NUR3410 EXAM II BLUEPRINT QUESTIONS WITH
ACCURATE ANSWERS
A client is scheduled to have a glycosylated hemoglobin (A1C) drawn and asks the nurse
why she must have it. How would the nurse respond? - ANSWER a. "It measures your
average blood glucose level for the past 3 months."
A nurse reviews laboratory results for a client with diabetes mellitus who is prescribed
an intensified insulin regimen:
• Fasting blood glucose: 75 mg/dL (4.2 mmol/L)
• Postprandial blood glucose: 200 mg/dL (11.1 mmol/L)
• Hemoglobin A1C level: 5.5%
How would the nurse interpret these laboratory findings? - ANSWER Good control of
blood glucose
A nurse reviews the laboratory test values for a client with a new diagnosis of diabetes
mellitus type 2. Which A1C value would the nurse expect? - ANSWER .7.4%
The nurse is caring for a client who has acromegaly. What physical change would the
nurse expect to observe? - ANSWER Large hands and face
A nurse cares for a client who possibly has syndrome of inappropriate antidiuretic
hormone (SIADH). The client's serum sodium level is 114 mEq/L (114 mmol/L). What
nursing action would be appropriate? - ANSWER . Restrict the client's fluid intake to 600
mL/day.
A nurse is reviewing care for a client who has syndrome of inappropriate antidiuretic
hormone
(SIADH) with assistive personnel. What statement by the AP indicates understanding of
this
, client's care? - ANSWER "I will weigh the client carefully before breakfast and compare
with yesterday's
weight.
A nurse assesses a client who is recovering from a subtotal thyroidectomy. On the first
postoperative day before discharge, the client states, "I feel numbness and tingling
around my mouth." What action does the nurse take? - ANSWER Assess for muscle
twitching.
A nurse assesses a client who is recovering from a subtotal thyroidectomy and
observes the development of stridor. What is the priority action for the nurse to take? -
ANSWER Contact the Rapid Response Team and prepare for intubation.
A nurse cares for a client who has hypothyroidism as a result of Hashimotothyroiditis.
The client asks, "How long will I need to take this thyroid medication?" How would the
nurse respond? - ANSWER "You'll need thyroid pills for life because your thyroid won't
start working again."
The nurse assesses a client with diabetic ketoacidosis. Which assessment finding would
the nurse correlate with this condition? - ANSWER Increased rate and depth of
respiration
A nurse is caring for a client who has the following arterial blood values: pH 7.12, PaO2
56 mm Hg, PaCO2 65 mm Hg, and HCO3 22 mEq/L (22 mmol/L). Which clinical situation
does the nurse correlate with these values? - ANSWER Bronchial obstruction related to
aspiration of a hot dog
A nurse evaluates the following arterial blood gas values in a client: pH 7.48, PaO2 98
mm Hg, PaCO2 28 mm Hg, and HCO3 22 mEq/L (22 mmol/L). Which client condition does
the nurse correlate with these results? - ANSWER Anxiety-induced hyperventilation
A nurse assesses a client who has diabetes mellitus. Which arterial blood gas values
would the nurse identify as potential ketoacidosis in this client? - ANSWER pH 7.28
HCO3 18 mEq/L (18 mmol/L), PCO2 28 mm Hg, PO2 98 mm Hg
ACCURATE ANSWERS
A client is scheduled to have a glycosylated hemoglobin (A1C) drawn and asks the nurse
why she must have it. How would the nurse respond? - ANSWER a. "It measures your
average blood glucose level for the past 3 months."
A nurse reviews laboratory results for a client with diabetes mellitus who is prescribed
an intensified insulin regimen:
• Fasting blood glucose: 75 mg/dL (4.2 mmol/L)
• Postprandial blood glucose: 200 mg/dL (11.1 mmol/L)
• Hemoglobin A1C level: 5.5%
How would the nurse interpret these laboratory findings? - ANSWER Good control of
blood glucose
A nurse reviews the laboratory test values for a client with a new diagnosis of diabetes
mellitus type 2. Which A1C value would the nurse expect? - ANSWER .7.4%
The nurse is caring for a client who has acromegaly. What physical change would the
nurse expect to observe? - ANSWER Large hands and face
A nurse cares for a client who possibly has syndrome of inappropriate antidiuretic
hormone (SIADH). The client's serum sodium level is 114 mEq/L (114 mmol/L). What
nursing action would be appropriate? - ANSWER . Restrict the client's fluid intake to 600
mL/day.
A nurse is reviewing care for a client who has syndrome of inappropriate antidiuretic
hormone
(SIADH) with assistive personnel. What statement by the AP indicates understanding of
this
, client's care? - ANSWER "I will weigh the client carefully before breakfast and compare
with yesterday's
weight.
A nurse assesses a client who is recovering from a subtotal thyroidectomy. On the first
postoperative day before discharge, the client states, "I feel numbness and tingling
around my mouth." What action does the nurse take? - ANSWER Assess for muscle
twitching.
A nurse assesses a client who is recovering from a subtotal thyroidectomy and
observes the development of stridor. What is the priority action for the nurse to take? -
ANSWER Contact the Rapid Response Team and prepare for intubation.
A nurse cares for a client who has hypothyroidism as a result of Hashimotothyroiditis.
The client asks, "How long will I need to take this thyroid medication?" How would the
nurse respond? - ANSWER "You'll need thyroid pills for life because your thyroid won't
start working again."
The nurse assesses a client with diabetic ketoacidosis. Which assessment finding would
the nurse correlate with this condition? - ANSWER Increased rate and depth of
respiration
A nurse is caring for a client who has the following arterial blood values: pH 7.12, PaO2
56 mm Hg, PaCO2 65 mm Hg, and HCO3 22 mEq/L (22 mmol/L). Which clinical situation
does the nurse correlate with these values? - ANSWER Bronchial obstruction related to
aspiration of a hot dog
A nurse evaluates the following arterial blood gas values in a client: pH 7.48, PaO2 98
mm Hg, PaCO2 28 mm Hg, and HCO3 22 mEq/L (22 mmol/L). Which client condition does
the nurse correlate with these results? - ANSWER Anxiety-induced hyperventilation
A nurse assesses a client who has diabetes mellitus. Which arterial blood gas values
would the nurse identify as potential ketoacidosis in this client? - ANSWER pH 7.28
HCO3 18 mEq/L (18 mmol/L), PCO2 28 mm Hg, PO2 98 mm Hg
