NSG 341 FINAL EXAM | 163 QUESTIONS | WITH
COMPLETE SOLUTIONS.
What are the early signs of hypoglycemia? Answer - Sweating, shakiness,
anxiety
What are the late signs of hypoglycemia? Answer - Confusion, coma
What are the early and late signs of hyperglycemia? Answer - Polyuria,
Polydipsia, fatigue
How does insulin regulate glucose metabolism? Answer - Insulin allows
glucose to enter cells and decreases blood glucose levels.
What teaching would you provide a diabetic patient on sick day management?
Answer - Continue meds, check blood glucose more often, stay hydrated,
before daily foot care, notify provider if BG out of range or ketones present
A nurse is caring for multiple patients. Which patient should be seen first:
A. A post-op patient with a pain level of 8/10
B. A patient with new-onset confusion
C. A stable diabetic awaiting discharge instructions
,D. A COPD patient with stable oxygen saturation Answer - B. A patient with
new-onset confusion
Which patient should the nurse assess first?
A. A 50-year-old with COPD and O₂ sat of 89% on 2L nasal cannulaB. A 30-year-
old with cellulitis and temp of 101.4°FC. A 45-year-old post-op 6 hours ago with
no void since surgery
D. A 70-year-old with new onset confusion and slurred speech Answer - D. A
70-year-old with new onset confusion and slurred speech
Which of these tasks should the nurse delegate to the UAP?
A. Assessing pain in a post-op patient
B. Teaching crutch walking to a client with a broken leg
C. Assisting a stable patient to ambulate after surgery
D. Monitoring IV site for phlebitis Answer - C. Assisting a stable patient to
ambulate after surgery
The nurse is caring for four patients. Who should be assessed first?
A. A patient with asthma using an inhaler for the third time in 2 hours
B. A diabetic patient with blood glucose of 58 mg/dL
C. A post-op patient with a rigid, distended abdomen
D. A heart failure patient with 3+ edema in the legs Answer - C. A post-op
patient with a rigid, distended abdomen
Which of the following patients requires immediate intervention?
,A. A patient with chronic back pain requesting pain meds
B. A patient with chest pain unrelieved by nitroglycerin
C. A patient who needs a wound dressing change
D. A post-op day 2 patient requesting help to the bathroom Answer - B. A
patient with chest pain unrelieved by nitroglycerin
Which patient should the nurse see first after shift report?
A. A client with pneumonia and a productive cough
B. A client who received IV morphine and is now difficult to arouse
C. A client with renal failure scheduled for dialysis in 30 minutes.
D. A client complaining of 5/10 abdominal pain Answer - B. A client who
received IV morphine and is now difficult to arouse
Four patients need assistance. Which is the highest priority?
A. A client post-fall with a bruise on their hip
B. A client with urinary retention and bladder distention
C. A client who is short of breath and has stridor
D. A client who pulled out their central line and is bleeding Answer - D. A client
who pulled out their central line and is bleeding
Who should the nurse assess first using the ABC framework?
A. A client with new edema in the legs
B. A client with audible wheezing and difficulty speaking
C. A client post-op with complaints of nausea
, D. A client with blood glucose of 320 mg/dL Answer - B. A client with audible
wheezing and difficulty speaking
Prioritize these patients in order of who the nurse should see first to last:
A. Diabetic patient with blood sugar of 60
B. Post-op hip replacement patient complaining of 8/10 pain
C. Patient with fever and a positive blood culture
D. CHF patient with 3+ edema, no dyspnea Answer - A C B D
The nurse receives report on four patients. Which one is a safety concern?
A. Patient ambulating with a walker
B. Patient on benzodiazepines trying to get out of bed alone
C. Patient with 4/10 pain post-appendectomy
D. Patient on telemetry with occasional PVCs Answer - B. Patient on
benzodiazepines trying to get out of bed alone
Which of the following interventions should be addressed first?
A. Recheck potassium level of 3.4 mmol/L
B. Start oxygen for a patient with O₂ sat of 86%
C. Call provider about discharge orders
D. Administer routine PO medication Answer - B. Start oxygen for a patient
with O₂ sat of 86%
Which of the following tasks can the RN safely delegate to a UAP?
