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NCLEX-RN METABOLISM EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED

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NCLEX-RN METABOLISM EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED Terms in this set (28) A nurse is assessing a client after a thyroidectomy. The assessment reveals muscle twitching and tingling, along with numbness in the fingers, toes, and mouth area. The nurse should suspect which complication? Correct response: tetany The nurse is caring for a 12-hour-old neonate born to a mother with diabetes mellitus. The neonate's respiratory rate is 70 breaths/minute, heart rate 162 beats/minute, oxygen saturation is 92% on room air, and the blood glucose 30 mg/dL (1.7 mmol/L). What is the priority intervention for the nurse to implement? Correct response: Administer glucose. The adrenal cortex is responsible for producing which substances? Correct response: glucocorticoids and androgens The nurse in the wound clinic is caring for a 74-year-old male client with a foot ulcer secondary to type 2 diabetes. The nurse is reviewing with the health care provider the wound assessment from 4 days earlier and today. Which diagnostic test(s) should the nurse anticipate will be prescribed? Select all that apply. white blood cell count erythrocyte sedimentation rate C-reactive protein bone scan wound culture The nurse is assessing children at risk for phenylketonuria (PKU). Which child is at greatest risk? Correct response: blond, blue-eyed, fair-skinned child with eczema To reduce the incidence of complications in a client in traction, which intervention should be included in the care plan? Correct response: Increase fiber intake. The nurse is instructing the client with hypothyroidism who takes levothyroxine 100 mcg, digoxin, and simvastatin. The nurse judges that the teaching regarding the use of these medications is effective if the client will take: Correct response: the levothyroxine before breakfast and the other medications 4 hours later. Which statement indicates that the client with diabetes insipidus understands how to manage care? The client will: Correct response: maintain normal fluid and electrolyte balance. The nurse is caring for a 2-hour old, full- term, breastfeeding newborn. The nurse notes the following assessments: apical pulse, 122 bpm; axilla temperature, 96.6° F (35.9° C); jitteriness. Based on this assessment, what should the nurse should do first? Correct response: Obtain a blood glucose sample. The nurse should assess a client taking chlorpropamide for: Correct response: hypoglycemia. A client is diagnosed with pancreatitis. Which assessment would be of most concern to the nurse? Correct response: bluish discoloration in periumbilical area

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3/21/25, 2:44 NCLEX-RN Metabolism Flashcards |
PM




NCLEX-RN METABOLISM EXAM QUESTIONS AND ANSWERS WITH

COMPLETE SOLUTIONS VERIFIED


Terms in this set (28)




A nurse is assessing a client after a Correct response:

thyroidectomy. The assessment reveals tetany

muscle twitching and tingling, along with

numbness in the fingers, toes, and mouth

area. The nurse should suspect which

complication?




The nurse is caring for a 12-hour-old Correct response:

neonate born to a mother with diabetes Administer glucose.

mellitus. The neonate's respiratory rate is 70

breaths/minute, heart rate 162

beats/minute, oxygen saturation is 92% on

room air, and the blood glucose 30 mg/dL

(1.7 mmol/L). What is the priority

intervention for the nurse to implement?




The adrenal cortex is responsible for Correct response:

producing which substances? glucocorticoids and androgens

The nurse in the wound clinic is caring for white blood cell count

a 74-year-old male client with a foot erythrocyte sedimentation rate
ulcer C-reactive protein
secondary to type 2 diabetes. bone scan

The nurse is reviewing with the health care wound culture
provider the wound assessment from 4



https://quizlet.com/669528011/nclex-rn-metabolism- 1/
flash-cards/ 6

, 3/21/25, 2:44 NCLEX-RN Metabolism Flashcards |
PM
days earlier and today. Which diagnostic

test(s) should the nurse anticipate will be

prescribed? Select all that apply.

The nurse is assessing children at risk for Correct response:

phenylketonuria (PKU). Which child is at blond, blue-eyed, fair-skinned child with eczema
greatest risk?

To reduce the incidence of complications Correct response:

in a client in traction, which Increase fiber intake.
intervention

should be included in the care plan?

The nurse is instructing the client with Correct response:

hypothyroidism who takes the levothyroxine before breakfast and the other medications 4 hours later.

levothyroxine 100 mcg, digoxin, and

simvastatin. The

nurse judges that the teaching regarding

the use of these medications is effective if

the client will take:

Which statement indicates that the client Correct response:

with diabetes insipidus understands how to maintain normal fluid and electrolyte balance.
manage care?

The client will:

The nurse is caring for a 2-hour old, full- Correct response:

term, breastfeeding newborn. The nurse Obtain a blood glucose sample.
notes the following assessments: apical

pulse, 122 bpm; axilla temperature, 96.6° F

(35.9° C); jitteriness. Based on this

assessment, what should the nurse should

do first?

The nurse should assess a client taking Correct response:

chlorpropamide for: hypoglycemia.

A client is diagnosed with Correct response:

pancreatitis. Which assessment bluish discoloration in periumbilical area
would be of most concern to the

nurse?

A client with diabetes mellitus has had Correct response:

declining renal function over the past a low-protein diet with a prescribed amount of water
several years. Which diet regimen

should the nurse recommend to the client


https://quizlet.com/669528011/nclex-rn-metabolism- 2/
flash-cards/ 6

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