NURS 498 EXAM 2 QUESTIONS AND ANSWERS | NURS 498
STUDY GUIDE & PRACTICE TEST 2026/2027
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) Set heating pads on a low temperature
B) Soak the feet in warm water for an hour every day
C)Chose flat soled leather shoes
D) Buy callus remover for corns or calluses - correct answer ✔✔C
The nurse is caring for a client who had radical neck surgery and develops hypoparathyroidism. Which of
the following information should the nurse include in the teaching plan?
A) Take calcium supplementation to normalize serum calcium levels
B) Include whole grains in the diet to prevent constipation
C) Use of bisphosphonates to reduce bone demineralization
D) Ensure a high fluid intake to decrease risk for nephrolithiasis - correct answer ✔✔A
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 is scheduled for a chest x-ray in the next hour
B) The client's blood urea nitrogen (BUN) level is 21.4 mmol/L
C) The client has gained 1 kg since yesterday.
D) The client's blood glucose level is 9.2 mmol/L. - 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) Hb A1C of 5.8%
C) Noon blood glucose of 2.9 mmol/L
D) Fasting blood glucose of 7.2 mmol/L - correct answer ✔✔C
Which of the following information should the nurse include when teaching a client who has type 2
diabetes about glyburide?
A) Glyburide should be taken even if the morning blood glucose level is low.
B) Glyburide decreases glucagon secretion from the pancreas.
C) Glyburide stimulates insulin production and release from the pancreas.
D) Glyburide should not be used for 48 hours after receiving IV contrast media. - correct answer ✔✔C
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) Weigh yourself daily to monitor for weight gain caused by water or increased fat
B) Call the doctor if you experience any mood alterations with prednisone
C) A weight bearing exercise program will help minimize the risk for osteoporosis
D) Do not stop taking prednisone suddenly; it should be decreased gradually - correct answer ✔✔D
, An anorexic pt is admitted to the hospital with ECG changes, hypokalemia, hyponatremia, and dental
caries. What is the nurses priority of care?
A) Administer intravenous potassium chloride
B) Stabilize the pt's weight
C) Interrupt the cycle of binge eating and purging
D) Assess suicidal ideation - correct answer ✔✔A
Which of the following would be a focus for the acute phase of treatment for anorexia nervosa?
A) Learning effective coping methods
B) Improving interpersonal skills
C) Changing family interaction patterns
D) Weight restoration - correct answer ✔✔D
Which of the following is the most helpful message to transmit about relapse to the pt recovering from
alcohol abuse?
A) Relapses result from lack of good situational support
B) Relapses are an indicator of tx failure
C) Relapses are caused by physiological changes
D) Relapses can be learning situations to prolong sobriety - correct answer ✔✔A
The pt is preparing for discharge. The pt 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?
A) "It helps my mood so that I don't feel the need to do drugs."
B) "It keeps me from experiencing flashbacks."
C) "It is a sedative that will help me sleep at night."
D). "It helps reduce my cravings." - correct answer ✔✔D
The purpose of the Abnormal Involuntary Movement Scale (AIMS) assessment on a persistently mentally
ill pt who has been diagnosed with schizophrenia is early detection of which of the following?
A) Acute dystonia
B) Pseudoparkinsonism
C) Cholestatic jaundice
D) Tardive dyskinesia - correct answer ✔✔D
A pt is diagnosed with obsessive-compulsive personality disroder takes the nurse aside and mentions,
"I've observed you interacting with that new pt. 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 pt."
B) "I see you trying to control that pt's therapy as well as yours."
C) "Your eye for perfection extends even to my nursing interventions."
D) "That pt's care is really of no concern to you or to other pt's" - correct answer ✔✔A
An appropriate initial outcome for a pt recovering from substance abuse would be that the pt will do
which of the following?
A) Discuss the addiction with significant others
B) Contemplate a life abstaining from the substance of abuse
STUDY GUIDE & PRACTICE TEST 2026/2027
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) Set heating pads on a low temperature
B) Soak the feet in warm water for an hour every day
C)Chose flat soled leather shoes
D) Buy callus remover for corns or calluses - correct answer ✔✔C
The nurse is caring for a client who had radical neck surgery and develops hypoparathyroidism. Which of
the following information should the nurse include in the teaching plan?
A) Take calcium supplementation to normalize serum calcium levels
B) Include whole grains in the diet to prevent constipation
C) Use of bisphosphonates to reduce bone demineralization
D) Ensure a high fluid intake to decrease risk for nephrolithiasis - correct answer ✔✔A
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 is scheduled for a chest x-ray in the next hour
B) The client's blood urea nitrogen (BUN) level is 21.4 mmol/L
C) The client has gained 1 kg since yesterday.
D) The client's blood glucose level is 9.2 mmol/L. - 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) Hb A1C of 5.8%
C) Noon blood glucose of 2.9 mmol/L
D) Fasting blood glucose of 7.2 mmol/L - correct answer ✔✔C
Which of the following information should the nurse include when teaching a client who has type 2
diabetes about glyburide?
A) Glyburide should be taken even if the morning blood glucose level is low.
B) Glyburide decreases glucagon secretion from the pancreas.
C) Glyburide stimulates insulin production and release from the pancreas.
D) Glyburide should not be used for 48 hours after receiving IV contrast media. - correct answer ✔✔C
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) Weigh yourself daily to monitor for weight gain caused by water or increased fat
B) Call the doctor if you experience any mood alterations with prednisone
C) A weight bearing exercise program will help minimize the risk for osteoporosis
D) Do not stop taking prednisone suddenly; it should be decreased gradually - correct answer ✔✔D
, An anorexic pt is admitted to the hospital with ECG changes, hypokalemia, hyponatremia, and dental
caries. What is the nurses priority of care?
A) Administer intravenous potassium chloride
B) Stabilize the pt's weight
C) Interrupt the cycle of binge eating and purging
D) Assess suicidal ideation - correct answer ✔✔A
Which of the following would be a focus for the acute phase of treatment for anorexia nervosa?
A) Learning effective coping methods
B) Improving interpersonal skills
C) Changing family interaction patterns
D) Weight restoration - correct answer ✔✔D
Which of the following is the most helpful message to transmit about relapse to the pt recovering from
alcohol abuse?
A) Relapses result from lack of good situational support
B) Relapses are an indicator of tx failure
C) Relapses are caused by physiological changes
D) Relapses can be learning situations to prolong sobriety - correct answer ✔✔A
The pt is preparing for discharge. The pt 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?
A) "It helps my mood so that I don't feel the need to do drugs."
B) "It keeps me from experiencing flashbacks."
C) "It is a sedative that will help me sleep at night."
D). "It helps reduce my cravings." - correct answer ✔✔D
The purpose of the Abnormal Involuntary Movement Scale (AIMS) assessment on a persistently mentally
ill pt who has been diagnosed with schizophrenia is early detection of which of the following?
A) Acute dystonia
B) Pseudoparkinsonism
C) Cholestatic jaundice
D) Tardive dyskinesia - correct answer ✔✔D
A pt is diagnosed with obsessive-compulsive personality disroder takes the nurse aside and mentions,
"I've observed you interacting with that new pt. 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 pt."
B) "I see you trying to control that pt's therapy as well as yours."
C) "Your eye for perfection extends even to my nursing interventions."
D) "That pt's care is really of no concern to you or to other pt's" - correct answer ✔✔A
An appropriate initial outcome for a pt recovering from substance abuse would be that the pt will do
which of the following?
A) Discuss the addiction with significant others
B) Contemplate a life abstaining from the substance of abuse