A. Educating a patient newly diagnosed with diabetes about insulin
administration
COMPLETE SOLUTIONS.
What are the early signs of hypoglycemia? Answer - Sweating, shakiness,
anxiety
What are the late signs of hypoglycemia? Answer - Confusion, coma
What are the early and late signs of hyperglycemia? Answer - Polyuria,
Polydipsia, fatigue
How does insulin regulate glucose metabolism? Answer - Insulin allows
glucose to enter cells and decreases blood glucose levels.
What teaching would you provide a diabetic patient on sick day management?
Answer - Continue meds, check blood glucose more often, stay hydrated,
before daily foot care, notify provider if BG out of range or ketones present
A nurse is caring for multiple patients. Which patient should be seen first:
A. A post-op patient with a pain level of 8/10
B. A patient with new-onset confusion
C. A stable diabetic awaiting discharge instructions
,D. A COPD patient with stable oxygen saturation Answer - B. A patient with
new-onset confusion
Which patient should the nurse assess first?
A. A 50-year-old with COPD and O₂ sat of 89% on 2L nasal cannulaB. A 30-year-
old with cellulitis and temp of 101.4°FC. A 45-year-old post-op 6 hours ago with
no void since surgery
D. A 70-year-old with new onset confusion and slurred speech Answer - D. A
70-year-old with new onset confusion and slurred speech
Which of these tasks should the nurse delegate to the UAP?
A. Assessing pain in a post-op patient
B. Teaching crutch walking to a client with a broken leg
C. Assisting a stable patient to ambulate after surgery
D. Monitoring IV site for phlebitis Answer - C. Assisting a stable patient to
ambulate after surgery
The nurse is caring for four patients. Who should be assessed first?
A. A patient with asthma using an inhaler for the third time in 2 hours
B. A diabetic patient with blood glucose of 58 mg/dL
C. A post-op patient with a rigid, distended abdomen
D. A heart failure patient with 3+ edema in the legs Answer - C. A post-op
patient with a rigid, distended abdomen
Which of the following patients requires immediate intervention?
,A. A patient with chronic back pain requesting pain meds
B. A patient with chest pain unrelieved by nitroglycerin
C. A patient who needs a wound dressing change
D. A post-op day 2 patient requesting help to the bathroom Answer - B. A
patient with chest pain unrelieved by nitroglycerin
Which patient should the nurse see first after shift report?
A. A client with pneumonia and a productive cough
B. A client who received IV morphine and is now difficult to arouse
C. A client with renal failure scheduled for dialysis in 30 minutes.
D. A client complaining of 5/10 abdominal pain Answer - B. A client who
received IV morphine and is now difficult to arouse
Four patients need assistance. Which is the highest priority?
A. A client post-fall with a bruise on their hip
B. A client with urinary retention and bladder distention
C. A client who is short of breath and has stridor
D. A client who pulled out their central line and is bleeding Answer - D. A client
who pulled out their central line and is bleeding
Who should the nurse assess first using the ABC framework?
A. A client with new edema in the legs
B. A client with audible wheezing and difficulty speaking
C. A client post-op with complaints of nausea
, D. A client with blood glucose of 320 mg/dL Answer - B. A client with audible
wheezing and difficulty speaking
Prioritize these patients in order of who the nurse should see first to last:
A. Diabetic patient with blood sugar of 60
B. Post-op hip replacement patient complaining of 8/10 pain
C. Patient with fever and a positive blood culture
D. CHF patient with 3+ edema, no dyspnea Answer - A C B D
The nurse receives report on four patients. Which one is a safety concern?
A. Patient ambulating with a walker
B. Patient on benzodiazepines trying to get out of bed alone
C. Patient with 4/10 pain post-appendectomy
D. Patient on telemetry with occasional PVCs Answer - B. Patient on
benzodiazepines trying to get out of bed alone
Which of the following interventions should be addressed first?
A. Recheck potassium level of 3.4 mmol/L
B. Start oxygen for a patient with O₂ sat of 86%
C. Call provider about discharge orders
D. Administer routine PO medication Answer - B. Start oxygen for a patient
with O₂ sat of 86%
Which of the following tasks can the RN safely delegate to a UAP?
A. Educating a patient newly diagnosed with diabetes about insulin
administration
