NUR 221 Exam 2 Questions With Correct
Answers
A bpatient bdiagnosed bwith btype b1 bdiabetes bis breceiving ba bcontinuous bsubcutaneous
binsulin binfusion bvia ban binsulin bpump bcontacts bthe bclinic bto breport bmechanical
bfailure bof bthe binfusion bpump. bThe bnurse binstructs bthe bpatient bto bbegin bmonitoring
bfor bsigns bof bwhat bpossible bcomplication?
A. bAdrenal binsufficiency
B. bDiabetic bketoacidosis
C. bHyperosmolar, bhyperglycemic bstate
D. bHypoglycemia b- bcorrect banswers✔✔B. bDiabetic bketoacidosis
Which blaboratory bvalues bwould bbe bmore bcommon bin bpatients bwith bdiabetic
bketoacidosis?
A. bBlood bglucose b>1000 bmg/dL
B. bNegative bketones bin bthe burine
C. bNormal banion bgap
D. bpH b7.24 b- bcorrect banswers✔✔D. bpH b7.24
Which bnursing bdiagnosis bis ba bhigh-priority bfor bboth bdiabetic bketoacidosis band
bhyperosmolar bhyperglycemic bsyndrome?
A. bActivity bintolerance
B. bFluid bvolume bdeficient
C. bHyperthermia
D. bImpaired bnutrition, bmore bthan bbody brequirements b- bcorrect banswers✔✔B. bFluid
bvolume bdeficient
A bcontinuous binsulin bintravenous binfusion bis bstarted, band bhourly bbedside bglucose
bmonitoring bis bordered bfor ba bpatient bwho bpresented bto bthe bemergency bdepartment
bexperiencing bdiabetic bketoacidosis. bWhat bis bthe btargeted bblood bglucose bvalue
bafter bthe bfirst bhour bof btherapy?
,A. b70 bto b120 bmg/dL
B. bA bdecrease bof b25 bto b50 bmg/dL bcompared bwith badmitting bvalues
C. bA bdecrease bof b50 bto b75 bmg/dL bcompared bwith badmitting bvalues
D. bLess bthan b200 bmg/dL b- bcorrect banswers✔✔C. bA bdecrease bof b50 bto b75 bmg/dL
bcompared bwith badmitting bvalues
The bnurse bis bcaring bfor ba b27-year-old bpatient bwith ba bdiagnosis bof bhead btrauma.
bThe bnurse bnotes bthat bthe bpatient's burine boutput bhas bincreased btremendously bover
bthe bpast b18 bhours. bThe bnurse bsuspects bthat bthe bpatient bmay bbe bdeveloping bwhat
bcomplication bof bthe binjury?
A. bDiabetes binsipidus
B. bDiabetic bketoacidosis
C. bHyperosmolar bhyperglycemic bsyndrome
D. bSyndrome bof binappropriate bsecretion bof bantidiuretic bhormone b- bcorrect
banswers✔✔A. bDiabetes binsipidus
In bthe bmanagement bof bdiabetic bketoacidosis band bhyperosmolar bhyperglycemic
bsyndrome, bwhen bis ban bintravenous b(IV) bsolution bthat bcontains bdextrose bstarted?
A. bNever; bnormal bsaline bis bthe bonly bappropriate bsolution bin bdiabetes bmanagement
B. bWhen bthe bblood bsugar breaches b70 bmg/dL
C. bWhen bthe bblood bsugar breaches b150 bmg/dL
D. bWhen bthe bblood bglucose breaches b250 bmg/dL b- bcorrect banswers✔✔D. bWhen
bthe bblood bglucose breaches b250 bmg/dL
A b32-year-old bpatient bis badmitted bto bthe bcritical bcare bunit bwith ba bdiagnosis bof
bdiabetic bketoacidosis. bFollowing baggressive bfluid bresuscitation band bintravenous
b(IV) binsulin badministration, bthe bblood bglucose bbegins bto bnormalize. bIn baddition bto
bglucose bmonitoring, bwhich bof bthe bfollowing belectrolytes brequires bclose bmonitoring?
A. bCalcium
B. bChloride
C. bPotassium
D. bSodium. b- bcorrect banswers✔✔C. bPotassium
A bpatient bis badmitted bto bthe boncology bunit bwith ba bsmall bcell blung bcarcinoma.
bDuring bthe badmission, bthe bpatient bis bnoted bto bhave ba bsignificant bdecrease bin
burine boutput baccompanied bby bshortness bof bbreath, bedema, band bmental bstatus
bchanges. bThe bnurse bis baware bthat bthis bclinical bpresentation bis bconsistent bwith
bwhat bdiagnosis?
