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NUR1460C – Module 6 – Practice Quiz
1. A nurse is reviewing laboratory values for several clients. Which value causes the
nurse to conduct nutritional assessments as a priority?
a. Albumin: 3.5 g/dL
b. Cholesterol: 142 mg/dL
c. Hemoglobin: 9.8 mg/dL
d. Prealbumin: 28 mg/dL
**c- may be indicative of signs of anemia**
2. A nurse reviews laboratory results for a client with diabetes mellitus who presents with
polyuria, lethargy, and blood glucose of 560 mg/ld. Which laboratory result should the
nurse correlate with the client’s polyuria?
a. Serum sodium: 163 mEq/L
b. Serum creatinine: 1.6 mg/dL
c. Presence of urine ketone bodies
d. Serum osmolarity: 375 mOsm/kg
***a- Serum sodium often seen with polyuria because of the excretion of large
amounts of dilute urine (minimal amounts of sodium excretion) ***
3. The nurse is providing education to patient about the difference between simple and
complex carbohydrates. Which statement by the patient indicates a need for further
education?
a. “Simple carbohydrates give me quick energy.”
b. “Complex carbohydrates come from fruit.”
c. “Complex carbohydrates take longer to break down.”
d. “Simple carbohydrates come from milk products.”
***b- fruit is considered a simple carb****
4. A nurse assesses a client with diabetes mellitus and notes the client only responds to a
sternal rub by moaning, has capillary blood glucose of 33 g/dL, and has an intravenous
line that is infiltrated with 0.45% normal saline. Which action should the nurse take first?
a. Administer 1 mg of intramuscular glucagon.
b. Encourage the client to drink orange juice.
c. Insert a new intravenous access line.
d. Administer 25 mL dextrose 50% (D50) IV push.
**a- Glucagon IM must be given because the IV is infiltrated**
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5. A client tells the nurse about losing weight and regaining it multiple times. Besides
eating and exercising habits, for what additional data should the nurse assess as the
priority?
a. Economic ability to join a gym.
b. Food allergies and intolerances.
c. Psychosocial influences on weight.
d. Reasons for wanting to lose weight.
6. A nurse cares for a client who is prescribed pioglitazone (Actos). After 6 months of
therapy, the client reports that his urine has become darker since starting the medication.
Which action should the nurse take?
a. Assess for pain or burning with urination.
b. Review the client’s liver function study results.
c. Instruct the client to increase water intake.
d. Test a sample of urine for occult blood.
**dark color in your urine, even after you drink enough water.
This means early signs of liver damage. Your urine may look
brown, orange, or amber due to raising bilirubin levels in your
bloodstream***
7. A client just returned to the surgical unit after a gastric bypass. What action by the
nurse is the priority?
a. Assess the client’s pain.
b. Check the surgical incision.
c. Ensure an adequate airway.
d. Program the morphine pump.
*** airway is the priority with obese patients in the post-operative phase****
8. A nurse assesses a client who is recovering from a subtotal thyroidectomy. On the
second postoperative day the client states, “I feel numbness and tingling around my
mouth.” What action should the nurse take?
a. Offer mouth care.
b. Loosen the dressing.
c. Assess for Chvostek’s sign.
d. Ask the client orientation questions.
***post-op sign of low calcium levels may have a positive Chvostek’s sing*****
9. A nurse assesses a client who has a 15-year history of diabetes and notes decreased
tactile sensation in both feet. Which action should the nurse take first?
NUR1460C – Module 6 – Practice Quiz
1. A nurse is reviewing laboratory values for several clients. Which value causes the
nurse to conduct nutritional assessments as a priority?
a. Albumin: 3.5 g/dL
b. Cholesterol: 142 mg/dL
c. Hemoglobin: 9.8 mg/dL
d. Prealbumin: 28 mg/dL
**c- may be indicative of signs of anemia**
2. A nurse reviews laboratory results for a client with diabetes mellitus who presents with
polyuria, lethargy, and blood glucose of 560 mg/ld. Which laboratory result should the
nurse correlate with the client’s polyuria?
a. Serum sodium: 163 mEq/L
b. Serum creatinine: 1.6 mg/dL
c. Presence of urine ketone bodies
d. Serum osmolarity: 375 mOsm/kg
***a- Serum sodium often seen with polyuria because of the excretion of large
amounts of dilute urine (minimal amounts of sodium excretion) ***
3. The nurse is providing education to patient about the difference between simple and
complex carbohydrates. Which statement by the patient indicates a need for further
education?
a. “Simple carbohydrates give me quick energy.”
b. “Complex carbohydrates come from fruit.”
c. “Complex carbohydrates take longer to break down.”
d. “Simple carbohydrates come from milk products.”
***b- fruit is considered a simple carb****
4. A nurse assesses a client with diabetes mellitus and notes the client only responds to a
sternal rub by moaning, has capillary blood glucose of 33 g/dL, and has an intravenous
line that is infiltrated with 0.45% normal saline. Which action should the nurse take first?
a. Administer 1 mg of intramuscular glucagon.
b. Encourage the client to drink orange juice.
c. Insert a new intravenous access line.
d. Administer 25 mL dextrose 50% (D50) IV push.
**a- Glucagon IM must be given because the IV is infiltrated**
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5. A client tells the nurse about losing weight and regaining it multiple times. Besides
eating and exercising habits, for what additional data should the nurse assess as the
priority?
a. Economic ability to join a gym.
b. Food allergies and intolerances.
c. Psychosocial influences on weight.
d. Reasons for wanting to lose weight.
6. A nurse cares for a client who is prescribed pioglitazone (Actos). After 6 months of
therapy, the client reports that his urine has become darker since starting the medication.
Which action should the nurse take?
a. Assess for pain or burning with urination.
b. Review the client’s liver function study results.
c. Instruct the client to increase water intake.
d. Test a sample of urine for occult blood.
**dark color in your urine, even after you drink enough water.
This means early signs of liver damage. Your urine may look
brown, orange, or amber due to raising bilirubin levels in your
bloodstream***
7. A client just returned to the surgical unit after a gastric bypass. What action by the
nurse is the priority?
a. Assess the client’s pain.
b. Check the surgical incision.
c. Ensure an adequate airway.
d. Program the morphine pump.
*** airway is the priority with obese patients in the post-operative phase****
8. A nurse assesses a client who is recovering from a subtotal thyroidectomy. On the
second postoperative day the client states, “I feel numbness and tingling around my
mouth.” What action should the nurse take?
a. Offer mouth care.
b. Loosen the dressing.
c. Assess for Chvostek’s sign.
d. Ask the client orientation questions.
***post-op sign of low calcium levels may have a positive Chvostek’s sing*****
9. A nurse assesses a client who has a 15-year history of diabetes and notes decreased
tactile sensation in both feet. Which action should the nurse take first?
