NSG 321 V2 EXAM QUESTIONS AND ANSWERS
1. A male client with Type 1 diabetes mellitus takes a combination of short-acting
and intermediate-acting insulin drugs. The client complains of headaches when
awakening and his blood glucose average for the past week has been 210 mg/dl. The
nurse recognizes the client is experiencing a daily Somogyi, or rebound, effect.
Which dosing method is likely to relieve these symptoms?
A. Move the PM intermediate-acting dose to bedtime.
2. When obtaining a throat culture from a 6-year-old with possible streptococcal
infection, which action is most important for the nurse to implement?
A. Swab the child’s erythematous oropharyngeal surfaces or tonsilar pustules.
3. The nurse is caring for a 42-year-old male client who is excreting less sodium than
he is consuming. If this condition continues, what complication can the nurse expect
this client to exhibit?
A. Edema.
4. Which condition would likely cause secondary polycythemia?
A. High altitude exposure.
5. An infant is treated for intussusception with hydrostatic reduction. What
instruction should the nurse include in the parents’ teaching plan?
A. Signs and symptoms of recurrence.
6. A client with type 1 diabetes mellitus is prescribed 10 units of
intermediate acting insulin to be administered at bedtime. For which health
problem is the insulin being administered at this time of day?
A. Dawn phenomenon.
7. The nurse is obtaining a throat culture of a client’s posterior
oropharyngeal region. For which health problem will this specimen be used
to diagnose?
A.Strep throat.
, 8. A middle-aged male client is being evaluated for lower extremity edema.
Which laboratory value will be used to aid in determining the cause of this
client’s manifestation?
A. Serum sodium.
9. A client is diagnosed with secondary polycythemia. Which health
condition contributed to the development of this secondary problem?
A. Hypovolemia.
10. A client in the oliguric phase of acute renal failure (ARF) has a 24 hour urine
output of 400ml. nurse should allow this client to have how much oral intake during
the next 24 hours?
A. Limit oral intake to 900 to 1000 ml
11. A female client on the mental health unit tells the nurse that her roommate is
sitting on the bathroom floor with superficial cuts on her wrists. The nurse cleans
and assesses the client’s wrists and asks her what happened. She doesn’t respond.
Next?
A. Take the client to a room for supervision by staff
12. What assessment technique should the nurse use to monitor a client for a common
untoward effect of phenytoin (Dilantin)?
A. Inspection of the mouth
13. The nurse is preparing to administer an IM dose of Vitamin B1 (thiamine) to a
male client experiencing acute alcohol withdrawal and peripheral neuritis. The client
belligerently states, “what do you think you’re doing?” Response?
A. “this shot will help relieve the pain in your feet”
14. When administering an intramuscular injection containing 3 ml of a painful
medication, Intervention?
A. Select a large, deep muscle mass
15. Nurses working in L & D are demanding a change in policy because they believe
they are required to float more often than nurses on other units. However, floating to
, L & D is not reciprocated because other nurses are not competent to provide highly
specialized obstetrical skills. Action?
A. Propose a method for self-staffing labor and delivery
16. Locate the optic disk
A. It is the really light area on the right
17. When completing a mental health assessment, the nurse wishes to obtain
information about a client’s insight and judgment. Which interview technique is
most useful in assessing these mental abilities
A. have the client describe what should be done if a child was observed alone in a
locked car on a hot day
18. An adult Muslim client with ulcerative colitis was admitted to the post-surgical
unit earlier today following a bowel resection with temporary colostomy. Which
intervention is most important for the nurse to implement
A. assign a care provider of the same gender
19. The parents of a 6-year-old recently diagnosed with Duchene muscular dystrophy
tell the nurse that their child wants to continue attending swimming classes. How
should the nurse respond
A. encourage the parents to allow the child to continue attending swimming lessons
with supervision
20. The nurse initiates a one-to-one relationship with a 35-year-old depressed female
client who was recently admitted to the psychiatric facility. Which nursing action is
most effective in promoting the development of a therapeutic relationship
A. ensure that scheduled appointments begin according to the schedule
21. An 18-year-old female client is admitted to the unit after ingesting an overdose of
Phenobarbital (Luminal). She is unresponsive and ABG results are: pH 7.18, PaCO2
60 mmHg, and HCO3 26 mEq/L. Which interpretation of the client’s ABG results by
the nurse is accurate
A. Respiratory acidosis, uncompensated
22. A male client with multiple myeloma is admitted with pneumonia and
pancytopenia. The nurse reviews the complete blood cell count findings and
1. A male client with Type 1 diabetes mellitus takes a combination of short-acting
and intermediate-acting insulin drugs. The client complains of headaches when
awakening and his blood glucose average for the past week has been 210 mg/dl. The
nurse recognizes the client is experiencing a daily Somogyi, or rebound, effect.
