MDC 2 Final Exam
1. A nurse is caring for a client recently diagnosed with diabetes insipidus.
Which of the following medications would be appropriate for this disorder?: -
Desmopressin
2. A nurse assess a client who is recovering from an ileostomy
placement. Which clinical manifestation would alert the nurses to contact
the healthcare provider urgently?: A bluish stoma
3. The nurse is caring for a client diagnosed with cholelithiasis. Which of
the following nursing instructions should be included as part of the
discharge teaching?: " You should limit high-fat meats and fried foods from your
diet."
4. The nurse is caring for a 46-year-old female client who presented to the
emergency department with dizziness, nausea, vomiting, and fatigue over
the past two days. The client has recently been diagnosed with breast
cancer and has been undergoing chemptherapy. The client labs reveal the
following: Na 150 mEq/mL, potassium 3.0 mEq/mL, calcium 15 mg/dL. Which
of the following imbalances is the client exhibiting?: Hypernatremia,
hypokalemia, hypercalcemia
5. A nurse cares for a dying client. Which manifestation of active dying
would the nurse treat first?: Pain
6. A nurse teaches a client who is diagnosed with diabetes mellitus. Which
statement would the nurse include in the client's plan of care to delay the
onset of microvascular and macrovascular complications?: "Maintain tight
glycemic control and prevent hyperglycemia"
7. A client assessment reveals fatigue, poor memory and weight gain. The
lab results reveal elevated thyroid stimulating hormone (TSH) and decreased
T3 and T4 levels. The nurse knows that these are manifestations of which
disorder?: Hypothyroidism
8. A nurse is providing client and family education for a client diagnosed
with irritable bowel syndrome. Which of the following is important to include
in the education? (Select all that apply): Modify diet.
Stress reduction.
Adhere to prescribed medications
9. The nurse is caring for a client with end stage renal failure PaO2 is 94
mmHg. Arterial blood gases indicate that she is experiencing metabolic
acidosis with partial respiratory compensation. Which of the following
, arterial blood gases support this?: pH=7.33, PaCO2=31mmHg,
HCO3=19mEq/L
10. Which of the following signs and symptoms indicate a possible upper
gastrointestinal (GI) bleed? (Select all that apply): Bright red or coffee ground
vomitus
Vertigo Weak peripheral pulses
11. The nurse is providing care for a client who underwent a
parathyroidectomy two days ago. To prevent complication with the surgery,
which laboratory value requires close monitoring by the nurse?: Serum
calcium levels
12. A client underwent a colon resection with colostomy placement. Which
of the following would the surgeon consult post-operatively for colostomy
management?: Wound Ostomy Continence Nurse
13. The client has just receive a round of chemotherapy and will be
discharged home. The nurse is educating the client about the concerns of
neutropenia and the continuing risk for infection. Which of the following
statements would NOT be appropriate given the client's situation?: "If you
experience a fever, treat it with over-the-counter medications and report it to your
physician if symptoms don't resolve in 48 hours"
14. A nurse is caring for a client recently diagnosed with Addisonian crisis.
Which of the following signs and symptoms are consistent with this
diagnosis?: Severe hypotension
15. A nurse is caring for an adolescent client who has a long history of
diabetes mellitus and is being admitted to the emergency department
confused, flushed, and with an acetone odor on the breath. Diabetic
Ketoacidosis is suspected. The nurse should anticipate using which of the
following types of insulin to be given intravenously to treat this client?:
Regular insulin.
16. A client was admitted with the following arterial blood gas (ABG). How
does the nurse interpret these result?
pH= 7.48
PaCO2= 30 mmHg
HcO3= 18 mEq/L
PaO2= 85 mmHg: Respiratory alkalosis with partial metabolic compensation.
