before."
The nurse correlates which assessment findings as modifiable risk factors for
developing type 2 diabetes mellitus? Select all that apply.
1. Serum triglycerides 200 mg/dL
2. Sedentary lifestyle
3. Body mass index 29
4. Blood pressure 140/90 mm Hg
5. HDL less than 25 mg/dL
2. Sedentary lifestyle
3. Body mass index 29
4. Blood pressure 140/90 mm Hg
The nurse monitors for which clinical manifestations in the patient diagnosed
with type 2 diabetes mellitus? Select all that apply.
1. Fatigue
2. Muscle cramps
3. Visual disturbances
4. Poor wound healing
5. Recurrent infections
1. Fatigue
3. Visual disturbances
4. Poor wound healing
5. Recurrent infections
, Page 3 of 52
The nurse is providing care to a patient diagnosed with diabetic ketoacidosis.
The following laboratory results are available:
Serum sodium 147 mEq/L
Serum potassium 3.0 mEq/L
Serum chloride 110 mEq/L
Serum bicarbonate 20 mEq/L
Serum glucose 275 mg/dL
The nurse calculates the anion gap. What is the value? Record as a whole
number.
17
Feedback: The anion gap is calculated using three laboratory values: positively
charged sodium, negatively charged chloride, and negatively charged HCO3. Anion
gap = Na+ - (Cl- + HCO3-) 147 - (110 + 20) = 17
The nurse is providing care for a patient receiving curative care who is
experiencing chronic painas a result of cancer. Which type of care should the
nurse plan for on discharge for this patient?
1. Home healthcare
2. Palliative care
3. Hospice care
4. Rehabilitative care
2. Palliative care
Rationale: Palliative care is a specialized form of care that focuses on relief of pain
and other symptoms and stress associated with a severe illness.
It is most important for the nurse to provide education regarding hospice
services to which patient?
1. The patient with stage 4 liver cancer who is classified as terminal
2. The patient with stage 2 lung cancer who is receiving radiation therapy
3. The patient with stage 4 brain cancer who is receiving intravenous
chemotherapy4. The patient with stage
4 breast cancer experiencing bone pain and hormone therapy treatment.
, Page 4 of 52
1. The patient with stage 4 liver cancer who is classified as terminal
Rationale: The patient with a terminal diagnosis is anticipated to live 6 months or
less based on the current diagnosis. It is appropriate for this patient to receive
information regarding hospice services.
(5) The nurse is assessing the patient for palliative care. When assessing the
social domain, which should the nurse include?
1. Financial concerns
2. Funeral preferences
3. Depression
4. Spiritual concerns
1. Financial concerns
Rationale: Assessing the patient's financial concerns is included when conducting an
assessment for the social aspects related to palliative care.
A competent older adult patient has an advance directive that expresses the
patient's desire to avoid resuscitation and heroic life support measures. The
patient's family, however, is not supportive of this directive and plans to
contest the living will. Which nursing action is appropriate based on the
current situation?
1. Notify the hospital attorney.
2. Contact the social services department.
3. Place the document on the patient's medical record.
4. Explain to the patient that the conflict could invalidate the document.
3. Place the document on the patient's medical record.
Rationale: This patient is competent; therefore, the wishes of the patient take priority.
The document should be placed on the patient's medical record and the healthcare
provider notified
The nurse is providing care to a patient who is approaching death. Which
family member statement regarding the physical and psychological changes
associated with death is reflective of this late stage?
