NURS 514 Exam 4 Questions with Correct Answers| Latest Update Guaranteed Success
A nurse is caring for a client who has type I diabetes mellitus and is not following the guidelines
for therapy. Which of the following should the nurse consider as contributing factors to the
client's nonadherence? (Select all that apply.)
A. Gender
B. Dexterity
C. Culture
D. Motivation
E. Literacy B.Dexterity
C.Culture
D. Motivation
E.Literacy
A nurse is assessing a client who has diabetes mellitus and reports foot pain. The nurse should
evaluate the client for which of the following alterations as indications that the client has an
infection? (Select all that apply.)
A. An increase in platelets
B. An increase in RBCs
C. Localized edema
D. Bradycardia
E. An increase in neutrophils C. Localized edema
E. An increase in neutrophils
A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a
client who has diabetes mellitus. When mixing the two types of insulin, which of the following
actions should the nurse take first?
A.inject 20 units of air into the NPH insulin vial.
B. Replace the needle for withdrawal with a safety needle.
C. Withdraw 10 units of insulin from the regular insulin vial.
,D. Inject 10 units of air into the regular insulin vial. A.inject 20 units of air into the NPH
insulin vial.
A nurse is reviewing guidelines to prevent DKA during periods of illness with a client who has
type 1 diabetes mellitus. Which of the following instructions should the nurse include in the
teaching?
A. "Check your urine for ketones when blood glucose levels are greater than 240 mg/dL."
B. "Test your blood glucose level every 8 hours."
C. "Drink 240 to 360 milliliters of calorie-free liquids every 8 hours."
D. "Withhold your usual daily dose of insulin." A. "Check your urine for ketones when blood
glucose levels are greater than 240 mg/dL."
A nurse observes mild hand tremors in a client who has diabetes mellitus. Which of the
following actions should the nurse take after obtaining a glucose?
A. Administer 1 mg of glucagon IM.
B. Administer IV dextrose.
C. Retest the blood glucose level.
D. Administer 15 g of carbohydrates. D. Administer 15 g of carbohydrates.
A charge nurse is reviewing factors that can affect a clients perception of pain with a newly
licensed nurse. Which of the following should the charge nurse include? (select all that apply)
A. Disease severity
B. Culture
C. Stress
D. Social support
E. Dietary practices
F. None of the answers are correct A. Disease severity
B. Culture
C. Stress
, D. Social support
A nurse is reviewing discharge instructions for a client who has a prescription for morphine
sulfate in an oral solution of 10-20mg every 4 hours as needed (PRN). Which of the following
statements by the client indicates an understanding of the instructions.
A. "I will monitor for high blood pressure while taking the morphine."
B. "I will keep the morphine bottle in a locked cabinet in my kitchen."
C. "I can use the morphine as needed as long as I don't take it more than six times a day."
D. "I will use my household teaspoon to measure the correct amount of morphine." B. "I will
keep the morphine bottle in a locked cabinet in my kitchen."
A nurse is planning for a client who is recently divorced with two young children. The client
reports difficulty sleeping, feeling hopeless, and being estranged from family. The nurse should
plan to monitor the client for which of the following manifestations of chronic stress?
A. Exaggerated startle response
B. Recurring nightmares
C. Suicide
D. Systemic infection C. Suicide
A Nurse is caring for a client who has kidney stones. Which of the following manifestations is an
objective indicator of pain?
A. The client states feeling dizzy.
B. The client is experiencing stabbing pain.
C. The client is diaphoretic.
D. The client is nauseated. C. The client is diaphoretic.
A nurse is evaluating a group of clients who are experiencing pain. Which of the following
clients should the nurse identify as experiencing neuropathic pain?
A. client who had surgery to repair a fractured tibia and reports incisional pain
A nurse is caring for a client who has type I diabetes mellitus and is not following the guidelines
for therapy. Which of the following should the nurse consider as contributing factors to the
client's nonadherence? (Select all that apply.)
A. Gender
B. Dexterity
C. Culture
D. Motivation
E. Literacy B.Dexterity
C.Culture
D. Motivation
E.Literacy
A nurse is assessing a client who has diabetes mellitus and reports foot pain. The nurse should
evaluate the client for which of the following alterations as indications that the client has an
infection? (Select all that apply.)
A. An increase in platelets
B. An increase in RBCs
C. Localized edema
D. Bradycardia
E. An increase in neutrophils C. Localized edema
E. An increase in neutrophils
A nurse is preparing to administer 10 units of regular insulin and 20 units of NPH insulin to a
client who has diabetes mellitus. When mixing the two types of insulin, which of the following
actions should the nurse take first?
A.inject 20 units of air into the NPH insulin vial.
B. Replace the needle for withdrawal with a safety needle.
C. Withdraw 10 units of insulin from the regular insulin vial.
,D. Inject 10 units of air into the regular insulin vial. A.inject 20 units of air into the NPH
insulin vial.
A nurse is reviewing guidelines to prevent DKA during periods of illness with a client who has
type 1 diabetes mellitus. Which of the following instructions should the nurse include in the
teaching?
A. "Check your urine for ketones when blood glucose levels are greater than 240 mg/dL."
B. "Test your blood glucose level every 8 hours."
C. "Drink 240 to 360 milliliters of calorie-free liquids every 8 hours."
D. "Withhold your usual daily dose of insulin." A. "Check your urine for ketones when blood
glucose levels are greater than 240 mg/dL."
A nurse observes mild hand tremors in a client who has diabetes mellitus. Which of the
following actions should the nurse take after obtaining a glucose?
A. Administer 1 mg of glucagon IM.
B. Administer IV dextrose.
C. Retest the blood glucose level.
D. Administer 15 g of carbohydrates. D. Administer 15 g of carbohydrates.
A charge nurse is reviewing factors that can affect a clients perception of pain with a newly
licensed nurse. Which of the following should the charge nurse include? (select all that apply)
A. Disease severity
B. Culture
C. Stress
D. Social support
E. Dietary practices
F. None of the answers are correct A. Disease severity
B. Culture
C. Stress
, D. Social support
A nurse is reviewing discharge instructions for a client who has a prescription for morphine
sulfate in an oral solution of 10-20mg every 4 hours as needed (PRN). Which of the following
statements by the client indicates an understanding of the instructions.
A. "I will monitor for high blood pressure while taking the morphine."
B. "I will keep the morphine bottle in a locked cabinet in my kitchen."
C. "I can use the morphine as needed as long as I don't take it more than six times a day."
D. "I will use my household teaspoon to measure the correct amount of morphine." B. "I will
keep the morphine bottle in a locked cabinet in my kitchen."
A nurse is planning for a client who is recently divorced with two young children. The client
reports difficulty sleeping, feeling hopeless, and being estranged from family. The nurse should
plan to monitor the client for which of the following manifestations of chronic stress?
A. Exaggerated startle response
B. Recurring nightmares
C. Suicide
D. Systemic infection C. Suicide
A Nurse is caring for a client who has kidney stones. Which of the following manifestations is an
objective indicator of pain?
A. The client states feeling dizzy.
B. The client is experiencing stabbing pain.
C. The client is diaphoretic.
D. The client is nauseated. C. The client is diaphoretic.
A nurse is evaluating a group of clients who are experiencing pain. Which of the following
clients should the nurse identify as experiencing neuropathic pain?
A. client who had surgery to repair a fractured tibia and reports incisional pain
