CCRN Practice Test exam 2023 with 100% correct answers

A patient in hyperosolar hyperglycemic state (HHS) is being admitted with dehydration and a serum glucose level of 836 mg/dL. Which of the following additional laboratory findings should the nurse anticipate? A. decreased BUN, decreased creatinine, and elevated serum osmolality B. decreased BUN, decreased creatinine and decreased serum osmolality C. decreased BUN, elevated creatinine and decreased serum osmolality D. elevated BUN, elevated creatinine and elevated serum osmolality - correct answerD. elevated BUN, elevated creatinine and elevated serum osmolality Serum osmolality 320 mOsm/kg distinguishes HHS from DKA On the fifth day post-admission, a patient with Q waves in V1, V2, and V3 develops hypotension, tachycardia, and a pan-systolic murmur that is loudest at the lower left sternal border. This patient most likely developed A. idiopathic hypertrophic cardiomyopathy B. inferior wall infarction C. cardiac tamponade D. a ruptured inter-ventricular septum - correct answerD. a ruptured inter-ventricular septum (septal wall MI)