Nurs 6015 Exam 2 Practice chapters 55, 58, 60, 72, 57, 83.
84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 101, and 56 Questions
With Complete Solutions
a and c Correct Answers What does the nurse identify as
possible complications of glucocorticoid therapy? (Select all that
apply.)
a. Impaired carbohydrate and glucose tolerance
b. Increased production of glucocorticoids from the adrenals
c. Predisposition to gastrointestinal ulceration
d. Decrease in serum sodium and glucose levels
e. Increase in plaque development in coronary arteries
a, b, and c Correct Answers What would be the most
appropriate nursing intervention for a 23-year old patient, who
for the first time, has a fasting plasma glucose level of
145mg/dL? (select all that apply)
a. advise the patient to include 150 minutes of moderate to
vigorous exercise spread over 3 days per week
b. discuss diet changes with the patient
c. explain the need for oral antidiabetic medication to the patient
d. teach the patient how to do a urine dip for glucose and
ketones
a, b, and c Correct Answers Which statements about
hydrocortisone are correct? (Select all that apply.)
a. It is a synthetic steroid identical to cortisol.
b. It is a preferred drug for adrenocortical insufficiency.
c. It has glucocorticoid and mineralocorticoid actions.
d. It is given IV for chronic replacement therapy.
e. It should not be given during times of stress.
,a, b, and e Correct Answers What does the nurse identify as a
possible adverse effect of long-term glucocorticoid therapy?
(Select all that apply.)
a. Adrenal insufficiency
b. Osteoporosis
c. Hypoglycemia
d. Hyperkalemia
e. Cataracts
a, b, c, and e Correct Answers When assessing a patient who
has Cushing's syndrome, a nurse associates which clinical
manifestations with this disorder? (Select all that apply.)
a. Osteoporosis
b. Moon face
c. Glycosuria
d. Ketonuria
e. Mood swings
a, b, c, d, and e Correct Answers The nurse is caring for a
patient who receives levothyroxine. Which OTC drugs should
not be administered within hours of the administration of
levothyroxine? (select all that apply)
a. aluminum hydroxide
b. calcium carbonate
c. cimetidine
d. ferrous sulfate
e. milk of magnesia
a, b, c, d, and e Correct Answers The nurse should be
especially vigilant in assessing for adverse systemic effects of a
,topical glucocorticoid therapy when administering the
preparation? (select all that apply)
a. to intertriginous areas
b. to mucous membranes
c. to well-hydrated skin
d. to infants
e. under an occlusive barrier
a, b, d, and e Correct Answers The nurse is caring for a patient
receiving vitamin B12 because of a deficiency. What are
common causes of this deficiency? (Select all that apply.)
a. Regional enteritis and malabsorption
b. Celiac disease
c. Decreased intake of foods with vitamin B12
d. Advancing age
e. Use of drugs that lower stomach acid
a, c, and d Correct Answers To prevent damage to the
developing neural tube of a fetus, it is important for women of
child-bearing age to have adequate daily intake of folate, which
can be found in which foods? (select all that apply)
a. asparagus and spinach
b. egg yolks and red meat
c. enriched cereals and whole-wheat breads
d. lentils and okra
e. liver and chicken
a, c, and e Correct Answers A child would be at risk of
contracting the disease if which immunization was administered
when the child is receiving glucocorticoid therapy? (select all
that apply)
, a. nasal influenza
b. injected influenza
c. measles, mumps, and rubella
d. pneumococcal
e. varicella
a, d, and e Correct Answers A patient is taking dexamethasone
for COPD and digoxin for HF. Because of the increased risk for
digoxin toxicity, the nurse should asses for what effects? (select
all that apply)
a. loss of appetite
b. positive Chvostek sign
c. flushed skin
d. confusion
e. visual changes
a. "Draw up the clear regular insulin first, followed by the
cloudy NPH insulin." Correct Answers Which instruction
should the nurse provide when teaching a patient to mix regular
insulin and NPH insulin in the same syringe?
a. "Draw up the clear regular insulin first, followed by the
cloudy NPH insulin."
b. "It is not necessary to rotate the NPH insulin vial when it is
mixed with regular insulin."
c. "The order of drawing up insulin does not matter as long as
the insulin is refrigerated."
d. "Rotate subcutaneous injection sites each day among the arm,
thigh, and abdomen."
