N255C Adult Health II Exam 1 Practice
Questions
__________ represents the average size of pink blood cells on the CBC result.
A) MCV (Mean Corpuscular Volume)
B) MCHC (Mean Corpuscular Hemoglobin Concentration)
C) MCH (Mean Corpuscular Hemoglobin)
D) RDW (Red Cell Distribution) - ANS-A) MCV (Mean Corpuscular Volume)
Rationale: MCV (suggest corpuscular extent) is the average length of the RBCs.
A 15 year vintage weighing 250 kilos has began to enjoy expanded thirst, accelerated appetite,
and common urination. After medical testing, it changed into decided the teen has kind 2
diabetes and could be began on oral medicinal drugs. What information must the nurse deliver
the adolescent approximately medicinal drugs as a remedy option?
A) "Insulin is used whilst diabetics may not take oral tablets, so that you can avoid this via taking
your remedy as ordered."
B) "You are being prescribed this oral medicinal drug now, and could want insulin in the destiny."
C) "Being obese can make a contribution to the development of development of type 2 diabetes,
which can be dealt with with an oral remedy. You can also or might not want insulin inside the
destiny."
D) "Your diabetes is slight because you're most effective having oral medication, it's going to
leave in case you forestall consuming candies." - ANS-C) "Being obese can contribute to the
development of development of type 2 diabetes, which can be treated with an oral remedy. You
may additionally or might not need insulin inside the destiny."
Rationale: Oral medicine paintings on 3 defects of Type II DM: insulin resistance, decreased
insulin production, and multiplied hepatic glucose production. SQ Insulin is indicated for Type I
DM and when there is insufficient insulin to meet metabolic desires. Some pts with Type II DM
might also want insulin with illness, strain, or surgical operation.
A 20-year-old university student has Type 1 diabetes and generally walks each evening as a
part of her workout recurring. She now plans to enroll in a swimming class to meet her bodily
training requirement. Which adjustment in her remedy plan will the nurse assist the affected
person make?
A) Delay the meal before the swimming class till the consultation is over
B) Time her morning insulin injection in order that the peak action will occur all through her
swimming elegance
,C) Add 10 gadgets of ordinary insulin to her common morning dose on the days she plans to
swim
D) Monitor her glucose stage before, for the duration of, and after swimming to decide the need
for changes in food or insulin - ANS-D) Monitor her glucose stage earlier than, all through, and
after swimming to determine the want for alterations in meals or insulin
Rationale: Exercise decreases blood glucose and can have that effect for up to 48 hours.
Monitoring blood glucose with workout is indicated.
A) Pts have to exercising 1 hour after a meal
C) Increasing insulin isn't always appropriate with the glucose-lowering impact already going on
A 37-12 months-vintage woman has received 2 units of packed pink blood cells. What is the
preferred hemoglobin stage range for this patient?
A) forty two-52%
B) 37-forty seven%
C) 12-sixteen g/dL
D) 14-18 g/dL - ANS-C) 12-16 g/dL
Rationale: Females need to have a hemoglobin variety of 12-sixteen g/dL. Men need to have a
hemoglobin variety of 14-18 g/dL.
A fifty five-yr-antique male has a myocardial infarction requiring admission to the hospital. He is
being dealt with with an anticoagulant. The healthcare company would be most worried
approximately which of the following:
A) Purpura
B) Trouble sound asleep
C) An extended creatinine
D) Nausea - ANS-A) Purpura
Rationale: Anticoagulant therapy places a pt vulnerable to bleeding, and therefore a discount in
platelets. Purpura are massive crimson bruises that could occur with thrombocytopenia (low
platelet count).
A 65-yr-old male affected person, who is diabetic, has a hemoglobin A1C degree drawn. What is
the target hemoglobin A1C for this affected person?
A) Less than four%
B) Greater than 6%
C) Less than 10%
D) Less than 7% - ANS-D) Less than 7%
Rationale: Patients who are diabetic ought to try to have a goal hemoglobin A1C less than 7%.
