NU 185: Med-Surge II Exam 4 Questions
with Answers 2025
A client is admitted for removal of a goiter. Which nursing intervention should receive
priority during the postoperative period? *Exam Cram Endocrine -Correct Answer
✔Assessing the Clients Airway
A client is admitted for treatment of hypoparathyroidism. Based on the client's
diagnosis, the nurse would anticipate an order for? *Exam Cram Endocrine -Correct
Answer ✔Calcium
A client with Addison's Disease will most likely exhibit which symptom? *Exam Cram
Endocrine -Correct Answer ✔Bronze Pigmentation
A client w/ Cushing's Syndrome should be instructed to? *Exam Cram Endocrine -Correct
Answer ✔Limit the Sodium in her DIet
The client w/ a suspected pituitary tumor will most likely exhibit symptoms of? *Exam
Cram Endocrine -Correct Answer ✔Alteration in Visual Acuity
A diabetic client has been maintained on GLucophage (Metformin) for regulation of his
blood glucose levels. Which teaching should be included in the plan of care? *Exam
Cram Endocrine -Correct Answer ✔Report changes in Urinary Pattern
A client w/ diabetes experiences Somogyi's effect. To prevent this complication, the
nurse should instruct the client to? *Exam Cram Endocrine -Correct Answer ✔Eat a
protein and carbohydrate snack at bedtime
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Which item should be kept at the bedside of a client who has just returned from having
a thyroidectomy? *Exam Cram Endocrine -Correct Answer ✔A tracheostomy set
Which vitamin is directly involved in the metabolism of the hormones secreted by the
parathyroid? *Exam Cram Endocrine -Correct Answer ✔Vitamin D
A client w/ acromegaly will most likely experience which symptom? *Exam Cram
Endocrine -Correct Answer ✔Bone Pain
A diabetic client is taking Lantus Insulin for regulation of his blood glucose levels. The
nurse should know that this insulin will most likely be administered? *Exam Cram
Endocrine -Correct Answer ✔At Night
A client w/ Polyuria, Polydipsia, and Polyphagia is diagnosed w/ diabetes mellitus. The
nurse would expect that these symptoms are r/t? *Exam Cram Endocrine -Correct
Answer ✔Hyperglycemia
Which laboratory test conducted on the client w/ Diabetes Mellitus indicates
compliance? *Exam Cram Endocrine -Correct Answer ✔Hgb A-1C
A client hospitalized with acute glomerulonephritis has a positive ASO titer. The nurse
understands that the client's current illness is due to a... *Exam Cram Renal -Correct
Answer ✔Prior Bacterial Infection
The physician has prescribed hydralazine (Apresoline) for a client with acute
glomerulonephritis. Which finding indicates that the drug is having the desired effect?
*Exam Cram Renal -Correct Answer ✔The clients bp has decreased
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A client with acute glomerulonephritis requests a snack. Which snack is suitable given
the client's dietary restrictions? *Exam Cram Renal -Correct Answer ✔Applesauce
The physician has ordered Prednisone 50 mg daily to promote diuresis in a client with
nephrotic syndrome. The nurse should administer the medication... *Exam Cram Renal -
Correct Answer ✔With a snack or glass of milk
A client receiving Gentamicin (Garamycin) IVPB has a morning peak level of 12
micrograms/mL. The nurse should...*Exam Cram Renal -Correct Answer ✔Notify the
physician because the level is too high
The nurse is teaching the client with an ileal conduit regarding skin care to prevent
excoriation. In addition to applying a well-fitted collection bag the client should be told
to empty the collection bag... *Exam Cram Renal -Correct Answer ✔When it is one third
full
A client with end stage renal disease has been managed by peritoneal dialysis. Which
finding should be reported to the doctor immediately? *Exam Cram Renal -Correct
Answer ✔The client complains of abdominal pain and nausea
The nurse notes dark red blood and a few clots in the catheter of a client two days after
transurethral prostatectomy (TURP). The nurse should first... *Exam Cram Renal -Correct
Answer ✔Apply traction to the urethral catheter
A client is admitted with a tentative diagnosis of bladder cancer. Which finding most
likely contributed to the development of bladder cancer? *Exam Cram Renal -Correct
Answer ✔Two PPD cigarette use for 25 years
NU 185