NSG 110 - Test 4 [ACTUAL EXAM ] LATEST
VERSION [QUESTIONS AND ANSWERS] DETAILED
AND VERIFIED FOR GUARANTEED PASS- LATEST
UPDATE 2025 GRADED A (BRAND NEW!!)
What is the purpose of identifying a nursing diagnosis?
A. Discovering the cause of disease
B. Identifying client response to actual or potential health problems
C. Documenting expected outcomes
D. Planning card to meet the patients needs - CORRECT ANSWER
✔✔✔✔✔ B. Identifying client response to actual or potential health
problems
Which of the following is correctly written nursing diagnosis?
A. Acute pain related to patients report of 8/10 pain
B. Risk for decreased cardiac output related to alteration in heart
rhythm ( atrial fiberlation) as evidence by heart rate 130
C. Impaired mobility related to pain
D.activity intolerance related to physical reconditioning ( history of
Parkinson's disease ) , as evidenced by patient complaint of
generalized weakness - CORRECT ANSWER ✔✔✔✔✔ D. Activity
intolerance related to physical reconditioning ( hx of Parkinson's
disease ), as evidenced by patient complaint of generalized weakness
A 54 year old client recently diagnosed with diabetes Mel lotus asks
bout diet and exercise management . The nurse recognizes a need for
further education based on which of the following client statements?
A." I need to carry glucose tablets to the gym"
B. " it's ok to exercise if my blood sugar is less than 240"
C. I should not eat before running to prevent complications
D. " it is important to walk 20 min a day to improve my health" -
CORRECT ANSWER ✔✔✔✔✔ C
,An older adult who has diabetes type 1 is admitted with a serum
glucose of 650 , kussmaul resp, lethargy, decreased urinary output,
and hypotension . The nurse should expect the first priority of initial
therapy to be which of the following
A. Fluid volume replacement
B. Reduction of serum glucose
3. Precautions for seizure activity
4. Correction of metabolic acidosis - CORRECT ANSWER ✔✔✔✔✔ A
A client asks the nurse " should I skip my injection of mantis because
I have not eaten for 8 hours"? The clients glucose is 106. Which of the
following actions should the nurse perform ?
A. Hold the insulin and document the action
B. Administer the med as prescribed
C. Offer sips of orange juice and reassess
D. Delay administration until morning - CORRECT ANSWER ✔✔✔✔✔
B
A 67 year old client who has diabetes is scheduled for a CT scan of
the head with contrast. Which of the following actions should the
nurse implement ? Select all that apply
A. Monitor BUn and creatinine levels
B. Hold metformin 48 hours prior to the procedure
C. Encourage the client to I crease fluid intake following the scan
D. Resume metformin 24 hours following the procedure
E. Instruct client to avoid eating or drinking 12 hours prior to the scan
- CORRECT ANSWER ✔✔✔✔✔ A,B,C
A nurse recognizes which of the following statements needs follow up
when providing an in home assessment of a client who has diabetes .
Select all that apply
A. After exercise I check my feet
B. My tennis shoes are for walking
C. I have broken toenail that will fall off soon
, D. Do not remove my socks because my feet hurt
E. Walking around barefoot is more comfortable for me - CORRECT
ANSWER ✔✔✔✔✔ C,D,E
A nurse is caring for an older patient with type two diabetes who is
living in a long-term care facility. The nurse determines that the
patient's fluid intake and output is approximately 1200 mL per day.
What patient teaching with the nurse provide for this patient? Select
all that apply
A."Try to drink at least 6 to 8 glasses of water each day"
C."Limit sugar, salt, and alcohol in your diet"
B."Try to limit your fluid intake to 1 quart of water daily"
D."Report side effects of medications you're taking especially
diarrhea"
E."Temporarily increase foods containing caffeine for their diuretic
effect
F." Weigh yourself daily and report any changes in your weight -
CORRECT ANSWER ✔✔✔✔✔ A,C,D,F
Generally fluid intake and output averages 2600 mL per day. This
patient is experiencing dehydration and should be encouraged to
drink more water, maintain normal body weight, avoid consuming
excess amounts of products high in salt, sugar, caffeine, limit alcohol
intake and monitor side effects of medications, especially diarrhea
and water loss from diuretics
A nurse is performing a physical assessment of the patient who is
experiencing fluid volume excess. Upon examination of the patients
like the nurse documents pitting Adema 6 mm pit pit remains several
seconds after pressing with obvious skin smiling. What grade of
Adema has this nurse documented
A. 1+ pitting edema
B. 2+ pitting edema
C. 3+ pitting edema
D.4+ pitting edema - CORRECT ANSWER ✔✔✔✔✔ C
VERSION [QUESTIONS AND ANSWERS] DETAILED
AND VERIFIED FOR GUARANTEED PASS- LATEST
UPDATE 2025 GRADED A (BRAND NEW!!)
