CCC2 Exam 3 with 100% verified
correct answers 2025 update
The nurse is caring for the client who is immediately postoperative with a new
ileostomy. Which intervention is most important for the nurse to implement at this time?
- Correct AnswerProvide emotional support.
A 36-year-old client who had an ascending colostomy angrily stated. "I don't want this
thing on my body. This bag I have now is not me." Which response is most appropriate
for the nurse to make? - Correct Answer"What about this colostomy concerns you the
most?"
The nurse is providing preoperative care to a client who will undergo ostomy ceration.
Which of the following is most regarding ostomies? - Correct AnswerA colostomy
connects part of the colon to an opening in the abdominal wall.
A nurse is caring for a client one day postoperative after a transverse colostomy. When
observing the stoma. Which finding requires the nurse's immediate action? - Correct
AnswerA purplish-colored stoma
Type 1 and type 2 diabetes differ in that type 1 diabetes is associated with which of the
following? - Correct AnswerInsulin dependence
The nurse is caring for a client who is recovering from a flare up of crohn's disease.
Which of the following should the nurse reinforce? - Correct AnswerIncrease fiber intake
as tolerated.
The nurse is helping discharge a client diagnosed with diverticulitis. Which instruction
should the nurse reinforce? - Correct AnswerEat a high-fiber diet
Which of the following gastrointestinal disorders is characterized by hypersensitivity of
the bowel wall? - Correct AnswerIrritable bowel syndrome (IBS)
Excessive secretion of growth hormone. Or gigantism. Cause of the symptoms? -
Correct AnswerEnlarged feet
Which type of insulin is considered rapid acting - Correct AnswerInsulin aspart
A client on prolonged steroid therapy presents to the clinic with facial swelling. Enlarged
abdomen and hypertension. Which condition does the nurse suspect? - Correct
AnswerCushing syndrome
Which of the following is the most appropriate nursing intervention for a client diagnosed
with diabetes insipidus? - Correct AnswerMonitor intake and output
, The nurse notes that the HBA1c level of an assigned client demonstrated a drop from
9.4% to 5.4. What do those findings indicate? - Correct AnswerThe client's blood
glucose control has improved over the past few months.
After administering prescribed insulin to a client with diabetes mellitus. The nurse
monitors for hyperglycemia. Which of the following are signs and symptoms of
hypoglycemia? Select all that apply - Correct AnswerAnxiety
Tremors
Tachycardia
Hunger
to receive IV vancomycin 1 g in 200 ml D5W at a rate of 10 mg/ min. At what rate will
you set the IV infusion pump? - Correct Answer120 mL/hr
The emergency department nurse is caring for a client with the right lower quadrant pain
and muscle guarding. The client's temperature is 100.5 degrees f. And they report
nausea and vomiting. Which of the following does the nurse suspect? - Correct
AnswerAppendicitis
A client with type 1 diabetes mellitus is preparing for a moderate 30-minute exercise
period. Which action best indicates that the client understands condition management?
- Correct AnswerThe client consumes a simple carbohydrate snack after 30 minutes of
activity
A client is being evaluated by the healthcare provider for possible hyperthyroidism. The
nurse notes which of the following symptoms that support a diagnosis of
hyperthyroidism? Select all that apply? - Correct AnswerNervousness.
Weight loss.
Insomnia.
When discussing exercise programs with a diabetic client, which instruction is important
for the nurse to include? Select all that apply - Correct AnswerDelay exercise until
glucose is controlled.
Keep a quick source of glucose readily available.
Begin slowly and build up to 30-45 minutes.
A client comes to the emergency department complaining of abdominal pain. The nurse
observes dry hot skin, fruity breaths, and deep respiration. Which of the following does
the nurse support? - Correct AnswerKetoacidosis
A client has been ordered 500 mg iv every 6 hours of a medication. Which is available
in 25 mg/ml/ How many ml will be administered 24 hours? - Correct Answer80 mL
The nurse is preparing to administer an enema. After positioning the client and putting
on gloves. Which action should the nurse take next? - Correct AnswerExpel air from the
tubing
correct answers 2025 update
The nurse is caring for the client who is immediately postoperative with a new
ileostomy. Which intervention is most important for the nurse to implement at this time?
