NURS 320
EXAM 2
Verified Questions & Answers With Rationales
(Health and Illness Concepts I)
Drexel University
This Document Description:
This document contains a collection of Verified
questions with accurate Answers with
Rationales from Exam 2 of NURS 320 at Drexel
University. It covers core topics assessed in the
course and reflects the actual exam format and question style.
Ideal for exam preparation and concept reinforcement.
,1. Which findings can the nurse expect to assess in a patient admitted with DKA?
Select all that apply
a. Thirst
b. Ketonuria
c. Metabolic alkalosis
d. Dehydration
e. Fruity breath odor
Correct Answer:
a, b, d and e
Expert Explanation:
Diabetic ketoacidosis causes hyperglycemia, osmotic diuresis, dehydration, ketone
production, and metabolic acidosis. Fruity breath odor occurs from acetone, a ketone
body.
2. Which routine serum blood tests can the nurse anticipate will be ordered for the
patient experiencing Hyperosmolar Hyperglycemia Non ketonic State (HHNS)? Select
all that apply.
a. Na+
b. ABG
c. BUN
d. Blood sugar
Correct Answer:
a, c, and d
Expert Explanation:
HHNS causes severe hyperglycemia, dehydration, hyperosmolality, and renal perfusion
changes. Sodium, BUN, and blood glucose are important for evaluating hydration status,
renal function, and severity.
3. Which statement by the patient with metabolic syndrome warrants further
instruction by the nurse?
,a. "If I decrease my weight, it may help lower my blood sugar."
b. "Exercise will help cure this condition"
c. "I need to adjust my diet and decrease fatty foods."
d. "This condition increases my risk of heart disease."
Correct Answer:
b. "Exercise will help cure this condition"
Expert Explanation:
Exercise helps manage metabolic syndrome, but it does not “cure” the condition.
Management requires long-term lifestyle changes, weight control, lipid management,
and cardiovascular risk reduction.
4. Which lab values can the nurse anticipate for the patient experiencing Metabolic
Syndrome? Select all that apply.
a. Fasting blood glucose of 75
b. LDL 190
c. HDL 30
d. Creatinine 4.5
Correct Answer:
b and c
Expert Explanation:
Metabolic syndrome is associated with dyslipidemia, including elevated
LDL/triglycerides and low HDL. These findings increase cardiovascular risk.
5. Ideally, which is the primary goal of patient diabetes education?
a. Make all patients responsible for management of their illness
b. Involve the family in the care of the patient
c. Enable the patient to become the most active participant in the management of the
diabetes
d. Provide the patient with as much information as possible to prevent complications of
diabetes
, Correct Answer:
c. Enable the patient to become the most active participant in the management of the
diabetes
Expert Explanation:
Diabetes management depends heavily on daily self-care behaviors. Education should
empower the patient to monitor glucose, manage medications, plan meals, prevent
complications, and recognize emergencies.
6. The RN is working with an UAP and LPN. Which patient should the nurse delegate to
the LPN?
a. Obtaining a fingerstick glucose from a diabetic patient
b. Assess the chest pain in patient with hypothyroidism
c. Dipstick the urine for glucose in the diabetic patient
d. Provide discharge teaching to the patient after pituitary surgery
Correct Answer:
a. Obtaining a fingerstick glucose from a diabetic patient
Expert Explanation:
An LPN may perform routine skills such as obtaining a fingerstick glucose on a stable
patient. Chest pain assessment and discharge teaching require RN-level judgment.
7. The patient with diabetes is found unconscious at home and the family member
calls the clinic. What instruction is most appropriate by the nurse?
a. Attempt to locate the glucometer and take a blood sugar reading
b. Have the patient drink 4 ounces of orange juice and recheck blood sugar
c. Call 911 and transport the patient to the hospital immediately
d. Administer Glucagon 1 mg intramuscularly or subcutaneuosly
Correct Answer:
d. Administer Glucagon 1 mg intramuscularly or subcutaneuosly
EXAM 2
Verified Questions & Answers With Rationales
(Health and Illness Concepts I)
Drexel University
This Document Description:
This document contains a collection of Verified
questions with accurate Answers with
Rationales from Exam 2 of NURS 320 at Drexel
University. It covers core topics assessed in the
course and reflects the actual exam format and question style.