,A 68-12 months-vintage affected person with Type 2 diabetes is introduced to the ER in an
unresponsive nation. A diagnosis of hyperglycemic hyperosmolar nonketotic coma (HHNS) is
made. The nurse prepares for the administration of which initial remedy?
A) Long-performing IV insulin
B) Oxygen by nasal cannula
C) Large quantities of IV saline solution
D) IV dextran as a supply of complex carbohydrates - ANS-C) Large amounts of IV saline
solution
Rationale: With HHNS, serum osmolarity is greater than regular limits, so dilution with fluids is
vital. Treatment for HHNS is
1) Restore plasma quantity with massive amounts of IV fluids
2) Correct electrolytes deficits and high blood glucose
3) Treat the underlying condition
A) Initiate insulin non-stop IV after rehydration
A patron with DM had previously been properly controlled with glyburide (DIaBeta), 5mg PO day
by day, however recently the fasting blood glucose has been running a hundred and eighty-two
hundred mg/dL. Which medication, if added to the customer's regimen, may also have
contributed to the hyperglycemia?
A) Atenolol (Tenormin)
B) Prednisone (Deltasone)
C) Allopurinol (Zyloprim)
D) Phenelzine (Nardil) - ANS-B) Prednisone (Deltasone)
Rationale:
A) Atenolol is a beta blocker
B) Prednisone is a corticosteroid. Steroids can trade how your frame handles carbohydrates
and sugars, consequently they are able to improve your blood sugar degree with the aid of
blocking the action of your insulin.
C) Allopurinol is a uric acid reducer
D) Phenelzine is an MAOI antidepressant.
A home health nurse visits a client with kind 1 DM. The client tells the nurse they were vomiting
and having diarrhea and feature now not had any food or medicinal drugs for the beyond 36
hours. Which extra announcement by the customer indicated the need for similarly teaching?
A) I have to display my blood glucose ever 3-four hours.
B) I want to forestall my insulin.
C) I ought to name my medical doctor due to these signs.
D) I need to growth my fluid consumption. - ANS-B) I want to prevent my insulin.
, Rationale: This pt is probable experiencing DKA because of profound deficiency of insulin and
caused through poor mgmt, contamination, or infection. Priority remedy is IV fluids then
continuous low dose insulin.
A hospitalized patient with type 1 diabetes received NPH and normal insulin 2 hours ago (at
7:30 am). The affected person calls the nurse and say they're feeling hungry, shaky, and
susceptible. The affected person ate breakfast at 8am and is because of have lunch at noon.
List in order of precedence the actions that the nurse might take (1 = first, 5 = remaining).
____ Give the patient 1/2 cup of fruit juice to drink
____ Check the patient's blood glucose degree
____ Take the patient's important signs and symptoms
____ Give the affected person a small snack of with carbohydrates.
____ Document the patient's complaints, moves taken, and outcome. - ANS-1) Check the
patient's blood glucose stage
2) Give the patient half cup of fruit juice to drink
3) Take the patient's vital signs and symptoms
4) Give the affected person a small snack of with carbohydrates.
5) Document the affected person's complaints, movements taken, and final results.
Rationale: These are sx of hypoglycemia. If hypoglycemic, eat 15-20 grams of glucose first.
A male affected person's whole blood count effects are again from this morning's lab draw.
Select all of the NORMAL effects:
A) RBC four.8 million
B) WBC 10,000
C) Platelets 350,000
D) Hbg 12 g/dL
E) Hct 37% - ANS-A) RBC 4.Eight million
B) WBC 10,000
C) Platelets 350,000
Rationale: A male's hemoglobin have to be 14-18 g/dL and hematocrit forty two-fifty two%.
D) and E) are regular effects for a FEMALE however no longer a male.
A nurse is making ready a coaching plan for a affected person with DM regarding proper foot
care. Which instruction is covered in the plan.
A) Apply a moisturizing lotion to dry toes.
B) Soak the feet in hot water.
C) Avoid the usage of moderate soap at the ft.
D) Only have a podiatrist reduce your toe nails, by no means reduce them your self. - ANS-A)
Apply a moisturizing lotion to dry ft.
