,NSG 3250 Exam 4 | Adult Health I (2026/2027) PDF
| Nursing | Galen
1. A client is admitted with diabetic ketoacidosis. Which laboratory finding
should the nurse expect?
A) Blood glucose 250 mg/dL and bicarbonate 12 mEq/L
B) Blood glucose 800 mg/dL and pH 7.45
C) Blood glucose 110 mg/dL and positive ketones
D) Blood glucose 400 mg/dL and bicarbonate 26 mEq/L
Correct Answer: A) Blood glucose 250 mg/dL and bicarbonate 12 mEq/L
Rationale: DKA is characterized by hyperglycemia, metabolic acidosis, and
ketosis. A bicarbonate level of 12 mEq/L indicates metabolic acidosis, which is a
hallmark finding. Blood glucose is typically above 250 mg/dL but not as extreme
as in hyperglycemic hyperosmolar state.
2. Which nursing intervention is the priority for a client diagnosed with
myxedema coma?
A) Providing a high-calorie diet
B) Maintaining a patent airway
C) Administering oral levothyroxine
D) Applying cooling blankets
Correct Answer: B) Maintaining a patent airway
,Rationale: Myxedema coma is a life-threatening emergency caused by severe
hypothyroidism, leading to respiratory failure and cardiovascular collapse.
Maintaining a patent airway is the priority intervention. Airway management
precedes other actions.
3. A nurse is caring for a male client diagnosed with benign prostatic hyperplasia
who is prescribed finasteride. Which finding indicates that the prescribed
treatment is effective?
A) Decreased penile tenderness and enlargement
B) Decreased and controlled sex drive
C) Decreased prostate-specific antigen levels
D) Increased ability to feel bladder fullness
Correct Answer: C) Decreased prostate-specific antigen levels
Rationale: Finasteride is used to treat benign prostatic hyperplasia.
Effectiveness is indicated by decreased prostate-specific antigen levels, which
reflect reduced prostate size and activity. The other findings are not indicators
of therapeutic effectiveness.
4. A nurse is caring for a client who has a rectocele. When reviewing the primary
healthcare provider's orders, which order should the nurse question?
A) Kegel exercises
B) Pessary
C) Docusate sodium
D) Metronidazole
, Correct Answer: D) Metronidazole
Rationale: Metronidazole is an antibiotic and would not be a typical treatment
for rectocele, so this order should be questioned. Kegel exercises, pessary
placement, and docusate sodium are appropriate interventions for rectocele
management.
5. A nurse is caring for a female client who has a history of uterine leiomyomas.
Which assessment finding indicates that the client's condition is worsening?
A) Excessive uterine bleeding
B) Dyspareunia
C) Recurrent bacterial vaginosis
D) Frequent urinary tract infections
Correct Answer: A) Excessive uterine bleeding
Rationale: Uterine leiomyomas, or fibroids, are benign tumors of the uterus.
Worsening of the condition is indicated by excessive uterine bleeding. The other
findings may occur but are not the primary indicators of worsening fibroids.
6. A nurse is caring for a 25-year-old female client with dysmenorrhea. Which
symptom reported by the client suggests the possibility of endometriosis?
A) Breast enlargement and tenderness
B) Pain with bowel movements
C) Premenstrual tension headaches
D) Cessation of menstruation
| Nursing | Galen
1. A client is admitted with diabetic ketoacidosis. Which laboratory finding
should the nurse expect?
A) Blood glucose 250 mg/dL and bicarbonate 12 mEq/L
B) Blood glucose 800 mg/dL and pH 7.45
C) Blood glucose 110 mg/dL and positive ketones
D) Blood glucose 400 mg/dL and bicarbonate 26 mEq/L
Correct Answer: A) Blood glucose 250 mg/dL and bicarbonate 12 mEq/L
Rationale: DKA is characterized by hyperglycemia, metabolic acidosis, and
ketosis. A bicarbonate level of 12 mEq/L indicates metabolic acidosis, which is a
hallmark finding. Blood glucose is typically above 250 mg/dL but not as extreme
as in hyperglycemic hyperosmolar state.
2. Which nursing intervention is the priority for a client diagnosed with
myxedema coma?
A) Providing a high-calorie diet
B) Maintaining a patent airway
C) Administering oral levothyroxine
D) Applying cooling blankets
Correct Answer: B) Maintaining a patent airway
,Rationale: Myxedema coma is a life-threatening emergency caused by severe
hypothyroidism, leading to respiratory failure and cardiovascular collapse.
Maintaining a patent airway is the priority intervention. Airway management
precedes other actions.
3. A nurse is caring for a male client diagnosed with benign prostatic hyperplasia
who is prescribed finasteride. Which finding indicates that the prescribed
treatment is effective?
A) Decreased penile tenderness and enlargement
B) Decreased and controlled sex drive
C) Decreased prostate-specific antigen levels
D) Increased ability to feel bladder fullness
Correct Answer: C) Decreased prostate-specific antigen levels
Rationale: Finasteride is used to treat benign prostatic hyperplasia.
Effectiveness is indicated by decreased prostate-specific antigen levels, which
reflect reduced prostate size and activity. The other findings are not indicators
of therapeutic effectiveness.
4. A nurse is caring for a client who has a rectocele. When reviewing the primary
healthcare provider's orders, which order should the nurse question?
A) Kegel exercises
B) Pessary
C) Docusate sodium
D) Metronidazole
, Correct Answer: D) Metronidazole
Rationale: Metronidazole is an antibiotic and would not be a typical treatment
for rectocele, so this order should be questioned. Kegel exercises, pessary
placement, and docusate sodium are appropriate interventions for rectocele
management.
5. A nurse is caring for a female client who has a history of uterine leiomyomas.
Which assessment finding indicates that the client's condition is worsening?
A) Excessive uterine bleeding
B) Dyspareunia
C) Recurrent bacterial vaginosis
D) Frequent urinary tract infections
Correct Answer: A) Excessive uterine bleeding
Rationale: Uterine leiomyomas, or fibroids, are benign tumors of the uterus.
Worsening of the condition is indicated by excessive uterine bleeding. The other
findings may occur but are not the primary indicators of worsening fibroids.
6. A nurse is caring for a 25-year-old female client with dysmenorrhea. Which
symptom reported by the client suggests the possibility of endometriosis?
A) Breast enlargement and tenderness
B) Pain with bowel movements
C) Premenstrual tension headaches
D) Cessation of menstruation
