NUR 112 Final Exam practice questions with
| | | | | | |
verified correct answers
| |
An |18-year-old |female |client, |5′4′′ |tall, |weighing |113 |kg, |comes |to |the |clinic |for |a |nonhealing |
wound |on |her |lower |leg, |which |she |has |had |for |two |(2) |weeks. |Which |disease |process |should |
the |nurse |suspect |the |client |has |developed?
1. |Type |1 |diabetes.
2. |Type |2 |diabetes.
3. |Gestational |diabetes.
4. |Acanthosis |nigricans. |- |correct |answers2
The |client |diagnosed |with |type |1 |diabetes |has |a |glycosylated |hemoglobin |(A1c) |of |8.1%. |Which
|interpretation |should |the |nurse |make |based |on |this |result?
1. |This |result |is |below |normal |levels.
2. |This |result |is |within |acceptable |levels.
3. |This |result |is |above |recommended |levels.
4. |This |result |is |dangerously |high. |- |correct |answers3
The |nurse |administered |28 |units |of |Humulin |N, |an |intermediate-acting |insulin, |to |a |client |
diagnosed |with |type |1 |diabetes |at |1600. |Which |intervention |should |the |nurse |implement?
1. |Ensure |the |client |eats |the |bedtime |snack.
2. |Determine |how |much |food |the |client |ate |at |lunch.
3. |Perform |a |glucometer |reading |at |0700.
4. |Offer |the |client |protein |after |administering |insulin. |- |correct |answers1
,The |nurse |is |discussing |the |importance |of |exercising |with |a |client |diagnosed |with |type |2 |
diabetes |whose |diabetes |is |well |controlled |with |diet |and |exercise. |Which |information |should |
the |nurse |include |in |the |teaching |about |diabetes?
1. |Eat |a |simple |carbohydrate |snack |before |exercising.
2. |Carry |peanut |butter |crackers |when |exercising.
3. |Encourage |the |client |to |walk |20 |minutes |three |(3) |times |a |week.
4. |Perform |warmup |and |cool-down |exercises. |- |correct |answers4
The |nurse |is |assessing |the |feet |of |a |client |with |long-term |type |2 |diabetes. |Which |assessment |
data |warrant |immediate |intervention |by |the |nurse?
1. |The |client |has |crumbling |toenails.
2. |The |client |has |athlete's |foot.
3. |The |client |has |a |necrotic |big |toe.
4. |The |client |has |thickened |toenails. |- |correct |answers3
The |home |health |nurse |is |completing |the |admission |assessment |for |a |76-year-old |client |
diagnosed |with |type |2 |diabetes |controlled |with |70/30 |insulin. |Which |intervention |should |be |
included |in |the |plan |of |care?
1. |Assess |the |client's |ability |to |read |small |print.
2. |Monitor |the |client's |serum |PT |level.
3. |Teach |the |client |how |to |perform |a |hemoglobin |A1c |test |daily.
4. |Instruct |the |client |to |check |the |feet |weekly. |- |correct |answers1
The |client |with |type |2 |diabetes |controlled |with |biguanide |oral |diabetic |medication |is |
scheduled |for |a |computed |tomography |(CT) |scan |with |contrast |of |the |abdomen |to |evaluate |
pancreatic |function. |Which |intervention |should |the |nurse |implement?
1. |Provide |a |high-fat |diet |24 |hours |prior |to |test.
2. |Hold |the |biguanide |medication |for |48 |hours |prior |to |test.
,3. |Obtain |an |informed |consent |form |for |the |test.
4. |Administer |pancreatic |enzymes |prior |to |the |test. |- |correct |answers2
The |diabetic |educator |is |teaching |a |class |on |diabetes |type |1 |and |is |discussing |sick-day |rules. |
Which |interventions |should |the |diabetes |educator |include |in |the |discussion? |Select |all |that |
apply.
1. |Take |diabetic |medication |even |if |unable |to |eat |the |client's |normal |diabetic |diet.
2. |If |unable |to |eat, |drink |liquids |equal |to |the |client's |normal |caloric |intake.
3. |It |is |not |necessary |to |notify |the |health-care |provider |if |ketones |are |in |the |urine.
4. |Test |blood |glucose |levels |and |test |urine |ketones |once |a |day |and |keep |a |record.
5. |Call |the |health-care |provider |if |glucose |levels |are |higher |than |180 |mg/dL. |- |correct |
answers1, |2, |5
The |client |received |10 |units |of |Humulin |R, |a |fast-acting |insulin, |at |0700. |At |1030 |the |
unlicensed |assistive |personnel |(UAP) |tells |the |nurse |the |client |has |a |headache |and |is |really |
acting |"funny." |Which |intervention |should |the |nurse |implement |first?
1. |Instruct |the |UAP |to |obtain |the |blood |glucose |level.
2. |Have |the |client |drink |eight |(8) |ounces |of |orange |juice.
3. |Go |to |the |client's |room |and |assess |the |client |for |hypoglycemia.
