NURS 3661 Exam 1 Questions With Complete Solutions
A 15-year-old child is brought to the emergency department
with symptoms of hyperglycemia and is subsequently diagnosed
with diabetes. Based on the fact that the childs pancreatic beta
cells are being destroyed, the patient would be diagnosed with
what type of diabetes? Correct Answers Type 1 diabetes
A 28-year-old pregnant woman is spilling sugar in her urine.
The physician orders a glucose tolerance test, which reveals
gestational diabetes. The patient is shocked by the diagnosis,
stating that she is conscientious about her health, and asks the
nurse what causes gestational diabetes. The nurse should explain
that gestational diabetes is a result of what etiologic factor?
Correct Answers The effects of hormonal changes during
pregnancy
A 30 year-old female patient has been diagnosed with Cushing
syndrome. What psychosocial nursing
diagnosis should the nurse most likely prioritize when planning
the patients care? Correct Answers Disturbed body image
related to changes in physical appearance
A 40-year-old male newly diagnosed with hypertension is
discussing risk factors with the nurse. The nurse talks about
lifestyle changes with the patient and advises that the patient
should avoid tobacco use. What is the primary rationale behind
that advice to the patient? Correct Answers Tobacco use
increases the patients concurrent risk of heart disease.
,A 55-year-old patient comes to the clinic for a routine check-up.
The patients BP is 159/100 mm Hg and the physician diagnoses
hypertension after referring to previous readings. The patient
asks why it is important to treat hypertension. What would be
the nurses best response? Correct Answers Hypertension
greatly increases your risk of stroke and heart disease.
A 73-year-old man comes into the emergency department (ED)
by ambulance after slipping on a small carpet in his home. The
patient fell on his hip with a resultant fracture. He is alert and
oriented; his pupils are equal and reactive to light and
accommodation. His heart rate is elevated, he is anxious and
thirsty, a Foley catheter is placed, and 40 mL of urine is present.
What is the nurses most likely explanation for the low urine
output? Correct Answers The man is having a sympathetic
reaction, which has stimulated the reninangiotensinaldosterone
system that results in diminished urine output.
A 79-year-old man is admitted to the medical unit with digital
gangrene. The man states that his problems first began when he
stubbed his toe going to the bathroom in the dark. In addition to
this trauma, the nurse should suspect that the patient has a
history of what health problem? Correct Answers Arterial
insufficiency
A cardiac patients resistance to left ventricular filling has caused
blood to back up into the patients
circulatory system. What health problem is likely to result?
Correct Answers Acute pulmonary edema
,A cardiovascular patient with a previous history of pulmonary
embolism (PE) is experiencing a sudden
onset of dyspnea, rapid breathing, and chest pain. The nurse
recognizes the characteristic signs and
symptoms of a PE. What is the nurses best action? Correct
Answers Rapidly assess the patients cardiopulmonary status.
A community health nurse is planning an educational campaign
addressing hypertension. The nurse should anticipate that the
incidence and prevalence of hypertension are likely to be highest
among members of what ethnic group? Correct Answers
Hispanics
A community health nurse teaching a group of adults about
preventing and treating hypertension. The nurse should
encourage these participants to collaborate with their primary
care providers and regularly monitor which of the following?
Correct Answers Blood lipid levels
A diabetes educator is teaching a patient about type 2 diabetes.
The educator recognizes that the patient understands the primary
treatment for type 2 diabetes when the patient states what?
Correct Answers I will make sure to follow the weight loss plan
designed by the dietitian.
A diabetes nurse educator is presenting the American Diabetes
Association (ADA) recommendations for levels of caloric
intake. What do the ADAs recommendations include? Correct
Answers 50% to 60% of calories from carbohydrates, 20% to
30% from fat, and the remaining 10% to 20% from protein
, A diabetes nurse educator is teaching a group of patients with
type 1 diabetes about sick day rules. What guideline applies to
periods of illness in a diabetic patient? Correct Answers Do not
eliminate insulin when nauseated and vomiting.
A diabetes nurse is assessing a patients knowledge of self-care
skills. What would be the most appropriate way for the educator
to assess the patients knowledge of nutritional therapy in
diabetes? Correct Answers Ask the patient to keep a food diary
and review it with the nurse.
A diabetic educator is discussing sick day rules with a newly
diagnosed type 1 diabetic. The educator is aware that the patient
will require further teaching when the patient states what?
Correct Answers I will not take my insulin on the days when I
am sick, but I will certainly check my blood sugar every 2 hours.
A diabetic nurse is working for the summer at a camp for
adolescents with diabetes. When providing information on the
prevention and management of hypoglycemia, what action
should the nurse promote? Correct Answers Always carry a
form of fast-acting sugar.
A diabetic patient calls the clinic complaining of having a flu
bug. The nurse tells him to take his regular dose of insulin. What
else should the nurse tell the patient? Correct Answers Try to
eat small amounts of carbs, if possible.
A group of student nurses are practicing taking blood pressure.
