Advanced Adult Care 120 QUESTIONS AND CORRECT
ANSWERS 2025 LATEST VERSION//ALREADY GRADED A+
A nurse is assessing a patient who has been diagnosed with cholecystitis, and is experiencing
localized abdominal pain. When assessing the characteristics of the patients pain, the nurse should
anticipate that it may radiate to what region?
A) Left upper chest
B) Inguinal region
C) Neck or jaw
D) Right shoulder - ANSWER-D) Right shoulder
A 55-year-old man has been newly diagnosed with acute pancreatitis and admitted to the acute
medical unit. How should the nurse most likely explain the pathophysiology of this patients health
problem?
A) Toxins have accumulated and inflamed your pancreas.
B) Bacteria likely migrated from your intestines and became lodged in your pancreas.
C) A virus that was likely already present in your body has begun to attack your pancreatic cells.
D) The enzymes that your pancreas produces have damaged the pancreas itself. - ANSWER-D) The
enzymes that your pancreas produces have damaged the pancreas itself.
A patients assessment and diagnostic testing are suggestive of acute pancreatitis. When the nurse is
performing the health interview, what assessment questions address likely etiologic factors? Select
all that apply.
A) How many alcoholic drinks do you typically consume in a week?
B) Have you ever been tested for diabetes?
C) Have you ever been diagnosed with gallstones?
D) Would you say that you eat a particularly high-fat diet?
E) Does anyone in your family have cystic fibrosis? - ANSWER-A) How many alcoholic drinks do you
typically consume in a week?
C) Have you ever been diagnosed with gallstones?
A 28-year-old pregnant woman is spilling sugar in her urine. The physician orders a glucose tolerance
test, which reveals gestational diabetes. The patient is shocked by the diagnosis, stating that she is
conscientious about her health, and asks the nurse what causes gestational diabetes. The nurse
should explain that gestational diabetes is a result of what etiologic factor?
,A) Increased caloric intake during the first trimester
B) Changes in osmolality and fluid balance
C) The effects of hormonal changes during pregnancy
D) Overconsumption of carbohydrates during the first two trimesters - ANSWER-C) The effects of
hormonal changes during pregnancy
A medical nurse is aware of the need to screen specific patients for their risk of hyperglycemic
hyperosmolar syndrome (HHS). In what patient population does hyperosmolar nonketotic syndrome
most often occur?
A) Patients who are obese and who have no known history of diabetes
B) Patients with 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 history of diabetes -
ANSWER-D) Middle-aged or older people with either type 2 diabetes or no known history of
diabetes
A nurse is caring for a patient newly diagnosed with type 1 diabetes. The nurse is educating the
patient about self-administration of insulin in the home setting. The nurse should teach the patient
to do which of the following?
A) Avoid using the same injection site more than once in 2 to 3 weeks.
B) Avoid mixing more than one type of insulin in a syringe.
C) Cleanse the injection site thoroughly with alcohol prior to injecting.
D) Inject at a 45 angle. - ANSWER-A) Avoid using the same injection site more than once in 2 to 3
weeks.
A patient with type 2 diabetes achieves adequate glycemic control through diet and exercise. Upon
being admitted to the hospital for a cholecystectomy, however, the patient has required insulin
injections on two occasions. The nurse would identify what likely cause for this short-term change in
treatment?
A) Alterations in bile metabolism and release have likely caused hyperglycemia.
B) Stress has likely caused an increase in the patients blood sugar levels.
C) The patient has likely overestimated her ability to control her diabetes using nonpharmacologic
measures.
D) The patients volatile fluid balance surrounding surgery has likely caused unstable blood sugars. -
ANSWER-B) Stress has likely caused an increase in the patients blood sugar levels.
,A physician has explained to a patient that he has developed diabetic neuropathy in his right foot.
Later that day, the patient asks the nurse what causes diabetic neuropathy. What would be the
nurses best response?
A) Research has shown that diabetic neuropathy is caused by fluctuations in blood sugar that have
gone on for years.
B) The cause is not known for sure but it is thought to have something to do with ketoacidosis.
C) The cause is not known for sure but it is thought to involve elevated blood glucose levels over a
period of years.
D) Research has shown that diabetic neuropathy is caused by a combination of elevated glucose
levels and elevated ketone levels. - ANSWER-C) The cause is not known for sure but it is thought to
involve elevated blood glucose levels over a period of years.
A patient with type 2 diabetes has been managing his blood glucose levels using diet and metformin
(Glucophage). Following an ordered increase in the patients daily dose of metformin, the nurse
should prioritize which of the following assessments?
A) Monitoring the patients neutrophil levels
B) Assessing the patient for signs of impaired liver function
C) Monitoring the patients level of consciousness and behavior
D) Reviewing the patients creatinine and BUN levels - ANSWER-D) Reviewing the patients
creatinine and BUN levels
A patient with a longstanding diagnosis of type 1 diabetes has a history of poor glycemic control. The
nurse recognizes the need to assess the patient for signs and symptoms of peripheral neuropathy.
