NUR 265 ADVANCED MED SURG EXAM WITH
QUESTIONS AND VERIFIED ANSWERS||
GUARANTEED PASS || ALREADY GRADED A+ ||
LATEST VERSION 2025
The nurse is caring for a client admitted with diabetes insipidus ( DI ) . Which
of the following assessments findings requires immediate follow up with the
health care provider ?
a ) The client has a urine output of 400 mL / hr .
b ) The client reports a recent head injury .
c ) The client is confused and lethargic .
d ) The client's urine specific gravity is 1.003 . - ANSWER-c ) The client is
confused and lethargic
Which assessment finding for a client admitted with Graves ' disease requires
the most rapid intervention by the nurse ?
a ) Heart rate 126 beats / minute
b ) Blood pressure 166/98 mm Hg
c ) Temperature 103.8 ° F ( 40.4 ° C )
d ) Abdominal pain with nausea - ANSWER-c ) Temperature 103.8 ° F ( 40.4 °
C)
A 37 - year - old client has just arrived in the post anesthesia recovery unit (
PACU ) after a sub total thyroidectomy . Which information is most important
to report to the health care provider ?
a ) The client reports 7/10 incisional pain .
,b ) The client is sleepy and difficult to arouse .
c ) The client's cardiac rate is 112 beats / minute .
d ) The client has increasing neck swelling . - ANSWER-b ) The client is sleepy
and difficult to arouse
The nurse is caring for a 63 - year - old with Cushing's who is scheduled for a
computed tomography ( CT ) scan with contrast . Which information about the
client is most important to discuss with the health care provider before the test ?
a ) Recent history of paralytic ilieus
B) Complains of chronic headache
C ) Blood glucose level of 224 mg / dL
d ) History of renal insufficiency - ANSWER-d ) History of renal insufficiency
A 27 - year - old client with a history of type 1 diabetes presents to the
emergency department with fruity odor to breath , dry mucous membranes , a
serum glucose level of 406 mg / dL and serum potassium level of 5.6 mEq / L
which action prescribed by the health care provider should the nurse take first ?
a ) Start an insulin infusion at 0.1 units / kg / hr .
b ) Place the client on a cardiac monitor
c ) Obtain urine glucose and ketone levels .
d ) Administer kayexalate po - ANSWER-b ) Place the client on a cardiac
monitor .
A client who was admitted with diabetic ketoacidosis secondary to a urinary
tract infection has been weaned off an insulin drip 30 minutes ago . The client
reports feeling lightheaded and sweaty . Which action should the nurse take first
?
a ) Administer scheduled 1 gm IV Vancomycin .
b Infuse dextrose 50 % by slow IV push .
c ) Have the client drink 4 ounces of orange juice .
, d ) Obtain a glucose reading using a finger stick . - ANSWER-d ) Obtain a
glucose reading using a finger stick .
After change - of - shift report , which client will the nurse assess first ?
a ) 49 - year - old with Cushing's syndrome who has skin breakdown on the
coccyx area
b ) 35 - year - old client being treated for a pulmonary embolism with heparin
whose PTT is 72sec
c ) 68 - year - old with type 2 diabetes who has severe peripheral neuropathy
and complains of burning foot pain
d ) 60 - year - old with hyperosmolar hyperglycemic syndrome who has poor
skin turgor and dry oral mucosa - ANSWER-d ) 60 - year old with
hyperosmolar hyperglycemic syndrome who has poor skin turgor and dry oral
mucosa
Which assessment finding requires immediate follow up by the nurse to the
health care provider by for a client admitted with possible syndrome of
inappropriate antidiuretic hormone ( SIADH ) ?
a ) The client complains of dyspnea with activity .
b ) The client has a urine specific gravity of 1.025 .
c ) The client has a serum sodium level of 114 mEq / L .
d ) The client has a recent weight gain of 2 lb. - ANSWER-c ) The client has a
serum sodium level of 114 mEq / L .
