NURS 6552 WEEK 3 CASE: NADINE WELL
WOMAN CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◍ When the client is awake and conscious, they are often restless and agitated.
The nurse assesses possible causes and offers several relief measures.Which
interventions provided during the end of life are secondary prevention
interventions? Select all that apply.o Assessing level of consciousness.o
Asking the family members about their stress levels using a scale of 1-10.o
Positioning pillows around the client when they are restless in bed to
prevent injury.o Using the faces pain rating scale to determine the client's
level of pain.o Keeping a stage 1 pressure ulcer on the coccyx clean and
dry..
Answer: o Assessing level of consciousness.· This is a secondary prevention
intervention.o Asking the family members about their stress levels using a
scale of 1-10.· This is a secondary prevention intervention.o Using the faces
pain rating scale to determine the client's level of pain.· This is a secondary
prevention intervention.
◍ The client's primary healthcare provider adds an additional medication to the
pain care regimen to help alleviate neuropathic pain. The nurse also
encourages the use of nonpharmacological complimentary therapies to
increase comfort and improve quality of life. The client learns to use guided
imagery to help with pain control.Which nursing intervention describes the
use of guided imagery to control pain?o Encourage the client to listen to
favorite songs or sounds to distract from pain.o Utilize therapeutic touch to
release pain.o Visualize a pain free mental scenario while achieving a deep
state of relaxation.o Consult an acupuncturist to provide home visits for the
client..
, Answer: o Visualize a pain free mental scenario while achieving a deep state
of relaxation.· This describes the use of guided imagery for pain control.
◍ Cardiac monitoring is initiated for a patient in diabetic ketoacidosis. The
nurse recognizes that this measure is important to identify:1. Dysrhythmias
resulting from hypokalemia. 2. Fluid overload resulting from aggressive
fluid replacement.3. The presence of hypovolemic shock related to osmotic
diuresis.4. Cardiovascular collapse resulting from the effects of excess
glucose on cardiac cells..
Answer: 1. Dysrhythmias resulting from hypokalemia. Electrolytes are
depleted in diabetic ketoacidosis. Osmotic diuresis occurs with depletion of
sodium, potassium, chloride, magnesium, and phosphate. Hypokalemia may
lead to ventricular dysrhythmias such as premature ventricular complexes
and bradycardia.
◍ You are caring for a patient with newly diagnosed type 1 diabetes. What
information is essential to include in your patient teaching before discharge
from the hospital? (select all that apply)a. insulin administrationb.
elimination of sugar from dietc. need to reduce physical activityd. use of
portable blood glucose monitore. hypoglycemia prevention, symptoms, and
treatment.
Answer: a. insulin administrationd. use of portable blood glucose monitore.
hypoglycemia prevention, symptoms, and treatment
◍ A patient with diabetes mellitus who has multiple infections every year
needs a mitral valve replacement. What is the most important preoperative
teaching the nurse should provide to prevent a cardiac infection
postoperatively?a. Avoid sick people and wash hands.b. Obtain
comprehensive dental care. c. Maintain hemoglobin A1 c below 7%.d.
Coughing and deep breathing with splinting.
Answer: b. Obtain comprehensive dental care. A person with diabetes is at
high risk for postoperative infections. The most important preoperative
teaching to prevent a postoperative infection in the heart is to have the
patient obtain comprehensive dental care because the risk of septicemia and
, infective endocarditis increases with poor dental health. Avoiding sick
people, hand washing, maintaining hemoglobin A1c below 7%, and
coughing and deep breathing with splinting would be important for any type
of surgery, but not the priority with mitral valve replacement for this patient.
◍ Polydipsia and polyuria related to diabetes mellitus are primarily due to:a.
the release of ketones from cells during fat metabolismb. fluid shifts
resulting from the osmotic effect of hyperglycemiac. damage to the kidneys
from exposure to high levels of glucose.d. changes in RBCs resulting from
attachment of excessive glucose to hemoglobin..
Answer: b. fluid shifts resulting from the osmotic effect of hyperglycemia
◍ The primary healthcare provider also prescribes morphine sulfate elixir 8
mg by mouth every 4 hours as needed for breakthrough pain.The morphine
sulfate elixir is supplied 5 mg per m
L. What is the maximum volume in mL that the client can receive per day?
(Enter numeric value only. If rounding is required, round to the tenth.).
Answer: · 9.6
◍ The nurse caring for a patient hospitalized with diabetes mellitus would look
for which laboratory test result to obtain information on the patient's past
glucose control?a. Prealbumin levelb. Urine ketone levelc. Fasting glucose
leveld. Glycosylated hemoglobin level.
Answer: d. Glycosylated hemoglobin levelA glycosylated hemoglobin level
detects the amount of glucose that is bound to red blood cells (RBCs). When
circulating glucose levels are high, glucose attaches to the RBCs and
remains there for the life of the blood cell, which is approximately 120 days.
Thus the test can give an indication of glycemic control over approximately
2 to 3 months. The prealbumin level is used to establish nutritional status
and is unrelated to past glucose control. The urine ketone level will only
show that hyperglycemia or starvation is probably currently occurring. The
fasting glucose level only indicates current glucose control.