4. |Prepare |to |administer |one |(1) |ampule |50% |dextrose |intravenously. |- |correct |answers3
The |nurse |at |a |freestanding |health |care |clinic |is |caring |for |a |56-year-old |male |client |who |is |
homeless |and |is |a |type |2 |diabetic |controlled |with |insulin. |Which |action |is |an |example |of |client |
advocacy?
1. |Ask |the |client |if |he |has |somewhere |he |can |go |and |live.
2. |Arrange |for |someone |to |give |him |insulin |at |a |local |homeless |shelter.
3. |Notify |Adult |Protective |Services |about |the |client's |situation.
4. |Ask |the |HCP |to |take |the |client |off |insulin |because |he |is |homeless. |- |correct |answers2
, The |nurse |is |developing |a |care |plan |for |the |client |diagnosed |with |type |1 |diabetes. |The |nurse |
identifies |the |problem |"high |risk |for |hyperglycemia |related |to |noncompliance |with |the |
medication |regimen." |Which |statement |is |an |appropriate |short-term |goal |for |the |client?
1. |The |client |will |have |a |blood |glucose |level |between |90 |and |140 |mg/dL.
2. |The |client |will |demonstrate |appropriate |insulin |injection |technique.
3. |The |nurse |will |monitor |the |client's |blood |glucose |levels |four |(4) |times |a |day.
4. |The |client |will |maintain |normal |kidney |function |with |30-mL/hr |urine |output. |- |correct |
answers1
The |client |diagnosed |with |type |2 |diabetes |is |admitted |to |the |intensive |care |unit |with |
hyperosmolar |hyperglycemic |nonketonic |syndrome |(HHNS) |coma. |Which |assessment |data |
should |the |nurse |expect |the |client |to |exhibit?
1. |Kussmaul's |respirations.
2. |Diarrhea |and |epigastric |pain.
3. |Dry |mucous |membranes.
4. |Ketone |breath |odor. |- |correct |answers3
The |elderly |client |is |admitted |to |the |intensive |care |department |diagnosed |with |severe |HHNS. |
Which |collaborative |intervention |should |the |nurse |include |in |the |plan |of |care?
1. |Infuse |0.9% |normal |saline |intravenously.
2. |Administer |intermediate-acting |insulin.
3. |Perform |blood |glucometer |checks |daily.
4. |Monitor |arterial |blood |gas |results. |- |correct |answers1
Which |electrolyte |replacement |should |the |nurse |anticipate |being |ordered |by |the |health-care |
provider |in |the |client |diagnosed |with |DKA |who |has |just |been |admitted |to |the |ICU?
1. |Glucose.
| | | | | | |
verified correct answers
| |
An |18-year-old |female |client, |5′4′′ |tall, |weighing |113 |kg, |comes |to |the |clinic |for |a |nonhealing |
wound |on |her |lower |leg, |which |she |has |had |for |two |(2) |weeks. |Which |disease |process |should |
the |nurse |suspect |the |client |has |developed?
1. |Type |1 |diabetes.
2. |Type |2 |diabetes.
3. |Gestational |diabetes.
4. |Acanthosis |nigricans. |- |correct |answers2
The |client |diagnosed |with |type |1 |diabetes |has |a |glycosylated |hemoglobin |(A1c) |of |8.1%. |Which
|interpretation |should |the |nurse |make |based |on |this |result?
1. |This |result |is |below |normal |levels.
2. |This |result |is |within |acceptable |levels.
3. |This |result |is |above |recommended |levels.
4. |This |result |is |dangerously |high. |- |correct |answers3
The |nurse |administered |28 |units |of |Humulin |N, |an |intermediate-acting |insulin, |to |a |client |
diagnosed |with |type |1 |diabetes |at |1600. |Which |intervention |should |the |nurse |implement?
1. |Ensure |the |client |eats |the |bedtime |snack.
2. |Determine |how |much |food |the |client |ate |at |lunch.
3. |Perform |a |glucometer |reading |at |0700.
4. |Offer |the |client |protein |after |administering |insulin. |- |correct |answers1
,The |nurse |is |discussing |the |importance |of |exercising |with |a |client |diagnosed |with |type |2 |
diabetes |whose |diabetes |is |well |controlled |with |diet |and |exercise. |Which |information |should |
the |nurse |include |in |the |teaching |about |diabetes?
1. |Eat |a |simple |carbohydrate |snack |before |exercising.
2. |Carry |peanut |butter |crackers |when |exercising.
3. |Encourage |the |client |to |walk |20 |minutes |three |(3) |times |a |week.
4. |Perform |warmup |and |cool-down |exercises. |- |correct |answers4
The |nurse |is |assessing |the |feet |of |a |client |with |long-term |type |2 |diabetes. |Which |assessment |
data |warrant |immediate |intervention |by |the |nurse?
1. |The |client |has |crumbling |toenails.
2. |The |client |has |athlete's |foot.
3. |The |client |has |a |necrotic |big |toe.
