MEDICAL SURGICAL LPN RN UPDATED
ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS FULL SOLUTION GRADED A+
◉ A nurse is providing teaching to a client who has addisons disease
about healthy snack foods. which of the following choices indicates
the client understands the teaching? Answer: Answer: Turkey and
cheese sandwich
Rationale: The sandwich is high in protein, carbs and sodium. A pt
with Addison's disease requires a diet low in potassium and high in
sodium, carbs, and protein.
◉ A nurse is providing teaching to a client who has type 2 DM about
the pathophysiology of the disease. Which of the following statements
indicated an understanding of the teaching? Answer: Answer: My
cells are resistant to the effects of insulin
Rationale: Pts with type 2 DM with have resistance to insulin and a
decrease in the secretion of insulin by the pancreatic beta cells.
◉ A nurse is assessing a client who has Addison's disease. Which of
the following skin manifestations should the nurse expect to find?
Answer: Answer: Bronze pigmentation of skin
Rationale: A pt with Addison's disease will have darkening of the skin
in both exposed and unexposed parts of the body due to a hormone
deficient caused by damage to the outer layer of the adrenal gland.
, ◉ A nurse is caring for a client who had a thyroidectomy to treat
hyperthyroidism cause by an adenoma. Which of the following
findings should the nurse report to the provider? Answer: Answer:
Tachycardia and hypertension. Laryngeal stridor and hoarseness and
positive trousseau's sign
◉ A nurse is reviewing the laboratory values of a client who has
diabetic ketoacidosis. The nurse should understand that which of the
following values is consistent with DKA Answer: Answer:
Bicarbonate level 12mEq/L
Rationale: a pt with DKA should have a bicarbonate level less than
15mEq/L
◉ A nurse is monitoring a client who has syndrome of inappropriate
antidiuretic hormone secretion (SIADH). Which of the following
findings should the nurse expect Answer: Answer: Hyponatremia
Rationale: A pt with SIADH with have hyponatremia caused by the
excessive release of an antidiuretic hormone. As a result of excess
ADH the pt retains water that causes dilutional hyponatremia
◉ A nurse is providing teaching to a client who has type 1 DM about
exercise. Which of the statements should the nurse include in the
teaching? Answer: Answer: Wear a medical alert identification tag
when you exercise.
Rationale: Exercise can potentiate the effects of insulin ad cause the
blood glucose levels to decrease.
ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS FULL SOLUTION GRADED A+
◉ A nurse is providing teaching to a client who has addisons disease
about healthy snack foods. which of the following choices indicates
the client understands the teaching? Answer: Answer: Turkey and
cheese sandwich
Rationale: The sandwich is high in protein, carbs and sodium. A pt
with Addison's disease requires a diet low in potassium and high in
sodium, carbs, and protein.
◉ A nurse is providing teaching to a client who has type 2 DM about
the pathophysiology of the disease. Which of the following statements
indicated an understanding of the teaching? Answer: Answer: My
cells are resistant to the effects of insulin
Rationale: Pts with type 2 DM with have resistance to insulin and a
decrease in the secretion of insulin by the pancreatic beta cells.
◉ A nurse is assessing a client who has Addison's disease. Which of
the following skin manifestations should the nurse expect to find?
Answer: Answer: Bronze pigmentation of skin
Rationale: A pt with Addison's disease will have darkening of the skin
in both exposed and unexposed parts of the body due to a hormone
deficient caused by damage to the outer layer of the adrenal gland.
, ◉ A nurse is caring for a client who had a thyroidectomy to treat
hyperthyroidism cause by an adenoma. Which of the following
findings should the nurse report to the provider? Answer: Answer:
Tachycardia and hypertension. Laryngeal stridor and hoarseness and
positive trousseau's sign
◉ A nurse is reviewing the laboratory values of a client who has
diabetic ketoacidosis. The nurse should understand that which of the
following values is consistent with DKA Answer: Answer:
Bicarbonate level 12mEq/L
Rationale: a pt with DKA should have a bicarbonate level less than
15mEq/L
◉ A nurse is monitoring a client who has syndrome of inappropriate
antidiuretic hormone secretion (SIADH). Which of the following
findings should the nurse expect Answer: Answer: Hyponatremia
Rationale: A pt with SIADH with have hyponatremia caused by the
excessive release of an antidiuretic hormone. As a result of excess
ADH the pt retains water that causes dilutional hyponatremia
◉ A nurse is providing teaching to a client who has type 1 DM about
exercise. Which of the statements should the nurse include in the
teaching? Answer: Answer: Wear a medical alert identification tag
when you exercise.
Rationale: Exercise can potentiate the effects of insulin ad cause the
blood glucose levels to decrease.
