NU155 \ NU 155 EXAM 2 | MEDICAL-
SURGICAL NURSING EXAM | QUESTIONS
AND CORRECT ANSWERS RATED A+ |
GALEN | 2026\2027 GUIDE
Hyperglycemic Hyperosmolar State (HHS)
-Correct Answer-very elevated BS that can lead to coma; treated by K
replacement, PO/IV fluids, and IV regular insulin.
pancreas produces enough insulin to prevent breakdown of fatty acids &
formation of ketones but not enough to prevent hyperglycemia; dehydration
& neurological changes might be more pronounced
smoking & tobacco cessation
-Correct Answer-5 A's:
Ask about tobacco use
Advise about the health benefits of quitting
Assess readiness to quit
Assist in creating a cessation plan
Arrange follow-up
,5 rights:
relevance, risks, rewards, roadblocks, repeat; effective cough
HHS: causes
-Correct Answer-peritoneal dialysis or TPN admin, stress or illness, steroids
& thiazide diuretics, or chronic illnesses like CHF or CKD
gestational diabetes
-Correct Answer-diabetes during pregnancy; teach them to maintain diet &
exercise & insulin if needed; type 2 later in the yrs
Diagnostic test for monitoring DM
-Corrrect Answer
-fasting BG: normal is 70-100
-2hr post prandial BG; need venous blood sample 2 hrs after meal ***
-glucose tolerance test; blood sample drawn 10-12 hrs after fasting **
-fructosamine assay **
-hemoglobin A1C is less than 6%
self management of diabetes
-Correct Answer-
-diet is key
-pt taught how to interpret BGL; 1 unit of insulin = 15g carbs
, -exercise
-elders: assess vision & hearing; keep it short 15-20 min; printed materials
at 5-10th grade reading level
-oral hypoglycemic: metformin; should be held before surgery or procedure
requiring contrast dye
hypoglycemia (pathology, s/s, treatment)
-Corrrect Answer
-COLD & CLAMMY GIVE ME CANDY
-overdose of insulin
-skipped or delayed meal
-flight or fight kicks in
T: Tachycardia
I: Irritability
R: restlessness
E: excessive hunger
D: Diaphoresis (sweating)
treatment:
-if pt can swallow, 3 glucose tabs; 6 oz of juice; candy
-if pt cannot swallow admin glucagon IV
hypoglycemia: prevention
-Correct Answer-
SURGICAL NURSING EXAM | QUESTIONS
AND CORRECT ANSWERS RATED A+ |
GALEN | 2026\2027 GUIDE
Hyperglycemic Hyperosmolar State (HHS)
-Correct Answer-very elevated BS that can lead to coma; treated by K
replacement, PO/IV fluids, and IV regular insulin.
pancreas produces enough insulin to prevent breakdown of fatty acids &
formation of ketones but not enough to prevent hyperglycemia; dehydration
& neurological changes might be more pronounced
smoking & tobacco cessation
-Correct Answer-5 A's:
Ask about tobacco use
Advise about the health benefits of quitting
Assess readiness to quit
Assist in creating a cessation plan
Arrange follow-up
,5 rights:
relevance, risks, rewards, roadblocks, repeat; effective cough
HHS: causes
-Correct Answer-peritoneal dialysis or TPN admin, stress or illness, steroids
& thiazide diuretics, or chronic illnesses like CHF or CKD
gestational diabetes
-Correct Answer-diabetes during pregnancy; teach them to maintain diet &
exercise & insulin if needed; type 2 later in the yrs
Diagnostic test for monitoring DM
-Corrrect Answer
-fasting BG: normal is 70-100
-2hr post prandial BG; need venous blood sample 2 hrs after meal ***
-glucose tolerance test; blood sample drawn 10-12 hrs after fasting **
-fructosamine assay **
-hemoglobin A1C is less than 6%
self management of diabetes
-Correct Answer-
-diet is key
-pt taught how to interpret BGL; 1 unit of insulin = 15g carbs
, -exercise
-elders: assess vision & hearing; keep it short 15-20 min; printed materials
at 5-10th grade reading level
-oral hypoglycemic: metformin; should be held before surgery or procedure
requiring contrast dye
hypoglycemia (pathology, s/s, treatment)
-Corrrect Answer
-COLD & CLAMMY GIVE ME CANDY
-overdose of insulin
-skipped or delayed meal
-flight or fight kicks in
T: Tachycardia
I: Irritability
R: restlessness
E: excessive hunger
D: Diaphoresis (sweating)
treatment:
-if pt can swallow, 3 glucose tabs; 6 oz of juice; candy
-if pt cannot swallow admin glucagon IV
hypoglycemia: prevention
-Correct Answer-
