NSG 4100 Exam 2 With Questions and Ans
p p p p p p p
wers
ThepnursepispdiscussingpwaysptoppreventpDKApw/papclientpnewlypdiagnosedpw/pTypep1p
DM,pwhichpinstructionpispmostpimportantptopdiscusspwithpthepclient?
a. referpthemptopthepAmericanpDiabetespAssociation
b. Takepthepprescribedpinsulinpevenpwhenpunableptopeatpdueptopillness
c. DopnotptakepanypOTCpmeds
d. explainpthepneedptopgetpthepannualpflupandppneumoniapvaccinesp-pANSWER B
EDpnursepispcaringpforpptpwithpHHSpwhophaspBGpofp680pmg/dl.pWhichpquestio
npshouldpthepnursepaskptopdeterminepthepcausepofpacutepcomplications?
a. "whenpwasptheplastptimepyouptookpyourpinsulin?"
b. "whenpdopyouphavepyourplastpmeal?"
c. "havepyouphadpsomeptypepofpinfectionplately?"
d. "howplongphavepyouphadpdiabetes?"p-pANSWER C
Clientpw/papdiagnosispofpAddisonianpcrisispispbeingpadmittedptopthepICU.pWhic
hpfindingspwillpthepinter-professionalpcarepteampfocuspon?pSelectpallpthatpapply:
a. hypotension
b. leuocytosis
c. hyperkalmeia
d. hypercalcemia
e. hypernatremiap-pANSWER A,pC
Nursepispcaringpforpapclientpafterphypophysectomypandpnotespclearpnasalpdrainagepfr
ompthepclient'spnostril.pThepnursepshouldptakepwhichpinitialpaction?
a. lowerpthepheadpofpthepbed
, b. testpdrainagepforpglucose
c. obtainpculturepofpdrainage
d. continueptopobservepdrainagep-pANSWER B
Nursepispadmittingpapclientpwhopispdiagnosedpw/pSIADHpandphaspserumpsodiumpofp11
8pmEq/L.pWhichpphysicianpprescriptionpshouldpthepnursepanticipatepreceiving?pSel
ectpallpthatpapply:
a. Initiatepinfusionpofp3%pNaCl
b. administerpIVpfurosemide
c. Restrictpfluidsptop800mlpoverp24hrs
d. elevatepHOBptophighpfowler's
e. administerpapvasopressinpantagonistpaspprescribedp-pANSWER A,pC,pE
Nursepperformingpanpassessmentponpapclientpw/ppheochromocytoma.pWhic
hpassessmentpdatapwouldpindicateppotentialpcomplicationpwithpthispdisease?
a. urinarypoutputpofp50ml/h
b. coagulationptimepofp5pmins
c. HRpthatpisp90bpmp&pirregular
d. BUNpofp20pmg/dLp-pANSWER C
Clientpisptophaveptranssphenoidalphypophysectomyptopremovepaplarge,pinvasiv
eppituitaryptumor.pThepnursepshouldpinstructpthepclientpthatpthepsurgerypwillpb
epperformedpthroughpanpincisionpinpthe
a. backpofpmouth
b. nose
c. sinuspchannelpbelowprightpeye
d. upperpgingivalpmucosapinpthepspacepbetweenpthepupperpgumpandplipp-
pANSWERp D
Nursepteachespclientptopreportps/spofpwhichppotentialpcomplicationpafterpaphypophys
ectomy?
p p p p p p p
wers
ThepnursepispdiscussingpwaysptoppreventpDKApw/papclientpnewlypdiagnosedpw/pTypep1p
DM,pwhichpinstructionpispmostpimportantptopdiscusspwithpthepclient?
a. referpthemptopthepAmericanpDiabetespAssociation
b. Takepthepprescribedpinsulinpevenpwhenpunableptopeatpdueptopillness
c. DopnotptakepanypOTCpmeds
d. explainpthepneedptopgetpthepannualpflupandppneumoniapvaccinesp-pANSWER B
EDpnursepispcaringpforpptpwithpHHSpwhophaspBGpofp680pmg/dl.pWhichpquestio
npshouldpthepnursepaskptopdeterminepthepcausepofpacutepcomplications?
a. "whenpwasptheplastptimepyouptookpyourpinsulin?"
b. "whenpdopyouphavepyourplastpmeal?"
c. "havepyouphadpsomeptypepofpinfectionplately?"
d. "howplongphavepyouphadpdiabetes?"p-pANSWER C
Clientpw/papdiagnosispofpAddisonianpcrisispispbeingpadmittedptopthepICU.pWhic
hpfindingspwillpthepinter-professionalpcarepteampfocuspon?pSelectpallpthatpapply:
a. hypotension
b. leuocytosis
c. hyperkalmeia
d. hypercalcemia
e. hypernatremiap-pANSWER A,pC
Nursepispcaringpforpapclientpafterphypophysectomypandpnotespclearpnasalpdrainagepfr
ompthepclient'spnostril.pThepnursepshouldptakepwhichpinitialpaction?
a. lowerpthepheadpofpthepbed
, b. testpdrainagepforpglucose
c. obtainpculturepofpdrainage
d. continueptopobservepdrainagep-pANSWER B
Nursepispadmittingpapclientpwhopispdiagnosedpw/pSIADHpandphaspserumpsodiumpofp11
8pmEq/L.pWhichpphysicianpprescriptionpshouldpthepnursepanticipatepreceiving?pSel
ectpallpthatpapply:
a. Initiatepinfusionpofp3%pNaCl
b. administerpIVpfurosemide
c. Restrictpfluidsptop800mlpoverp24hrs
d. elevatepHOBptophighpfowler's
e. administerpapvasopressinpantagonistpaspprescribedp-pANSWER A,pC,pE
Nursepperformingpanpassessmentponpapclientpw/ppheochromocytoma.pWhic
hpassessmentpdatapwouldpindicateppotentialpcomplicationpwithpthispdisease?
a. urinarypoutputpofp50ml/h
b. coagulationptimepofp5pmins
c. HRpthatpisp90bpmp&pirregular
d. BUNpofp20pmg/dLp-pANSWER C
Clientpisptophaveptranssphenoidalphypophysectomyptopremovepaplarge,pinvasiv
eppituitaryptumor.pThepnursepshouldpinstructpthepclientpthatpthepsurgerypwillpb
epperformedpthroughpanpincisionpinpthe
a. backpofpmouth
b. nose
c. sinuspchannelpbelowprightpeye
d. upperpgingivalpmucosapinpthepspacepbetweenpthepupperpgumpandplipp-
pANSWERp D
Nursepteachespclientptopreportps/spofpwhichppotentialpcomplicationpafterpaphypophys
ectomy?
