EXAM 2025 WITH 100% CORRECT
ANSWERS
A diabetic patient has the following presentation: unresponsive to voice or touch, tachycardia,
diaphoresis and pallor. Which of the following actions by the healthcare provider is the priority?
A. Fluid, electrolyte and glucose resuscitation
B. Administer IV lantus insulin per protocol
C. Administer oral glucose
D. Send UAA and CbC to lab stat - correct answers ✔✔A
Which of the following is not considered characteristic of a type 1 diabetic in DKA?
a. Right lower quadrant pain
b. Plasma glucose greater than 250
c. Ketones in the urine
d. Ketoacidosis - correct answers ✔✔a
Which of the following is not considered a risk factor for the development of DKA.
a. New onset of diabetes
b. Non-adherence to medication
c. Increased activity and exercise
d. Concurrent infection - correct answers ✔✔c
All of the following differences between DKA and HHS except:
, a. In HHS, absence of ketones is noted
b. In HHS, early manifestations are often missed
c. DKA is primarily noted in type 1 diabetes
d. HHS is primarily noted in type 1 diabetes - correct answers ✔✔d
You are caring for a 56 year old type 1 diabetic male currently being treated for pneumonia. Treatment
has been initiated and the nurse you are assigned with is asking you to now switch focus on his diabetes
as his BG is 325. Which nursing diagnosis is accurate r/t his diabetic needs?
a. Compromised blood regulatory mechanism r/t stress and infection secondary to diabetes aeb BG of
325
b. Diabetic crisis r/t stress and infection aeb BG of 325 and current antibiotic therapy
c. Risk for unstable BG r/t stress and infection
d. Risk for compromised immune response r/t stress and infection secondary to diabetes - correct
answers ✔✔c
John was diagnosed with bipolar disorder and prescribed lithium carbonate. He presents at the
emergency department with severe diarrhea, blurred vision and tinnitus. How should the nurse interpret
these symptoms?
a. Symptoms indicate lithium carbonate toxicity
b. Symptoms indicate consumption of foods high in tyramine
c. Symptoms indicate lithium carbonate discontinuation syndrome
d. Symptoms indicate the development of lithium carbonate tolerance - correct answers ✔✔a
Amy has recently been diagnosed with depression by her physician. After treatment with fluoxetine
(prozac), she begins to have new symptoms of pressured speech and flight of ideas. Based on the nurse's
objective assessment, what should the nurse do?
a. Order olanzapine (zyprexa) to address altered thoughts
b. Order benztropine (cogentin) to address extrapyramidal symptoms