What is the purpose of identifying a nursing diagnosis?
A. Discovering the cause of disease
B. Identifying client response to actual or potential health problems
C. Documenting expected outcomes
D. Planning card to meet the patients needs - CORRECT ANSWER
✔✔✔✔✔ B. Identifying client response to actual or potential health
problems
Which of the following is correctly written nursing diagnosis?
A. Acute pain related to patients report of 8/10 pain
B. Risk for decreased cardiac output related to alteration in heart
rhythm ( atrial fiberlation) as evidence by heart rate 130
C. Impaired mobility related to pain
D.activity intolerance related to physical reconditioning ( history of
Parkinson's disease ) , as evidenced by patient complaint of
generalized weakness - CORRECT ANSWER ✔✔✔✔✔ D. Activity
intolerance related to physical reconditioning ( hx of Parkinson's
disease ), as evidenced by patient complaint of generalized weakness
A 54 year old client recently diagnosed with diabetes Mel lotus asks
bout diet and exercise management . The nurse recognizes a need for
further education based on which of the following client statements?
A." I need to carry glucose tablets to the gym"
B. " it's ok to exercise if my blood sugar is less than 240"
C. I should not eat before running to prevent complications
D. " it is important to walk 20 min a day to improve my health" -
CORRECT ANSWER ✔✔✔✔✔ C
,An older adult who has diabetes type 1 is admitted with a serum
glucose of 650 , kussmaul resp, lethargy, decreased urinary output,
and hypotension . The nurse should expect the first priority of initial
therapy to be which of the following
A. Fluid volume replacement
B. Reduction of serum glucose
3. Precautions for seizure activity
4. Correction of metabolic acidosis - CORRECT ANSWER ✔✔✔✔✔ A
A client asks the nurse " should I skip my injection of mantis because
I have not eaten for 8 hours"? The clients glucose is 106. Which of the
following actions should the nurse perform ?
A. Hold the insulin and document the action
B. Administer the med as prescribed
C. Offer sips of orange juice and reassess
D. Delay administration until morning - CORRECT ANSWER ✔✔✔✔✔
B
A 67 year old client who has diabetes is scheduled for a CT scan of
the head with contrast. Which of the following actions should the
nurse implement ? Select all that apply
A. Monitor BUn and creatinine levels
B. Hold metformin 48 hours prior to the procedure
C. Encourage the client to I crease fluid intake following the scan
D. Resume metformin 24 hours following the procedure
E. Instruct client to avoid eating or drinking 12 hours prior to the scan
- CORRECT ANSWER ✔✔✔✔✔ A,B,C
A nurse recognizes which of the following statements needs follow up
when providing an in home assessment of a client who has diabetes .
Select all that apply
A. After exercise I check my feet
B. My tennis shoes are for walking
C. I have broken toenail that will fall off soon
, D. Do not remove my socks because my feet hurt
E. Walking around barefoot is more comfortable for me - CORRECT
ANSWER ✔✔✔✔✔ C,D,E
A nurse is caring for an older patient with type two diabetes who is
living in a long-term care facility. The nurse determines that the
patient's fluid intake and output is approximately 1200 mL per day.
What patient teaching with the nurse provide for this patient? Select
all that apply
A."Try to drink at least 6 to 8 glasses of water each day"
C."Limit sugar, salt, and alcohol in your diet"
B."Try to limit your fluid intake to 1 quart of water daily"
D."Report side effects of medications you're taking especially
diarrhea"
E."Temporarily increase foods containing caffeine for their diuretic
effect
F." Weigh yourself daily and report any changes in your weight -
CORRECT ANSWER ✔✔✔✔✔ A,C,D,F
Generally fluid intake and output averages 2600 mL per day. This
patient is experiencing dehydration and should be encouraged to
drink more water, maintain normal body weight, avoid consuming
excess amounts of products high in salt, sugar, caffeine, limit alcohol
intake and monitor side effects of medications, especially diarrhea
and water loss from diuretics
A nurse is performing a physical assessment of the patient who is
experiencing fluid volume excess. Upon examination of the patients
like the nurse documents pitting Adema 6 mm pit pit remains several
seconds after pressing with obvious skin smiling. What grade of
Adema has this nurse documented
A. 1+ pitting edema
B. 2+ pitting edema
C. 3+ pitting edema
D.4+ pitting edema - CORRECT ANSWER ✔✔✔✔✔ C