A 56-year-old male student has a blood pressure reading of
146/96 mm Hg. Upon hearing the reading, he exclaims, My
A 15-year-old child is brought to the emergency department
with symptoms of hyperglycemia and is subsequently diagnosed
with diabetes. Based on the fact that the childs pancreatic beta
cells are being destroyed, the patient would be diagnosed with
what type of diabetes? Correct Answers Type 1 diabetes
A 28-year-old pregnant woman is spilling sugar in her urine.
The physician orders a glucose tolerance test, which reveals
gestational diabetes. The patient is shocked by the diagnosis,
stating that she is conscientious about her health, and asks the
nurse what causes gestational diabetes. The nurse should explain
that gestational diabetes is a result of what etiologic factor?
Correct Answers The effects of hormonal changes during
pregnancy
A 30 year-old female patient has been diagnosed with Cushing
syndrome. What psychosocial nursing
diagnosis should the nurse most likely prioritize when planning
the patients care? Correct Answers Disturbed body image
related to changes in physical appearance
A 40-year-old male newly diagnosed with hypertension is
discussing risk factors with the nurse. The nurse talks about
lifestyle changes with the patient and advises that the patient
should avoid tobacco use. What is the primary rationale behind
that advice to the patient? Correct Answers Tobacco use
increases the patients concurrent risk of heart disease.
,A 55-year-old patient comes to the clinic for a routine check-up.
The patients BP is 159/100 mm Hg and the physician diagnoses
hypertension after referring to previous readings. The patient
asks why it is important to treat hypertension. What would be
the nurses best response? Correct Answers Hypertension
greatly increases your risk of stroke and heart disease.
A 73-year-old man comes into the emergency department (ED)
by ambulance after slipping on a small carpet in his home. The
patient fell on his hip with a resultant fracture. He is alert and
oriented; his pupils are equal and reactive to light and
accommodation. His heart rate is elevated, he is anxious and
thirsty, a Foley catheter is placed, and 40 mL of urine is present.
What is the nurses most likely explanation for the low urine
output? Correct Answers The man is having a sympathetic
reaction, which has stimulated the reninangiotensinaldosterone
system that results in diminished urine output.
A 79-year-old man is admitted to the medical unit with digital
gangrene. The man states that his problems first began when he
stubbed his toe going to the bathroom in the dark. In addition to
this trauma, the nurse should suspect that the patient has a
history of what health problem? Correct Answers Arterial
insufficiency
A cardiac patients resistance to left ventricular filling has caused
blood to back up into the patients
circulatory system. What health problem is likely to result?
Correct Answers Acute pulmonary edema
,A cardiovascular patient with a previous history of pulmonary
embolism (PE) is experiencing a sudden
onset of dyspnea, rapid breathing, and chest pain. The nurse
recognizes the characteristic signs and
symptoms of a PE. What is the nurses best action? Correct
Answers Rapidly assess the patients cardiopulmonary status.
A community health nurse is planning an educational campaign
addressing hypertension. The nurse should anticipate that the
incidence and prevalence of hypertension are likely to be highest
among members of what ethnic group? Correct Answers
Hispanics
A community health nurse teaching a group of adults about
preventing and treating hypertension. The nurse should
encourage these participants to collaborate with their primary
care providers and regularly monitor which of the following?
Correct Answers Blood lipid levels
A diabetes educator is teaching a patient about type 2 diabetes.
The educator recognizes that the patient understands the primary
treatment for type 2 diabetes when the patient states what?
Correct Answers I will make sure to follow the weight loss plan
designed by the dietitian.
A diabetes nurse educator is presenting the American Diabetes
Association (ADA) recommendations for levels of caloric
intake. What do the ADAs recommendations include? Correct
Answers 50% to 60% of calories from carbohydrates, 20% to
30% from fat, and the remaining 10% to 20% from protein
, A diabetes nurse educator is teaching a group of patients with
type 1 diabetes about sick day rules. What guideline applies to
periods of illness in a diabetic patient? Correct Answers Do not
eliminate insulin when nauseated and vomiting.
A diabetes nurse is assessing a patients knowledge of self-care
skills. What would be the most appropriate way for the educator
to assess the patients knowledge of nutritional therapy in
diabetes? Correct Answers Ask the patient to keep a food diary
and review it with the nurse.
A diabetic educator is discussing sick day rules with a newly
diagnosed type 1 diabetic. The educator is aware that the patient
will require further teaching when the patient states what?
Correct Answers I will not take my insulin on the days when I
am sick, but I will certainly check my blood sugar every 2 hours.
A diabetic nurse is working for the summer at a camp for
adolescents with diabetes. When providing information on the
prevention and management of hypoglycemia, what action
should the nurse promote? Correct Answers Always carry a
form of fast-acting sugar.
A diabetic patient calls the clinic complaining of having a flu
bug. The nurse tells him to take his regular dose of insulin. What
else should the nurse tell the patient? Correct Answers Try to
eat small amounts of carbs, if possible.
A group of student nurses are practicing taking blood pressure.
A 56-year-old male student has a blood pressure reading of
146/96 mm Hg. Upon hearing the reading, he exclaims, My
