1|Page
NURS 327 EXAM 4 LATEST 2026-2027 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A client with a serum glucose level of 618 mg/dl is admitted to the
facility. He's awake and oriented, has hot dry skin, and has the
following vital signs: temperature of 100.6° F (38.1° C), heart rate
of 116 beats/minute, and blood pressure of 108/70 mm Hg. Based
on these assessment findings, which nursing diagnosis takes
highest priority? - ANSWER-Deficient fluid volume related to
osmotic diuresis
A client diagnosed with hyperosmolar hyperglycemic nonketotic
syndrome (HHNS) is stabilized and prepared for discharge. When
preparing the client for discharge and home management, which
statement indicates that the client understands his condition and
how to control it - ANSWER-"I can avoid getting sick by not
becoming dehydrated and by paying attention to my need to
urinate, drink, or eat more than usual."
Which term refers to the progressive increase in blood glucose
from bedtime to morning? - ANSWER-Insulin waning
,2|Page
A group of students are reviewing the various types of drugs that
are used to treat diabetes mellitus. The students demonstrate
understanding of the material when they identify which of the
following as an example of an alpha-glucosidase inhibitor? -
ANSWER-Miglitol
A client with type 1 diabetes has been on a regimen of multiple
daily injection therapy. He's being converted to continuous
subcutaneous insulin therapy. While teaching the client about
continuous subcutaneous insulin therapy, the nurse should tell
him that the regimen includes the use of: - ANSWER-rapid-acting
insulin only.
A female diabetic patient who weighs 130 lb has an ideal body
weight of 116 lb. For weight reduction of 2 lb/week, approximately
what should her daily caloric intake be? - ANSWER-1000 calories
Which statement best indicates that a client understands how to
administer his own insulin injections? - ANSWER-"I wrote down
the steps in case I forget what to do."
,3|Page
Which of the following would the nurse most likely assess in a
client with diabetes who is experiencing autonomic neuropathy? -
ANSWER-Erectile dysfunction
A patient with diabetic ketoacidosis (DKA) has had a large volume
of fluid infused for rehydration. What potential complication from
rehydration should the nurse monitor for? - ANSWER-
Hypokalemia
The nurse is assessing a patient with nonproliferative
(background) retinopathy. When examining the retina, what would
the nurse expect to assess? Select all that apply. - ANSWER-
Leakage of fluid or serum (exudates)
Microaneurysms
Focal capillary single closure
The nurse is educating the patient with diabetes about the
importance of increasing dietary fiber. What should the nurse
explain is the rationale for the increase? Select all that apply. -
ANSWER-May improve blood glucose levels
, 4|Page
Decrease the need for exogenous insulin
Help reduce cholesterol levels
Exercise lowers blood glucose levels. Which of the following are
the physiologic reasons that explain this statement. Select all that
apply. - ANSWER-Increases lean muscle mass
Increases resting metabolic rate as muscle size increases
Decreases total cholesterol
Increases glucose uptake by body muscles
A hospitalized, insulin-dependent patient with diabetes has been
experiencing morning hyperglycemia. The patient will be
awakened once or twice during the night to test blood glucose
levels. The health care provider suspects that the cause is related
to the Somogyi effect. Which of the following indicators support
this diagnosis? Select all that apply. - ANSWER-Normal bedtime
blood glucose
Increase in blood glucose from 3:00 AM until breakfast
Decrease in blood sugar to a hypoglycemic level between 2:00 to
3:00 AM
NURS 327 EXAM 4 LATEST 2026-2027 ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS (100%
VERIFIED ANSWERS) |ALREADY GRADED A+| ||PROFESSOR
VERIFIED|| ||BRANDNEW!!!||
A client with a serum glucose level of 618 mg/dl is admitted to the
facility. He's awake and oriented, has hot dry skin, and has the
following vital signs: temperature of 100.6° F (38.1° C), heart rate
of 116 beats/minute, and blood pressure of 108/70 mm Hg. Based
on these assessment findings, which nursing diagnosis takes
highest priority? - ANSWER-Deficient fluid volume related to
osmotic diuresis
A client diagnosed with hyperosmolar hyperglycemic nonketotic
syndrome (HHNS) is stabilized and prepared for discharge. When
preparing the client for discharge and home management, which
statement indicates that the client understands his condition and
how to control it - ANSWER-"I can avoid getting sick by not
becoming dehydrated and by paying attention to my need to
urinate, drink, or eat more than usual."
Which term refers to the progressive increase in blood glucose
from bedtime to morning? - ANSWER-Insulin waning
,2|Page
A group of students are reviewing the various types of drugs that
are used to treat diabetes mellitus. The students demonstrate
understanding of the material when they identify which of the
following as an example of an alpha-glucosidase inhibitor? -
ANSWER-Miglitol
A client with type 1 diabetes has been on a regimen of multiple
daily injection therapy. He's being converted to continuous
subcutaneous insulin therapy. While teaching the client about
continuous subcutaneous insulin therapy, the nurse should tell
him that the regimen includes the use of: - ANSWER-rapid-acting
insulin only.
A female diabetic patient who weighs 130 lb has an ideal body
weight of 116 lb. For weight reduction of 2 lb/week, approximately
what should her daily caloric intake be? - ANSWER-1000 calories
Which statement best indicates that a client understands how to
administer his own insulin injections? - ANSWER-"I wrote down
the steps in case I forget what to do."
,3|Page
Which of the following would the nurse most likely assess in a
client with diabetes who is experiencing autonomic neuropathy? -
ANSWER-Erectile dysfunction
A patient with diabetic ketoacidosis (DKA) has had a large volume
of fluid infused for rehydration. What potential complication from
rehydration should the nurse monitor for? - ANSWER-
Hypokalemia
The nurse is assessing a patient with nonproliferative
(background) retinopathy. When examining the retina, what would
the nurse expect to assess? Select all that apply. - ANSWER-
Leakage of fluid or serum (exudates)
Microaneurysms
Focal capillary single closure
The nurse is educating the patient with diabetes about the
importance of increasing dietary fiber. What should the nurse
explain is the rationale for the increase? Select all that apply. -
ANSWER-May improve blood glucose levels
, 4|Page
Decrease the need for exogenous insulin
Help reduce cholesterol levels
Exercise lowers blood glucose levels. Which of the following are
the physiologic reasons that explain this statement. Select all that
apply. - ANSWER-Increases lean muscle mass
Increases resting metabolic rate as muscle size increases
Decreases total cholesterol
Increases glucose uptake by body muscles
A hospitalized, insulin-dependent patient with diabetes has been
experiencing morning hyperglycemia. The patient will be
awakened once or twice during the night to test blood glucose
levels. The health care provider suspects that the cause is related
to the Somogyi effect. Which of the following indicators support
this diagnosis? Select all that apply. - ANSWER-Normal bedtime
blood glucose
Increase in blood glucose from 3:00 AM until breakfast
Decrease in blood sugar to a hypoglycemic level between 2:00 to
3:00 AM
