Care of Adults Exam ACTUAL QUESTIONS
AND CORRECT ANSWERS
The concentration of heparin is 25,000 units per 250 mL normal saline. Calculate the rate, in
mL/hr, to deliver 1100 units heparin/hr - Correct answers✔✔11
A 56 year old female screened for diabetes at a clinic has a fasting plasma glucose level of 155
mg/dl. The nurse will plan to teach the patient about?
a. returning for a repeat fasting glucose level
b. administering low doses of regular insulin
c. effects of oral hypoglycemic medications
d. self-monitoring of blood glucose - Correct answers✔✔a. returning for a repeat fasting glucose
level
A 60 year old male patient with type 2 diabetes has a nursing diagnosis of imbalanced nutrition:
more than body requirements. Which of the following is most important to determine if the
patient is following the ordered diet?
a. The fasting sugar is less than 120
b. The patient is able to verbalize answers about diet
c. A glycosylated hemoglobin level of less than 7%
,d. The patient's weight indicates 3 pound weight loss - Correct answers✔✔c. A glycosylated
hemoglobin level of less than 7%
Which statement by the patient indicates a need for additional instruction in administering
insulin?
a. "I need to rotate injection sites among my arms, legs, and abdomen each day"
b. "I should wash my hands prior to drawing up my insulin"
c. "I need to be sure I eat my meal after I take insulin"
d. "I should be sure to double check my dose of insulin" - Correct answers✔✔a. "I need to rotate
injection sites among my arms, legs, and abdomen each day"
A hospitalized diabetic patient received 38 U of NPH insulin at 7:00am. At 11:00am, the patient
must be away from the nursing unit not to return for 2 hours, missing the lunch delivery. To
prevent hypoglycemia, the best action by the nurse is to
a. ask the diagnostic testing area staff to start a 5% dextrose IV
b. give the patient a snack prior to leaving the unit at 11am
c. send a glass of water to the patient in the diagnostic testing area
,d. save the lunch tray for the patient's later ret - Correct answers✔✔b. give the patient a snack
prior to leaving the unit at 11am
An unresponsive patient type 2 diabetes is brought to the emergency department and diagnosed
with hyperosmolar hyperglycemic syndrome (HHS). The nurse will anticipate the need to
a. initiate oxygen by nasal cannula
b. give a large glass of water to hydrate
c. administer glargine (Lantus) insulin
d. start an IV and give IV fluids - Correct answers✔✔d. start an IV and give IV fluids
A 40 year old type one diabetic develops nausea and fever. The patient calls the clinic for advice
about her symptoms and a blood glucose level of 210 mg/dL despite taking her usual glargine
(Lantus) and lispro (Humalog) insulin. The nurse advises the patient to
a. use only the lispro insulin until the symptoms are resolved
b. limit intake of calories until the glucose is less than 120 mg/dL
c. decrease intake of carbohydrates until glycosylated hemoglobin is less than 7%
d. monitor blood gl - Correct answers✔✔d. monitor blood glucose every 4 hrs and notify the
clinic if it continues to rise
, Which information will the nurse include in teaching a male patient who has sensory neuropathy
of the feet due to type 2 diabetes?
a. inspect feet every morning
b. set heating pads on a low temperature
c. use callus remover for corns or callus
d. soak feet in warm water for an hour each day - Correct answers✔✔a. inspect feet every
morning
The nurse has a 20 mL multi-dose vial of heparin labeled 5,000 units per mL. The ordered
concentration is to mix 25,000 units of heparin per 500 mL of normal saline. How many mL of
heparin will the nurse add to the 500 mL bag of normal saline? - Correct answers✔✔5 mL
A 26 year old patient with diabetes rides a bicycle to and from work every day. Which site should
the nurse teach the patient to administer the morning insulin?
a. buttock
b. upper arm
c. abdomen
d. thigh - Correct answers✔✔c. abdomen
AND CORRECT ANSWERS
The concentration of heparin is 25,000 units per 250 mL normal saline. Calculate the rate, in
mL/hr, to deliver 1100 units heparin/hr - Correct answers✔✔11
A 56 year old female screened for diabetes at a clinic has a fasting plasma glucose level of 155
mg/dl. The nurse will plan to teach the patient about?
a. returning for a repeat fasting glucose level
b. administering low doses of regular insulin
c. effects of oral hypoglycemic medications
d. self-monitoring of blood glucose - Correct answers✔✔a. returning for a repeat fasting glucose
level
A 60 year old male patient with type 2 diabetes has a nursing diagnosis of imbalanced nutrition:
more than body requirements. Which of the following is most important to determine if the
patient is following the ordered diet?
a. The fasting sugar is less than 120
b. The patient is able to verbalize answers about diet
c. A glycosylated hemoglobin level of less than 7%
,d. The patient's weight indicates 3 pound weight loss - Correct answers✔✔c. A glycosylated
hemoglobin level of less than 7%
Which statement by the patient indicates a need for additional instruction in administering
insulin?
a. "I need to rotate injection sites among my arms, legs, and abdomen each day"
b. "I should wash my hands prior to drawing up my insulin"
c. "I need to be sure I eat my meal after I take insulin"
d. "I should be sure to double check my dose of insulin" - Correct answers✔✔a. "I need to rotate
injection sites among my arms, legs, and abdomen each day"
A hospitalized diabetic patient received 38 U of NPH insulin at 7:00am. At 11:00am, the patient
must be away from the nursing unit not to return for 2 hours, missing the lunch delivery. To
prevent hypoglycemia, the best action by the nurse is to
a. ask the diagnostic testing area staff to start a 5% dextrose IV
b. give the patient a snack prior to leaving the unit at 11am
c. send a glass of water to the patient in the diagnostic testing area
,d. save the lunch tray for the patient's later ret - Correct answers✔✔b. give the patient a snack
prior to leaving the unit at 11am
An unresponsive patient type 2 diabetes is brought to the emergency department and diagnosed
with hyperosmolar hyperglycemic syndrome (HHS). The nurse will anticipate the need to
a. initiate oxygen by nasal cannula
b. give a large glass of water to hydrate
c. administer glargine (Lantus) insulin
d. start an IV and give IV fluids - Correct answers✔✔d. start an IV and give IV fluids
A 40 year old type one diabetic develops nausea and fever. The patient calls the clinic for advice
about her symptoms and a blood glucose level of 210 mg/dL despite taking her usual glargine
(Lantus) and lispro (Humalog) insulin. The nurse advises the patient to
a. use only the lispro insulin until the symptoms are resolved
b. limit intake of calories until the glucose is less than 120 mg/dL
c. decrease intake of carbohydrates until glycosylated hemoglobin is less than 7%
d. monitor blood gl - Correct answers✔✔d. monitor blood glucose every 4 hrs and notify the
clinic if it continues to rise
, Which information will the nurse include in teaching a male patient who has sensory neuropathy
of the feet due to type 2 diabetes?
a. inspect feet every morning
b. set heating pads on a low temperature
c. use callus remover for corns or callus
d. soak feet in warm water for an hour each day - Correct answers✔✔a. inspect feet every
morning
The nurse has a 20 mL multi-dose vial of heparin labeled 5,000 units per mL. The ordered
concentration is to mix 25,000 units of heparin per 500 mL of normal saline. How many mL of
heparin will the nurse add to the 500 mL bag of normal saline? - Correct answers✔✔5 mL
A 26 year old patient with diabetes rides a bicycle to and from work every day. Which site should
the nurse teach the patient to administer the morning insulin?
a. buttock
b. upper arm
c. abdomen
d. thigh - Correct answers✔✔c. abdomen