Peripheral neuropathy constitutes a risk for what nursing diagnosis?
A) Infection
B) Acute pain
C) Acute confusion
D) Impaired urinary elimination - ANSWER-A) Infection
A patient has been brought to the emergency department by paramedics after being found
unconscious. The patients Medic Alert bracelet indicates that the patient has type 1 diabetes and the
patients blood glucose is 22 mg/dL (1.2 mmol/L). The nurse should anticipate what intervention?
A) IV administration of 50% dextrose in water
B) Subcutaneous administration of 10 units of Humalog
, C) Subcutaneous administration of 12 to 15 units of regular insulin
D) IV bolus of 5% dextrose in 0.45% NaCl - ANSWER-A) IV administration of 50% dextrose in water
A diabetic nurse is working for the summer at a camp for adolescents with diabetes. When providing
information on the prevention and management of hypoglycemia, what action should the nurse
promote?
A) Always carry a form of fast-acting sugar.
B) Perform exercise prior to eating whenever possible.
C) Eat a meal or snack every 8 hours.
D) Check blood sugar at least every 24 hours. - ANSWER-A) Always carry a form of fast-acting
sugar.
A nurse is teaching basic survival skills to a patient newly diagnosed with type 1 diabetes. What topic
should the nurse address?
A) Signs and symptoms of diabetic nephropathy
B) Management of diabetic ketoacidosis
C) Effects of surgery and pregnancy on blood sugar levels
D) Recognition of hypoglycemia and hyperglycemia - ANSWER-D) Recognition of hypoglycemia and
hyperglycemia
A nurse is conducting a class on how to self-manage insulin regimens. A patient asks how long a vial
of insulin can be stored at room temperature before it goes bad. What would be the nurses best
ANSWER?
A) If you are going to use up the vial within 1 month it can be kept at room temperature.
B) If a vial of insulin will be used up within 21 days, it may be kept at room temperature.
C) If a vial of insulin will be used up within 2 weeks, it may be kept at room temperature.
D) If a vial of insulin will be used up within 1 week, it may be kept at room temperature. -
ANSWER-A) If you are going to use up the vial within 1 month it can be kept at room temperature.
A patient has received a diagnosis of type 2 diabetes. The diabetes nurse has made contact with the
patient and will implement a program of health education. What is the nurses priority action?
A) Ensure that the patient understands the basic pathophysiology of diabetes.
B) Identify the patients body mass index.
ANSWERS 2025 LATEST VERSION//ALREADY GRADED A+
A nurse is assessing a patient who has been diagnosed with cholecystitis, and is experiencing
localized abdominal pain. When assessing the characteristics of the patients pain, the nurse should
anticipate that it may radiate to what region?
A) Left upper chest
B) Inguinal region
C) Neck or jaw
D) Right shoulder - ANSWER-D) Right shoulder
A 55-year-old man has been newly diagnosed with acute pancreatitis and admitted to the acute
medical unit. How should the nurse most likely explain the pathophysiology of this patients health
problem?
A) Toxins have accumulated and inflamed your pancreas.
B) Bacteria likely migrated from your intestines and became lodged in your pancreas.
C) A virus that was likely already present in your body has begun to attack your pancreatic cells.
D) The enzymes that your pancreas produces have damaged the pancreas itself. - ANSWER-D) The
enzymes that your pancreas produces have damaged the pancreas itself.
A patients assessment and diagnostic testing are suggestive of acute pancreatitis. When the nurse is
performing the health interview, what assessment questions address likely etiologic factors? Select
all that apply.
A) How many alcoholic drinks do you typically consume in a week?
B) Have you ever been tested for diabetes?
C) Have you ever been diagnosed with gallstones?
D) Would you say that you eat a particularly high-fat diet?
E) Does anyone in your family have cystic fibrosis? - ANSWER-A) How many alcoholic drinks do you
typically consume in a week?
C) Have you ever been diagnosed with gallstones?
A 28-year-old pregnant woman is spilling sugar in her urine. The physician orders a glucose tolerance
test, which reveals gestational diabetes. The patient is shocked by the diagnosis, stating that she is
conscientious about her health, and asks the nurse what causes gestational diabetes. The nurse
should explain that gestational diabetes is a result of what etiologic factor?
,A) Increased caloric intake during the first trimester
B) Changes in osmolality and fluid balance
C) The effects of hormonal changes during pregnancy
D) Overconsumption of carbohydrates during the first two trimesters - ANSWER-C) The effects of
hormonal changes during pregnancy
A medical nurse is aware of the need to screen specific patients for their risk of hyperglycemic
hyperosmolar syndrome (HHS). In what patient population does hyperosmolar nonketotic syndrome
most often occur?
