NURS 498 MIDTERM 2 QUESTIONS AND ANSWERS | NURS 498
STUDY GUIDE & PRACTICE TEST 2026/2027
Which of the following information should the nurse include when teaching a client who has type 2
diabetes about glyburide?
a. Glyburide should not be used for 48 hours after receiving IV contrast media.
b. Glyburide stimulates insulin production and release from the pancreas.
c. Glyburide should be taken even if the morning blood glucose level is low.
d. Glyburide decreases glucagon secretion from the pancreas. - correct answer ✔✔B
Which of the following laboratory values, noted by the nurse when reviewing the chart of a hospitalized
client with diabetes, indicates the need for rapid assessment of the client?
a. Hb A1Cof 6.9%
b. Noon blood glucose of 2.9 mmol/L
c. Hb A1C of 5.8%
d. Fasting blood glucose of 7.2 mmol/L - correct answer ✔✔B
The nurse is caring for a client who had radical neck surgery and develops hypoparathyroidism. Which of
the following information should the nurse should include in the teaching plan?
a. Use of bisphosphonates to reduce bone demineralization.
b. Include whole grains in the diet to prevent constipation.
c. Ensure a high fluid intake to decrease risk for nephrolithiasis.
d. Take calcium supplementation to normalize serum calcium levels. - correct answer ✔✔D
A client is being treated with a medication to block the effect of antidiuretic hormone to control the
symptoms of syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following findings
indicates that the medication is effective?
a. Increased weight
b. Increased urinary output
c. Decreased peripheral edema
d. Increased urine specific gravity - correct answer ✔✔B
A client with type 2 diabetes that is well-controlled with metformin develops an allergic rash to an
antibiotic and the health care provider prescribes prednisone. Which of the following information should
the nurse anticipate while the client is taking the prednisone?
a. Development of acute hypoglycemia
b. Administration of insulin
c. A diet higher in calories
d. Appearance of a rash caused by metformin-prednisone interactions. - correct answer ✔✔B
A client with systemic lupus erythematosus has a prescription for 2 weeks of high-dose prednisone
therapy. When teaching the client about the prednisone, which of the following information is most
important for the nurse to include?
a. Call the doctor if you experience any mood alterations with the prednisone.
b. A weight-bearing exercise program will help minimize the risk for osteoporosis.
, c. Do not stop taking the prednisone suddenly; it should be decreased gradually.
d. Weigh yourself daily to monitor for weight gain caused by water or increased fat. - correct answer
✔✔C
The nurse should teach a patient taking an oral corticosteroid to take the medication at what time?
0800 hours
1200 hours
1700 hours
2100 hours - correct answer ✔✔a 0800
The nurse is caring for a client with type 2 diabetes who has sensory neuropathy of the feet and legs and
peripheral arterial disease. Which of the following information will the nurse include in client teaching?
a Soak the feet in warm water for an hour every day.
b Choose flat-soled leather shoes
c Set heating pads on a low temperature.
d Buy callus remover for corns or calluses. - correct answer ✔✔B
The nurse obtains the following information about a client before administration of metformin. Which of
the following findings indicate a need to contact the health care provider before giving the metformin?
a. The client has gained 1 kg since yesterday.
b. The client's blood urea nitrogen (BUN) level is 21.4 mmol/L.
c. The client is scheduled for a chest x-ray in an hour.
d. The client's blood glucose level is 9.2 mmol/L. - correct answer ✔✔B
A patient diagnosed with obsessive-compulsive personality disorder takes the nurse aside and mentions,
"I've observed you interacting with that new patient. You are not approaching him properly. You should
be more forceful with him." Which of the following would be the best response for the nurse?
a. "I will be continuing to follow the care plan for the patient."
b. "I see you are trying to control that patient's therapy as well as your own."
c. "Your eye for perfection extends even to my nursing interventions."
d. "That patient's care is really of no concern to you or to other patients." - correct answer ✔✔A
Which of the following is the most helpful message to transmit about relapse to the patient recovering
from alcohol abuse?
a. Relapses result from lack of good situational support.
b. Relapses are an indicator of treatment failure.
c. Relapses are caused by physiological changes.
d. Relapses can be learning situations to prolong sobriety. - correct answer ✔✔A
Which of the following would be a focus for the acute phase of treatment for anorexia nervosa?
a. Changing family interaction patterns
b. Learning effective coping methods
c. Improving interpersonal skills
d. Weight restoration - correct answer ✔✔D
The patient is preparing for discharge. The patient tells the nurse, "Dr. Jacobson is putting me on some
medication called naltrexone (ReVia). How will that help me?" Which response indicates that medication
teaching has been effective?
