N201 FINAL REVIEW QUESTIONS UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS

N201 FINAL REVIEW QUESTIONS UPDATED ACTUAL
QUESTIONS AND CORRECT ANSWERS

Question:
1. The nurse is caring for a client receiving continuous feedings via G-tube. Which of the following
interventions would be important to prevent aspiration of the formula? Select all that apply
A. Keep the head of the bed elevated
B. Position the client lying supine during feedings.
C. Inject 30 mls of water through the tube every 8 hours.
D. use feeding pump to accurately regulate the volume of formula.
E. Check the placement and residual every 4 hours.
Answer:
A, D, E

Question:
2. A client is diagnosed with GERD asks the nurse what causes reflux of gastric contents into the
esophagus. The nurse understands the pathophysiology of GERD is:
A. Decreased intra-abdominal pressure
B. Increased thoracic expansion
C. Decreased gastric volume
D. Decreased LES tone
Answer:
D

Question:
3. The nurse receives lab results for a client and the fasting blood sugar reading is 200 mg/dL. Which
additional assessment findings should the nurse anticipate? Select all that apply
A. Increased urine output
B. Decreased hunger
C. Increased thirst
D. Weight gain
E. Edema
Answer:
A, C

Question:
4. When a client is self-monitoring blood glucose and is following a correctional scale coverage plan,
which type of insulin would the nurse anticipate administering?
A. Rapid-acting insulin
B. An intermediate-acting insulin
C. A premixed insulin
D. A long-acting insulin
Answer:
A

, Question:
5. A client with diabetes is taught to use the "Rule of 15" for low blood sugar readings. If a glucometer is
not readily available and possible symptoms of hypoglycemia are being experienced, the client should?
A. administer 15 ml of diet cola and repeat if necessary.
B. Administer 15 grams of a fast-acting carbohydrate.
C. Administer 15 grams of a protein, such as cheese and crackers
D. Wait until a glucometer is located to determine an accurate blood glucose level prior to taking action.
Answer:
B

Question:
6. The nurse is assessing a client who has had diabetes for 15 years and has reported a decreased tactile
sensation in both feet. The nurse should instruct the client to:
A. Avoid wearing shoes as much as possible
B. Elevate the feet when sitting
C. Examine the feet daily for signs of injury and/or skin breakdown.
D. Call the physician immediately
Answer:
C

Question:
7. A client with T1D is prescribed insulin daily. When the client develops a sore throat, cough and fever,
the physician's office is notified. The client speaks to the nurse and receives which of the following "Sick
Day" instructions?
A. "Stop taking your insulin until your temperature returns to normal"
B. "Monitor your blood glucose every 3-4 hours and continue insulin as ordered"
C. "Decrease fluid intake of CHO until HbA1C is less than 7%"
D. "Limit fluid intake to clear liquids until glucose returns to normal"
Answer:
B

Question:
8. A client with T1D has received diet instructions as part of the treatment plan. The nurse determines a
need for additional instruction when the client says:
A. I may have an occasional alcoholic drink if I include it in my meal plan.
B. I will need a bedtime snack because I take my an evening dose of NPH insulin.
C. I will eat meals as scheduled, even if I am not hungry to prevent hypoglycemia.
D. I may eat whatever I want, as long as I use enough insulin to cover the calories.
Answer:
D

Question:
9. Glyburide, a sulfonylurea, is prescribed when a client's T2D has not been controlled with diet and
exercise. When teaching the client about medications, the nurse explains that Glyburide:
A. Stimulates insulin production and release from the pancreas.
B. Is a substitute for insulin and acts by directly stimulating glucose uptake into the cells.
C. Does not cause hypoglycemic reactions that may occur when insulin is being used.
D. Increases the rate of hepatic glucose production, preventing gluconeogenesis.