1. The nurse is caring for a client in the ICU after a head trauma who begins to urinate
4000 mL per day. Which prescription by the HCP will the nurse expect?
a. Monitor glucose and use sliding scale insulin
b. Place the client with HOB elevated
c. Administer desmopressin as prescribed
d. Ensure client drinks 2000 mL of water
2. The nurse is caring for a client with an aldosterone deficiency and is reviewing lab and
assessment findings. Which result would the nurse expect to find in the medical record?
a. Potassium 5.5 mEq/L
b. Sodium 130 mEq/L
c. BP 135/88 mmHg
d. Calcium 9.5 mEq/L
3. The nurse is caring for a client diagnosed with a blood glucose of 350 mg/dL, fruity
breath, and ketones in their urine. Which prescription written by the HCP should the
nurse question?
a. Initiate subq insulin injection on a sliding scale
b. Hold potassium supplementation until <5 mEq/L
c. Initiate fluid repletion with isotonic solution
d. Infuse D5W when glucose is <250 mg/dL
4. The nurse is caring for a client diagnosed with Cushing’s syndrome. Which information
from the chart is relevant for this client? (SATA)
a. Daily weights
b. Delayed wound healing
c. Routine urinalysis
d. Pathological fractures
e. Abnormal fat distribution
5. The nurse is caring for a client with suspected Addison’s disease who reports feeling
weak and fatigued. The client’s bp is 80/65 mmHg, potassium 5.7 mEq/L, sodium 125
mEq/L. Which prescriptions will the nurse anticipate? (SATA)
a. Administer NS at 125 mL/hr
b. Place the client on a telemetry monitor
c. Infuse D5W 0.45% NS with 20 mEq/L of K+
d. Administer hydrocortisone and fluticortisone
e. Check blood glucose levels every 8 hours
6. The nurse is caring for a type 1 diabetic client admitted to the ED with a pH of 7.32,
glucose 400 mg/dL, potassium 5.7 mg/dL, and confusion. Based on these assessment
findings, what’s the priority nursing action?
a. Administer NS IV
b. Administer dextrose 50% IV
c. Administer insulin IV
d. Administer kayexalate PO
7. The nurse is caring for a client with type 2 diabetes who was admitted with a blood sugar
of 650 mg/dL and is now on a continuous IV insulin drip. Which action is the priority?
a. Hanging a bag of NS
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, b. Giving calcium gluconate IV push
c. Monitoring for hypokalemia
d. Monitoring for hyperkalemia
8. The nurse is caring for a client with a pituitary tumor who has developed lethargy,
bounding pulses, decreased urine output, and headache unrelieved by medication. The
patient’s serum sodium is 120 mEq/L. Which prescription by the HCP is the priority for
the nurse to implement?
a. Elevated HOB
b. Administer vasopressin IV
c. Fluid restriction of 500-600 mL per day
d. 0.45% sodium chloride IV infusion
9. The nurse is caring for a diabetic client in the medical unit. The client’s lab values
included a serum glucose of 650 mg/dL and negative urine ketones. What discharge
instructions are the priority of the nurse to include in the teaching plan to reduce risk of
recurring HHS?
a. Test urine ketones once a week
b. Monitor blood sugar every other day
c. Drink 50-100mL of water every hour
d. Call if febrile for more than 24 hours
10. The nurse is preparing to initiate peritoneal dialysis on a client with CKD. Which HCP
order should the nurse question?
a. Monitor the client’s glucose level
b. Report cloudy dialysis return and send sample for testing
c. Assess the client for SOB
d. Maintain medical asepsis when accessing the catheter site.
11. The nurse is caring for a client who just received hemodialysis. Which sign indicates an
increased risk of infection?
a. Redness, warmth and tenderness at the access site
b. Cool pale skin distal to the vascular site
c. Auscultation of a swishing sound at the vascular site
d. The presence of bulging at the vascular site
12. The nurse is caring for a client who has experienced rapid loss of renal function and has
been determined to be in the prerenal stage of AKI. What info found in the chart is
consistent with the diagnosis?
a. Urine output 20 ml/hr
b. Blood pH 7.47
c. BUN 10 mg/dL
d. Creatinine 0.6 mg/dL
13. The nurse is caring for several clients requiring dialysis. The use of peritoneal dialysis for
the treatment of CKD is contraindicated for which client?
a. The client with type 2 diabetes mellitus
b. The client with extensive abdominal surgery
c. Client who has been constipated for several days
d. Client with peripheral vascular disease
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4000 mL per day. Which prescription by the HCP will the nurse expect?
