NSG 4100 Exam 2
1. The nurse is discussing ways to prevent DKA w/ a client newly diagnosed
w/ Type 1 DM, which instruction is most important to discuss with the client?
a. refer them to the American Diabetes Association
b. Take the prescribed insulin even when unable to eat due to illness
c. Do not take any OTC meds
d. explain the need to get the annual flu and pneumonia vaccines: B
2. ED nurse is caring for pt with HHS who has BG of 680 mg/dl. Which
question should the nurse ask to determine the cause of acute complications?
a. "when was the last time you took your insulin?"
b. "when do you have your last meal?"
c. "have you had some type of infection lately?"
d. "how long have you had diabetes?": C
3. Client w/ a diagnosis of Addisonian crisis is being admitted to the ICU. Which
findings will the inter-professional care team focus on? Select all that apply:
a. hypotension
b. leuocytosis
c. hyperkalmeia
d. hypercalcemia
e. hypernatremia: A, C
4. Nurse is caring for a client after hypophysectomy and notes clear nasal
drainage from the client's nostril. The nurse should take which initial action?
a. lower the head of the bed
b. test drainage for glucose
c. obtain culture of drainage
d. continue to observe drainage: B
,NSG 4100 Exam 2
5. Nurse is admitting a client who is diagnosed w/ SIADH and has serum sodium
of 118 mEq/L. Which physician prescription should the nurse anticipate
receiving? Select all that apply:
a. Initiate infusion of 3% NaCl
b. administer IV furosemide
c. Restrict fluids to 800ml over 24hrs
d. elevate HOB to high fowler's
e. administer a vasopressin antagonist as prescribed: A, C, E
6. Nurse performing an assessment on a client w/ pheochromocytoma.
Which assessment data would indicate potential complication with this
disease?
a. urinary output of 50ml/h
b. coagulation time of 5 mins
c. HR that is 90bpm & irregular
d. BUN of 20 mg/dL: C
7. Client is to have transsphenoidal hypophysectomy to remove a large, invasive
pituitary tumor. The nurse should instruct the client that the surgery will be
performed through an incision in the
a. back of mouth
b. nose
c. sinus channel below right eye
d. upper gingival mucosa in the space between the upper gum and lip: D
8. Nurse teaches client to report s/s of which potential complication after a
hypophysectomy?
a. acromegaly
b. Cushing's ds
1. The nurse is discussing ways to prevent DKA w/ a client newly diagnosed
w/ Type 1 DM, which instruction is most important to discuss with the client?
a. refer them to the American Diabetes Association
b. Take the prescribed insulin even when unable to eat due to illness
c. Do not take any OTC meds
d. explain the need to get the annual flu and pneumonia vaccines: B
2. ED nurse is caring for pt with HHS who has BG of 680 mg/dl. Which
question should the nurse ask to determine the cause of acute complications?
a. "when was the last time you took your insulin?"
b. "when do you have your last meal?"
c. "have you had some type of infection lately?"
d. "how long have you had diabetes?": C
3. Client w/ a diagnosis of Addisonian crisis is being admitted to the ICU. Which
findings will the inter-professional care team focus on? Select all that apply:
a. hypotension
b. leuocytosis
c. hyperkalmeia
d. hypercalcemia
e. hypernatremia: A, C
4. Nurse is caring for a client after hypophysectomy and notes clear nasal
drainage from the client's nostril. The nurse should take which initial action?
a. lower the head of the bed
b. test drainage for glucose
c. obtain culture of drainage
d. continue to observe drainage: B
,NSG 4100 Exam 2
5. Nurse is admitting a client who is diagnosed w/ SIADH and has serum sodium
of 118 mEq/L. Which physician prescription should the nurse anticipate
receiving? Select all that apply:
a. Initiate infusion of 3% NaCl
b. administer IV furosemide
c. Restrict fluids to 800ml over 24hrs
d. elevate HOB to high fowler's
e. administer a vasopressin antagonist as prescribed: A, C, E
6. Nurse performing an assessment on a client w/ pheochromocytoma.
Which assessment data would indicate potential complication with this
disease?
a. urinary output of 50ml/h
b. coagulation time of 5 mins
c. HR that is 90bpm & irregular
d. BUN of 20 mg/dL: C
7. Client is to have transsphenoidal hypophysectomy to remove a large, invasive
pituitary tumor. The nurse should instruct the client that the surgery will be
performed through an incision in the
a. back of mouth
b. nose
c. sinus channel below right eye
d. upper gingival mucosa in the space between the upper gum and lip: D
8. Nurse teaches client to report s/s of which potential complication after a
hypophysectomy?
a. acromegaly
b. Cushing's ds
