ACTUAL EXAM WITH COMPLETE QUESTIO g g g g
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A newborn is screened for congenital hypothyroidism and is fou
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nd to have the disorder. When educating the mother about the i
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mportance of the infant's taking thyroid hormone supplement,
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what should be included in the education? -
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g ✔✔✔ Correct Answer > The infant will have dosage leve
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ls adjusted as he grows.
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A patient with a history of peptic ulcer disease presents to the e
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mergency department with the following symptoms: early satiet
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y, feeling of epigastric fullness and heaviness after meals, weight
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loss, and vomiting. The nurse suspects that the peptic ulcer has
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caused which of the following problems? -
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g ✔✔✔ Correct Answer > Obstruction
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A major manifestation of Cushing syndrome includes which of th
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e following? - ✔✔✔ Correct Answer > Hypokalemia
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,Which of the following pregnant women likely faces the greatest
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risk of developing gestational diabetes? A client who: -
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✔✔✔ Correct Answer > Is morbidly obese (defined as grea
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ter than 100 pounds over ideal weight)
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Which of the following clients would be considered to be exhibit
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ing manifestations of "prediabetes"? -
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✔✔✔ Correct Answer > A middle-
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aged overweight adult with a fasting plasma glucose level of 122
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with follow-up OGTT of 189 mg/dL.
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A hospital client with a diagnosis of type 1 diabetes has been ad
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ministered a scheduled dose of regular insulin. Which of the foll
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owing effects will result from the action of insulin? -
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g ✔✔✔ Correct Answer > Promotion of glucose uptake by t
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arget cells g
The nurse is caring for a client who is in a severely hypothyroid st
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ate. Which medications should be avoided related to the inabilit
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y to metabolize these drugs? Select all that apply. -
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✔✔✔ Correct Answer > • Analgesics
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• Sedatives
• Anesthetics
,The nurse educates a patient newly diagnosed with diabetes re
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garding diet and energy requirements. The nurse knows that on
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e gram of fat will provide
g g kcal of energy. -
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g ✔✔✔ Correct Answer > 9 g g g g
The nurse is reviewing assessment data on four clients. Select th
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e client at highest risk for developing type 2 diabetes. -
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g ✔✔✔ Correct Answer > A 45-year-
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old obese female with a sedentary lifestyle
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The nurse and nursing student are caring for a client undergoing
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ga severe stressor with release of epinephrine into the bloodstre
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am. Which of these effects on blood glucose levels does the nurs
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e teach the student epinephrine will cause?
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- ✔✔✔ Correct Answer > Blood glucose will elevate.
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A man is brought into the emergency department by paramedic
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s who state that the client passed out on the street. The man sm
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ells of alcohol, and when roused says he has not eaten since yest
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erday. He is wearing a medic alert bracelet that says he is a diabe
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tic. What would the nurse suspect as a diagnosis? -
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g ✔✔✔ Correct Answer > Hypoglycemia
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, The nurse has just completed teaching a client newly diagnosed
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with type 1 diabetes about rapid-
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acting insulin. The nurse determines that teaching was effective
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when the client selects: g g g
- ✔✔✔ Correct Answer > Lispro g g g g
The nurse screening for diabetes mellitus at a health fair does no
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t have enough supplies for all of the clients attending. Which clie
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nts should be given screening priority? -
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✔✔✔ Correct Answer > Male age 45, BMI 32
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• Female age 30, history GDM g g g g
• Male age 65, hypertension g g g
The nurse is caring for an adult client with growth hormone defi
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ciency. When performing an assessment of this client, which sy
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stem should the nurse be sure to assess for complications relat
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ed to this disorder? -
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✔✔✔ Correct Answer > Cardiovascular system
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The critical care nurse has just admitted a client with diabetic ke
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toacidosis (DKA) whose blood glucose level is 877 mg/dL. The cli
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ent's breath has a fruity odor and the client is confused.
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Which of these does the nurse set as the priority at this time? -
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