NR 325 Exam 1 Practice Questions and Answers

NR 325 Exam 1 Practice Questions and Answers Endocrine & Renal and Urinary Endocrine 1. A nurse is planning care for a client who has Cushing’s syndrome due to chronic corticosteroid use. Which of the following actions should the nurse involve in the plan of care? a. Check the client’s urine specific gravity. i. Rationale: to assess for fluid volume overload. 2. A nurse is providing teaching to a client who has Addison's disease about healthy snack foods. Which of the following food choices by the client indicates an understanding of the teaching? a. Turkey and cheese sandwich i. Rationale: high in protein, carbohydrates, and sodium. A client who has Addison’s requires a diet low in potassium, and high in protein, carbs, and sodium. 3. A nurse is reviewing the laboratory values of a client who has diabetic ketoacidosis. The nurse should understand that which of the following laboratory values is consistent with diabetic ketoacidosis? a. Bicarbonate level 12 mEq/L i. Rationale: DKA patients have bicarbonate levels less than 15 4. A nurse is caring for a client who has type 2 diabetes mellitus and is displaying manifestations of hyperglycemia. Which of the following findings should indicate to the nurse that the client has hyperglycemia? a. Increased urination i. Rationale: increased urination/polyuria, is a manifestation of hyperglycemia due to a deficiency of insulin, which can lead to osmotic diuresis. 5. A nurse is assessing a client who has Addison's disease. Which of the following skin manifestations should the nurse expect to find? a. Bronze pigmentation of skin i. Rationale: hormone deficiency caused by damage to the outer layer of the adrenal gland. 6. A nurse is caring for a client who has diabetes insidious. For