NURS 3444 Exam 5 Practice Questions
2024/2025 Exam All Answers and
Illustrations Given
A school-age client diagnosed with diabetes insipidus (DI) is admitted to
the pediatric unit. Which laboratory value does the nurse anticipate for this
client based on the diagnosis?
1. Hyperglycemia
2. Hypernatremia
3. Hypercalcemia
4. Hypoglycemia - 🧠ANSWER ✔✔2. Hypernatremia
A nurse is conducting a daily weight on a pediatric client diagnosed with
diabetes insipidus and notes the child has lost two pounds in 24 hours.
Which action by the nurse is the most appropriate?
1. Continue to monitor the child.
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,2. Notify the healthcare provider regarding the weight loss.
3. Chart the weight and report the loss to the next shift.
4. Do nothing more than chart the weight, as this would be a normal
finding. - 🧠ANSWER ✔✔2. Notify the healthcare provider regarding the
weight loss.
An adolescent client diagnosed with Graves disease is admitted to the
hospital. Which clinical manifestations would the nurse expect on
assessment?
1. Weight gain, hirsutism, and muscle weakness
2. Dehydration, metabolic acidosis, and hypertension
3. Tachycardia, fatigue, and heat intolerance
4. Hyperglycemia, ketonuria, and glucosuria - 🧠ANSWER ✔✔3.
Tachycardia, fatigue, and heat intolerance
A pediatric client is admitted to the hospital unconscious. The client has a
history of type 1 diabetes, and according to the clients mother, has been to
two birthday parties in the last few days and has resisted taking the
prescribed insulin. At school the client had two more pieces of birthday
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,cake and some ice cream at a class birthday party. What is the likely
reason for this clients unconscious state?
1. Metabolic alkalosis
2. Metabolic ketoacidosis
3. Insulin shock
4. Insulin reaction - 🧠ANSWER ✔✔2. Metabolic ketoacidosis
A pediatric client is diagnosed with type 1 diabetes. The nurse teaches the
client the difference between insulin shock and diabetic hyperglycemia. The
nurse evaluates that the client understands the teaching when the client
states which characteristics of diabetic hyperglycemia?
1. Tremors and lethargy
2. Hunger and hypertension
3. Thirst and flushed skin
4. Shakiness and pallor - 🧠ANSWER ✔✔3. Thirst and flushed skin
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, The nurse is providing education to a pediatric client diagnosed with
diabetes. The client will be playing soccer over the summer. Which change
in the clients management will the nurse explore during this education
session?
1. Increased food intake
2. Decreased food intake
3. Increased need for insulin
4. Decreased risk of insulin reaction - 🧠ANSWER ✔✔1. Increased food
intake
The nurse is teaching the parent of a type 1 diabetic preschool-age client
about management of the disease. Which teaching point is appropriate for
the nurse to include in this session?
1. Allowing the client to administer all the insulin injections
2. Allowing the client to choose which finger to stick for glucose testing
3. Allowing the client to draw up the insulin dose
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STATEMENT. ALL RIGHTS RESERVED
2024/2025 Exam All Answers and
Illustrations Given
A school-age client diagnosed with diabetes insipidus (DI) is admitted to
the pediatric unit. Which laboratory value does the nurse anticipate for this
client based on the diagnosis?
1. Hyperglycemia
2. Hypernatremia
3. Hypercalcemia
4. Hypoglycemia - 🧠ANSWER ✔✔2. Hypernatremia
A nurse is conducting a daily weight on a pediatric client diagnosed with
diabetes insipidus and notes the child has lost two pounds in 24 hours.
Which action by the nurse is the most appropriate?
1. Continue to monitor the child.
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
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STATEMENT. ALL RIGHTS RESERVED
,2. Notify the healthcare provider regarding the weight loss.
3. Chart the weight and report the loss to the next shift.
4. Do nothing more than chart the weight, as this would be a normal
finding. - 🧠ANSWER ✔✔2. Notify the healthcare provider regarding the
weight loss.
An adolescent client diagnosed with Graves disease is admitted to the
hospital. Which clinical manifestations would the nurse expect on
assessment?
1. Weight gain, hirsutism, and muscle weakness
2. Dehydration, metabolic acidosis, and hypertension
3. Tachycardia, fatigue, and heat intolerance
4. Hyperglycemia, ketonuria, and glucosuria - 🧠ANSWER ✔✔3.
Tachycardia, fatigue, and heat intolerance
A pediatric client is admitted to the hospital unconscious. The client has a
history of type 1 diabetes, and according to the clients mother, has been to
two birthday parties in the last few days and has resisted taking the
prescribed insulin. At school the client had two more pieces of birthday
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
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STATEMENT. ALL RIGHTS RESERVED
,cake and some ice cream at a class birthday party. What is the likely
reason for this clients unconscious state?
1. Metabolic alkalosis
2. Metabolic ketoacidosis
3. Insulin shock
4. Insulin reaction - 🧠ANSWER ✔✔2. Metabolic ketoacidosis
A pediatric client is diagnosed with type 1 diabetes. The nurse teaches the
client the difference between insulin shock and diabetic hyperglycemia. The
nurse evaluates that the client understands the teaching when the client
states which characteristics of diabetic hyperglycemia?
1. Tremors and lethargy
2. Hunger and hypertension
3. Thirst and flushed skin
4. Shakiness and pallor - 🧠ANSWER ✔✔3. Thirst and flushed skin
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STATEMENT. ALL RIGHTS RESERVED
, The nurse is providing education to a pediatric client diagnosed with
diabetes. The client will be playing soccer over the summer. Which change
in the clients management will the nurse explore during this education
session?
1. Increased food intake
2. Decreased food intake
3. Increased need for insulin
4. Decreased risk of insulin reaction - 🧠ANSWER ✔✔1. Increased food
intake
The nurse is teaching the parent of a type 1 diabetic preschool-age client
about management of the disease. Which teaching point is appropriate for
the nurse to include in this session?
1. Allowing the client to administer all the insulin injections
2. Allowing the client to choose which finger to stick for glucose testing
3. Allowing the client to draw up the insulin dose
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STATEMENT. ALL RIGHTS RESERVED
