1
NURS 3410 BLUEPRINT EXAM LATEST VERSION -2025/2026-
100+ QUESTIONS AND VERIFIED ANSWERS ALL THE BEST
A nurse is reviewing care for a client who has syndrome of inappropriate
antidiuretic hormone
(SIADH) with assistive personnel. What statement by the AP indicates
understanding of this
client's care?
"I will weigh the client carefully before breakfast and compare with yesterday's
weight.
A nurse assesses a client who is recovering from a subtotal thyroidectomy. On the
first postoperative day before discharge, the client states, "I feel numbness and
tingling around my mouth." What action does the nurse take?
Assess for muscle twitching.
How would the nurse interpret these laboratory findings?
Good control of blood glucose
A nurse reviews the laboratory test values for a client with a new diagnosis of
diabetes
mellitus type 2. Which A1C value would the nurse expect?
.7.4%
The nurse is caring for a client who has acromegaly. What physical change would
the nurse expect to observe?
Large hands and face
, 2
A nurse cares for a client who possibly has syndrome of inappropriate antidiuretic
hormone (SIADH). The client's serum sodium level is 114 mEq/L (114 mmol/L).
What nursing action would be appropriate?
. Restrict the client's fluid intake to 600 mL/day.
A client is scheduled to have a glycosylated hemoglobin (A1C) drawn and asks the
nurse why she must have it. How would the nurse respond?
a. "It measures your average blood glucose level for the past 3 months."
A nurse reviews laboratory results for a client with diabetes mellitus who is
prescribed an intensified insulin regimen:
• Fasting blood glucose: 75 mg/dL (4.2 mmol/L)
• Postprandial blood glucose: 200 mg/dL (11.1 mmol/L)
• Hemoglobin A1C level: 5.5%
A nurse assesses a client who is recovering from a subtotal thyroidectomy and
observes the development of stridor. What is the priority action for the nurse to
take?
Contact the Rapid Response Team and prepare for intubation.
A nurse cares for a client who has hypothyroidism as a result of
Hashimotothyroiditis. The client asks, "How long will I need to take this thyroid
medication?" How would the nurse respond?
"You'll need thyroid pills for life because your thyroid won't start working again."
The nurse assesses a client with diabetic ketoacidosis. Which assessment finding
would the nurse correlate with this condition?
Increased rate and depth of respiration
, 3
A nurse is caring for a client who has the following arterial blood values: pH 7.12,
PaO2 56 mm Hg, PaCO2 65 mm Hg, and HCO3 22 mEq/L (22 mmol/L). Which
clinical situation does the nurse correlate with these values?
Bronchial obstruction related to aspiration of a hot dog
A nurse evaluates the following arterial blood gas values in a client: pH 7.48, PaO2
98 mm Hg, PaCO2 28 mm Hg, and HCO3 22 mEq/L (22 mmol/L). Which client
condition does the nurse correlate with these results?
Anxiety-induced hyperventilation
A nurse assesses a client who has diabetes mellitus. Which arterial blood gas
values would the nurse identify as potential ketoacidosis in this client?
pH 7.28 HCO3 18 mEq/L (18 mmol/L), PCO2 28 mm Hg, PO2 98 mm Hg
A nurse cares for a client experiencing diabetic ketoacidosis who presents with
Kussmaul respirations. What action would the nurse take?
Administration of intravenous insulin
Blood pressure: 90/62 mm Hg Serum potassium: 2.6
Pulse: 120 beats/min mEq/L (2.6 mmol/L)
Respiratory rate: 28 breaths/min
Urine output: 20 mL/hr via catheter
Potassium chloride 40 mEq/L (40 mmol/L) IV bolus STATIncrease IV fluid to 100
mL/hr
Increase the intravenous rate and then consult with the primary health care
provider about the potassium prescription.
A nurse assesses a patient who is experiencing diabetic ketoacidosis (DKA). For
which assessment findings would the nurse monitor the client? (Select all that
apply.)
