Exam 2 NSG 4100 Latest Galen College Of
Nursing 2026-2027 |Actual Exam, 100 Q&A
Exam Prep Additional Study Guide |Pass
With Ease
Client is to have transsphenoidal hypophysectomy to remove a large, invasive pituitary
tumor. The nurse should instruct the client that the surgery will be performed through an
incision in the
a. back of mouth
b. nose
c. sinus channel below right eye
d. upper gingival mucosa in the space between the upper gum and lip
D
Nurse teaches client to report s/s of which potential complication after a hypophysectomy?
a. acromegaly
b. Cushing's ds
c. diabetes mellitus
d. hypopituitarism
D
After pituitary surgery, the nurse should assess the client for
a. urine gravity <1.010
b. UO between 1-2L/day
c. BG >300 mg/dL
d. urine negative for glucose & ketones
A
,Client with type 1 diabetes is admitted to ED w/ recurrent DKA. Current glucose level is 603
w/ moderate bicarbonate levels. The client is drowsy but responds appropriately. Vital signs
are BP 90/42, sinus tachycardia 132/min, RR 36/min, temp 102F, & minimal UO. What does
the nurse anticipate as the highest priority for the client?
a. culture urine, blood, and sputum for bacteria
b. start insulin drop following bolus of 7 units of rapid insulin
c. start large bore IV access to allow rapid insulin of fluids
d. give rapid acting insulin IM while waiting for labs
C
19 y/o woman was admitted to ICU following high-velocity MVA in which she sustained a
severe closed head injury. Nurse noticed she has been producing a large amount of urine for
the past 3 hrs and is becoming tachycardia and hypotensive. The nurse knows that this client
needs to be closely monitored for developing which condition?
a. Cushing syndrome, which is treated w/ intermittent doses of corticoids
b. DI, which is treated w/ antidiuretic hormone (Vasopressin)
c. SIADH, which is create w/ ADH
d. DM, which is treated w/ basal analog insulin
B
Client w/ pituitary tumor developed SIADH. Which intervention should the nurse implement?
a. assess for dehydration and monitor BG level
b. assess for n/v & weigh daily
c. monitor potassium level & encourage fluid intake
d. administer vasopressin IV and conduct fluid deprivation test
B
Nurse is admitting a client to the neurological ICU who is postoperative transsphenoidal
hypophysectomy. Which data warrants immediate intervention?
a. client is alert to name but unable to tell nurse the location
b. client has output of 2500ml since surgery and intake of 1000ml
c. client vital signs are T 97.6F, P 88, RR 22, BP 130/80
d. client has 3cm amount of dark red drainage on turban dressing
B
, Client diagnosed with HHNS was admitted yesterday w/ BG of 780 mg/dL. Client BG is now
300 mg/dL. Which intervention should the nurse implement?
a. increase regular insulin drip
b. check the clients urine for ketones
c. provide client w/ therapeutic meal
d. notify HCP to obtain an order to decrease insulin
D
Elderly pt is admitted to ICU diagnosed with severe HHNS. Which collaborative intervention
should the nurse include in the plan of care?
a. infuse 0.9% NS intravenously
b. administer intermediate-acting insulin
c. perform blood glucose checks daily
d. monitor ABG results
A
Client is diagnosed with type II DM is admitted to the ICU with HHNS coma. Which
assessment data should the nurse expect the client to exhibit?
a. Kussmaul's repirations
b. diarrhea
c. dry mucous membranes
d. ketone breath odor
C
Following an Addisonian crisis, a pt's adrenal function has gradually regained. The nurse
should ensure that the pt knows about the need for supplementary glucocorticoid therapy in
which of the following circumstances?
a. episodes of high psychosocial stress
b. periods of dehydration
c. episodes of physical exertion
d. administration of a vaccine
A
Nursing 2026-2027 |Actual Exam, 100 Q&A
Exam Prep Additional Study Guide |Pass
With Ease
Client is to have transsphenoidal hypophysectomy to remove a large, invasive pituitary
tumor. The nurse should instruct the client that the surgery will be performed through an
incision in the
a. back of mouth
b. nose
c. sinus channel below right eye
d. upper gingival mucosa in the space between the upper gum and lip
D
Nurse teaches client to report s/s of which potential complication after a hypophysectomy?
a. acromegaly
b. Cushing's ds
c. diabetes mellitus
d. hypopituitarism
D
After pituitary surgery, the nurse should assess the client for
a. urine gravity <1.010
b. UO between 1-2L/day
c. BG >300 mg/dL
d. urine negative for glucose & ketones
A
,Client with type 1 diabetes is admitted to ED w/ recurrent DKA. Current glucose level is 603
w/ moderate bicarbonate levels. The client is drowsy but responds appropriately. Vital signs
are BP 90/42, sinus tachycardia 132/min, RR 36/min, temp 102F, & minimal UO. What does
the nurse anticipate as the highest priority for the client?
a. culture urine, blood, and sputum for bacteria
b. start insulin drop following bolus of 7 units of rapid insulin
c. start large bore IV access to allow rapid insulin of fluids
d. give rapid acting insulin IM while waiting for labs
C
19 y/o woman was admitted to ICU following high-velocity MVA in which she sustained a
severe closed head injury. Nurse noticed she has been producing a large amount of urine for
the past 3 hrs and is becoming tachycardia and hypotensive. The nurse knows that this client
needs to be closely monitored for developing which condition?
a. Cushing syndrome, which is treated w/ intermittent doses of corticoids
b. DI, which is treated w/ antidiuretic hormone (Vasopressin)
c. SIADH, which is create w/ ADH
d. DM, which is treated w/ basal analog insulin
B
Client w/ pituitary tumor developed SIADH. Which intervention should the nurse implement?
a. assess for dehydration and monitor BG level
b. assess for n/v & weigh daily
c. monitor potassium level & encourage fluid intake
d. administer vasopressin IV and conduct fluid deprivation test
B
Nurse is admitting a client to the neurological ICU who is postoperative transsphenoidal
hypophysectomy. Which data warrants immediate intervention?
a. client is alert to name but unable to tell nurse the location
b. client has output of 2500ml since surgery and intake of 1000ml
c. client vital signs are T 97.6F, P 88, RR 22, BP 130/80
d. client has 3cm amount of dark red drainage on turban dressing
B
, Client diagnosed with HHNS was admitted yesterday w/ BG of 780 mg/dL. Client BG is now
300 mg/dL. Which intervention should the nurse implement?
a. increase regular insulin drip
b. check the clients urine for ketones
c. provide client w/ therapeutic meal
d. notify HCP to obtain an order to decrease insulin
D
Elderly pt is admitted to ICU diagnosed with severe HHNS. Which collaborative intervention
should the nurse include in the plan of care?
a. infuse 0.9% NS intravenously
b. administer intermediate-acting insulin
c. perform blood glucose checks daily
d. monitor ABG results
A
Client is diagnosed with type II DM is admitted to the ICU with HHNS coma. Which
assessment data should the nurse expect the client to exhibit?
a. Kussmaul's repirations
b. diarrhea
c. dry mucous membranes
d. ketone breath odor
C
Following an Addisonian crisis, a pt's adrenal function has gradually regained. The nurse
should ensure that the pt knows about the need for supplementary glucocorticoid therapy in
which of the following circumstances?
a. episodes of high psychosocial stress
b. periods of dehydration
c. episodes of physical exertion
d. administration of a vaccine
A