a. Monitor glucose and use sliding scale insulin
b. Place the client with HOB elevated
c. Administer desmopressin as prescribed
d. Ensure client drinks 2000 mL of water
2. The nurse is caring for a client with an aldosterone deficiency and is reviewing lab and
assessment findings. Which result would the nurse expect to find in the medical record?
a. Potassium 5.5 mEq/L
b. Sodium 130 mEq/L
c. BP 135/88 mmHg
d. Calcium 9.5 mEq/L
3. The nurse is caring for a client diagnosed with a blood glucose of 350 mg/dL, fruity
breath, and ketones in their urine. Which prescription written by the HCP should the
nurse question?
a. Initiate subq insulin injection on a sliding scale
b. Hold potassium supplementation until <5 mEq/L
c. Initiate fluid repletion with isotonic solution
d. Infuse D5W when glucose is <250 mg/dL
4. The nurse is caring for a client diagnosed with Cushing’s syndrome. Which information
from the chart is relevant for this client? (SATA)
a. Daily weights
b. Delayed wound healing
c. Routine urinalysis
d. Pathological fractures
e. Abnormal fat distribution
5. The nurse is caring for a client with suspected Addison’s disease who reports feeling
weak and fatigued. The client’s bp is 80/65 mmHg, potassium 5.7 mEq/L, sodium 125
mEq/L. Which prescriptions will the nurse anticipate? (SATA)
a. Administer NS at 125 mL/hr
b. Place the client on a telemetry monitor
c. Infuse D5W 0.45% NS with 20 mEq/L of K+
d. Administer hydrocortisone and fluticortisone
e. Check blood glucose levels every 8 hours
6. The nurse is caring for a type 1 diabetic client admitted to the ED with a pH of 7.32,
glucose 400 mg/dL, potassium 5.7 mg/dL, and confusion. Based on these assessment
findings, what’s the priority nursing action?
a. Administer NS IV
b. Administer dextrose 50% IV
c. Administer insulin IV
d. Administer kayexalate PO
7. The nurse is caring for a client with type 2 diabetes who was admitted with a blood sugar
of 650 mg/dL and is now on a continuous IV insulin drip. Which action is the priority?
a. Hanging a bag of NS
This study source was downloaded by 100000853497421 from CourseHero.com on 08-21-2023 07:35:55 GMT -05:00
https://www.coursehero.com/file/96926644/Assessment-2-Practice-Questionsdocx/
, b. Giving calcium gluconate IV push
c. Monitoring for hypokalemia
d. Monitoring for hyperkalemia
8. The nurse is caring for a client with a pituitary tumor who has developed lethargy,
bounding pulses, decreased urine output, and headache unrelieved by medication. The
patient’s serum sodium is 120 mEq/L. Which prescription by the HCP is the priority for
the nurse to implement?
a. Elevated HOB
b. Administer vasopressin IV
c. Fluid restriction of 500-600 mL per day
d. 0.45% sodium chloride IV infusion
9. The nurse is caring for a diabetic client in the medical unit. The client’s lab values
included a serum glucose of 650 mg/dL and negative urine ketones. What discharge
instructions are the priority of the nurse to include in the teaching plan to reduce risk of
recurring HHS?
a. Test urine ketones once a week
b. Monitor blood sugar every other day
c. Drink 50-100mL of water every hour
d. Call if febrile for more than 24 hours
10. The nurse is preparing to initiate peritoneal dialysis on a client with CKD. Which HCP
order should the nurse question?
a. Monitor the client’s glucose level
b. Report cloudy dialysis return and send sample for testing
c. Assess the client for SOB
d. Maintain medical asepsis when accessing the catheter site.
11. The nurse is caring for a client who just received hemodialysis. Which sign indicates an
increased risk of infection?
a. Redness, warmth and tenderness at the access site
b. Cool pale skin distal to the vascular site
c. Auscultation of a swishing sound at the vascular site
d. The presence of bulging at the vascular site
12. The nurse is caring for a client who has experienced rapid loss of renal function and has
been determined to be in the prerenal stage of AKI. What info found in the chart is
consistent with the diagnosis?
a. Urine output 20 ml/hr
b. Blood pH 7.47
c. BUN 10 mg/dL
d. Creatinine 0.6 mg/dL
13. The nurse is caring for several clients requiring dialysis. The use of peritoneal dialysis for
the treatment of CKD is contraindicated for which client?
a. The client with type 2 diabetes mellitus
b. The client with extensive abdominal surgery
c. Client who has been constipated for several days
d. Client with peripheral vascular disease
This study source was downloaded by 100000853497421 from CourseHero.com on 08-21-2023 07:35:55 GMT -05:00
https://www.coursehero.com/file/96926644/Assessment-2-Practice-Questionsdocx/
