MDC 2 Final Exam
1. A nurse is caring for a client recently diagnosed with Desmopressin
diabetes insipidus. Which of the following medications
would be appropriate for this disorder?
2. A nurse assess a client who is recovering from an A bluish stoma
ileostomy placement. Which clinical manifestation
would alert the nurses to contact the healthcare
provider urgently?
3. The nurse is caring for a client diagnosed with " You should limit high-fat
cholelithiasis. Which of the following nursing instruc- meats and fried foods
tions should be included as part of the discharge from your diet."
teaching?
4. The nurse is caring for a 46-year-old female client Hypernatremia, hy-
who presented to the emergency department with pokalemia, hypercalcemia
dizziness, nausea, vomiting, and fatigue over the past
two days. The client has recently been diagnosed with
breast cancer and has been undergoing chempther-
apy. The client labs reveal the following: Na 150
mEq/mL, potassium 3.0 mEq/mL, calcium 15 mg/dL.
Which of the following imbalances is the client exhibit-
ing?
5. A nurse cares for a dying client. Which manifestation Pain
of active dying would the nurse treat first?
6. A nurse teaches a client who is diagnosed with dia- "Maintain tight glycemic
betes mellitus. Which statement would the nurse in- control and prevent hyper-
clude in the client's plan of care to delay the onset of glycemia"
microvascular and macrovascular complications?
7. Hypothyroidism
, MDC 2 Final Exam
A client assessment reveals fatigue, poor memory and
weight gain. The lab results reveal elevated thyroid
stimulating hormone (TSH) and decreased T3 and T4
levels. The nurse knows that these are manifestations
of which disorder?
8. A nurse is providing client and family education for a Modify diet.
client diagnosed with irritable bowel syndrome. Which Stress reduction.
of the following is important to include in the educa- Adhere to prescribed
tion? (Select all that apply) medications
9. The nurse is caring for a client with end stage renal pH=7.33,
failure PaO2 is 94 mmHg. Arterial blood gases indicate PaCO2=31mmHg,
that she is experiencing metabolic acidosis with par- HCO3=19mEq/L
tial respiratory compensation. Which of the following
arterial blood gases support this?
10. Which of the following signs and symptoms indicate a Bright red or coffee
possible upper gastrointestinal (GI) bleed? (Select all ground vomitus
that apply) Vertigo
Weak peripheral pulses
11. The nurse is providing care for a client who under- Serum calcium levels
went a parathyroidectomy two days ago. To prevent
complication with the surgery, which laboratory value
requires close monitoring by the nurse?
12. A client underwent a colon resection with colostomy Wound Ostomy Conti-
placement. Which of the following would the surgeon nence Nurse
consult post-operatively for colostomy management?
13. The client has just receive a round of chemotherapy "If you experience a
and will be discharged home. The nurse is educat- fever, treat it with
1. A nurse is caring for a client recently diagnosed with Desmopressin
diabetes insipidus. Which of the following medications
would be appropriate for this disorder?
2. A nurse assess a client who is recovering from an A bluish stoma
ileostomy placement. Which clinical manifestation
would alert the nurses to contact the healthcare
provider urgently?
3. The nurse is caring for a client diagnosed with " You should limit high-fat
cholelithiasis. Which of the following nursing instruc- meats and fried foods
tions should be included as part of the discharge from your diet."
teaching?
4. The nurse is caring for a 46-year-old female client Hypernatremia, hy-
who presented to the emergency department with pokalemia, hypercalcemia
dizziness, nausea, vomiting, and fatigue over the past
two days. The client has recently been diagnosed with
breast cancer and has been undergoing chempther-
apy. The client labs reveal the following: Na 150
mEq/mL, potassium 3.0 mEq/mL, calcium 15 mg/dL.
Which of the following imbalances is the client exhibit-
ing?
5. A nurse cares for a dying client. Which manifestation Pain
of active dying would the nurse treat first?
6. A nurse teaches a client who is diagnosed with dia- "Maintain tight glycemic
betes mellitus. Which statement would the nurse in- control and prevent hyper-
clude in the client's plan of care to delay the onset of glycemia"
microvascular and macrovascular complications?
7. Hypothyroidism
, MDC 2 Final Exam
A client assessment reveals fatigue, poor memory and
weight gain. The lab results reveal elevated thyroid
stimulating hormone (TSH) and decreased T3 and T4
levels. The nurse knows that these are manifestations
of which disorder?
8. A nurse is providing client and family education for a Modify diet.
client diagnosed with irritable bowel syndrome. Which Stress reduction.
of the following is important to include in the educa- Adhere to prescribed
tion? (Select all that apply) medications
9. The nurse is caring for a client with end stage renal pH=7.33,
failure PaO2 is 94 mmHg. Arterial blood gases indicate PaCO2=31mmHg,
that she is experiencing metabolic acidosis with par- HCO3=19mEq/L
tial respiratory compensation. Which of the following
arterial blood gases support this?
10. Which of the following signs and symptoms indicate a Bright red or coffee
possible upper gastrointestinal (GI) bleed? (Select all ground vomitus
that apply) Vertigo
Weak peripheral pulses
11. The nurse is providing care for a client who under- Serum calcium levels
went a parathyroidectomy two days ago. To prevent
complication with the surgery, which laboratory value
requires close monitoring by the nurse?
12. A client underwent a colon resection with colostomy Wound Ostomy Conti-
placement. Which of the following would the surgeon nence Nurse
consult post-operatively for colostomy management?
13. The client has just receive a round of chemotherapy "If you experience a
and will be discharged home. The nurse is educat- fever, treat it with
