Nurs 3550 Final Exam questions with correct answers
a patient has been newly diagnosed with multiple slcerosis, and the
nurse provides teaching about the medications for the disease. which
statements by the patient indicates a need for further teaching? Correct
Answer-if medication is begun early, permanent remission can be
achieved
a patient has been diagnosed with multiple sclerosis for 10 years and has
a history of 3 periods of neurologic dysfunction lasting several weeks
separated by long periods of full recovery. in the past 6 months, the
patient has had a prolonged period of neurologic dysfunction without
remission. the nurse understands that the patient may have which MS
subtype? Correct Answer-secondary progressive MS
a patient who has recently begun taking interferon beta reports feeling
depressed. which action by the nurse is correct? Correct Answer-notify
the provider of these symptoms
the nurse working on a high-acuity medical-surgical unit is prioritizing
care for four patients who were just admitted. which patient should the
nurse assess first? Correct Answer-the NPO patient with a blood glucose
level of 80mg/dL who just received 20 units of 70/30 novolin insulin
a patient with type 1 diabetes is eating breakfast at 7:30 am. blood
sugars are on a sliding scale and are ordered before a meal and at
bedtime. the patients blood sugar level is 317 mg/dL. which formulation
of insulin should the nurse prepare to administer? Correct Answer-lispro
[humalog]
, a patient with type 1 diabetes who takes insulin reports taking
propranolol for hypertension. why is the nurse concerned? Correct
Answer-the beta blocker can mask the symptoms of hypoglycemia
a patient who has been taking 25 mg of hydrocortisone each morning for
several months reports feeling fatigued late in the day each day. what
will the nurse tell the patient to discuss with the provider? Correct
Answer-splitting the daily dose into a morning and an afternoon dose
a patient with arthritis is admitted to the hospital. the patient's serum
glucose level is 350 gm/dL, and the blood pressure is 182/98 mm Hg.
the nurse notes that the patient's face appears rounded and puffy. the
patient complains of feeling weak. what will the nurse do? Correct
Answer-Ask which drugs the patient takes for arthritis
a patient is given 1 mg of dexamethasone at 11:00 pm; a plasma cortisol
level recorded at 8:00pm the next day is normal. the nurse knows that
this is an indication that the patient has what condition Correct Answer-
cushing's syndrome
a nurse is explaining congenital adrenal hyperplasia to a group of
nursing students. which statement by a student indicates understanding
of the teaching? Correct Answer-CAH is the result of an inability to
synthesize glucocorticoids
a nurse provides teaching to a group of nursing students about the risks
and benefits of hormone therapy, including estrogen therapy and
a patient has been newly diagnosed with multiple slcerosis, and the
nurse provides teaching about the medications for the disease. which
statements by the patient indicates a need for further teaching? Correct
Answer-if medication is begun early, permanent remission can be
achieved
a patient has been diagnosed with multiple sclerosis for 10 years and has
a history of 3 periods of neurologic dysfunction lasting several weeks
separated by long periods of full recovery. in the past 6 months, the
patient has had a prolonged period of neurologic dysfunction without
remission. the nurse understands that the patient may have which MS
subtype? Correct Answer-secondary progressive MS
a patient who has recently begun taking interferon beta reports feeling
depressed. which action by the nurse is correct? Correct Answer-notify
the provider of these symptoms
the nurse working on a high-acuity medical-surgical unit is prioritizing
care for four patients who were just admitted. which patient should the
nurse assess first? Correct Answer-the NPO patient with a blood glucose
level of 80mg/dL who just received 20 units of 70/30 novolin insulin
a patient with type 1 diabetes is eating breakfast at 7:30 am. blood
sugars are on a sliding scale and are ordered before a meal and at
bedtime. the patients blood sugar level is 317 mg/dL. which formulation
of insulin should the nurse prepare to administer? Correct Answer-lispro
[humalog]
, a patient with type 1 diabetes who takes insulin reports taking
propranolol for hypertension. why is the nurse concerned? Correct
Answer-the beta blocker can mask the symptoms of hypoglycemia
a patient who has been taking 25 mg of hydrocortisone each morning for
several months reports feeling fatigued late in the day each day. what
will the nurse tell the patient to discuss with the provider? Correct
Answer-splitting the daily dose into a morning and an afternoon dose
a patient with arthritis is admitted to the hospital. the patient's serum
glucose level is 350 gm/dL, and the blood pressure is 182/98 mm Hg.
the nurse notes that the patient's face appears rounded and puffy. the
patient complains of feeling weak. what will the nurse do? Correct
Answer-Ask which drugs the patient takes for arthritis
a patient is given 1 mg of dexamethasone at 11:00 pm; a plasma cortisol
level recorded at 8:00pm the next day is normal. the nurse knows that
this is an indication that the patient has what condition Correct Answer-
cushing's syndrome
a nurse is explaining congenital adrenal hyperplasia to a group of
nursing students. which statement by a student indicates understanding
of the teaching? Correct Answer-CAH is the result of an inability to
synthesize glucocorticoids
a nurse provides teaching to a group of nursing students about the risks
and benefits of hormone therapy, including estrogen therapy and