- Correct AnswerProvide emotional support.
A 36-year-old client who had an ascending colostomy angrily stated. "I don't want this
thing on my body. This bag I have now is not me." Which response is most appropriate
for the nurse to make? - Correct Answer"What about this colostomy concerns you the
most?"
The nurse is providing preoperative care to a client who will undergo ostomy ceration.
Which of the following is most regarding ostomies? - Correct AnswerA colostomy
connects part of the colon to an opening in the abdominal wall.
A nurse is caring for a client one day postoperative after a transverse colostomy. When
observing the stoma. Which finding requires the nurse's immediate action? - Correct
AnswerA purplish-colored stoma
Type 1 and type 2 diabetes differ in that type 1 diabetes is associated with which of the
following? - Correct AnswerInsulin dependence
The nurse is caring for a client who is recovering from a flare up of crohn's disease.
Which of the following should the nurse reinforce? - Correct AnswerIncrease fiber intake
as tolerated.
The nurse is helping discharge a client diagnosed with diverticulitis. Which instruction
should the nurse reinforce? - Correct AnswerEat a high-fiber diet
Which of the following gastrointestinal disorders is characterized by hypersensitivity of
the bowel wall? - Correct AnswerIrritable bowel syndrome (IBS)
Excessive secretion of growth hormone. Or gigantism. Cause of the symptoms? -
Correct AnswerEnlarged feet
Which type of insulin is considered rapid acting - Correct AnswerInsulin aspart
A client on prolonged steroid therapy presents to the clinic with facial swelling. Enlarged
abdomen and hypertension. Which condition does the nurse suspect? - Correct
AnswerCushing syndrome
Which of the following is the most appropriate nursing intervention for a client diagnosed
with diabetes insipidus? - Correct AnswerMonitor intake and output
, The nurse notes that the HBA1c level of an assigned client demonstrated a drop from
9.4% to 5.4. What do those findings indicate? - Correct AnswerThe client's blood
glucose control has improved over the past few months.
After administering prescribed insulin to a client with diabetes mellitus. The nurse
monitors for hyperglycemia. Which of the following are signs and symptoms of
hypoglycemia? Select all that apply - Correct AnswerAnxiety
Tremors
Tachycardia
Hunger
to receive IV vancomycin 1 g in 200 ml D5W at a rate of 10 mg/ min. At what rate will
you set the IV infusion pump? - Correct Answer120 mL/hr
The emergency department nurse is caring for a client with the right lower quadrant pain
and muscle guarding. The client's temperature is 100.5 degrees f. And they report
nausea and vomiting. Which of the following does the nurse suspect? - Correct
AnswerAppendicitis
A client with type 1 diabetes mellitus is preparing for a moderate 30-minute exercise
period. Which action best indicates that the client understands condition management?
- Correct AnswerThe client consumes a simple carbohydrate snack after 30 minutes of
activity
A client is being evaluated by the healthcare provider for possible hyperthyroidism. The
nurse notes which of the following symptoms that support a diagnosis of
hyperthyroidism? Select all that apply? - Correct AnswerNervousness.
Weight loss.
Insomnia.
When discussing exercise programs with a diabetic client, which instruction is important
for the nurse to include? Select all that apply - Correct AnswerDelay exercise until
glucose is controlled.
Keep a quick source of glucose readily available.
Begin slowly and build up to 30-45 minutes.
A client comes to the emergency department complaining of abdominal pain. The nurse
observes dry hot skin, fruity breaths, and deep respiration. Which of the following does
the nurse support? - Correct AnswerKetoacidosis
A client has been ordered 500 mg iv every 6 hours of a medication. Which is available
in 25 mg/ml/ How many ml will be administered 24 hours? - Correct Answer80 mL
The nurse is preparing to administer an enema. After positioning the client and putting
on gloves. Which action should the nurse take next? - Correct AnswerExpel air from the
tubing