a. "I need to notify my doctor if I have episodes of sweating and
shakiness" Correct Answers After receiving teaching about the
84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 101, and 56 Questions
With Complete Solutions
a and c Correct Answers What does the nurse identify as
possible complications of glucocorticoid therapy? (Select all that
apply.)
a. Impaired carbohydrate and glucose tolerance
b. Increased production of glucocorticoids from the adrenals
c. Predisposition to gastrointestinal ulceration
d. Decrease in serum sodium and glucose levels
e. Increase in plaque development in coronary arteries
a, b, and c Correct Answers What would be the most
appropriate nursing intervention for a 23-year old patient, who
for the first time, has a fasting plasma glucose level of
145mg/dL? (select all that apply)
a. advise the patient to include 150 minutes of moderate to
vigorous exercise spread over 3 days per week
b. discuss diet changes with the patient
c. explain the need for oral antidiabetic medication to the patient
d. teach the patient how to do a urine dip for glucose and
ketones
a, b, and c Correct Answers Which statements about
hydrocortisone are correct? (Select all that apply.)
a. It is a synthetic steroid identical to cortisol.
b. It is a preferred drug for adrenocortical insufficiency.
c. It has glucocorticoid and mineralocorticoid actions.
d. It is given IV for chronic replacement therapy.
e. It should not be given during times of stress.
,a, b, and e Correct Answers What does the nurse identify as a
possible adverse effect of long-term glucocorticoid therapy?
(Select all that apply.)
a. Adrenal insufficiency
b. Osteoporosis
c. Hypoglycemia
d. Hyperkalemia
e. Cataracts
a, b, c, and e Correct Answers When assessing a patient who
has Cushing's syndrome, a nurse associates which clinical
manifestations with this disorder? (Select all that apply.)
a. Osteoporosis
b. Moon face
c. Glycosuria
d. Ketonuria
e. Mood swings
a, b, c, d, and e Correct Answers The nurse is caring for a
patient who receives levothyroxine. Which OTC drugs should
not be administered within hours of the administration of
levothyroxine? (select all that apply)
a. aluminum hydroxide
b. calcium carbonate
c. cimetidine
d. ferrous sulfate
e. milk of magnesia
a, b, c, d, and e Correct Answers The nurse should be
especially vigilant in assessing for adverse systemic effects of a
,topical glucocorticoid therapy when administering the
preparation? (select all that apply)
a. to intertriginous areas
b. to mucous membranes
c. to well-hydrated skin
d. to infants
e. under an occlusive barrier
a, b, d, and e Correct Answers The nurse is caring for a patient
receiving vitamin B12 because of a deficiency. What are
common causes of this deficiency? (Select all that apply.)
a. Regional enteritis and malabsorption
b. Celiac disease
c. Decreased intake of foods with vitamin B12
d. Advancing age
e. Use of drugs that lower stomach acid
a, c, and d Correct Answers To prevent damage to the
developing neural tube of a fetus, it is important for women of
child-bearing age to have adequate daily intake of folate, which
can be found in which foods? (select all that apply)
a. asparagus and spinach
b. egg yolks and red meat
c. enriched cereals and whole-wheat breads
d. lentils and okra
e. liver and chicken
a, c, and e Correct Answers A child would be at risk of
contracting the disease if which immunization was administered
when the child is receiving glucocorticoid therapy? (select all
that apply)
, a. nasal influenza
b. injected influenza
c. measles, mumps, and rubella
d. pneumococcal
e. varicella
a, d, and e Correct Answers A patient is taking dexamethasone
for COPD and digoxin for HF. Because of the increased risk for
digoxin toxicity, the nurse should asses for what effects? (select
all that apply)
a. loss of appetite
b. positive Chvostek sign
c. flushed skin
d. confusion
e. visual changes
a. "Draw up the clear regular insulin first, followed by the
cloudy NPH insulin." Correct Answers Which instruction
should the nurse provide when teaching a patient to mix regular
insulin and NPH insulin in the same syringe?
a. "Draw up the clear regular insulin first, followed by the
cloudy NPH insulin."
b. "It is not necessary to rotate the NPH insulin vial when it is
mixed with regular insulin."
c. "The order of drawing up insulin does not matter as long as
the insulin is refrigerated."
d. "Rotate subcutaneous injection sites each day among the arm,
thigh, and abdomen."
a. "I need to notify my doctor if I have episodes of sweating and
shakiness" Correct Answers After receiving teaching about the
