ADULT HEALTH NR 325 STUDY GUIDE 2026
QUESTIONS AND ANSWERS GRADED A+
◉Patient post-operative bilateral adrenalectomy. Which is the
nurse's priority at this time? Answer: Fluid and electrolyte balance
◉A client is in the clinic to have a laboratory test to evaluate long-
term glycemic control. Which test does the nurse anticipate the
provider will prescribe? Answer: Glycosylated hemoglobin (A1C)
◉The nurse is planning a teaching session about nutrition at a
community health fair. Which information should be included about
carbohydrates? Answer: If not needed immediately, glucose is
converted to glycogen and stored in the liver.
The main function of carbohydrates in the body is to provide energy.
When insufficient carbohydrates are available for energy, the body
will break down fat for energy, then protein.
◉Screening for adequate glucose metabolism includes a fasting
blood glucose analysis. The nurse should instruct the client to fast
for at least how many hours prior to the test? Answer: 8 hours
,◉The nurse is providing education to a client who is newly
diagnosed with diabetes mellitus type 2. The client asks why insulin
is important in the body. Which response by the nurse is
appropriate? Answer: Insulin moves glucose across the cell
membrane.
◉The nurse is caring for a client who is prescribed a hemoglobin
A1C test. How should the nurse best explain this laboratory test to
the client? Answer: "This test indicates how well your blood glucose
has been controlled for the past 90 days."
◉How does the endocrine system respond to a meal with high
protein and no carbohydrates? Answer: Glucagon is released to
promote gluconeogenesis, and insulin is released to facilitate the
movement of amino acids into muscle cells.
◉A nurse is observing a client mixing regular insulin and
intermediate acting insulin in the same syringe. Which action by the
client indicates that additional teaching is needed? Answer:
Withdraws the intermediate acting dose into the syringe first
◉A nurse is providing discharge teaching for a client newly
diagnosed with diabetes mellitus type 1. Which information should
the nurse include related to nutrition therapy? Answer: Fiber intake
should be 25-30 grams per day.
, ◉The nurse is caring for a client diagnosed with diabetes mellitus
type 1 who is prescribed insulin aspart before each meal. Which
action taken by the nurse is appropriate? Answer: Administer the
insulin aspart when the breakfast tray arrives.
◉The nurse is preparing to administer regular and intermediate-
acting insulin to a client who is diagnosed with diabetes mellitus
type 1. Upon inspection of the intermediate-acting insulin, the
solution in the vial appears cloudy. Which action taken by the nurse
is appropriate? Answer: Gently roll the vial to agitate the solution.
◉A nurse is caring for a client with a diagnosis of type 1 diabetes
and a blood glucose of 278 mg/dL at 07:30 a.m. The provider has
prescribed glargine and regular insulin to be administered. Which
action taken by the nurse is appropriate? Answer: Draw up and
administer the regular and glargine insulin in separate syringes.
◉A nurse is caring for a client newly admitted to the intensive care
unit with a blood glucose of 650 mg/dL and a diagnosis of diabetic
ketoacidosis (DKA). When reviewing the medical record, which
prescription should the nurse anticipate to begin therapy? Answer:
Administer 1000 mL 0.9% normal saline as a bolus infusion.
◉A nurse is planning care for two clients admitted with diabetes
mellitus type 1. Which action can be delegated to the unlicensed
assistive personnel (UAP)? Answer: Check the temperature of bath
water before the client enters the shower.
QUESTIONS AND ANSWERS GRADED A+
◉Patient post-operative bilateral adrenalectomy. Which is the
nurse's priority at this time? Answer: Fluid and electrolyte balance
◉A client is in the clinic to have a laboratory test to evaluate long-
term glycemic control. Which test does the nurse anticipate the
provider will prescribe? Answer: Glycosylated hemoglobin (A1C)
◉The nurse is planning a teaching session about nutrition at a
community health fair. Which information should be included about
carbohydrates? Answer: If not needed immediately, glucose is
converted to glycogen and stored in the liver.
The main function of carbohydrates in the body is to provide energy.
When insufficient carbohydrates are available for energy, the body
will break down fat for energy, then protein.
◉Screening for adequate glucose metabolism includes a fasting
blood glucose analysis. The nurse should instruct the client to fast
for at least how many hours prior to the test? Answer: 8 hours
,◉The nurse is providing education to a client who is newly
diagnosed with diabetes mellitus type 2. The client asks why insulin
is important in the body. Which response by the nurse is
appropriate? Answer: Insulin moves glucose across the cell
membrane.
◉The nurse is caring for a client who is prescribed a hemoglobin
A1C test. How should the nurse best explain this laboratory test to
the client? Answer: "This test indicates how well your blood glucose
has been controlled for the past 90 days."
◉How does the endocrine system respond to a meal with high
protein and no carbohydrates? Answer: Glucagon is released to
promote gluconeogenesis, and insulin is released to facilitate the
movement of amino acids into muscle cells.
◉A nurse is observing a client mixing regular insulin and
intermediate acting insulin in the same syringe. Which action by the
client indicates that additional teaching is needed? Answer:
Withdraws the intermediate acting dose into the syringe first
◉A nurse is providing discharge teaching for a client newly
diagnosed with diabetes mellitus type 1. Which information should
the nurse include related to nutrition therapy? Answer: Fiber intake
should be 25-30 grams per day.
, ◉The nurse is caring for a client diagnosed with diabetes mellitus
type 1 who is prescribed insulin aspart before each meal. Which
action taken by the nurse is appropriate? Answer: Administer the
insulin aspart when the breakfast tray arrives.
◉The nurse is preparing to administer regular and intermediate-
acting insulin to a client who is diagnosed with diabetes mellitus
type 1. Upon inspection of the intermediate-acting insulin, the
solution in the vial appears cloudy. Which action taken by the nurse
is appropriate? Answer: Gently roll the vial to agitate the solution.
◉A nurse is caring for a client with a diagnosis of type 1 diabetes
and a blood glucose of 278 mg/dL at 07:30 a.m. The provider has
prescribed glargine and regular insulin to be administered. Which
action taken by the nurse is appropriate? Answer: Draw up and
administer the regular and glargine insulin in separate syringes.
◉A nurse is caring for a client newly admitted to the intensive care
unit with a blood glucose of 650 mg/dL and a diagnosis of diabetic
ketoacidosis (DKA). When reviewing the medical record, which
prescription should the nurse anticipate to begin therapy? Answer:
Administer 1000 mL 0.9% normal saline as a bolus infusion.
◉A nurse is planning care for two clients admitted with diabetes
mellitus type 1. Which action can be delegated to the unlicensed
assistive personnel (UAP)? Answer: Check the temperature of bath
water before the client enters the shower.
