NSG 4100 Exam 2 Questions and
Answers| 100% VERIFIED|
19 y/o woman was admitted to ICU following high-velocity MVA in which she
sustained a severe closed head injury. Nurse noticed she has been producing
a large amount of urine for the past 3 hrs and is becoming tachycardia and
hypotensive. The nurse knows that this client needs to be closely monitored
for developing which condition?
a. Cushing syndrome, which is treated w/ intermittent doses of corticoids
b. DI, which is treated w/ antidiuretic hormone (Vasopressin)
c. SIADH, which is create w/ ADH
d. DM, which is treated w/ basal analog insulin - ----ANS:B
A diabetic educator is discussing sick day rules with a newly diagnosed type 1
diabetic. The educator is aware that the pt will require further teaching when
the pt states what?
a. I will not take my insulin on the days when I am sick, but I will certainly
check my BG every 2 hours
b. if I cannot eat a meal, I will eat a soft food such as soup, gelatin, or pudding
six to eight times a day
c. I will call the dr if I am not able to keep liquids in my body due to vomiting or
diarrhea
d. I will call the dr if my BG is over 300 mg/dL or if I have ketones in my urine -
----ANS:A
A medical nurse is aware of the need to screen specific pt's for their risk of
hyperglycemic hyperosmolar syndrome (HHS). In what pt population does
hyperosmolar nonketotic syndrome most often occur?
a. pt's who are obese and who have no known hx of diabetes
b. pt's w/ type 1 diabetes and poor dietary control
c. adolescents with type 2 diabetes and sporadic use of antihyperglycemics
d. middle-aged or older people with either type 2 diabetes or no known hx of
diabetes - ----ANS:D
A nurse caring for a pt with diabetes insipidus (DI) is reviewing lab results.
What is an expected urinalysis finding?
a. glucose in urine
b. albumin in urine
, c. highly dilute urine
d. leukocytes in urine - ----ANS:C
A nurse is assessing a pt who has diabetes for the presence of peripheral
neuropathy. The nurse should question the pt about what sign or symptom
that would suggest the possible development of peripheral neuropathy?
a. persistently cold feet
b. pain that does not respond to analgesia
c. acute pain, unrelieved by rest
d. the presence of a tingling sensation - ----ANS:D
A pt has been admitted to the CCU w/ a diagnosis of thyroid storm. What
interventions should the nurse include in this pt's immediate care? Select all
that apply:
a. administering diuretics to prevent fluid overload
b. administering beta blockers to reduce HR
c. administering insulin to reduce BG levels
d. applying interventions to reduce temperature
e. administering corticosteroids - ----ANS:B, D
A pt has been admitted to the post-surgical unit following a thyroidectomy. To
promote comfort and safety, how should the nurse best position the pt?
a. side-lying (lateral) with one pillow under the head
b. head of the bed elevated 30 degrees and no pillows placed under the head
c. semi-fowlers with the head supported on two pillows
d. supine, with a small roll supporting the neck - ----ANS:C
A pt has been assessed for aldosteronism and has recently begun tx. What
are priority areas for assessment that the nurse should frequently address?
Select all that apply:
a. pupillary response
b. creatinine and BUN levels
c. potassium level
d. peripheral pulses
e. BP - ----ANS:C, E
A pt has retuned to the floor after having a thyroidectomy for thyroid cancer.
The Nurs knows that sometimes during thyroid surgery, the parathyroid glands
an be injured or removed. What lab finding may be an early indication of
parathyroid gland injury or removal?
Answers| 100% VERIFIED|
19 y/o woman was admitted to ICU following high-velocity MVA in which she
sustained a severe closed head injury. Nurse noticed she has been producing
a large amount of urine for the past 3 hrs and is becoming tachycardia and
hypotensive. The nurse knows that this client needs to be closely monitored
for developing which condition?
a. Cushing syndrome, which is treated w/ intermittent doses of corticoids
b. DI, which is treated w/ antidiuretic hormone (Vasopressin)
c. SIADH, which is create w/ ADH
d. DM, which is treated w/ basal analog insulin - ----ANS:B
A diabetic educator is discussing sick day rules with a newly diagnosed type 1
diabetic. The educator is aware that the pt will require further teaching when
the pt states what?
a. I will not take my insulin on the days when I am sick, but I will certainly
check my BG every 2 hours
b. if I cannot eat a meal, I will eat a soft food such as soup, gelatin, or pudding
six to eight times a day
c. I will call the dr if I am not able to keep liquids in my body due to vomiting or
diarrhea
d. I will call the dr if my BG is over 300 mg/dL or if I have ketones in my urine -
----ANS:A
A medical nurse is aware of the need to screen specific pt's for their risk of
hyperglycemic hyperosmolar syndrome (HHS). In what pt population does
hyperosmolar nonketotic syndrome most often occur?
a. pt's who are obese and who have no known hx of diabetes
b. pt's w/ type 1 diabetes and poor dietary control
c. adolescents with type 2 diabetes and sporadic use of antihyperglycemics
d. middle-aged or older people with either type 2 diabetes or no known hx of
diabetes - ----ANS:D
A nurse caring for a pt with diabetes insipidus (DI) is reviewing lab results.
What is an expected urinalysis finding?
a. glucose in urine
b. albumin in urine
, c. highly dilute urine
d. leukocytes in urine - ----ANS:C
A nurse is assessing a pt who has diabetes for the presence of peripheral
neuropathy. The nurse should question the pt about what sign or symptom
that would suggest the possible development of peripheral neuropathy?
a. persistently cold feet
b. pain that does not respond to analgesia
c. acute pain, unrelieved by rest
d. the presence of a tingling sensation - ----ANS:D
A pt has been admitted to the CCU w/ a diagnosis of thyroid storm. What
interventions should the nurse include in this pt's immediate care? Select all
that apply:
a. administering diuretics to prevent fluid overload
b. administering beta blockers to reduce HR
c. administering insulin to reduce BG levels
d. applying interventions to reduce temperature
e. administering corticosteroids - ----ANS:B, D
A pt has been admitted to the post-surgical unit following a thyroidectomy. To
promote comfort and safety, how should the nurse best position the pt?
a. side-lying (lateral) with one pillow under the head
b. head of the bed elevated 30 degrees and no pillows placed under the head
c. semi-fowlers with the head supported on two pillows
d. supine, with a small roll supporting the neck - ----ANS:C
A pt has been assessed for aldosteronism and has recently begun tx. What
are priority areas for assessment that the nurse should frequently address?
Select all that apply:
a. pupillary response
b. creatinine and BUN levels
c. potassium level
d. peripheral pulses
e. BP - ----ANS:C, E
A pt has retuned to the floor after having a thyroidectomy for thyroid cancer.
The Nurs knows that sometimes during thyroid surgery, the parathyroid glands
an be injured or removed. What lab finding may be an early indication of
parathyroid gland injury or removal?
