NURS 340 EXAM 1 NEWEST 2025 /NURS 340 HEALTH
ASSESSMENT EXAM 1 AND STUDY GUIDE NEWEST
2024 ACTUAL EXAM 200
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
a patient with diabetes is learning to mix regular insulin
and NPH insulin in the same syringe; the nurse determines
that additional teaching is needed when the patient does
what -
...ANSWER...withdraws the NPH dose into the syringe first
the following interventions are planned for a diabetic
patient; which intervention can the nurse delegate to
unlicensed assistive personnel - ...ANSWER...check that
the bath water is not too hot
the home care nurse should intervene to correct a patient
whose insulin administration includes -
...ANSWER...mixing an evening dose of regular insulin with
insulin glargine in one syringe for administration
when teaching the patient with type 1 diabetes, what
should the nurse emphasize as the major advantage of
using an insulin pump - ...ANSWER...tight glycemic control
can be maintained
a patient taking insulin has recorded fasting glucose
levels above 200 mg/dL on awakening for the last five
mornings;
,what should the nurse advise the patient to do first -
...ANSWER...monitor the glucose level at bedtime, between
2 and 4am, and on arising
which class of oral glucose-lowering agents is most
commonly used for people with type 2 diabetes because it
reduces hepatic glucose production and enhances tissue
uptake of glucose - ...ANSWER...biguinide
the patient with type 2 diabetes is being put on acarbose
(precose) and wants to know why she is taking it; what
should the nurse include in this patient's teaching -
...ANSWER...take it with the first bite of each meal;
effectiveness is measured by 2-hour postprandial glucose;
it delays glucose absorption from the gastrointestinal
tract
the nurse is assessing a newly admitted diabetic patient;
which observation should be addressed as the priority by
the nurse -
...ANSWER...rapid respirations with deep inspiration
individualized nutrition therapy for patients using
conventional, fixed insulin regimens should include
teaching the patient to - ...ANSWER...eat regular meals at
regular times
what should the goals of nutrition therapy for the patient
with type 2 diabetes include - ...ANSWER...normal serum
glucose and lipid levels
to prevent hyperglycemia or hypoglycemia related to
exercise, what should the nurse teach the patient using
glucose- lowering agents about the best time for exercise
-
,...ANSWER...about 1 hour after eating when blood glucose
levels are rising
the nurse assesses the diabetic patient's technique of
self- monitoring of blood glucose three months after initial
instruction; which error in the performance of self-
monitoring of blood glucose noted by the nurse requires
intervention -
...ANSWER...cleaning the puncture site with alcohol
before the puncture
a nurse working in an outpatient clinic plans a screening
program for diabetes; what recommendations for
screening should be included - ...ANSWER...FPG for all
individuals at age 45 and then every three years
a patient with diabetes calls the clinic because she is
experiencing nausea and flu-like symptoms; which advice
form the nurse will be the best for this patient -
...ANSWER...administer the usual insulin dosage
the nurse should observe the patient for symptoms of
ketoacidosis when - ...ANSWER...glucose levels become so
high that osmotic diuresis promotes fluid and electrolyte
loss
what are manifestations of diabetic ketoacidosis (DKA) -
...ANSWER...thirst; ketonuria; dehydration; metabolic
acidosis; kussmaul respirations; sweet, fruity breath odor
what describes the primary difference in treatment for
diabetic ketoacidosis and hyperosmolar hyperglycemic
syndrome -
...ANSWER...hyperosmolar hyperglycemic syndrome
requires greater fluid replacement to correct the
dehydration
, the patient with newly diagnosed diabetes is displaying
shakiness, confusion, irritability, and slurred speech; what
should the nurse suspect is happening -
...ANSWER...hypoglycemia
the patient with diabetes has a blood glucose level of 248
mg/dL; which manifestations in the patient would the
nurse understand as being related to this blood glucose
level -
...ANSWER...headache, abdominal cramps, increase in
urination, weakness and fatigue
a diabetic patient is found unconscious at home and a
family member calls the clinic; after determining that a
glucometer is not available, what should the nurse advise
the family member to do - ...ANSWER...administer glucagon
1 mg intramuscularly or subcutaneously
the patient with diabetes is brought to the emergency
department by his family members, who say that he is not
acting like himself and he is more tired than usual; what
would be the order of the nursing actions for this patient -
...ANSWER...ensure patent airway; check blood glucose;
establish IV access; administer 0.9% NaCl solution at
1L/hr; begin continuous regular insulin drip; establish time
of las food and medication(s)
two days following a self-managed hypoglycemic episode
at home, the patient tells the nurse that his blood glucose
levels since the episode have been between 80 and 90
mg/dL; which is the best response by the nurse -
...ANSWER..."that is a good range for your glucose levels"