STUDY GUIDE & PRACTICE TEST 2026/2027
Which of the following information should the nurse include when teaching a client who has type 2
diabetes about glyburide?
a. Glyburide should not be used for 48 hours after receiving IV contrast media.
b. Glyburide stimulates insulin production and release from the pancreas.
c. Glyburide should be taken even if the morning blood glucose level is low.
d. Glyburide decreases glucagon secretion from the pancreas. - correct answer ✔✔B
Which of the following laboratory values, noted by the nurse when reviewing the chart of a hospitalized
client with diabetes, indicates the need for rapid assessment of the client?
a. Hb A1Cof 6.9%
b. Noon blood glucose of 2.9 mmol/L
c. Hb A1C of 5.8%
d. Fasting blood glucose of 7.2 mmol/L - correct answer ✔✔B
The nurse is caring for a client who had radical neck surgery and develops hypoparathyroidism. Which of
the following information should the nurse should include in the teaching plan?
a. Use of bisphosphonates to reduce bone demineralization.
b. Include whole grains in the diet to prevent constipation.
c. Ensure a high fluid intake to decrease risk for nephrolithiasis.
d. Take calcium supplementation to normalize serum calcium levels. - correct answer ✔✔D
A client is being treated with a medication to block the effect of antidiuretic hormone to control the
symptoms of syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following findings
indicates that the medication is effective?
a. Increased weight
b. Increased urinary output
c. Decreased peripheral edema
d. Increased urine specific gravity - correct answer ✔✔B
A client with type 2 diabetes that is well-controlled with metformin develops an allergic rash to an
antibiotic and the health care provider prescribes prednisone. Which of the following information should
the nurse anticipate while the client is taking the prednisone?
a. Development of acute hypoglycemia
b. Administration of insulin
c. A diet higher in calories
d. Appearance of a rash caused by metformin-prednisone interactions. - correct answer ✔✔B
A client with systemic lupus erythematosus has a prescription for 2 weeks of high-dose prednisone
therapy. When teaching the client about the prednisone, which of the following information is most
important for the nurse to include?
a. Call the doctor if you experience any mood alterations with the prednisone.
b. A weight-bearing exercise program will help minimize the risk for osteoporosis.
, c. Do not stop taking the prednisone suddenly; it should be decreased gradually.
d. Weigh yourself daily to monitor for weight gain caused by water or increased fat. - correct answer
✔✔C
The nurse should teach a patient taking an oral corticosteroid to take the medication at what time?
0800 hours
1200 hours
1700 hours
2100 hours - correct answer ✔✔a 0800
The nurse is caring for a client with type 2 diabetes who has sensory neuropathy of the feet and legs and
peripheral arterial disease. Which of the following information will the nurse include in client teaching?
a Soak the feet in warm water for an hour every day.
b Choose flat-soled leather shoes
c Set heating pads on a low temperature.
d Buy callus remover for corns or calluses. - correct answer ✔✔B
The nurse obtains the following information about a client before administration of metformin. Which of
the following findings indicate a need to contact the health care provider before giving the metformin?
a. The client has gained 1 kg since yesterday.
b. The client's blood urea nitrogen (BUN) level is 21.4 mmol/L.
c. The client is scheduled for a chest x-ray in an hour.
d. The client's blood glucose level is 9.2 mmol/L. - correct answer ✔✔B
A patient diagnosed with obsessive-compulsive personality disorder takes the nurse aside and mentions,
"I've observed you interacting with that new patient. You are not approaching him properly. You should
be more forceful with him." Which of the following would be the best response for the nurse?
a. "I will be continuing to follow the care plan for the patient."
b. "I see you are trying to control that patient's therapy as well as your own."
c. "Your eye for perfection extends even to my nursing interventions."
d. "That patient's care is really of no concern to you or to other patients." - correct answer ✔✔A
Which of the following is the most helpful message to transmit about relapse to the patient recovering
from alcohol abuse?
a. Relapses result from lack of good situational support.
b. Relapses are an indicator of treatment failure.
c. Relapses are caused by physiological changes.
d. Relapses can be learning situations to prolong sobriety. - correct answer ✔✔A
Which of the following would be a focus for the acute phase of treatment for anorexia nervosa?
a. Changing family interaction patterns
b. Learning effective coping methods
c. Improving interpersonal skills
d. Weight restoration - correct answer ✔✔D
The patient is preparing for discharge. The patient tells the nurse, "Dr. Jacobson is putting me on some
medication called naltrexone (ReVia). How will that help me?" Which response indicates that medication
teaching has been effective?
