Comprehensive Final Exam
(101) QUESTIONS AND
ANSWERS WITH
COMPLETE SOLUTIONS
100%
1. A nurse administers subcutaneous lispro insulin at 0800 to a client who has diabetes. At
which of the following times should the nurse observe for hypoglycemia caused by the onset of
the medication?
0815
2. What is required by medical asepsis that is not required by surgical asepsis?
Good hand washing technique
3. A nurse is preparing to administer dexamethasone 1.5 mg/kg/day PO to divide equally every
6 hours to a preschool-age child who weighs 22 lb. Available is dexamethasone oral solution 1
mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest
tenth.)
3.8 mL
, 4. A postoperative client who has no previous medical conditions is difficult to arouse when
transferred to the surgical unit from the post-anesthesia care unit. A nurse monitors the pulse
oximeter and gets a reading of 85%. The nurse arouses the client and has him cough and
perform deep breathing; the pulse oximeter is now reading 83% what should be the nurse's next
action?
Start oxygen at 2 liters per nasal cannula
5. A nurse in the emergency department knows that tissue damage has probably occurred in a
person with hypothermia when a rectal temperature of _____ is assessed. (do not use degree
sign,)
95
6. At 0330, a nurse is caring for a client who is postoperative. The client's IV fluids are infused at
120 mL/hr. How many mL of IV fluid should infuse by 0600? (Round the answer to the nearest
whole number. Use a leading zero if it applies. Do not use a trailing zero.)
300
7. A nurse is reinforcing teaching with a client who has a family history of hypertension. The
nurse should inform the client that his blood pressure reading of 112/64 mm Hg places him in
which of the following categories?
Within the expected range
8. A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse
determines that teaching has been effective when the client identifies which of the following
manifestations of hypoglycemia? (Select all that apply.)
a. Blurry vision
b. Tachycardia
c. Sweating
9. A nurse is reinforcing teaching with a client who has diabetes mellitus and self-administers
insulin. The client reports drinking an occasional glass of wine. Which of the following is an
appropriate response by the nurse?
"It is best for you to drink an occasional glass of wine with a meal"
10. A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the
client's morning fasting blood glucose level as 210 mg/dL instead of 120 mg/dL and
administered the insulin dose appropriate for a reading over 200 mg/dL. Which of the following
actions should the nurse identify as the priority?
(101) QUESTIONS AND
ANSWERS WITH
COMPLETE SOLUTIONS
100%
1. A nurse administers subcutaneous lispro insulin at 0800 to a client who has diabetes. At
which of the following times should the nurse observe for hypoglycemia caused by the onset of
the medication?
0815
2. What is required by medical asepsis that is not required by surgical asepsis?
Good hand washing technique
3. A nurse is preparing to administer dexamethasone 1.5 mg/kg/day PO to divide equally every
6 hours to a preschool-age child who weighs 22 lb. Available is dexamethasone oral solution 1
mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest
tenth.)
3.8 mL
, 4. A postoperative client who has no previous medical conditions is difficult to arouse when
transferred to the surgical unit from the post-anesthesia care unit. A nurse monitors the pulse
oximeter and gets a reading of 85%. The nurse arouses the client and has him cough and
perform deep breathing; the pulse oximeter is now reading 83% what should be the nurse's next
action?
Start oxygen at 2 liters per nasal cannula
5. A nurse in the emergency department knows that tissue damage has probably occurred in a
person with hypothermia when a rectal temperature of _____ is assessed. (do not use degree
sign,)
95
6. At 0330, a nurse is caring for a client who is postoperative. The client's IV fluids are infused at
120 mL/hr. How many mL of IV fluid should infuse by 0600? (Round the answer to the nearest
whole number. Use a leading zero if it applies. Do not use a trailing zero.)
300
7. A nurse is reinforcing teaching with a client who has a family history of hypertension. The
nurse should inform the client that his blood pressure reading of 112/64 mm Hg places him in
which of the following categories?
Within the expected range
8. A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse
determines that teaching has been effective when the client identifies which of the following
manifestations of hypoglycemia? (Select all that apply.)
a. Blurry vision
b. Tachycardia
c. Sweating
9. A nurse is reinforcing teaching with a client who has diabetes mellitus and self-administers
insulin. The client reports drinking an occasional glass of wine. Which of the following is an
appropriate response by the nurse?
"It is best for you to drink an occasional glass of wine with a meal"
10. A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the
client's morning fasting blood glucose level as 210 mg/dL instead of 120 mg/dL and
administered the insulin dose appropriate for a reading over 200 mg/dL. Which of the following
actions should the nurse identify as the priority?