Questions
__________ represents the average size of pink blood cells on the CBC result.
A) MCV (Mean Corpuscular Volume)
B) MCHC (Mean Corpuscular Hemoglobin Concentration)
C) MCH (Mean Corpuscular Hemoglobin)
D) RDW (Red Cell Distribution) - ANS-A) MCV (Mean Corpuscular Volume)
Rationale: MCV (suggest corpuscular extent) is the average length of the RBCs.
A 15 year vintage weighing 250 kilos has began to enjoy expanded thirst, accelerated appetite,
and common urination. After medical testing, it changed into decided the teen has kind 2
diabetes and could be began on oral medicinal drugs. What information must the nurse deliver
the adolescent approximately medicinal drugs as a remedy option?
A) "Insulin is used whilst diabetics may not take oral tablets, so that you can avoid this via taking
your remedy as ordered."
B) "You are being prescribed this oral medicinal drug now, and could want insulin in the destiny."
C) "Being obese can make a contribution to the development of development of type 2 diabetes,
which can be dealt with with an oral remedy. You can also or might not want insulin inside the
destiny."
D) "Your diabetes is slight because you're most effective having oral medication, it's going to
leave in case you forestall consuming candies." - ANS-C) "Being obese can contribute to the
development of development of type 2 diabetes, which can be treated with an oral remedy. You
may additionally or might not need insulin inside the destiny."
Rationale: Oral medicine paintings on 3 defects of Type II DM: insulin resistance, decreased
insulin production, and multiplied hepatic glucose production. SQ Insulin is indicated for Type I
DM and when there is insufficient insulin to meet metabolic desires. Some pts with Type II DM
might also want insulin with illness, strain, or surgical operation.
A 20-year-old university student has Type 1 diabetes and generally walks each evening as a
part of her workout recurring. She now plans to enroll in a swimming class to meet her bodily
training requirement. Which adjustment in her remedy plan will the nurse assist the affected
person make?
A) Delay the meal before the swimming class till the consultation is over
B) Time her morning insulin injection in order that the peak action will occur all through her
swimming elegance
,C) Add 10 gadgets of ordinary insulin to her common morning dose on the days she plans to
swim
D) Monitor her glucose stage before, for the duration of, and after swimming to decide the need
for changes in food or insulin - ANS-D) Monitor her glucose stage earlier than, all through, and
after swimming to determine the want for alterations in meals or insulin
Rationale: Exercise decreases blood glucose and can have that effect for up to 48 hours.
Monitoring blood glucose with workout is indicated.
A) Pts have to exercising 1 hour after a meal
C) Increasing insulin isn't always appropriate with the glucose-lowering impact already going on
A 37-12 months-vintage woman has received 2 units of packed pink blood cells. What is the
preferred hemoglobin stage range for this patient?
A) forty two-52%
B) 37-forty seven%
C) 12-sixteen g/dL
D) 14-18 g/dL - ANS-C) 12-16 g/dL
Rationale: Females need to have a hemoglobin variety of 12-sixteen g/dL. Men need to have a
hemoglobin variety of 14-18 g/dL.
A fifty five-yr-antique male has a myocardial infarction requiring admission to the hospital. He is
being dealt with with an anticoagulant. The healthcare company would be most worried
approximately which of the following:
A) Purpura
B) Trouble sound asleep
C) An extended creatinine
D) Nausea - ANS-A) Purpura
Rationale: Anticoagulant therapy places a pt vulnerable to bleeding, and therefore a discount in
platelets. Purpura are massive crimson bruises that could occur with thrombocytopenia (low
platelet count).
A 65-yr-old male affected person, who is diabetic, has a hemoglobin A1C degree drawn. What is
the target hemoglobin A1C for this affected person?
A) Less than four%
B) Greater than 6%
C) Less than 10%
D) Less than 7% - ANS-D) Less than 7%
Rationale: Patients who are diabetic ought to try to have a goal hemoglobin A1C less than 7%.