, A. bAdrenal bcrisis
B. bDiabetes binsipidus
C. bMyxedema bcoma
D. bSyndrome bof binappropriate bsecretion bof bantidiuretic bhormone b(SIADH) b- bcorrect
banswers✔✔D. bSyndrome bof binappropriate bsecretion bof bantidiuretic bhormone
b(SIADH)
What bdifferences bwould byou bexpect bto bsee bin bpatients bexperiencing bhyperosmolar
bhyperglycemic bsyndrome brather bthan bdiabetic bketoacidosis?
A. bLower bserum bglucose, blower bosmolality, band bgreater bketosis
B. bLower bserum bglucose, blower bosmolality, band bmilder bketosis
C. bHigher bserum bglucose, bhigher bosmolality, band bgreater bketosis
D. bHigher bserum bglucose, bhigher bosmolality, band bno bketosis b- bcorrect
banswers✔✔D. bHigher bserum bglucose, bhigher bosmolality, band bno bketosis
Which bof bthe bfollowing bstatements bis btrue babout bthe bmedical bmanagement bof
bdiabetic bketoacidosis?
A. bSerum blactate blevels bare bused bto bguide binsulin badministration.
B. bSodium bbicarbonate bis ba bfirst-line bmedication bfor btreatment.
C. bThe bdegree bof bacidosis bis bassessed bthrough bcontinuous bpulse boximetry.
D. bVolume breplacement band binsulin binfusion boften bcorrect bthe bacidosis. b- bcorrect
banswers✔✔D. bVolume breplacement band binsulin binfusion boften bcorrect bthe
bacidosis.
A b20-year-old bwith ba bhistory bof btype b1 bdiabetes band ban beating bdisorder bis bfound
bunconscious. bIn bthe bemergency bdepartment, bthe bfollowing blab bvalues bare
bobtained:
Glucose648 bmg/dL
pH6.88
P ba bCO b2 b20 bmm bHg
P ba bO b2 b95 bmm bHg
HCO b3 b- bundetectable
Anion bgap>31
Na b+ b127 bmEq/L
K b+ b3.5 bmEq/L
Creatinine1.8 bmg/dL
After bthe bpatient's bairway band bventilation bhave bbeen bestablished, bwhat bis bthe bnext
bpriority bintervention bfor bthis bpatient?
A. bAdministration bof ba b1-L bnormal bsaline bfluid bbolus.
B. bAdministration bof b0.1 bunit bof bregular binsulin bIV bpush bfollowed bby ban binsulin
Answers
A bpatient bdiagnosed bwith btype b1 bdiabetes bis breceiving ba bcontinuous bsubcutaneous
binsulin binfusion bvia ban binsulin bpump bcontacts bthe bclinic bto breport bmechanical
bfailure bof bthe binfusion bpump. bThe bnurse binstructs bthe bpatient bto bbegin bmonitoring
bfor bsigns bof bwhat bpossible bcomplication?
A. bAdrenal binsufficiency
B. bDiabetic bketoacidosis
C. bHyperosmolar, bhyperglycemic bstate
D. bHypoglycemia b- bcorrect banswers✔✔B. bDiabetic bketoacidosis
Which blaboratory bvalues bwould bbe bmore bcommon bin bpatients bwith bdiabetic
bketoacidosis?
A. bBlood bglucose b>1000 bmg/dL
B. bNegative bketones bin bthe burine
C. bNormal banion bgap
D. bpH b7.24 b- bcorrect banswers✔✔D. bpH b7.24
Which bnursing bdiagnosis bis ba bhigh-priority bfor bboth bdiabetic bketoacidosis band
bhyperosmolar bhyperglycemic bsyndrome?
A. bActivity bintolerance
B. bFluid bvolume bdeficient
C. bHyperthermia
D. bImpaired bnutrition, bmore bthan bbody brequirements b- bcorrect banswers✔✔B. bFluid
bvolume bdeficient
A bcontinuous binsulin bintravenous binfusion bis bstarted, band bhourly bbedside bglucose
bmonitoring bis bordered bfor ba bpatient bwho bpresented bto bthe bemergency bdepartment
bexperiencing bdiabetic bketoacidosis. bWhat bis bthe btargeted bblood bglucose bvalue
bafter bthe bfirst bhour bof btherapy?
,A. b70 bto b120 bmg/dL
B. bA bdecrease bof b25 bto b50 bmg/dL bcompared bwith badmitting bvalues
C. bA bdecrease bof b50 bto b75 bmg/dL bcompared bwith badmitting bvalues
D. bLess bthan b200 bmg/dL b- bcorrect banswers✔✔C. bA bdecrease bof b50 bto b75 bmg/dL
bcompared bwith badmitting bvalues
The bnurse bis bcaring bfor ba b27-year-old bpatient bwith ba bdiagnosis bof bhead btrauma.
bThe bnurse bnotes bthat bthe bpatient's burine boutput bhas bincreased btremendously bover
bthe bpast b18 bhours. bThe bnurse bsuspects bthat bthe bpatient bmay bbe bdeveloping bwhat
bcomplication bof bthe binjury?