A) Patients who are obese and who have no known history of diabetes
B) Patients with 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 history of diabetes -
ANSWER-D) Middle-aged or older people with either type 2 diabetes or no known history of
diabetes
A nurse is caring for a patient newly diagnosed with type 1 diabetes. The nurse is educating the
patient about self-administration of insulin in the home setting. The nurse should teach the patient
to do which of the following?
A) Avoid using the same injection site more than once in 2 to 3 weeks.
B) Avoid mixing more than one type of insulin in a syringe.
C) Cleanse the injection site thoroughly with alcohol prior to injecting.
D) Inject at a 45 angle. - ANSWER-A) Avoid using the same injection site more than once in 2 to 3
weeks.
A patient with type 2 diabetes achieves adequate glycemic control through diet and exercise. Upon
being admitted to the hospital for a cholecystectomy, however, the patient has required insulin
injections on two occasions. The nurse would identify what likely cause for this short-term change in
treatment?
A) Alterations in bile metabolism and release have likely caused hyperglycemia.
B) Stress has likely caused an increase in the patients blood sugar levels.
C) The patient has likely overestimated her ability to control her diabetes using nonpharmacologic
measures.
D) The patients volatile fluid balance surrounding surgery has likely caused unstable blood sugars. -
ANSWER-B) Stress has likely caused an increase in the patients blood sugar levels.
,A physician has explained to a patient that he has developed diabetic neuropathy in his right foot.
Later that day, the patient asks the nurse what causes diabetic neuropathy. What would be the
nurses best response?
A) Research has shown that diabetic neuropathy is caused by fluctuations in blood sugar that have
gone on for years.
B) The cause is not known for sure but it is thought to have something to do with ketoacidosis.
C) The cause is not known for sure but it is thought to involve elevated blood glucose levels over a
period of years.
D) Research has shown that diabetic neuropathy is caused by a combination of elevated glucose
levels and elevated ketone levels. - ANSWER-C) The cause is not known for sure but it is thought to
involve elevated blood glucose levels over a period of years.
A patient with type 2 diabetes has been managing his blood glucose levels using diet and metformin
(Glucophage). Following an ordered increase in the patients daily dose of metformin, the nurse
should prioritize which of the following assessments?
A) Monitoring the patients neutrophil levels
B) Assessing the patient for signs of impaired liver function
C) Monitoring the patients level of consciousness and behavior
D) Reviewing the patients creatinine and BUN levels - ANSWER-D) Reviewing the patients
creatinine and BUN levels
A patient with a longstanding diagnosis of type 1 diabetes has a history of poor glycemic control. The
nurse recognizes the need to assess the patient for signs and symptoms of peripheral neuropathy.
Peripheral neuropathy constitutes a risk for what nursing diagnosis?
A) Infection
B) Acute pain
C) Acute confusion
D) Impaired urinary elimination - ANSWER-A) Infection
A patient has been brought to the emergency department by paramedics after being found
unconscious. The patients Medic Alert bracelet indicates that the patient has type 1 diabetes and the
patients blood glucose is 22 mg/dL (1.2 mmol/L). The nurse should anticipate what intervention?
A) IV administration of 50% dextrose in water
B) Subcutaneous administration of 10 units of Humalog
, C) Subcutaneous administration of 12 to 15 units of regular insulin
D) IV bolus of 5% dextrose in 0.45% NaCl - ANSWER-A) IV administration of 50% dextrose in water
A diabetic nurse is working for the summer at a camp for adolescents with diabetes. When providing
information on the prevention and management of hypoglycemia, what action should the nurse
promote?
A) Always carry a form of fast-acting sugar.
B) Perform exercise prior to eating whenever possible.
C) Eat a meal or snack every 8 hours.
D) Check blood sugar at least every 24 hours. - ANSWER-A) Always carry a form of fast-acting
sugar.
A nurse is teaching basic survival skills to a patient newly diagnosed with type 1 diabetes. What topic
should the nurse address?
A) Signs and symptoms of diabetic nephropathy
B) Management of diabetic ketoacidosis
C) Effects of surgery and pregnancy on blood sugar levels
D) Recognition of hypoglycemia and hyperglycemia - ANSWER-D) Recognition of hypoglycemia and
hyperglycemia
A nurse is conducting a class on how to self-manage insulin regimens. A patient asks how long a vial
of insulin can be stored at room temperature before it goes bad. What would be the nurses best
ANSWER?
A) If you are going to use up the vial within 1 month it can be kept at room temperature.
B) If a vial of insulin will be used up within 21 days, it may be kept at room temperature.
C) If a vial of insulin will be used up within 2 weeks, it may be kept at room temperature.
D) If a vial of insulin will be used up within 1 week, it may be kept at room temperature. -
ANSWER-A) If you are going to use up the vial within 1 month it can be kept at room temperature.
A patient has received a diagnosis of type 2 diabetes. The diabetes nurse has made contact with the
patient and will implement a program of health education. What is the nurses priority action?
A) Ensure that the patient understands the basic pathophysiology of diabetes.
B) Identify the patients body mass index.