After receiving change of - shift report about the following four clients , which
client should the nurse assess first ?
a ) A 70 - year - old female taking levothyroxine who has an irregular pulse of
134
b ) A 22 - year - old male admitted with syndrome of inappropriate antidiuretic
hormone SIADH ) who has a serum sodium level of 122 mEq / L
c ) A 31 - year - old female with Cushing syndrome and a blood glucose level of
244 mg / dL
QUESTIONS AND VERIFIED ANSWERS||
GUARANTEED PASS || ALREADY GRADED A+ ||
LATEST VERSION 2025
The nurse is caring for a client admitted with diabetes insipidus ( DI ) . Which
of the following assessments findings requires immediate follow up with the
health care provider ?
a ) The client has a urine output of 400 mL / hr .
b ) The client reports a recent head injury .
c ) The client is confused and lethargic .
d ) The client's urine specific gravity is 1.003 . - ANSWER-c ) The client is
confused and lethargic
Which assessment finding for a client admitted with Graves ' disease requires
the most rapid intervention by the nurse ?
a ) Heart rate 126 beats / minute
b ) Blood pressure 166/98 mm Hg
c ) Temperature 103.8 ° F ( 40.4 ° C )
d ) Abdominal pain with nausea - ANSWER-c ) Temperature 103.8 ° F ( 40.4 °
C)
A 37 - year - old client has just arrived in the post anesthesia recovery unit (
PACU ) after a sub total thyroidectomy . Which information is most important
to report to the health care provider ?
a ) The client reports 7/10 incisional pain .
,b ) The client is sleepy and difficult to arouse .
c ) The client's cardiac rate is 112 beats / minute .
d ) The client has increasing neck swelling . - ANSWER-b ) The client is sleepy
and difficult to arouse
The nurse is caring for a 63 - year - old with Cushing's who is scheduled for a
computed tomography ( CT ) scan with contrast . Which information about the
client is most important to discuss with the health care provider before the test ?
a ) Recent history of paralytic ilieus
B) Complains of chronic headache
C ) Blood glucose level of 224 mg / dL
d ) History of renal insufficiency - ANSWER-d ) History of renal insufficiency
A 27 - year - old client with a history of type 1 diabetes presents to the
emergency department with fruity odor to breath , dry mucous membranes , a
serum glucose level of 406 mg / dL and serum potassium level of 5.6 mEq / L
which action prescribed by the health care provider should the nurse take first ?
a ) Start an insulin infusion at 0.1 units / kg / hr .
b ) Place the client on a cardiac monitor
c ) Obtain urine glucose and ketone levels .
d ) Administer kayexalate po - ANSWER-b ) Place the client on a cardiac
monitor .
A client who was admitted with diabetic ketoacidosis secondary to a urinary
tract infection has been weaned off an insulin drip 30 minutes ago . The client
reports feeling lightheaded and sweaty . Which action should the nurse take first
?
a ) Administer scheduled 1 gm IV Vancomycin .
b Infuse dextrose 50 % by slow IV push .
c ) Have the client drink 4 ounces of orange juice .
, d ) Obtain a glucose reading using a finger stick . - ANSWER-d ) Obtain a
glucose reading using a finger stick .
After change - of - shift report , which client will the nurse assess first ?
a ) 49 - year - old with Cushing's syndrome who has skin breakdown on the
coccyx area
b ) 35 - year - old client being treated for a pulmonary embolism with heparin
whose PTT is 72sec
c ) 68 - year - old with type 2 diabetes who has severe peripheral neuropathy
and complains of burning foot pain
d ) 60 - year - old with hyperosmolar hyperglycemic syndrome who has poor
skin turgor and dry oral mucosa - ANSWER-d ) 60 - year old with
hyperosmolar hyperglycemic syndrome who has poor skin turgor and dry oral
mucosa
Which assessment finding requires immediate follow up by the nurse to the
health care provider by for a client admitted with possible syndrome of
inappropriate antidiuretic hormone ( SIADH ) ?
a ) The client complains of dyspnea with activity .
b ) The client has a urine specific gravity of 1.025 .
c ) The client has a serum sodium level of 114 mEq / L .
d ) The client has a recent weight gain of 2 lb. - ANSWER-c ) The client has a
serum sodium level of 114 mEq / L .
After receiving change of - shift report about the following four clients , which
client should the nurse assess first ?
a ) A 70 - year - old female taking levothyroxine who has an irregular pulse of
134
b ) A 22 - year - old male admitted with syndrome of inappropriate antidiuretic
hormone SIADH ) who has a serum sodium level of 122 mEq / L
c ) A 31 - year - old female with Cushing syndrome and a blood glucose level of
244 mg / dL