ASSESSMENT EXAM 1 AND STUDY GUIDE NEWEST
2024 ACTUAL EXAM 200
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
a patient with diabetes is learning to mix regular insulin
and NPH insulin in the same syringe; the nurse determines
that additional teaching is needed when the patient does
what -
...ANSWER...withdraws the NPH dose into the syringe first
the following interventions are planned for a diabetic
patient; which intervention can the nurse delegate to
unlicensed assistive personnel - ...ANSWER...check that
the bath water is not too hot
the home care nurse should intervene to correct a patient
whose insulin administration includes -
...ANSWER...mixing an evening dose of regular insulin with
insulin glargine in one syringe for administration
when teaching the patient with type 1 diabetes, what
should the nurse emphasize as the major advantage of
using an insulin pump - ...ANSWER...tight glycemic control
can be maintained
a patient taking insulin has recorded fasting glucose
levels above 200 mg/dL on awakening for the last five
mornings;
,what should the nurse advise the patient to do first -
...ANSWER...monitor the glucose level at bedtime, between
2 and 4am, and on arising
which class of oral glucose-lowering agents is most
commonly used for people with type 2 diabetes because it
reduces hepatic glucose production and enhances tissue
uptake of glucose - ...ANSWER...biguinide
the patient with type 2 diabetes is being put on acarbose
(precose) and wants to know why she is taking it; what
should the nurse include in this patient's teaching -
...ANSWER...take it with the first bite of each meal;
effectiveness is measured by 2-hour postprandial glucose;
it delays glucose absorption from the gastrointestinal
tract
the nurse is assessing a newly admitted diabetic patient;
which observation should be addressed as the priority by
the nurse -
...ANSWER...rapid respirations with deep inspiration
individualized nutrition therapy for patients using
conventional, fixed insulin regimens should include
teaching the patient to - ...ANSWER...eat regular meals at
regular times
what should the goals of nutrition therapy for the patient
with type 2 diabetes include - ...ANSWER...normal serum
glucose and lipid levels
to prevent hyperglycemia or hypoglycemia related to
exercise, what should the nurse teach the patient using
glucose- lowering agents about the best time for exercise
-
,...ANSWER...about 1 hour after eating when blood glucose
levels are rising
the nurse assesses the diabetic patient's technique of
self- monitoring of blood glucose three months after initial
instruction; which error in the performance of self-
monitoring of blood glucose noted by the nurse requires
intervention -
...ANSWER...cleaning the puncture site with alcohol
before the puncture
a nurse working in an outpatient clinic plans a screening
program for diabetes; what recommendations for
screening should be included - ...ANSWER...FPG for all
individuals at age 45 and then every three years
a patient with diabetes calls the clinic because she is
experiencing nausea and flu-like symptoms; which advice
form the nurse will be the best for this patient -
...ANSWER...administer the usual insulin dosage
the nurse should observe the patient for symptoms of
ketoacidosis when - ...ANSWER...glucose levels become so
high that osmotic diuresis promotes fluid and electrolyte
loss
what are manifestations of diabetic ketoacidosis (DKA) -
...ANSWER...thirst; ketonuria; dehydration; metabolic
acidosis; kussmaul respirations; sweet, fruity breath odor
what describes the primary difference in treatment for
diabetic ketoacidosis and hyperosmolar hyperglycemic
syndrome -
...ANSWER...hyperosmolar hyperglycemic syndrome
requires greater fluid replacement to correct the
dehydration
, the patient with newly diagnosed diabetes is displaying
shakiness, confusion, irritability, and slurred speech; what
should the nurse suspect is happening -
...ANSWER...hypoglycemia
the patient with diabetes has a blood glucose level of 248
mg/dL; which manifestations in the patient would the
nurse understand as being related to this blood glucose
level -
...ANSWER...headache, abdominal cramps, increase in
urination, weakness and fatigue
a diabetic patient is found unconscious at home and a
family member calls the clinic; after determining that a
glucometer is not available, what should the nurse advise
the family member to do - ...ANSWER...administer glucagon
1 mg intramuscularly or subcutaneously
the patient with diabetes is brought to the emergency
department by his family members, who say that he is not
acting like himself and he is more tired than usual; what
would be the order of the nursing actions for this patient -
...ANSWER...ensure patent airway; check blood glucose;
establish IV access; administer 0.9% NaCl solution at
1L/hr; begin continuous regular insulin drip; establish time
of las food and medication(s)
two days following a self-managed hypoglycemic episode
at home, the patient tells the nurse that his blood glucose
levels since the episode have been between 80 and 90
mg/dL; which is the best response by the nurse -
...ANSWER..."that is a good range for your glucose levels"
