NUR 2392 / NUR2392 Multidimensional Care II
Final Exam Quiz Bank
1. A client with syndrome of inappropriate antidiuretic hormone (SIADH) is admitted with
a serum sodium level of 105 mEq/L (105 mmol/L). Which request by the health care
provider does the nurse carry out first?
A. Administer infusion of 150 mL of 3% NaCl over 3 hours.
B. Draw blood for hemoglobin and hematocrit (H&H).
C. Insert an indwelling catheter and monitor urine output.
D. Weigh the client on admission and daily thereafter.
2. A client with Cushing's disease says that she has lost 1 pound (0.5 kg) What does the
nurse do next?
A. Auscultate the lungs for crackles.
B. Check urine for specific gravity.
C. Check the blood pressure.
D. Weigh the client.
3. The nurse is teaching a client about the expected outcome for treatment of syndrome of
inappropriate antidiuretic hormone (SIADH). What does the nurse tell the client to look
for?
A. Decrease in difficulty in breathing
B. Dry mucous membranes
C. Increasing heart rate
, D. Muscle spasms
4. The nurse and nursing student are caring for a client with pheochromocytoma who is
admitted for surgery. Which of these statements by the student requires immediate
intervention by the nurse?
A. "I will review the chest x-ray results for pulmonary edema. "
B. "I will initiate a 24-hour urine collection now."
C. "I have requested the client be placed with a roommate for distraction."
D. "When performing the gastrointestinal assessment, I need to palpate the
client's abdomen."
5. A client presents to the emergency department with acute adrenal insufficiency and the
following vital signs: P 118 beats/min, R 18 breaths/min, BP 84/44 mm Hg, pulse
oximetry 98%, and T 98.8°F oral. Which nursing intervention is the highest priority for
this client?
A. Administering furosemide (Lasix)
B. Providing isotonic fluids
C. Replacing potassium losses
D. Restricting sodium
6. A client with a possible adrenal gland tumor is admitted for testing and treatment. Which
nursing action is most appropriate for the charge nurse to delegate to the nursing
assistant?
A. Assess skin turgor and mucous membranes for hydration status.
B. Discuss the dietary restrictions for 24-hour urine testing.
, C. Plan ways to control the environment that will avoid stimulating the client.
D. Remind the client to not order coffee with meals
7. The client is taking fludrocortisone (Florinef) for adrenal hypofunction. The nurse
instructs the client to report which symptom while taking this drug?
A. Anxiety
B. Headache
C. Nausea
D. Weight loss
8. The nurse is assessing a client who had a transsphenoidal hypophysectomy yesterday.
Which finding requires immediate notification to the primary health care provider?
A. Dry lips and oral mucosa on examination
B. Nasal drainage that tests negative for glucose
C. Client report of a headache and stiff neck
D. Urine specific gravity of 1.016
9. A client has been admitted to the medical intensive care unit with a diagnosis of diabetes
insipidus (DI) secondary to lithium overdose. The client has a prescription for
Desmopressin (DDAVP). Which outcome indicates a positive response to treatment?
A. Urine output of 60-80 mL/hour
B. Blood glucose level of 110 mg/dL (6.1 mmol/L)
C. Ability to sit quietly and read a magazine
D. Potassium level within expected range
Final Exam Quiz Bank
1. A client with syndrome of inappropriate antidiuretic hormone (SIADH) is admitted with
a serum sodium level of 105 mEq/L (105 mmol/L). Which request by the health care
provider does the nurse carry out first?
A. Administer infusion of 150 mL of 3% NaCl over 3 hours.
B. Draw blood for hemoglobin and hematocrit (H&H).
C. Insert an indwelling catheter and monitor urine output.
D. Weigh the client on admission and daily thereafter.
2. A client with Cushing's disease says that she has lost 1 pound (0.5 kg) What does the
nurse do next?
A. Auscultate the lungs for crackles.
B. Check urine for specific gravity.
C. Check the blood pressure.
D. Weigh the client.
3. The nurse is teaching a client about the expected outcome for treatment of syndrome of
inappropriate antidiuretic hormone (SIADH). What does the nurse tell the client to look
for?
A. Decrease in difficulty in breathing
B. Dry mucous membranes
C. Increasing heart rate
, D. Muscle spasms
4. The nurse and nursing student are caring for a client with pheochromocytoma who is
admitted for surgery. Which of these statements by the student requires immediate
intervention by the nurse?
A. "I will review the chest x-ray results for pulmonary edema. "
B. "I will initiate a 24-hour urine collection now."
C. "I have requested the client be placed with a roommate for distraction."
D. "When performing the gastrointestinal assessment, I need to palpate the
client's abdomen."
5. A client presents to the emergency department with acute adrenal insufficiency and the
following vital signs: P 118 beats/min, R 18 breaths/min, BP 84/44 mm Hg, pulse
oximetry 98%, and T 98.8°F oral. Which nursing intervention is the highest priority for
this client?
A. Administering furosemide (Lasix)
B. Providing isotonic fluids
C. Replacing potassium losses
D. Restricting sodium
6. A client with a possible adrenal gland tumor is admitted for testing and treatment. Which
nursing action is most appropriate for the charge nurse to delegate to the nursing
assistant?
A. Assess skin turgor and mucous membranes for hydration status.
B. Discuss the dietary restrictions for 24-hour urine testing.
, C. Plan ways to control the environment that will avoid stimulating the client.
D. Remind the client to not order coffee with meals
7. The client is taking fludrocortisone (Florinef) for adrenal hypofunction. The nurse
instructs the client to report which symptom while taking this drug?
A. Anxiety
B. Headache
C. Nausea
D. Weight loss
8. The nurse is assessing a client who had a transsphenoidal hypophysectomy yesterday.
Which finding requires immediate notification to the primary health care provider?
A. Dry lips and oral mucosa on examination
B. Nasal drainage that tests negative for glucose
C. Client report of a headache and stiff neck
D. Urine specific gravity of 1.016
9. A client has been admitted to the medical intensive care unit with a diagnosis of diabetes
insipidus (DI) secondary to lithium overdose. The client has a prescription for
Desmopressin (DDAVP). Which outcome indicates a positive response to treatment?
A. Urine output of 60-80 mL/hour
B. Blood glucose level of 110 mg/dL (6.1 mmol/L)
C. Ability to sit quietly and read a magazine
D. Potassium level within expected range
