NUR 514 Test 4 ALL 200 QUESTIONS AND
CORRECT ANSWERS LATEST UPDATE THIS
YEAR
NUR 514 Test 4
QUESTION: A nurse is reviewing guidelines to prevent DKA during periods of illness with a client
who has type 1 diabetes mellitus. Which of the following instructions should the nurse include
in the teaching?
A. "Check your urine for ketones when blood glucose levels are greater than 240 mg/dL."
B. "Test your blood glucose level every 8 hours."
C. "Drink 240 to 360 milliliters of calorie-free liquids every 8 hours."
D. "Withhold your usual daily dose of insulin." - ANSWER-A. "Check your urine for ketones when
blood glucose levels are greater than 240 mg/dL."
QUESTION: A nurse observes mild hand tremors in a client who has diabetes mellitus. Which of
the following actions should the nurse take after obtaining a glucose?
A. Administer 1 mg of glucagon IM.
B. Administer IV dextrose.
1
, Page 2 of 92
C. Retest the blood glucose level.
D. Administer 15 g of carbohydrates. - ANSWER-D. Administer 15 g of carbohydrates.
QUESTION: A charge nurse is reviewing factors that can affect a clients perception of pain with
a newly licensed nurse. Which of the following should the charge nurse include? (select all that
apply)
A. Disease severity
B. Culture
C. Stress
D. Social support
E. Dietary practices
F. None of the answers are correct - ANSWER-A. Disease severity
B. Culture
C. Stress
D. Social support
2
, Page 3 of 92
QUESTION: A nurse is reviewing discharge instructions for a client who has a prescription for
morphine sulfate in an oral solution of 10-20mg every 4 hours as needed (PRN). Which of the
following statements by the client indicates an understanding of the instructions.
A. "I will monitor for high blood pressure while taking the morphine."
B. "I will keep the morphine bottle in a locked cabinet in my kitchen."
C. "I can use the morphine as needed as long as I don't take it more than six times a day."
D. "I will use my household teaspoon to measure the correct amount of morphine." - ANSWER-
B. "I will keep the morphine bottle in a locked cabinet in my kitchen."
QUESTION: A nurse is planning for a client who is recently divorced with two young children.
The client reports difficulty sleeping, feeling hopeless, and being estranged from family. The
nurse should plan to monitor the client for which of the following manifestations of chronic
stress?
A. Exaggerated startle response
B. Recurring nightmares
C. Suicide
D. Systemic infection - ANSWER-C. Suicide
3
, Page 4 of 92
Q; A nurse is caring for a client who has type I diabetes mellitus and is not following the
guidelines for therapy. Which of the following should the nurse consider as contributing factors
to the client's nonadherence? (Select all that apply.)
A. Gender
B. Dexterity
C. Culture
D. Motivation
E. Literacy - ANSWER-B.Dexterity
C.Culture
D. Motivation
E.Literacy
QUESTION: A nurse is assessing a client who has diabetes mellitus and reports foot pain. The
nurse should evaluate the client for which of the following alterations as indications that the
client has an infection? (Select all that apply.)
A. An increase in platelets
B. An increase in RBCs
4