4. |The |client |has |thickened |toenails. |- |correct |answers3
The |home |health |nurse |is |completing |the |admission |assessment |for |a |76-year-old |client |
diagnosed |with |type |2 |diabetes |controlled |with |70/30 |insulin. |Which |intervention |should |be |
included |in |the |plan |of |care?
1. |Assess |the |client's |ability |to |read |small |print.
2. |Monitor |the |client's |serum |PT |level.
3. |Teach |the |client |how |to |perform |a |hemoglobin |A1c |test |daily.
4. |Instruct |the |client |to |check |the |feet |weekly. |- |correct |answers1
The |client |with |type |2 |diabetes |controlled |with |biguanide |oral |diabetic |medication |is |
scheduled |for |a |computed |tomography |(CT) |scan |with |contrast |of |the |abdomen |to |evaluate |
pancreatic |function. |Which |intervention |should |the |nurse |implement?
1. |Provide |a |high-fat |diet |24 |hours |prior |to |test.
2. |Hold |the |biguanide |medication |for |48 |hours |prior |to |test.
,3. |Obtain |an |informed |consent |form |for |the |test.
4. |Administer |pancreatic |enzymes |prior |to |the |test. |- |correct |answers2
The |diabetic |educator |is |teaching |a |class |on |diabetes |type |1 |and |is |discussing |sick-day |rules. |
Which |interventions |should |the |diabetes |educator |include |in |the |discussion? |Select |all |that |
apply.
1. |Take |diabetic |medication |even |if |unable |to |eat |the |client's |normal |diabetic |diet.
2. |If |unable |to |eat, |drink |liquids |equal |to |the |client's |normal |caloric |intake.
3. |It |is |not |necessary |to |notify |the |health-care |provider |if |ketones |are |in |the |urine.
4. |Test |blood |glucose |levels |and |test |urine |ketones |once |a |day |and |keep |a |record.
5. |Call |the |health-care |provider |if |glucose |levels |are |higher |than |180 |mg/dL. |- |correct |
answers1, |2, |5
The |client |received |10 |units |of |Humulin |R, |a |fast-acting |insulin, |at |0700. |At |1030 |the |
unlicensed |assistive |personnel |(UAP) |tells |the |nurse |the |client |has |a |headache |and |is |really |
acting |"funny." |Which |intervention |should |the |nurse |implement |first?
1. |Instruct |the |UAP |to |obtain |the |blood |glucose |level.
2. |Have |the |client |drink |eight |(8) |ounces |of |orange |juice.
3. |Go |to |the |client's |room |and |assess |the |client |for |hypoglycemia.
4. |Prepare |to |administer |one |(1) |ampule |50% |dextrose |intravenously. |- |correct |answers3
The |nurse |at |a |freestanding |health |care |clinic |is |caring |for |a |56-year-old |male |client |who |is |
homeless |and |is |a |type |2 |diabetic |controlled |with |insulin. |Which |action |is |an |example |of |client |
advocacy?
1. |Ask |the |client |if |he |has |somewhere |he |can |go |and |live.
2. |Arrange |for |someone |to |give |him |insulin |at |a |local |homeless |shelter.
3. |Notify |Adult |Protective |Services |about |the |client's |situation.
4. |Ask |the |HCP |to |take |the |client |off |insulin |because |he |is |homeless. |- |correct |answers2
, The |nurse |is |developing |a |care |plan |for |the |client |diagnosed |with |type |1 |diabetes. |The |nurse |
identifies |the |problem |"high |risk |for |hyperglycemia |related |to |noncompliance |with |the |
medication |regimen." |Which |statement |is |an |appropriate |short-term |goal |for |the |client?
1. |The |client |will |have |a |blood |glucose |level |between |90 |and |140 |mg/dL.
2. |The |client |will |demonstrate |appropriate |insulin |injection |technique.
3. |The |nurse |will |monitor |the |client's |blood |glucose |levels |four |(4) |times |a |day.
4. |The |client |will |maintain |normal |kidney |function |with |30-mL/hr |urine |output. |- |correct |
answers1
The |client |diagnosed |with |type |2 |diabetes |is |admitted |to |the |intensive |care |unit |with |
hyperosmolar |hyperglycemic |nonketonic |syndrome |(HHNS) |coma. |Which |assessment |data |
should |the |nurse |expect |the |client |to |exhibit?
1. |Kussmaul's |respirations.
2. |Diarrhea |and |epigastric |pain.
3. |Dry |mucous |membranes.
4. |Ketone |breath |odor. |- |correct |answers3
The |elderly |client |is |admitted |to |the |intensive |care |department |diagnosed |with |severe |HHNS. |
Which |collaborative |intervention |should |the |nurse |include |in |the |plan |of |care?
1. |Infuse |0.9% |normal |saline |intravenously.
2. |Administer |intermediate-acting |insulin.
3. |Perform |blood |glucometer |checks |daily.
4. |Monitor |arterial |blood |gas |results. |- |correct |answers1
Which |electrolyte |replacement |should |the |nurse |anticipate |being |ordered |by |the |health-care |
provider |in |the |client |diagnosed |with |DKA |who |has |just |been |admitted |to |the |ICU?
1. |Glucose.
