NURSING EXAM MODULE 10 LATEST UPDATE 2022
GUARANTEED SUCCESS
RATED A+
Questions
1. 1.ID: 283570154
A nurse provides instructions to a client about measures to prevent an acute
attack of gout. The nurse determines that the client needs additional
instructions if the client states:
• “It’s important for me to drink a lot of fluids.” Incorrect
• “A fad diet or starvation diet can cause an acute attack.”
• “I don’t need medication unless I’m having a severe attack.” Correct
• “Physical and emotional stress can cause an attack.”
Rationale: Treatment of gout includes both nutrition and medication
therapy. The client should be encouraged to limit the use of alcohol and
reduce the consumption of foods high in purines. Such foods include
sardines, herring, mussels, liver, kidney, goose, venison, and sweetbreads.
Medication therapy is a primary component of management for clients
with gout, and the physician normally prescribes a medication that will
promote uric acid excretion or reduce its production. Fluid intake is
important in preventing the development of uric acid stones. Fad or
NURSING EXAM MODULE 10 LATEST UPDATE 2022
GUARANTEED SUCCESS
RATED A+
,NURSING EXAM MODULE 10 LATEST UPDATE 2022
GUARANTEED SUCCESS
RATED A+
starvation diets can precipitate an acute attack because of the rapid
breakdown of cells they induce. Excessive physical and emotional stress
can exacerbate the disease.
Test-Taking Strategy: Use the process of elimination and your knowledge of
the treatment for gout. Also note the strategic words “needs additional
instruction,” which indicate a negative event query and the need to select
the incorrect client statement. Recall that in this disorder the client
experiences an increased uric acid level and that medications are needed to
promote the acid’s excretion. Review the management of gout if you had
difficulty with this question.
Reference: Black, J., & Hawks, J. (2009). Medical-surgical nursing: Clinical
management for positive outcomes (8th ed., pp. 497, 1136). St. Louis:
Saunders.
Level of Cognitive Ability:
Evaluating Client Needs:
Physiological Integrity
Integrated Process: Teaching
and Learning
Content Area: Adult
Health/Musculoskeletal Awarded
0.0 points out of 1.0 possible
NURSING EXAM MODULE 10 LATEST UPDATE 2022
GUARANTEED SUCCESS
RATED A+
,NURSING EXAM MODULE 10 LATEST UPDATE 2022
GUARANTEED SUCCESS
RATED A+
points.
A nurse in the newborn nursery is monitoring a neonate born to a mother
with diabetes mellitus. For which of the following findings does the nurse
monitor the neonate most closely?
• Hypercalcemia Incorrect
• Hyperglycemia
• Hypobilirubinemia
• Respiratory distress syndrome Correct
Rationale: The major neonatal complications of preexisting diabetes
mellitus in the mother are hypoglycemia, hypocalcemia,
hyperbilirubinemia, and respiratory distress syndrome. The infant of a
diabetic mother is more likely to have delayed production of pulmonary
surfactant, which is needed to keep the alveoli open after birth.
Test-Taking Strategy: Use the process of elimination. Focusing on the
mother’s diagnosis will assist you in eliminating the incorrect options. Also,
thinking about the pathophysiology of diabetes mellitus and recalling that
the infant is likely to have delayed production of pulmonary surfactant will
direct you to the correct option. Review the effects of maternal diabetes
mellitus on the fetus if you had difficulty with this question.
NURSING EXAM MODULE 10 LATEST UPDATE 2022
GUARANTEED SUCCESS
RATED A+
, NURSING EXAM MODULE 10 LATEST UPDATE 2022
GUARANTEED SUCCESS
RATED A+
Reference: McKinney, E., James, S., Murray, S., & Ashwill, J. (2009).
