N320 Metabolism Quiz 2023 with complete solution
The nurse is interviewing a client with type 2 diabetes mellitus who is taking a
sulfonylurea. Which statement by the client indicates an understanding of this
treatment for this disorder?
1. I take oral insulin instead of shots."
2."By taking this medication, I am able to eat more."
3."When I become ill, I need to increase the number of pills I take." 4."The
medications I'm taking help release the insulin I already make."
4."The medications I'm taking help release the insulin I already make."
A hospitalized client is diagnosed with type 1 diabetes mellitus. The nurse plans
care for the client, understanding that which factors are likely causes of the beta
cell destruction that accompanies this disorder? Select all that apply
1.Viruses
2.Genetic factors
3.Autoimmune factors
4.Human leukocyte antigen (HLA)
5.Primary failure of glucagon secretion
1.Viruses
2.Genetic factors
3.Autoimmune factors
4.Human leukocyte antigen (HLA)
The nurse has documented the problem of body image distortion for a client with
a diagnosis of Cushing's syndrome. The nurse identifies nursing interventions
related to this problem and includes these interventions in the plan of care.
Which nursing intervention is inappropriate?
1.Encourage the client's expression of feelings.
2.Assess the client's understanding of the disease process. 3.Encourage family
members to share their feelings about the disease process.
4.Encourage the client to recognize that the body changes need to be dealt with.
4.Encourage the client to recognize that the body changes need to be dealt with.
The nurse is caring for a client with a diagnosis of diabetic ketoacidosis (DKA).
Which assessment findings are consistent with this diagnosis? Select all that
apply.
1.Polyuria
2.Polydipsia
3.Polyphagia
4.Dry mouth
5.Flushed, dry skin
6.Moist mucous membranes
1.Polyuria
2.Polydipsia
3.Polyphagia
4.Dry mouth
5.Flushed, dry skin
, A nurse is assessing the glycemic status of a client with diabetes mellitus. Which
sign or symptom would indicate that the client is developing hyperglycemia?
1.Polyuria
2.Diaphoresis
3.Hypertension
4.Increased pulse rate
1.Polyuria
A client's serum blood glucose level is 389 mg/dL (22.2 mmol/L). The nurse would
expect to note which as an additional finding when assessing this client?
1.Unsteady gait
2.Slurred speech
3.Increased thirst
4.Cold, clammy skin
3.Increased thirst
A client with an endocrine disorder has experienced recent weight loss and
exhibits tachycardia. Based on the clinical manifestations, the nurse should
suspect dysfunction of which endocrine gland?
1.Thyroid
2.Pituitary
3.Parathyroid
4.Adrenal cortex
1.Thyroid
The nurse is caring for a client admitted to the hospital with uncontrolled type 1
diabetes mellitus. In the event that diabetic ketoacidosis (DKA) does occur, the
nurse anticipates that which medication would most likely be prescribed?
1.Glucagon
2.Glyburide
3.Regular insulin
4.Neutral protamine Hagedorn (NPH) insulin
3.Regular insulin
A client has just been admitted to the nursing unit following thyroidectomy.
Which assessment is the priority for this client?
1.Hoarseness
2.Hypocalcemia
3.Audible stridor
4.Edema at the surgical site
3.Audible stridor
A client has been hospitalized for impaired function of the posterior pituitary
gland. The nurse plans to monitor for signs and symptoms of which hormone
imbalance?
1.Growth hormone (GH)
2.Luteinizing hormone (LH)
3.Antidiuretic hormone (ADH)
4.Follicle-stimulating hormone (FSH)
3.Antidiuretic hormone (ADH)
The nurse is interviewing a client with type 2 diabetes mellitus who is taking a
sulfonylurea. Which statement by the client indicates an understanding of this
treatment for this disorder?
1. I take oral insulin instead of shots."
2."By taking this medication, I am able to eat more."
3."When I become ill, I need to increase the number of pills I take." 4."The
medications I'm taking help release the insulin I already make."
4."The medications I'm taking help release the insulin I already make."
A hospitalized client is diagnosed with type 1 diabetes mellitus. The nurse plans
care for the client, understanding that which factors are likely causes of the beta
cell destruction that accompanies this disorder? Select all that apply
1.Viruses
2.Genetic factors
3.Autoimmune factors
4.Human leukocyte antigen (HLA)
5.Primary failure of glucagon secretion
1.Viruses
2.Genetic factors
3.Autoimmune factors
4.Human leukocyte antigen (HLA)
The nurse has documented the problem of body image distortion for a client with
a diagnosis of Cushing's syndrome. The nurse identifies nursing interventions
related to this problem and includes these interventions in the plan of care.
Which nursing intervention is inappropriate?
1.Encourage the client's expression of feelings.
2.Assess the client's understanding of the disease process. 3.Encourage family
members to share their feelings about the disease process.
4.Encourage the client to recognize that the body changes need to be dealt with.
4.Encourage the client to recognize that the body changes need to be dealt with.
The nurse is caring for a client with a diagnosis of diabetic ketoacidosis (DKA).
Which assessment findings are consistent with this diagnosis? Select all that
apply.
1.Polyuria
2.Polydipsia
3.Polyphagia
4.Dry mouth
5.Flushed, dry skin
6.Moist mucous membranes
1.Polyuria
2.Polydipsia
3.Polyphagia
4.Dry mouth
5.Flushed, dry skin
, A nurse is assessing the glycemic status of a client with diabetes mellitus. Which
sign or symptom would indicate that the client is developing hyperglycemia?
1.Polyuria
2.Diaphoresis
3.Hypertension
4.Increased pulse rate
1.Polyuria
A client's serum blood glucose level is 389 mg/dL (22.2 mmol/L). The nurse would
expect to note which as an additional finding when assessing this client?
1.Unsteady gait
2.Slurred speech
3.Increased thirst
4.Cold, clammy skin
3.Increased thirst
A client with an endocrine disorder has experienced recent weight loss and
exhibits tachycardia. Based on the clinical manifestations, the nurse should
suspect dysfunction of which endocrine gland?
1.Thyroid
2.Pituitary
3.Parathyroid
4.Adrenal cortex
1.Thyroid
The nurse is caring for a client admitted to the hospital with uncontrolled type 1
diabetes mellitus. In the event that diabetic ketoacidosis (DKA) does occur, the
nurse anticipates that which medication would most likely be prescribed?
1.Glucagon
2.Glyburide
3.Regular insulin
4.Neutral protamine Hagedorn (NPH) insulin
3.Regular insulin
A client has just been admitted to the nursing unit following thyroidectomy.
Which assessment is the priority for this client?
1.Hoarseness
2.Hypocalcemia
3.Audible stridor
4.Edema at the surgical site
3.Audible stridor
A client has been hospitalized for impaired function of the posterior pituitary
gland. The nurse plans to monitor for signs and symptoms of which hormone
imbalance?
1.Growth hormone (GH)
2.Luteinizing hormone (LH)
3.Antidiuretic hormone (ADH)
4.Follicle-stimulating hormone (FSH)
3.Antidiuretic hormone (ADH)