◍ A patient is admitted with diabetes mellitus, malnutrition, and cellulitis. The
patient's potassium level is 5.6 mEq/
WOMAN CERTIFICATION SCRIPT 2026
QUESTIONS WITH SOLUTIONS GRADED A+
◍ When the client is awake and conscious, they are often restless and agitated.
The nurse assesses possible causes and offers several relief measures.Which
interventions provided during the end of life are secondary prevention
interventions? Select all that apply.o Assessing level of consciousness.o
Asking the family members about their stress levels using a scale of 1-10.o
Positioning pillows around the client when they are restless in bed to
prevent injury.o Using the faces pain rating scale to determine the client's
level of pain.o Keeping a stage 1 pressure ulcer on the coccyx clean and
dry..
Answer: o Assessing level of consciousness.· This is a secondary prevention
intervention.o Asking the family members about their stress levels using a
scale of 1-10.· This is a secondary prevention intervention.o Using the faces
pain rating scale to determine the client's level of pain.· This is a secondary
prevention intervention.
◍ The client's primary healthcare provider adds an additional medication to the
pain care regimen to help alleviate neuropathic pain. The nurse also
encourages the use of nonpharmacological complimentary therapies to
increase comfort and improve quality of life. The client learns to use guided
imagery to help with pain control.Which nursing intervention describes the
use of guided imagery to control pain?o Encourage the client to listen to
favorite songs or sounds to distract from pain.o Utilize therapeutic touch to
release pain.o Visualize a pain free mental scenario while achieving a deep
state of relaxation.o Consult an acupuncturist to provide home visits for the
client..
, Answer: o Visualize a pain free mental scenario while achieving a deep state
of relaxation.· This describes the use of guided imagery for pain control.
◍ Cardiac monitoring is initiated for a patient in diabetic ketoacidosis. The
nurse recognizes that this measure is important to identify:1. Dysrhythmias
resulting from hypokalemia. 2. Fluid overload resulting from aggressive
fluid replacement.3. The presence of hypovolemic shock related to osmotic
diuresis.4. Cardiovascular collapse resulting from the effects of excess
glucose on cardiac cells..
Answer: 1. Dysrhythmias resulting from hypokalemia. Electrolytes are
depleted in diabetic ketoacidosis. Osmotic diuresis occurs with depletion of
sodium, potassium, chloride, magnesium, and phosphate. Hypokalemia may
lead to ventricular dysrhythmias such as premature ventricular complexes
and bradycardia.
◍ You are caring for a patient with newly diagnosed type 1 diabetes. What
information is essential to include in your patient teaching before discharge
from the hospital? (select all that apply)a. insulin administrationb.
elimination of sugar from dietc. need to reduce physical activityd. use of
portable blood glucose monitore. hypoglycemia prevention, symptoms, and
treatment.
Answer: a. insulin administrationd. use of portable blood glucose monitore.
hypoglycemia prevention, symptoms, and treatment
◍ A patient with diabetes mellitus who has multiple infections every year
needs a mitral valve replacement. What is the most important preoperative
teaching the nurse should provide to prevent a cardiac infection
postoperatively?a. Avoid sick people and wash hands.b. Obtain
comprehensive dental care. c. Maintain hemoglobin A1 c below 7%.d.
Coughing and deep breathing with splinting.
Answer: b. Obtain comprehensive dental care. A person with diabetes is at
high risk for postoperative infections. The most important preoperative
teaching to prevent a postoperative infection in the heart is to have the
patient obtain comprehensive dental care because the risk of septicemia and
, infective endocarditis increases with poor dental health. Avoiding sick
people, hand washing, maintaining hemoglobin A1c below 7%, and
coughing and deep breathing with splinting would be important for any type
of surgery, but not the priority with mitral valve replacement for this patient.
◍ Polydipsia and polyuria related to diabetes mellitus are primarily due to:a.
the release of ketones from cells during fat metabolismb. fluid shifts
resulting from the osmotic effect of hyperglycemiac. damage to the kidneys
from exposure to high levels of glucose.d. changes in RBCs resulting from
attachment of excessive glucose to hemoglobin..
Answer: b. fluid shifts resulting from the osmotic effect of hyperglycemia
◍ The primary healthcare provider also prescribes morphine sulfate elixir 8
mg by mouth every 4 hours as needed for breakthrough pain.The morphine
sulfate elixir is supplied 5 mg per m
L. What is the maximum volume in mL that the client can receive per day?
(Enter numeric value only. If rounding is required, round to the tenth.).
Answer: · 9.6
◍ The nurse caring for a patient hospitalized with diabetes mellitus would look
for which laboratory test result to obtain information on the patient's past
glucose control?a. Prealbumin levelb. Urine ketone levelc. Fasting glucose
leveld. Glycosylated hemoglobin level.
Answer: d. Glycosylated hemoglobin levelA glycosylated hemoglobin level
detects the amount of glucose that is bound to red blood cells (RBCs). When
circulating glucose levels are high, glucose attaches to the RBCs and
remains there for the life of the blood cell, which is approximately 120 days.
Thus the test can give an indication of glycemic control over approximately
2 to 3 months. The prealbumin level is used to establish nutritional status
and is unrelated to past glucose control. The urine ketone level will only
show that hyperglycemia or starvation is probably currently occurring. The
fasting glucose level only indicates current glucose control.
◍ A patient is admitted with diabetes mellitus, malnutrition, and cellulitis. The
patient's potassium level is 5.6 mEq/
