NSG 321 V2
NSG 321 V2
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.
,NSG 321 V2
7. The nurse is obtaining a throat culture of a client’s posterior
, NSG 321 V2
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 prob-
lem?
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 staf
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”
NSG 321 V2
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.
,NSG 321 V2
7. The nurse is obtaining a throat culture of a client’s posterior
, NSG 321 V2
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 prob-
lem?
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 staf
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”