Which dosing method is likely to relieve these symptoms?
A. Move the PM intermediate-acting dose to bedtime.
2. When obtaining a throat culture from a 6-year-old with possible streptococcal
infection, which action is most important for the nurse to implement?
A. Swab the child’s erythematous oropharyngeal surfaces or tonsilar pustules.
3. The nurse is caring for a 42-year-old male client who is excreting less sodium than
he is consuming. If this condition continues, what complication can the nurse expect
this client to exhibit?
A. Edema.
4. Which condition would likely cause secondary polycythemia?
A. High altitude exposure.
5. An infant is treated for intussusception with hydrostatic reduction. What
instruction should the nurse include in the parents’ teaching plan?
A. Signs and symptoms of recurrence.
6. A client with type 1 diabetes mellitus is prescribed 10 units of
intermediate acting insulin to be administered at bedtime. For which health
problem is the insulin being administered at this time of day?
A. Dawn phenomenon.
7. The nurse is obtaining a throat culture of a client’s posterior
oropharyngeal region. For which health problem will this specimen be used
to diagnose?
A.Strep throat.
, 8. A middle-aged male client is being evaluated for lower extremity edema.
Which laboratory value will be used to aid in determining the cause of this
client’s manifestation?
A. Serum sodium.
9. A client is diagnosed with secondary polycythemia. Which health
condition contributed to the development of this secondary problem?
A. Hypovolemia.
10. A client in the oliguric phase of acute renal failure (ARF) has a 24 hour urine
output of 400ml. nurse should allow this client to have how much oral intake during
the next 24 hours?
A. Limit oral intake to 900 to 1000 ml
11. A female client on the mental health unit tells the nurse that her roommate is
sitting on the bathroom floor with superficial cuts on her wrists. The nurse cleans
and assesses the client’s wrists and asks her what happened. She doesn’t respond.
Next?
A. Take the client to a room for supervision by staff
12. What assessment technique should the nurse use to monitor a client for a common
untoward effect of phenytoin (Dilantin)?
A. Inspection of the mouth
13. The nurse is preparing to administer an IM dose of Vitamin B1 (thiamine) to a
male client experiencing acute alcohol withdrawal and peripheral neuritis. The client
belligerently states, “what do you think you’re doing?” Response?
A. “this shot will help relieve the pain in your feet”
14. When administering an intramuscular injection containing 3 ml of a painful
medication, Intervention?
A. Select a large, deep muscle mass
15. Nurses working in L & D are demanding a change in policy because they believe
they are required to float more often than nurses on other units. However, floating to
, L & D is not reciprocated because other nurses are not competent to provide highly
specialized obstetrical skills. Action?
A. Propose a method for self-staffing labor and delivery
16. Locate the optic disk
A. It is the really light area on the right
17. When completing a mental health assessment, the nurse wishes to obtain
information about a client’s insight and judgment. Which interview technique is
most useful in assessing these mental abilities
A. have the client describe what should be done if a child was observed alone in a
locked car on a hot day
18. An adult Muslim client with ulcerative colitis was admitted to the post-surgical
unit earlier today following a bowel resection with temporary colostomy. Which
intervention is most important for the nurse to implement
A. assign a care provider of the same gender
19. The parents of a 6-year-old recently diagnosed with Duchene muscular dystrophy
tell the nurse that their child wants to continue attending swimming classes. How
should the nurse respond
A. encourage the parents to allow the child to continue attending swimming lessons
with supervision
20. The nurse initiates a one-to-one relationship with a 35-year-old depressed female
client who was recently admitted to the psychiatric facility. Which nursing action is
most effective in promoting the development of a therapeutic relationship
A. ensure that scheduled appointments begin according to the schedule
21. An 18-year-old female client is admitted to the unit after ingesting an overdose of
Phenobarbital (Luminal). She is unresponsive and ABG results are: pH 7.18, PaCO2
60 mmHg, and HCO3 26 mEq/L. Which interpretation of the client’s ABG results by
the nurse is accurate
A. Respiratory acidosis, uncompensated
22. A male client with multiple myeloma is admitted with pneumonia and
pancytopenia. The nurse reviews the complete blood cell count findings and