Maternal-child nursing (3rd ed., p. 755). St. Louis: Elsevier.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Assessment
Content Area: Newborn
Awarded 0.0 points out of 1.0 possible points
2. 2.ID: 283570766
NURSING EXAM MODULE 10 LATEST UPDATE 2022
GUARANTEED SUCCESS
RATED A+
GUARANTEED SUCCESS
RATED A+
Questions
1. 1.ID: 283570154
A nurse provides instructions to a client about measures to prevent an acute
attack of gout. The nurse determines that the client needs additional
instructions if the client states:
• “It’s important for me to drink a lot of fluids.” Incorrect
• “A fad diet or starvation diet can cause an acute attack.”
• “I don’t need medication unless I’m having a severe attack.” Correct
• “Physical and emotional stress can cause an attack.”
Rationale: Treatment of gout includes both nutrition and medication
therapy. The client should be encouraged to limit the use of alcohol and
reduce the consumption of foods high in purines. Such foods include
sardines, herring, mussels, liver, kidney, goose, venison, and sweetbreads.
Medication therapy is a primary component of management for clients
with gout, and the physician normally prescribes a medication that will
promote uric acid excretion or reduce its production. Fluid intake is
important in preventing the development of uric acid stones. Fad or
NURSING EXAM MODULE 10 LATEST UPDATE 2022
GUARANTEED SUCCESS
RATED A+
,NURSING EXAM MODULE 10 LATEST UPDATE 2022
GUARANTEED SUCCESS
RATED A+
starvation diets can precipitate an acute attack because of the rapid
breakdown of cells they induce. Excessive physical and emotional stress
can exacerbate the disease.
Test-Taking Strategy: Use the process of elimination and your knowledge of
the treatment for gout. Also note the strategic words “needs additional
instruction,” which indicate a negative event query and the need to select
the incorrect client statement. Recall that in this disorder the client
experiences an increased uric acid level and that medications are needed to
promote the acid’s excretion. Review the management of gout if you had
difficulty with this question.
Reference: Black, J., & Hawks, J. (2009). Medical-surgical nursing: Clinical
management for positive outcomes (8th ed., pp. 497, 1136). St. Louis:
Saunders.
Level of Cognitive Ability:
Evaluating Client Needs:
Physiological Integrity
Integrated Process: Teaching
and Learning
Content Area: Adult
Health/Musculoskeletal Awarded
0.0 points out of 1.0 possible
NURSING EXAM MODULE 10 LATEST UPDATE 2022
GUARANTEED SUCCESS
RATED A+
,NURSING EXAM MODULE 10 LATEST UPDATE 2022
GUARANTEED SUCCESS
RATED A+
points.
A nurse in the newborn nursery is monitoring a neonate born to a mother
with diabetes mellitus. For which of the following findings does the nurse
monitor the neonate most closely?
• Hypercalcemia Incorrect
• Hyperglycemia
• Hypobilirubinemia
• Respiratory distress syndrome Correct
Rationale: The major neonatal complications of preexisting diabetes
mellitus in the mother are hypoglycemia, hypocalcemia,
hyperbilirubinemia, and respiratory distress syndrome. The infant of a
diabetic mother is more likely to have delayed production of pulmonary
surfactant, which is needed to keep the alveoli open after birth.
Test-Taking Strategy: Use the process of elimination. Focusing on the
mother’s diagnosis will assist you in eliminating the incorrect options. Also,
thinking about the pathophysiology of diabetes mellitus and recalling that
the infant is likely to have delayed production of pulmonary surfactant will
direct you to the correct option. Review the effects of maternal diabetes
mellitus on the fetus if you had difficulty with this question.
NURSING EXAM MODULE 10 LATEST UPDATE 2022
GUARANTEED SUCCESS
RATED A+
, NURSING EXAM MODULE 10 LATEST UPDATE 2022
GUARANTEED SUCCESS
RATED A+
Reference: McKinney, E., James, S., Murray, S., & Ashwill, J. (2009).
Maternal-child nursing (3rd ed., p. 755). St. Louis: Elsevier.
Level of Cognitive Ability: Analyzing
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Assessment
Content Area: Newborn
Awarded 0.0 points out of 1.0 possible points
2. 2.ID: 283570766
NURSING EXAM MODULE 10 LATEST UPDATE 2022
GUARANTEED SUCCESS
RATED A+
