Week 8 Quizzes
The provider working on a high-acuity medical-surgical unit is prioritizing care for four patients who were just
admitted. Which patient presents with needs that the provider should address first?
❖ A patient with hypertension requests an analgesic for a headache. Current blood pressure is 136/92 mm
Hg.
❖ A patient needs a temporary hold placed on digoxin because the heart rate was 58 beats/minute when
digoxin was scheduled to be administered.
❖ The patient with an allergy to penicillin who is receiving an infusion of vancomycin is concerned about
the possibility of an allergic reaction.
❖ A patient with diabetes who is NPO and has a blood glucose level of 80 mg/dl needs a change in diet
status after receiving 20 units of 70/30 Novolin insulin.
➢ The NPO patient with hypoglycemia who just received 70/30 Novolin insulin takes priority, because
this patient needs to consume a good source of glucose immediately or perhaps the NPO status will
be discontinued for this shift. The digoxin may be withheld for the patient with a pulse of 58
beats/minute, but this is not a priority action. The patient with a headache needs to be followed up,
and prescription for pain medication but because the blood pressure is 136/92 mm Hg, the headache
is probably not caused by hypertension. The patient with an allergy to penicillin will not have a
reaction to the vancomycin.
An older adult patient with type 2 diabetes has a history of severe hypoglycemia. The patient’s partner asks the
provider what A1c level they should strive to achieve. What guideline will the prescriber provide?
❖ Below 8.0
❖ Below 7.0
❖ Between 7.0 and 8.5
❖ Between 6.5 and 7.0
➢ For patients with a history of severe hypoglycemia and those with a limited life expectancy or
advanced micro- and macrovascular complications, the target A1c level should be below 8.0. For
most other patients with diabetes, the target is 7.0 and below.
The provider is assessing a newly diagnosed patient for short-term complications of diabetes. What evaluation does
this assessment include?
❖ Serum blood sugar results for hyperglycemia
❖ Cranial nerve testing for peripheral neuropathy
❖ Pedal pulse palpation for arterial insufficiency
❖ Auscultation of the carotids for bruits associated with atherosclerosis
➢ High blood sugar, low blood sugar, and ketoacidosis are short-term complications of diabetes.
Microvascular and macrovascular complications, such as peripheral neuropathy, are long-term
complications of diabetes. Arterial insufficiency and atherosclerosis also are long-term complications
of diabetes.
The provider working on a high-acuity medical-surgical unit is prioritizing care for four patients who were just
admitted. Which patient presents with needs that the provider should address first?
❖ A patient with hypertension requests an analgesic for a headache. Current blood pressure is 136/92 mm
Hg.
❖ A patient needs a temporary hold placed on digoxin because the heart rate was 58 beats/minute when
digoxin was scheduled to be administered.
❖ The patient with an allergy to penicillin who is receiving an infusion of vancomycin is concerned about
the possibility of an allergic reaction.
❖ A patient with diabetes who is NPO and has a blood glucose level of 80 mg/dl needs a change in diet
status after receiving 20 units of 70/30 Novolin insulin.
➢ The NPO patient with hypoglycemia who just received 70/30 Novolin insulin takes priority, because
this patient needs to consume a good source of glucose immediately or perhaps the NPO status will
be discontinued for this shift. The digoxin may be withheld for the patient with a pulse of 58
beats/minute, but this is not a priority action. The patient with a headache needs to be followed up,
and prescription for pain medication but because the blood pressure is 136/92 mm Hg, the headache
is probably not caused by hypertension. The patient with an allergy to penicillin will not have a
reaction to the vancomycin.
An older adult patient with type 2 diabetes has a history of severe hypoglycemia. The patient’s partner asks the
provider what A1c level they should strive to achieve. What guideline will the prescriber provide?
❖ Below 8.0
❖ Below 7.0
❖ Between 7.0 and 8.5
❖ Between 6.5 and 7.0
➢ For patients with a history of severe hypoglycemia and those with a limited life expectancy or
advanced micro- and macrovascular complications, the target A1c level should be below 8.0. For
most other patients with diabetes, the target is 7.0 and below.
The provider is assessing a newly diagnosed patient for short-term complications of diabetes. What evaluation does
this assessment include?
❖ Serum blood sugar results for hyperglycemia
❖ Cranial nerve testing for peripheral neuropathy
❖ Pedal pulse palpation for arterial insufficiency
❖ Auscultation of the carotids for bruits associated with atherosclerosis
➢ High blood sugar, low blood sugar, and ketoacidosis are short-term complications of diabetes.
Microvascular and macrovascular complications, such as peripheral neuropathy, are long-term
complications of diabetes. Arterial insufficiency and atherosclerosis also are long-term complications
of diabetes.