Deep and fast respirations
NURS 3410 BLUEPRINT EXAM LATEST VERSION -2025/2026-
100+ QUESTIONS AND VERIFIED ANSWERS ALL THE BEST
A nurse is reviewing care for a client who has syndrome of inappropriate
antidiuretic hormone
(SIADH) with assistive personnel. What statement by the AP indicates
understanding of this
client's care?
"I will weigh the client carefully before breakfast and compare with yesterday's
weight.
A nurse assesses a client who is recovering from a subtotal thyroidectomy. On the
first postoperative day before discharge, the client states, "I feel numbness and
tingling around my mouth." What action does the nurse take?
Assess for muscle twitching.
How would the nurse interpret these laboratory findings?
Good control of blood glucose
A nurse reviews the laboratory test values for a client with a new diagnosis of
diabetes
mellitus type 2. Which A1C value would the nurse expect?
.7.4%
The nurse is caring for a client who has acromegaly. What physical change would
the nurse expect to observe?
Large hands and face
, 2
A nurse cares for a client who possibly has syndrome of inappropriate antidiuretic
hormone (SIADH). The client's serum sodium level is 114 mEq/L (114 mmol/L).
What nursing action would be appropriate?
. Restrict the client's fluid intake to 600 mL/day.
A client is scheduled to have a glycosylated hemoglobin (A1C) drawn and asks the
nurse why she must have it. How would the nurse respond?
a. "It measures your average blood glucose level for the past 3 months."
A nurse reviews laboratory results for a client with diabetes mellitus who is
prescribed an intensified insulin regimen:
• Fasting blood glucose: 75 mg/dL (4.2 mmol/L)
• Postprandial blood glucose: 200 mg/dL (11.1 mmol/L)
• Hemoglobin A1C level: 5.5%
A nurse assesses a client who is recovering from a subtotal thyroidectomy and
observes the development of stridor. What is the priority action for the nurse to
take?
Contact the Rapid Response Team and prepare for intubation.
A nurse cares for a client who has hypothyroidism as a result of
Hashimotothyroiditis. The client asks, "How long will I need to take this thyroid
medication?" How would the nurse respond?
"You'll need thyroid pills for life because your thyroid won't start working again."
The nurse assesses a client with diabetic ketoacidosis. Which assessment finding
would the nurse correlate with this condition?
Increased rate and depth of respiration
, 3
A nurse is caring for a client who has the following arterial blood values: pH 7.12,
PaO2 56 mm Hg, PaCO2 65 mm Hg, and HCO3 22 mEq/L (22 mmol/L). Which
clinical situation does the nurse correlate with these values?
Bronchial obstruction related to aspiration of a hot dog
A nurse evaluates the following arterial blood gas values in a client: pH 7.48, PaO2
98 mm Hg, PaCO2 28 mm Hg, and HCO3 22 mEq/L (22 mmol/L). Which client
condition does the nurse correlate with these results?
Anxiety-induced hyperventilation
A nurse assesses a client who has diabetes mellitus. Which arterial blood gas
values would the nurse identify as potential ketoacidosis in this client?
pH 7.28 HCO3 18 mEq/L (18 mmol/L), PCO2 28 mm Hg, PO2 98 mm Hg
A nurse cares for a client experiencing diabetic ketoacidosis who presents with
Kussmaul respirations. What action would the nurse take?
Administration of intravenous insulin
Blood pressure: 90/62 mm Hg Serum potassium: 2.6
Pulse: 120 beats/min mEq/L (2.6 mmol/L)
Respiratory rate: 28 breaths/min
Urine output: 20 mL/hr via catheter
Potassium chloride 40 mEq/L (40 mmol/L) IV bolus STATIncrease IV fluid to 100
mL/hr
Increase the intravenous rate and then consult with the primary health care
provider about the potassium prescription.
A nurse assesses a patient who is experiencing diabetic ketoacidosis (DKA). For
which assessment findings would the nurse monitor the client? (Select all that
apply.)
Deep and fast respirations