Galen College of Nursing NUR 170
Exam3 practice
1. A nurse is caring for a client with type 1 diabetes who is pale, diaphoretic, and confused. What is the
nurse’s priority action?
A. Call the provider
B. Recheck the glucose in 30 minutes
C. Give 4 oz of orange juice
D. Administer insulin as prescribed
2. A client with type 2 diabetes reports fasting blood glucose of 70–90 mg/dL. What is the best response
by the nurse?
A. “Your levels are too low.”
B. “This is an ideal range.”
C. “You may need to be hospitalized.”
D. “You should eat more carbs.”
3. A nurse teaches a client with newly diagnosed type 2 diabetes about metformin. Which statement
indicates a need for further teaching?
A. “I’ll take it with food.”
B. “This helps my insulin work better.”
C. “I’ll stop it if I feel better.”
D. “I’ll avoid alcohol.”
4. Which lab result is expected in a client with DKA?
A. pH 7.45
B. HCO₃ 26 mEq/L
C. Glucose 72 mg/dL
D. Positive serum ketones
5. A client asks how to prevent long-term complications of diabetes. What is the nurse’s best response?
A. “Check your blood sugar daily.”
B. “Keep A1C below 7%.”
C. “Use insulin sparingly.”
D. “There’s nothing you can do.”
6. A client received insulin lispro at 7:30 a.m. When should the nurse monitor for
hypoglycemia?
A. 7:40 a.m.
B. 8:30 a.m.
C. 12:00 p.m.
D. 3:00 p.m.
7. A client on lisinopril reports a swollen tongue. What should the nurse do first?
A. Reassure the client
B. Administer epinephrine
C. Hold the next dose
D. Notify the provider immediately
8. Which statement by a client prescribed nitroglycerin requires correction?
A. “I’ll store it in a pill box.”
B. “I’ll keep it in the original container.”
C. “I can take up to three tablets, five minutes apart.”
D. “I should call 911 if the pain doesn’t go away.”
, 9. A nurse is teaching safe walker use. Which is appropriate?
A. Move the strong leg first
B. Hold the walker in one hand
C. Advance the walker with the weak leg
D. Keep both feet in place and swing the walker
10. Which finding after a femur fracture requires immediate action?
A. Swelling
B. Pain 7/10
C. Cap refill >3 seconds
D. Warm skin over site
11. Which insulin has the longest duration?
A. Regular
B. Lispro
C. Glargine
D. NPH
12. Which food should a client avoid while taking warfarin?
A. White rice
B. Broccoli
C. Chicken breast
D. Applesauce
13. Which finding indicates digoxin toxicity?
A. HR 98 bpm
B. Blurred vision with yellow halos
C. Nausea relieved with antacids
D. BP 130/80 mm Hg
14. A nurse teaches about the signs of a myocardial infarction. Which is most typical?
A. Sharp pain relieved by rest
B. Mid-epigastric pain
C. Crushing chest pain with radiation to left arm
D. Pain worsened with inspiration
15. Which position prevents hip dislocation post-surgery?
A. Adduction of legs
B. Use of abduction pillow
C. Elevating the leg above the heart
D. Keeping the hip flexed over 90°
16. A nurse is caring for a diabetic client on NPH and regular insulin. When should the nurse assess
for hypoglycemia?
A. Immediately after administration
B. 1 hour after
C. During peak of each insulin
D. At bedtime
17. Which lab value is essential before giving furosemide?
A. Glucose
B. Hemoglobin
C. Potassium
D. Platelet count
Exam3 practice
1. A nurse is caring for a client with type 1 diabetes who is pale, diaphoretic, and confused. What is the
nurse’s priority action?
A. Call the provider
B. Recheck the glucose in 30 minutes
C. Give 4 oz of orange juice
D. Administer insulin as prescribed
2. A client with type 2 diabetes reports fasting blood glucose of 70–90 mg/dL. What is the best response
by the nurse?
A. “Your levels are too low.”
B. “This is an ideal range.”
C. “You may need to be hospitalized.”
D. “You should eat more carbs.”
3. A nurse teaches a client with newly diagnosed type 2 diabetes about metformin. Which statement
indicates a need for further teaching?
A. “I’ll take it with food.”
B. “This helps my insulin work better.”
C. “I’ll stop it if I feel better.”
D. “I’ll avoid alcohol.”
4. Which lab result is expected in a client with DKA?
A. pH 7.45
B. HCO₃ 26 mEq/L
C. Glucose 72 mg/dL
D. Positive serum ketones
5. A client asks how to prevent long-term complications of diabetes. What is the nurse’s best response?
A. “Check your blood sugar daily.”
B. “Keep A1C below 7%.”
C. “Use insulin sparingly.”
D. “There’s nothing you can do.”
6. A client received insulin lispro at 7:30 a.m. When should the nurse monitor for
hypoglycemia?
A. 7:40 a.m.
B. 8:30 a.m.
C. 12:00 p.m.
D. 3:00 p.m.
7. A client on lisinopril reports a swollen tongue. What should the nurse do first?
A. Reassure the client
B. Administer epinephrine
C. Hold the next dose
D. Notify the provider immediately
8. Which statement by a client prescribed nitroglycerin requires correction?
A. “I’ll store it in a pill box.”
B. “I’ll keep it in the original container.”
C. “I can take up to three tablets, five minutes apart.”
D. “I should call 911 if the pain doesn’t go away.”
, 9. A nurse is teaching safe walker use. Which is appropriate?
A. Move the strong leg first
B. Hold the walker in one hand
C. Advance the walker with the weak leg
D. Keep both feet in place and swing the walker
10. Which finding after a femur fracture requires immediate action?
A. Swelling
B. Pain 7/10
C. Cap refill >3 seconds
D. Warm skin over site
11. Which insulin has the longest duration?
A. Regular
B. Lispro
C. Glargine
D. NPH
12. Which food should a client avoid while taking warfarin?
A. White rice
B. Broccoli
C. Chicken breast
D. Applesauce
13. Which finding indicates digoxin toxicity?
A. HR 98 bpm
B. Blurred vision with yellow halos
C. Nausea relieved with antacids
D. BP 130/80 mm Hg
14. A nurse teaches about the signs of a myocardial infarction. Which is most typical?
A. Sharp pain relieved by rest
B. Mid-epigastric pain
C. Crushing chest pain with radiation to left arm
D. Pain worsened with inspiration
15. Which position prevents hip dislocation post-surgery?
A. Adduction of legs
B. Use of abduction pillow
C. Elevating the leg above the heart
D. Keeping the hip flexed over 90°
16. A nurse is caring for a diabetic client on NPH and regular insulin. When should the nurse assess
for hypoglycemia?
A. Immediately after administration
B. 1 hour after
C. During peak of each insulin
D. At bedtime
17. Which lab value is essential before giving furosemide?
A. Glucose
B. Hemoglobin
C. Potassium
D. Platelet count
