NURS 320
EXAM 2
Verified Questions & Answers
(Health and Illness Concepts I)
Drexel University
This Document Description:
This document contains a collection of Verified
questions with accurate Answers from Exam 2 of NURS
320 at Drexel University. It covers core topics assessed in
the course and reflects the actual exam format and
question style. Ideal for exam preparation and concept reinforcement.
While instructing the patient with diabetes on insulin injections, the nurse is
paged by the unit clerk when she learns several patients are having problems
,that require her attention. Which action should the nurse take first?
a. Return to the patient and supervise the insulin inject since the breakfast tray
has arrived.
b. Administer the dose of antibiotic to the diabetic patient with an infected foot
who is scheduled for the OR in an hour.
c. Administer IV dextrose to the diabetic patient with a morning blood glucose
level of 25 mg/dL.
d. Hang a new bag of normal saline for the patient with diabetes with HHNK and
morning blood glucose level of 350mg/dL.
c. Administer IV dextrose to the diabetic patient with a morning blood glucose level of
25 mg/dL.
Expert Rationale:
Always treat hypoglycemic patients first!
A patient with Type I diabetes calls the clinic and complains of nausea and
vomiting. Which instruction is essential for the nurse to provide to the patient?
a. Hold the regular dose of insulin
b. Check the blood glucose level every 2 to 4 hours
c. Drink cool liquids with high glucose content
d. Use a less strenuous form of exercise that usual until the illness resolves
b. Check the blood glucose level every 2 to 4 hours
After assessing the patency of the patient's IV catheter, the nurse attempts to
flush the catheter and meets resistance. What actions should the nurse take
next?
a. Get a larger size syringe and repeat the flush attempt
b. Use a heparinized solution and repeat the flush attempt
c. Gently force-flush the catheter and check for blood return
d. Stop the flush attempt and discontinue the IV
d. Stop the flush attempt and discontinue the IV
,The nurse assesses the patient's IV fluids (via gravity) and notices that it is
running slowly. Which action should the nurse take first?
a. Discontinue the IV site and notify IV team for a restart
b. Lower the bag below the heart to check for a blood return
c. Apply a warm soak because venous spasms may be present
d. Check the tubing for kinks and straighten the line as needed
d. Check the tubing for kinks and straighten the line as needed
Which assessment finding alerts the nurse to an IV phlebitis versus another
complication?
a. BP 140/90
b. Dyspnea
c. Warm area around IV site
d. Discomfort around IV site
c. Warm area around IV site
Which lab results supports dehydration? Select all that apply
a. Na+ 158
b. K+ 3.7
c. Cl- 115
d. CO2 22
e. BS 175
f. BUN 28
g. Urine Specific gravity 1.037
h. Urine color amber
i. Urine pH 5
a, c, f, g, and h
Based upon the previous lab results, which IV fluid can the nurse anticipate will
be ordered?
a. 0.45% NaCl
, b. 0.9% NaCl
c. D10 1/2 NSS
d. 3% NaCl
b. 0.9% NaCl
Expert Rationale:
Remember that the patient complained of gastroenteritis (vomiting and diarrhea).
The nurse is assessing the patient's IV site. The site is warm to touch and there is
a red streak along the vein. Based upon the findings, what action should the
nurse take next?
a. Notify the physician
b. Decrease the IV rate to KVO
c. Remove the catheter
d. Continue to monitor
c. Remove the catheter
A nurse is caring for a client who has blood glucose 52 mg/dL. The client is
lethargic but arousable. Which of the following actions should the nurse perform
first?
A. Recheck blood glucose in 15 min
B. Provide a carb and protein food
C. Provide 15g of simple carbs
D. Notify the provider
C. Provide 15g of simple carbs
A nurse is preparing to administer a morning dose of Humalog to a client who
has type 1 diabetes. Which of the following actions should the nurse take?
