AND CORRECT ANSWERS (100% CORRECT VERIFIED ANSWERS)
ALREADY GRADED A+.
A client’s blood glucose level is 275 mg/dL. The client is about to eat breakfast.
Per sliding scale, the nurse administers 8 units of regular human insulin
subcutaneously at 0900, The nurse knows the client is most at risk for
hypoglycemia at what time?
A) 1130
B) 0830
C) 1530
D) 1430 - CORRECT ANSWER - A) 1130
The nurse is caring for a 56-yr old female with a small bowel obstruction. The
nurse should question which of the following orders preoperatively?
A) Morphine intravenously for pain
B) Nasogastric tube to low-intermittent wall suction
C) Intravenous maintenance fluids
D) Bland diet - CORRECT ANSWER - D) Bland diet
The nurse knows which of the therapeutic response to hydrocortisone for
Addisonian crisis?
A) Weight gain
,B) No signs of pitting edema
C) Increased urine output
D) Client is alert and oriented with improved lethargy - CORRECT
ANSWER - D) Client is alert and oriented with improved lethargy
A nurse is teaching a client with diabetes mellitus who asks "why is it necessary
to maintain my blood glucose levels to no lower than about 60 mg/dL?" How
would you respond?
A) Glucose is the only fuel used by the body to produce the energy it needs
B) Your brain needs a constant supply of glucose because it cannot store it
C) Without a minimum level of glucose, your body does not make red blood
cells
D) Glucose in the blood prevents the formation of lactic acid and prevents
acidosis - CORRECT ANSWER - B) Your brain needs a constant supply of
glucose because it cannot store it
A nurse caring for a client diagnosed with thyroid cancer. Which of the
following lab results will validate these findings?
A) Increased serum calcium levels
B) Increased serum phosphorus levels
C) Increased serum thyroglobulin level
D) Decreased serum thyroglobulin level - CORRECT ANSWER - C)
Increased serum thyroglobulin level
A nurse cares for a client with chronic hypercortisolism. What action would the
nurse take to prevent infection?
A) Wash hands when entering room
B) Keep the client in airborne isolation
C) Observe the client for weight gain
,D) Asses the client's daily chest x-ray - CORRECT ANSWER - A) Wash
hands when entering room
The nurse identifies which lab result is consistent with a client's diagnosis of
hyperthyroidism?
A) Decreased serum T3 and T4 levels
B) Elevated serum thyrotropin-releasing hormone (TRH) level
C) Decreased radioactive iodine uptake
D) Increased serum T3 and T4 levels - CORRECT ANSWER - D) Increased
serum T3 and T4 levels
A nurse assesses a client with a 15-year history of type 2 diabetes with
peripheral neuropathy. What action would the nurse take first?
A) Document the finding in the client's chart
B) Compare extremities for deficiencies
C) Perform a focused foot assessment
D) Notify the healthcare provider - CORRECT ANSWER - B) Compare
extremities for deficiencies
Continuous muscle spasms in a client with hypoparathyroidism are related to
which condition?
A) Nerve damage
B) Seizures
C) Tetany
D) Decreased potassium - CORRECT ANSWER - C) Tetany
A nurse is caring for a client recently diagnosed with Addison's crisis. Which of
the following signs and symptoms are consistent with this diagnosis?
, A) Hypernatremia
B) Severe hypotension
C) Vascular resistance
D) Hypokalemia - CORRECT ANSWER - B) Severe hypotension
The nurse is caring for a diabetic client with a blood glucose of 56mg/dL. The
client is difficult to arouse. What action would the nurse take?
A) Give a glass of orange juice with three sugar packets mixed in and monitor
the client
B) Give a glass of milk and monitor the client
C) Give a complex carbohydrate and monitor the client
D) Administer 50% dextrose (d50) IV push per order and monitor the client -
ANSWER-D) Administer 50% dextrose (d50) IV push per order and monitor
the client
A nurse is caring for a client admitted with acute pancreatitis. Which of the
following are treatment options for the early stages of mild acute pancreatitis?
(SATA)
A) Nothing by mouth for 24-48 hours
B) Assess and manage pain
C) Encourage early oral nutrition
D) Assess labs for amylase and lipase levels
E) Measure and document accurate intake and output - CORRECT ANSWER -
A) Nothing by mouth for 24-48 hours
B) Assess and manage pain
D) Assess labs for amylase and lipase levels
The nurse is caring for a client with a new diagnosis of adrenal insufficiency.
Which of the following would the nurse expect upon assessment? (SATA)