Yield Review | Graded A+
1. Which statement by the client indicates a need for further teaching by the
nurse?
"I will inject my insulin at a 90O angle"
"I will always have some kind of sugar with me in case I have a
hypoglycemic reaction"
"I will take more insulin when I go to my exercise class"
"I will carefully draw up my doses of insulin"
2. Which of the following clients is at greatest risk for the development of Type
II diabetes?
A 6 year-old client who is recovering from a viral infection.
An 11 year-old client who is underweight and often complains of being
very thirsty and hungry.
An 80 year-old client with a history of heart disease.
A 35 year-old client with a body mass index (BMI) of 40.
3. If a patient receiving an epidural infusion of fentanyl exhibits signs of
respiratory depression, what immediate action should the nurse take?
Increase the fentanyl dosage.
Discontinue the epidural infusion immediately.
Administer oxygen and notify the healthcare provider.
Monitor the patient without intervention.
,4. A nurse is educating a client about tetracycline therapy for pneumonia. If the
client consumes a large amount of dairy products, what should the nurse
advise regarding the timing of medication administration?
Take tetracycline with dairy to enhance absorption.
Take tetracycline at any time with dairy products.
Take tetracycline at least 2 hours before or 6 hours after consuming
dairy.
Take tetracycline immediately after consuming dairy.
5. If a nurse finds that a patient's heart rate is below 60 beats per minute before
administering digoxin, what should the nurse do next?
Hold the medication and notify the healthcare provider.
Increase the dosage of digoxin.
Document the heart rate and proceed with administration.
Administer the medication as prescribed.
6. What is a common side effect of fentanyl when administered via epidural
infusion?
Constipation
Respiratory depression
Nausea
Hypotension
7. If a client taking disopyramide reports experiencing significant dizziness and
difficulty urinating, what should the nurse's immediate action be?
Reassure the client that these symptoms are normal.
, Encourage the client to drink more fluids.
Administer a dose of vitamin K.
Assess the client's vital signs and notify the healthcare provider.
8. The therapeutic effect of insulin in treating Type 1 diabetes mellitus is based
on which physiologic action?
Increases intracellular receptor site sensitivity.
Delays carbohydrate digestion and absorption.
Stimulates function of beta cells in the pancreas.
Facilitates transport of glucose into the cells
9. A client is taking a decongestant for a cold. The nurse should be most
concerned if the client has a history of what medical condition?
Arthritis
Gastrointestinal reflux disease
Hypertension
Headache
10. A pregnant client with diabetes states she has been eating less and
exercising more. What should the nurse assess regarding her insulin
regimen?
The nurse should assess if her insulin dosage needs to be adjusted
due to changes in her diet and activity level.
The nurse should advise her to stop taking insulin completely.
The nurse should recommend increasing her carbohydrate intake
without changing insulin.
, The nurse should ignore her statements as they do not affect insulin
needs.
11. A 32-year-old female comes into your office complaining of abdominal pain
and dyspareunia. Upon further history gathering, you determine the patient
has endometriosis. You discuss treatment and mention Danazol as an option.
Her first dose is administered as:
200mg/d
600mg/d
350mg/d
400mg/d
12. If a client reports increased sedation one hour after the application of a
fentanyl patch, what should the nurse's priority action be?
Assess the client's level of consciousness and respiratory status.
Administer a dose of naloxone immediately.
Increase the dose of the fentanyl patch.
Document the sedation level and continue monitoring.
13. A nurse is evaluating patients for the risk of developing type 2 diabetes.
Which of the following patients has the highest risk?
A 60-year-old woman with a history of gestational diabetes
A 40-year-old man who has an active lifestyle
A 45-year-old obese woman with a sedentary lifestyle
A 10-year-old boy whose grandmother has type 2 diabetes