A. bDiabetes binsipidus
B. bDiabetic bketoacidosis
C. bHyperosmolar bhyperglycemic bsyndrome
D. bSyndrome bof binappropriate bsecretion bof bantidiuretic bhormone b- bcorrect
banswers✔✔A. bDiabetes binsipidus
In bthe bmanagement bof bdiabetic bketoacidosis band bhyperosmolar bhyperglycemic
bsyndrome, bwhen bis ban bintravenous b(IV) bsolution bthat bcontains bdextrose bstarted?
A. bNever; bnormal bsaline bis bthe bonly bappropriate bsolution bin bdiabetes bmanagement
B. bWhen bthe bblood bsugar breaches b70 bmg/dL
C. bWhen bthe bblood bsugar breaches b150 bmg/dL
D. bWhen bthe bblood bglucose breaches b250 bmg/dL b- bcorrect banswers✔✔D. bWhen
bthe bblood bglucose breaches b250 bmg/dL
A b32-year-old bpatient bis badmitted bto bthe bcritical bcare bunit bwith ba bdiagnosis bof
bdiabetic bketoacidosis. bFollowing baggressive bfluid bresuscitation band bintravenous
b(IV) binsulin badministration, bthe bblood bglucose bbegins bto bnormalize. bIn baddition bto
bglucose bmonitoring, bwhich bof bthe bfollowing belectrolytes brequires bclose bmonitoring?
A. bCalcium
B. bChloride
C. bPotassium
D. bSodium. b- bcorrect banswers✔✔C. bPotassium
A bpatient bis badmitted bto bthe boncology bunit bwith ba bsmall bcell blung bcarcinoma.
bDuring bthe badmission, bthe bpatient bis bnoted bto bhave ba bsignificant bdecrease bin
burine boutput baccompanied bby bshortness bof bbreath, bedema, band bmental bstatus
bchanges. bThe bnurse bis baware bthat bthis bclinical bpresentation bis bconsistent bwith
bwhat bdiagnosis?
, A. bAdrenal bcrisis
B. bDiabetes binsipidus
C. bMyxedema bcoma
D. bSyndrome bof binappropriate bsecretion bof bantidiuretic bhormone b(SIADH) b- bcorrect
banswers✔✔D. bSyndrome bof binappropriate bsecretion bof bantidiuretic bhormone
b(SIADH)
What bdifferences bwould byou bexpect bto bsee bin bpatients bexperiencing bhyperosmolar
bhyperglycemic bsyndrome brather bthan bdiabetic bketoacidosis?
A. bLower bserum bglucose, blower bosmolality, band bgreater bketosis
B. bLower bserum bglucose, blower bosmolality, band bmilder bketosis
C. bHigher bserum bglucose, bhigher bosmolality, band bgreater bketosis
D. bHigher bserum bglucose, bhigher bosmolality, band bno bketosis b- bcorrect
banswers✔✔D. bHigher bserum bglucose, bhigher bosmolality, band bno bketosis
Which bof bthe bfollowing bstatements bis btrue babout bthe bmedical bmanagement bof
bdiabetic bketoacidosis?
A. bSerum blactate blevels bare bused bto bguide binsulin badministration.
B. bSodium bbicarbonate bis ba bfirst-line bmedication bfor btreatment.
C. bThe bdegree bof bacidosis bis bassessed bthrough bcontinuous bpulse boximetry.
D. bVolume breplacement band binsulin binfusion boften bcorrect bthe bacidosis. b- bcorrect
banswers✔✔D. bVolume breplacement band binsulin binfusion boften bcorrect bthe
bacidosis.
A b20-year-old bwith ba bhistory bof btype b1 bdiabetes band ban beating bdisorder bis bfound
bunconscious. bIn bthe bemergency bdepartment, bthe bfollowing blab bvalues bare
bobtained:
Glucose648 bmg/dL
pH6.88
P ba bCO b2 b20 bmm bHg
P ba bO b2 b95 bmm bHg
HCO b3 b- bundetectable
Anion bgap>31
Na b+ b127 bmEq/L
K b+ b3.5 bmEq/L
Creatinine1.8 bmg/dL
After bthe bpatient's bairway band bventilation bhave bbeen bestablished, bwhat bis bthe bnext
bpriority bintervention bfor bthis bpatient?
A. bAdministration bof ba b1-L bnormal bsaline bfluid bbolus.
B. bAdministration bof b0.1 bunit bof bregular binsulin bIV bpush bfollowed bby ban binsulin