A. Check blood glucose immediately after breakfast
B. Administer insulin when breakfast arrives
C. Hold breakfast for 1 hr after insulin administration
EXAM 2
Verified Questions & Answers
(Health and Illness Concepts I)
Drexel University
This Document Description:
This document contains a collection of Verified
questions with accurate Answers from Exam 2 of NURS
320 at Drexel University. It covers core topics assessed in
the course and reflects the actual exam format and
question style. Ideal for exam preparation and concept reinforcement.
While instructing the patient with diabetes on insulin injections, the nurse is
paged by the unit clerk when she learns several patients are having problems
,that require her attention. Which action should the nurse take first?
a. Return to the patient and supervise the insulin inject since the breakfast tray
has arrived.
b. Administer the dose of antibiotic to the diabetic patient with an infected foot
who is scheduled for the OR in an hour.
c. Administer IV dextrose to the diabetic patient with a morning blood glucose
level of 25 mg/dL.
d. Hang a new bag of normal saline for the patient with diabetes with HHNK and
morning blood glucose level of 350mg/dL.
c. Administer IV dextrose to the diabetic patient with a morning blood glucose level of
25 mg/dL.
Expert Rationale:
Always treat hypoglycemic patients first!
A patient with Type I diabetes calls the clinic and complains of nausea and
vomiting. Which instruction is essential for the nurse to provide to the patient?
a. Hold the regular dose of insulin
b. Check the blood glucose level every 2 to 4 hours
c. Drink cool liquids with high glucose content
d. Use a less strenuous form of exercise that usual until the illness resolves
b. Check the blood glucose level every 2 to 4 hours
After assessing the patency of the patient's IV catheter, the nurse attempts to
flush the catheter and meets resistance. What actions should the nurse take
next?
a. Get a larger size syringe and repeat the flush attempt
b. Use a heparinized solution and repeat the flush attempt
c. Gently force-flush the catheter and check for blood return
d. Stop the flush attempt and discontinue the IV
d. Stop the flush attempt and discontinue the IV
,The nurse assesses the patient's IV fluids (via gravity) and notices that it is
running slowly. Which action should the nurse take first?
a. Discontinue the IV site and notify IV team for a restart
b. Lower the bag below the heart to check for a blood return
c. Apply a warm soak because venous spasms may be present
d. Check the tubing for kinks and straighten the line as needed
d. Check the tubing for kinks and straighten the line as needed
Which assessment finding alerts the nurse to an IV phlebitis versus another
complication?
a. BP 140/90
b. Dyspnea
c. Warm area around IV site
d. Discomfort around IV site
c. Warm area around IV site
Which lab results supports dehydration? Select all that apply
a. Na+ 158
b. K+ 3.7
c. Cl- 115
d. CO2 22
e. BS 175
f. BUN 28
g. Urine Specific gravity 1.037
h. Urine color amber
i. Urine pH 5
a, c, f, g, and h
Based upon the previous lab results, which IV fluid can the nurse anticipate will
be ordered?
a. 0.45% NaCl
, b. 0.9% NaCl
c. D10 1/2 NSS
d. 3% NaCl
b. 0.9% NaCl
Expert Rationale:
Remember that the patient complained of gastroenteritis (vomiting and diarrhea).
The nurse is assessing the patient's IV site. The site is warm to touch and there is
a red streak along the vein. Based upon the findings, what action should the
nurse take next?
a. Notify the physician
b. Decrease the IV rate to KVO
c. Remove the catheter
d. Continue to monitor
c. Remove the catheter
A nurse is caring for a client who has blood glucose 52 mg/dL. The client is
lethargic but arousable. Which of the following actions should the nurse perform
first?
A. Recheck blood glucose in 15 min
B. Provide a carb and protein food
C. Provide 15g of simple carbs
D. Notify the provider
C. Provide 15g of simple carbs
A nurse is preparing to administer a morning dose of Humalog to a client who
has type 1 diabetes. Which of the following actions should the nurse take?
A. Check blood glucose immediately after breakfast
B. Administer insulin when breakfast arrives
C. Hold breakfast for 1 hr after insulin administration
