NUR3410 EXAM II BLUEPRINT EXAM
QUESTIONS AND ANSWERS 100% PASS
2026 EDITION
A client is scheduled to have a glycosylated hemoglobin (A1C) drawn and asks the nurse why
she has to have it. How would the nurse respond? - ANS "It measures your average blood
glucose level for the past 3 months."
The nurse is caring for a client who has acromegaly. What physical change would the nurse
expect to observe? - ANS 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? - ANS Restrict the client's fluid intake to 600 mL/day.
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? - ANS Assess for muscle twitching.
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? -
ANS "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? - ANS Increased rate and depth of respiration
1
@2026 EDITION ALLRIGHTS RESERVED
, A nurse assesses a client who has diabetes mellitus and notes that the client is awake and alert,
but shaky, diaphoretic, and weak. Five minutes after administering a half-cup (120 mL) of orange
juice, the client's signs and symptoms have not changed. What action would the nurse take
next? - ANS Administer another half-cup (120 mL) of orange juice.
The nurse is caring for a newly admitted client who is diagnosed with hyperglycemic-
hyperosmolar state (HHS). What is the nurse's priority action at this time? - ANS Establish
intravenous access to provide fluids.
A nurse cares for a client who is recovering from a closed percutaneous kidney biopsy. The client
states, "My pain has suddenly increased from a 3 to a 10 on a scale of 0-10." Which action
would the nurse take first? - ANS Assess the client's pulse rate and blood pressure.
A nurse cares for a client who has kidney stones from gout ricemia. Which medication does the
nurse anticipate administering? - ANS Allopurinol
The nurse is caring for a client who has chronic pyelonephritis. What assessment finding would
the nurse expect? - ANS HypertensionANS: C
The nurse is caring for a client with adrenal insufficiency. What priority physical assessment
would the nurse perform? - ANS Cardiac assessment
The nurse is preparing to review a teaching plan for a patient with type 2 diabetes mellitus. To
determine the patient's level of compliance with his prescribed diabetic regimen, which value
would the nurse be sure to review? - ANS Glycosylated hemoglobin (HgbA1c) level
The Somogyi effect or phenomenon happens when you take insulin before bed and wake up
with high blood sugar levels. According to the theory of the Somogyi effect, when insulin lowers
your blood sugar too much, it can trigger a release of hormones that send your blood sugar
levels into a rebound high. - ANS - PROMOTE A PATIENT WITH SNACK BEFORE GO TO THE BED
- MONITOR THE LEVEL OF INSULIN OR GLUCOSE DURING NIGHT
2
@2026 EDITION ALLRIGHTS RESERVED
QUESTIONS AND ANSWERS 100% PASS
2026 EDITION
A client is scheduled to have a glycosylated hemoglobin (A1C) drawn and asks the nurse why
she has to have it. How would the nurse respond? - ANS "It measures your average blood
glucose level for the past 3 months."
The nurse is caring for a client who has acromegaly. What physical change would the nurse
expect to observe? - ANS 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? - ANS Restrict the client's fluid intake to 600 mL/day.
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? - ANS Assess for muscle twitching.
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? -
ANS "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? - ANS Increased rate and depth of respiration
1
@2026 EDITION ALLRIGHTS RESERVED
, A nurse assesses a client who has diabetes mellitus and notes that the client is awake and alert,
but shaky, diaphoretic, and weak. Five minutes after administering a half-cup (120 mL) of orange
juice, the client's signs and symptoms have not changed. What action would the nurse take
next? - ANS Administer another half-cup (120 mL) of orange juice.
The nurse is caring for a newly admitted client who is diagnosed with hyperglycemic-
hyperosmolar state (HHS). What is the nurse's priority action at this time? - ANS Establish
intravenous access to provide fluids.
A nurse cares for a client who is recovering from a closed percutaneous kidney biopsy. The client
states, "My pain has suddenly increased from a 3 to a 10 on a scale of 0-10." Which action
would the nurse take first? - ANS Assess the client's pulse rate and blood pressure.
A nurse cares for a client who has kidney stones from gout ricemia. Which medication does the
nurse anticipate administering? - ANS Allopurinol
The nurse is caring for a client who has chronic pyelonephritis. What assessment finding would
the nurse expect? - ANS HypertensionANS: C
The nurse is caring for a client with adrenal insufficiency. What priority physical assessment
would the nurse perform? - ANS Cardiac assessment
The nurse is preparing to review a teaching plan for a patient with type 2 diabetes mellitus. To
determine the patient's level of compliance with his prescribed diabetic regimen, which value
would the nurse be sure to review? - ANS Glycosylated hemoglobin (HgbA1c) level
The Somogyi effect or phenomenon happens when you take insulin before bed and wake up
with high blood sugar levels. According to the theory of the Somogyi effect, when insulin lowers
your blood sugar too much, it can trigger a release of hormones that send your blood sugar
levels into a rebound high. - ANS - PROMOTE A PATIENT WITH SNACK BEFORE GO TO THE BED
- MONITOR THE LEVEL OF INSULIN OR GLUCOSE DURING NIGHT
2
@2026 EDITION ALLRIGHTS RESERVED
