Professional Documents
Culture Documents
at the end. There is a good chance that the same style of questions might appear on the
exam but please be mindful that the answer found here may NOT be the exact same
answer found on the exam. Proceed with caution. Good luck and happy studying!
c. Is surgically attached to the pancreas and infuses regular insulin into the
pancreas, which in turn releases the insulin into the bloodstream
d. Gives a small continuous dose of short-duration insulin subcutaneously,
and the client can self-administer a bolus with an additional dose from the
pump before each meal
12. A client is admitted to an emergency department, and a diagnosis of myxedema
coma is made. Which action would the nurse prepare to carry out initially?
a. Warm the client
b. Maintain a patent airway
c. Administer thyroid hormone
d. Administer fluid replacement
13. A client with type 1 diabetes mellitus calls the nurse to report recurrent episodes
of hypoglycemia with exercising. Which statement by the client indicates an
adequate understanding of the peak action of NPH insulin and exercise?
a. The best time for me to exercise is after I eat.
b. The best time for me to exercise is after breakfast.
c. The best time for me to exercise is mid-to-late afternoon.
d. The best time for me to exercise is after my morning snack.
14. A client is diagnosed with syndrome of inappropriate antidiuretic hormone
secretion (SIADH). Laboratory results reveal serum sodium level 130 mEq/L and
urine specific gravity 1.030. Which nursing intervention would help prevent
complications associated with SIADH?
a. Restricting fluids to 800 mL/day
b. Administering vasopressin as ordered
c. Elevating the clients head of bed to 90 degrees
d. Restricting sodium intake to 1 gm/day
15. The nurse is caring for a postoperative parathyroidectomy client. Which client
complaint would indicate that a life-threatening complication may be developing,
requiring notification of the health care provider immediately?
a. Laryngeal stridor
b. Abdominal cramps
c. Difficulty in voiding
d. Mild to moderate incisional pain
16. The nurse is providing discharge instructions to a client who has a Cushings
syndrome. Which client statement indicates that instructions related to dietary
management are understood?
a. I will need to limit the amount of protein in my diet.
b. I should eat foods that have a lot of potassium in them.
c. I am fortunate that I can eat all the salty foods I enjoy.
d. I am fortunate that I do not need to follow any special diet.
17. The nurse is caring for a client who is 2 days postoperative following an
abdominal hysterectomy. The client has a history of diabetes mellitus and has
been receiving regular insulin according to capillary blood glucose testing four
times a day. A carbohydrate-controlled diet has been prescribed but the client has
been complaining of nausea and is not eating. On entering the clients room, the
nurse finds the client to be confused and diaphoretic. Which action is most
appropriate at this time?
a. Call a code to obtain needed assistance immediately
b. Obtain a capillary blood glucose level and perform a focused assessment
c. Ask the unlicensed assistive personnel (UAP) to stay with the client while
obtaining 15 to 30 g of a carbohydrate snack for the client to eat
d. Stay with the client and ask the UAP to call the health care provider
(HCP) for a prescription for intravenous 50% dextrose
18. In the emergency department during initial assessment of a newly-admitted
patient with diabetes, the nurse discovers all of these findings. Which finding
should be reported to the health care provider immediately?
a. Hammer toe of the left second metatarsophalangeal joint
b. Rapid respiratory rate with deep inspirations
c. Numbness and tingling bilaterally in the feet and hands
d. Decreased sensitivity and swelling of the abdomen
19. A patient with diabetes has hot, dry skin; rapid and deep respirations; and a fruity
odor to his breath. As charge nurse, you observe a newly-graduated RN
performing all the following patient tasks. Which one requires that you intervene
immediately?
a. Checking the patients fingerstick glucose level
b. Encouraging the patient to drink orange juice
c. Checking the patients order for sliding-scale insulin dosing
d. Assessing the patients vital signs every 15 minutes
20. You are preceptor for a senior nursing student who will teach a diabetic patient
about self-care during sick days. For which statement by the student must you
intervene?
a. When you are sick, be sure to monitor your blood glucose at least every 4
hours.
b. Test your urine for ketones whenever your blood glucose level is less
than 240 mg/dL.
c. To prevent dehydration, drink 8 ounces of sugar-free liquid every hour
while you are awake.
d. Continue to eat your meals and snacks at the usual times.
21. During the first 24 hours after a client diagnosed with Addisonian crisis, which
intervention should the nurse perform frequently?
a. Weigh the client
b. Test urine for ketones
c. Assess vital signs
d. Administer oral hydrocortisone
22. The nurse is admitting a new client with a diagnosis of myxedema. During the
initial assessment, the nurse is most concerned when the client presents with
which findings?
a. Hypertension and weight loss
c. Empty the collection bag, wait 30 minutes, and then collect the contents of
the collection bag
d. Discontinue the indwelling catheter and insert an intermittent catheter to
obtain the sterile specimen
35. The nurse is providing discharge instructions for a client treated for acute
pyelonephritis. What is the most important information for the nurse to include?
a. Avoid taking any dairy products
b. Return for follow-up urine cultures
c. Stop taking the prescribed antibiotics when the symptoms subside
d. Recurrence is unlikely because youve been treated with antibiotics
36. A client who will have his last chemotherapy cycle in 11 days becomes
neutropenic. The client understands his condition when he states:
a. Ill monitor my temperature frequently and go to the nearest emergency
department if my temperature rises above 100.4F.
b. Ive found that eating fresh fruit and vegetables reduce the side effects of
chemotherapy and also give me more energy.
c. I find that going out for a quiet dinner and a movie relieves the stress and
anxiety of my cancer treatment.
d. I love working in my garden; it gives me a lot of inner peace and
tranquility.
37. A client received chemotherapy 24 hours ago. Which precautions are necessary
when caring for the client?
a. Wear sterile gloves
b. Place incontinence pads in the regular trash container
c. Wear personal protective equipment when handling blood, body fluids,
and feces
d. Provide a urinal or bedpan to decrease the likelihood of soiling linens
38. A client undergoes a biopsy of a suspicious lesion. The biopsy report classifies
the lesion according to the TNM staging system as follows: TIS, N0, M0. What
does this classification mean?
a. No evidence of primary tumor, no abnormal regional lymph nodes, and no
evidence of distant metastasis
b. Carcinoma in situ, no abnormal regional lymph nodes, and no evidence of
distant metastasis
c. Cant assess tumor or regional lymph nodes and no evidence of metastasis
d. Carcinoma in situ, no demonstrable metastasis of the regional lymph
nodes, and ascending degrees of distant metastasis
39. After cancer chemotherapy, a client experiences nausea and vomiting. The nurse
should assign highest priority to which intervention?
a. Serving small portions of bland food
b. Encouraging rhythmic breathing exercises
c. Administering metoclopramide (Reglan) and dexamethasone (Decadron)
as prescribed