Ideal for exam preparation and concept reinforcement.
,1. Which findings can the nurse expect to assess in a patient admitted with DKA?
Select all that apply
a. Thirst
b. Ketonuria
c. Metabolic alkalosis
d. Dehydration
e. Fruity breath odor
Correct Answer:
a, b, d and e
Expert Explanation:
Diabetic ketoacidosis causes hyperglycemia, osmotic diuresis, dehydration, ketone
production, and metabolic acidosis. Fruity breath odor occurs from acetone, a ketone
body.
2. Which routine serum blood tests can the nurse anticipate will be ordered for the
patient experiencing Hyperosmolar Hyperglycemia Non ketonic State (HHNS)? Select
all that apply.
a. Na+
b. ABG
c. BUN
d. Blood sugar
Correct Answer:
a, c, and d
Expert Explanation:
HHNS causes severe hyperglycemia, dehydration, hyperosmolality, and renal perfusion
changes. Sodium, BUN, and blood glucose are important for evaluating hydration status,
renal function, and severity.
3. Which statement by the patient with metabolic syndrome warrants further
instruction by the nurse?
,a. "If I decrease my weight, it may help lower my blood sugar."
b. "Exercise will help cure this condition"
c. "I need to adjust my diet and decrease fatty foods."
d. "This condition increases my risk of heart disease."
Correct Answer:
b. "Exercise will help cure this condition"
Expert Explanation:
Exercise helps manage metabolic syndrome, but it does not “cure” the condition.
Management requires long-term lifestyle changes, weight control, lipid management,
and cardiovascular risk reduction.
4. Which lab values can the nurse anticipate for the patient experiencing Metabolic
Syndrome? Select all that apply.
a. Fasting blood glucose of 75
b. LDL 190
c. HDL 30
d. Creatinine 4.5
Correct Answer:
b and c
Expert Explanation:
Metabolic syndrome is associated with dyslipidemia, including elevated
LDL/triglycerides and low HDL. These findings increase cardiovascular risk.
5. Ideally, which is the primary goal of patient diabetes education?
a. Make all patients responsible for management of their illness
b. Involve the family in the care of the patient
c. Enable the patient to become the most active participant in the management of the
diabetes
d. Provide the patient with as much information as possible to prevent complications of
diabetes
, Correct Answer:
c. Enable the patient to become the most active participant in the management of the
diabetes
Expert Explanation:
Diabetes management depends heavily on daily self-care behaviors. Education should
empower the patient to monitor glucose, manage medications, plan meals, prevent
complications, and recognize emergencies.
6. The RN is working with an UAP and LPN. Which patient should the nurse delegate to
the LPN?
a. Obtaining a fingerstick glucose from a diabetic patient
b. Assess the chest pain in patient with hypothyroidism
c. Dipstick the urine for glucose in the diabetic patient
d. Provide discharge teaching to the patient after pituitary surgery
Correct Answer:
a. Obtaining a fingerstick glucose from a diabetic patient
Expert Explanation:
An LPN may perform routine skills such as obtaining a fingerstick glucose on a stable
patient. Chest pain assessment and discharge teaching require RN-level judgment.
7. The patient with diabetes is found unconscious at home and the family member
calls the clinic. What instruction is most appropriate by the nurse?
a. Attempt to locate the glucometer and take a blood sugar reading
b. Have the patient drink 4 ounces of orange juice and recheck blood sugar
c. Call 911 and transport the patient to the hospital immediately
d. Administer Glucagon 1 mg intramuscularly or subcutaneuosly
Correct Answer:
d. Administer Glucagon 1 mg intramuscularly or subcutaneuosly