17. A nurse is caring for a client recently diagnosed with thyroid cancer.
Which of the following lab results will validate this diagnosis?: Increased
serum thyroglobulin (TG) level
1. A nurse is caring for a client recently diagnosed with diabetes insipidus.
Which of the following medications would be appropriate for this disorder?: -
Desmopressin
2. A nurse assess a client who is recovering from an ileostomy
placement. Which clinical manifestation would alert the nurses to contact
the healthcare provider urgently?: A bluish stoma
3. The nurse is caring for a client diagnosed with cholelithiasis. Which of
the following nursing instructions should be included as part of the
discharge teaching?: " You should limit high-fat meats and fried foods from your
diet."
4. The nurse is caring for a 46-year-old female client who presented to the
emergency department with dizziness, nausea, vomiting, and fatigue over
the past two days. The client has recently been diagnosed with breast
cancer and has been undergoing chemptherapy. The client labs reveal the
following: Na 150 mEq/mL, potassium 3.0 mEq/mL, calcium 15 mg/dL. Which
of the following imbalances is the client exhibiting?: Hypernatremia,
hypokalemia, hypercalcemia
5. A nurse cares for a dying client. Which manifestation of active dying
would the nurse treat first?: Pain
6. A nurse teaches a client who is diagnosed with diabetes mellitus. Which
statement would the nurse include in the client's plan of care to delay the
onset of microvascular and macrovascular complications?: "Maintain tight
glycemic control and prevent hyperglycemia"
7. A client assessment reveals fatigue, poor memory and weight gain. The
lab results reveal elevated thyroid stimulating hormone (TSH) and decreased
T3 and T4 levels. The nurse knows that these are manifestations of which
disorder?: Hypothyroidism
8. A nurse is providing client and family education for a client diagnosed
with irritable bowel syndrome. Which of the following is important to include
in the education? (Select all that apply): Modify diet.
Stress reduction.
Adhere to prescribed medications
9. The nurse is caring for a client with end stage renal failure PaO2 is 94
mmHg. Arterial blood gases indicate that she is experiencing metabolic
acidosis with partial respiratory compensation. Which of the following
, arterial blood gases support this?: pH=7.33, PaCO2=31mmHg,
HCO3=19mEq/L
10. Which of the following signs and symptoms indicate a possible upper
gastrointestinal (GI) bleed? (Select all that apply): Bright red or coffee ground
vomitus
Vertigo Weak peripheral pulses
11. The nurse is providing care for a client who underwent a
parathyroidectomy two days ago. To prevent complication with the surgery,
which laboratory value requires close monitoring by the nurse?: Serum
calcium levels
12. A client underwent a colon resection with colostomy placement. Which
of the following would the surgeon consult post-operatively for colostomy
management?: Wound Ostomy Continence Nurse
13. The client has just receive a round of chemotherapy and will be
discharged home. The nurse is educating the client about the concerns of
neutropenia and the continuing risk for infection. Which of the following
statements would NOT be appropriate given the client's situation?: "If you
experience a fever, treat it with over-the-counter medications and report it to your
physician if symptoms don't resolve in 48 hours"
14. A nurse is caring for a client recently diagnosed with Addisonian crisis.
Which of the following signs and symptoms are consistent with this
diagnosis?: Severe hypotension
15. A nurse is caring for an adolescent client who has a long history of
diabetes mellitus and is being admitted to the emergency department
confused, flushed, and with an acetone odor on the breath. Diabetic
Ketoacidosis is suspected. The nurse should anticipate using which of the
following types of insulin to be given intravenously to treat this client?:
Regular insulin.
16. A client was admitted with the following arterial blood gas (ABG). How
does the nurse interpret these result?
pH= 7.48
PaCO2= 30 mmHg
HcO3= 18 mEq/L
PaO2= 85 mmHg: Respiratory alkalosis with partial metabolic compensation.
17. A nurse is caring for a client recently diagnosed with thyroid cancer.
Which of the following lab results will validate this diagnosis?: Increased
serum thyroglobulin (TG) level
