NSG 4100 Exam 2 Actual Complete Real Exam
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The nurse assessment of a pt w/ thyroidectomy suggests tetany and a review of the
most recent blood work corroborate this finding. The nurse should prepare to
administer what intervention?
a. oral calcium chloride and vitamin D
b. IV calcium gluconate
c. STAT levothyroxine
d. administration of parathyroid hormone (PTH) - ANSWER-B
Following an Addisonian crisis, a pt's adrenal function has gradually regained. The
nurse should ensure that the pt knows about the need for supplementary
glucocorticoid therapy in which of the following circumstances?
a. episodes of high psychosocial stress b. periods of dehydration
c. episodes of physical exertion
d. administration of a vaccine - ANSWER-A
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A pt w/ pheochromocytoma has been admitted for an adrenalectomy to be
performed the following day. To prevent complications, the nurse should anticipate
preoperative administration of which of the following?
a. IV abx
b. oral antihypertensives
c. parenteral nutrition
d. IV corticosteroids - ANSWER-D
A pt is undergoing testing for suspected adrenocorticol insufficiency. The care team
should ensure that the pt has been assessed for the most common cause of
adrenocorticol insufficiency. What is the most common cause of this health problem?
a. therapeutic use of corticosteroids
b. pheochromocytoma
c. inadequate secretion of ACTH
d. adrenal tumor - ANSWER-A
The nurse is discussing macrovascular complications of diabetes with a pt.
The nurse would address what topic during this dialogue?
a. the need for frequent eye examinations for pt's w/ diabetes
b. the fact that pt's with diabetes have an elevated risk for myocardial infarction
c. the relationship between kidney function and BG levels
d. the need to monitor urine for the presence of albumin -
ANSWER-B
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A pt has been admitted to the CCU w/ a diagnosis of thyroid storm. What interventions
should the nurse include in this pt's immediate care? Select all that apply:
a. administering diuretics to prevent fluid overload
b. administering beta blockers to reduce HR
c. administering insulin to reduce BG levels
d. applying interventions to reduce temperature
e. administering corticosteroids - ANSWER-B, D
A pt w/ Cushing syndrome has been hospitalized after a fall. The dietician consulted
works w/ the pt to improve the pt's nutritional intake. What foods should a pt w/
Cushing syndrome eat to optimize health? Select all that apply: a.
foods high in vitamin D
b. foods high in calories
c. foods high in protein d. foods high in calcium
e. foods high in sodium - ANSWER-A, C, D
A pt w/ Cushing syndrome as a result of a pituitary tumor has been admitted for a
transsphenoidal hypophysectomy. What would be most important for the nurse to
monitor before, during, and after surgery? a. BG b. assessment of urine for blood
c. weight
d. oral temp - ANSWER-A