Page |1
Exam 2 prep NUR 265 LATEST EXAM Questions and Answers
with Solutions UPDATED!!!
A 27-year-old client with a history of type 1 diabetes presents to
the emergency department with fruity odor to breath, dry
mucous membranes, a serum glucose level of 406 mg/dL and
serum potassium level of 5.6 mEq/L, Which action prescribed
by the health care provider should the nurse take first?
Start an insulin infusion at 0.1 units/kg/hr.
Administer kayexalate po
Obtain urine glucose and ketone levels.
Place the client on a cardiac monitor. - ANSWER Place the client
on a cardiac monitor.
A 29-year-old woman with systemic lupus erythematosus has
been prescribed 3 weeks of high-dose prednisone therapy.
Which information about the prednisone is most important for
the nurse to include?
"The prednisone dose should be decreased gradually rather
than stopped suddenly."
, Page |2
"Call the health care provider if you experience mood
alterations with the prednisone."
"A weight-bearing exercise program will help minimize the risk
for osteoporosis."
"Weigh yourself daily to monitor for weight gain caused by
increased appetite." - ANSWER "The prednisone dose should be
decreased gradually rather than stopped suddenly."
A 38-year-old client with a history of Addison's disease has been
admitted to the hospital. Which client statement requires
immediate follow up by the nurse?
"I take twice as much hydrocortisone in the morning dose as I
do in the afternoon."
"I had the stomach flu earlier this week, so I couldn't take the
hydrocortisone."
"I frequently eat at restaurants, and I add a lot of table salt to
my food."
"I always double my dose of hydrocortisone on the days that I
go for a long run." - ANSWER "I had the stomach flu earlier this
week, so I couldn't take the hydrocortisone."
, Page |3
A 44-year-old client is admitted with tetany. Which laboratory
value should the nurse monitor?
Serum calcium
Serum potassium
Serum magnesium
Serum sodium - ANSWER Serum calcium
A 56-year-old client who is disoriented and reports a headache
and muscle cramps is hospitalized with possible syndrome of
inappropriate antidiuretic hormone (SIADH). The nurse would
expect the initial laboratory results to include a(n)
elevated hematocrit.
decreased serum sodium.
increased serum chloride.
low urine specific gravity. - ANSWER decreased serum sodium.
A client admitted to the emergency department tells the nurse
"I was struck in the chest with a baseball bat". Which of the
following clinical assessments requires immediate follow up?
Exam 2 prep NUR 265 LATEST EXAM Questions and Answers
with Solutions UPDATED!!!
A 27-year-old client with a history of type 1 diabetes presents to
the emergency department with fruity odor to breath, dry
mucous membranes, a serum glucose level of 406 mg/dL and
serum potassium level of 5.6 mEq/L, Which action prescribed
by the health care provider should the nurse take first?
Start an insulin infusion at 0.1 units/kg/hr.
Administer kayexalate po
Obtain urine glucose and ketone levels.
Place the client on a cardiac monitor. - ANSWER Place the client
on a cardiac monitor.
A 29-year-old woman with systemic lupus erythematosus has
been prescribed 3 weeks of high-dose prednisone therapy.
Which information about the prednisone is most important for
the nurse to include?
"The prednisone dose should be decreased gradually rather
than stopped suddenly."
, Page |2
"Call the health care provider if you experience mood
alterations with the prednisone."
"A weight-bearing exercise program will help minimize the risk
for osteoporosis."
"Weigh yourself daily to monitor for weight gain caused by
increased appetite." - ANSWER "The prednisone dose should be
decreased gradually rather than stopped suddenly."
A 38-year-old client with a history of Addison's disease has been
admitted to the hospital. Which client statement requires
immediate follow up by the nurse?
"I take twice as much hydrocortisone in the morning dose as I
do in the afternoon."
"I had the stomach flu earlier this week, so I couldn't take the
hydrocortisone."
"I frequently eat at restaurants, and I add a lot of table salt to
my food."
"I always double my dose of hydrocortisone on the days that I
go for a long run." - ANSWER "I had the stomach flu earlier this
week, so I couldn't take the hydrocortisone."
, Page |3
A 44-year-old client is admitted with tetany. Which laboratory
value should the nurse monitor?
Serum calcium
Serum potassium
Serum magnesium
Serum sodium - ANSWER Serum calcium
A 56-year-old client who is disoriented and reports a headache
and muscle cramps is hospitalized with possible syndrome of
inappropriate antidiuretic hormone (SIADH). The nurse would
expect the initial laboratory results to include a(n)
elevated hematocrit.
decreased serum sodium.
increased serum chloride.
low urine specific gravity. - ANSWER decreased serum sodium.
A client admitted to the emergency department tells the nurse
"I was struck in the chest with a baseball bat". Which of the
following clinical assessments requires immediate follow up?