,A 68-12 months-vintage affected person with Type 2 diabetes is introduced to the ER in an
unresponsive nation. A diagnosis of hyperglycemic hyperosmolar nonketotic coma (HHNS) is
made. The nurse prepares for the administration of which initial remedy?
A) Long-performing IV insulin
B) Oxygen by nasal cannula
C) Large quantities of IV saline solution
D) IV dextran as a supply of complex carbohydrates - ANS-C) Large amounts of IV saline
solution
Rationale: With HHNS, serum osmolarity is greater than regular limits, so dilution with fluids is
vital. Treatment for HHNS is
1) Restore plasma quantity with massive amounts of IV fluids
2) Correct electrolytes deficits and high blood glucose
3) Treat the underlying condition
A) Initiate insulin non-stop IV after rehydration
A patron with DM had previously been properly controlled with glyburide (DIaBeta), 5mg PO day
by day, however recently the fasting blood glucose has been running a hundred and eighty-two
hundred mg/dL. Which medication, if added to the customer's regimen, may also have
contributed to the hyperglycemia?
A) Atenolol (Tenormin)
B) Prednisone (Deltasone)
C) Allopurinol (Zyloprim)
D) Phenelzine (Nardil) - ANS-B) Prednisone (Deltasone)
Rationale:
A) Atenolol is a beta blocker
B) Prednisone is a corticosteroid. Steroids can trade how your frame handles carbohydrates
and sugars, consequently they are able to improve your blood sugar degree with the aid of
blocking the action of your insulin.
C) Allopurinol is a uric acid reducer
D) Phenelzine is an MAOI antidepressant.
A home health nurse visits a client with kind 1 DM. The client tells the nurse they were vomiting
and having diarrhea and feature now not had any food or medicinal drugs for the beyond 36
hours. Which extra announcement by the customer indicated the need for similarly teaching?
A) I have to display my blood glucose ever 3-four hours.
B) I want to forestall my insulin.
C) I ought to name my medical doctor due to these signs.
D) I need to growth my fluid consumption. - ANS-B) I want to prevent my insulin.
, Rationale: This pt is probable experiencing DKA because of profound deficiency of insulin and
caused through poor mgmt, contamination, or infection. Priority remedy is IV fluids then
continuous low dose insulin.
A hospitalized patient with type 1 diabetes received NPH and normal insulin 2 hours ago (at
7:30 am). The affected person calls the nurse and say they're feeling hungry, shaky, and
susceptible. The affected person ate breakfast at 8am and is because of have lunch at noon.
List in order of precedence the actions that the nurse might take (1 = first, 5 = remaining).
____ Give the patient 1/2 cup of fruit juice to drink
____ Check the patient's blood glucose degree
____ Take the patient's important signs and symptoms
____ Give the affected person a small snack of with carbohydrates.
____ Document the patient's complaints, moves taken, and outcome. - ANS-1) Check the
patient's blood glucose stage
2) Give the patient half cup of fruit juice to drink
3) Take the patient's vital signs and symptoms
4) Give the affected person a small snack of with carbohydrates.
5) Document the affected person's complaints, movements taken, and final results.
Rationale: These are sx of hypoglycemia. If hypoglycemic, eat 15-20 grams of glucose first.
A male affected person's whole blood count effects are again from this morning's lab draw.
Select all of the NORMAL effects:
A) RBC four.8 million
B) WBC 10,000
C) Platelets 350,000
D) Hbg 12 g/dL
E) Hct 37% - ANS-A) RBC 4.Eight million
B) WBC 10,000
C) Platelets 350,000
Rationale: A male's hemoglobin have to be 14-18 g/dL and hematocrit forty two-fifty two%.
D) and E) are regular effects for a FEMALE however no longer a male.
A nurse is making ready a coaching plan for a affected person with DM regarding proper foot
care. Which instruction is covered in the plan.
A) Apply a moisturizing lotion to dry toes.
B) Soak the feet in hot water.
C) Avoid the usage of moderate soap at the ft.
D) Only have a podiatrist reduce your toe nails, by no means reduce them your self. - ANS-A)
Apply a moisturizing lotion to dry ft.
