NSG 4100 Exam 2 Questions with Detailed
Verified Answers
The nurse is discussing ways to prevent DKA w/ a client newly diagnosed w/ Type 1
DM, which instruction is most important to discuss with the client?
a. refer them to the American Diabetes Association
b. Take the prescribed insulin even when unable to eat due to illness
c. Do not take any OTC meds
d. explain the need to get the annual flu and pneumonia vaccines Ans: B
ED nurse is caring for pt with HHS who has BG of 680 mg/dl. Which question should
the nurse ask to determine the cause of acute complications?
a. "when was the last time you took your insulin?"
b. "when do you have your last meal?"
c. "have you had some type of infection lately?"
d. "how long have you had diabetes?" Ans: C
Client w/ a diagnosis of Addisonian crisis is being admitted to the ICU. Which findings
will the inter-professional care team focus on? Select all that apply:
a. hypotension
b. leuocytosis
c. hyperkalmeia
d. hypercalcemia
,e. hypernatremia Ans: A, C
Nurse is caring for a client after hypophysectomy and notes clear nasal drainage from
the client's nostril. The nurse should take which initial action?
a. lower the head of the bed
b. test drainage for glucose
c. obtain culture of drainage
d. continue to observe drainage Ans: B
Nurse is admitting a client who is diagnosed w/ SIADH and has serum sodium of 118
mEq/L. Which physician prescription should the nurse anticipate receiving? Select all
that apply:
a. Initiate infusion of 3% NaCl
b. administer IV furosemide
c. Restrict fluids to 800ml over 24hrs
d. elevate HOB to high fowler's
e. administer a vasopressin antagonist as prescribed Ans: A, C, E
Nurse performing an assessment on a client w/ pheochromocytoma. Which
assessment data would indicate potential complication with this disease?
a. urinary output of 50ml/h
b. coagulation time of 5 mins
c. HR that is 90bpm & irregular
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, d. BUN of 20 mg/dL Ans: C
Client is to have transsphenoidal hypophysectomy to remove a large, invasive pituitary
tumor. The nurse should instruct the client that the surgery will be performed through
an incision in the
a. back of mouth
b. nose
c. sinus channel below right eye
d. upper gingival mucosa in the space between the upper gum and lip Ans: D
Nurse teaches client to report s/s of which potential complication after a
hypophysectomy?
a. acromegaly
b. Cushing's ds
c. diabetes mellitus
d. hypopituitarism Ans: D
After pituitary surgery, the nurse should assess the client for
a. urine gravity <1.010
b. UO between 1-2L/day
c. BG >300 mg/dL
d. urine negative for glucose & ketones Ans: A
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Verified Answers
The nurse is discussing ways to prevent DKA w/ a client newly diagnosed w/ Type 1
DM, which instruction is most important to discuss with the client?
a. refer them to the American Diabetes Association
b. Take the prescribed insulin even when unable to eat due to illness
c. Do not take any OTC meds
d. explain the need to get the annual flu and pneumonia vaccines Ans: B
ED nurse is caring for pt with HHS who has BG of 680 mg/dl. Which question should
the nurse ask to determine the cause of acute complications?
a. "when was the last time you took your insulin?"
b. "when do you have your last meal?"
c. "have you had some type of infection lately?"
d. "how long have you had diabetes?" Ans: C
Client w/ a diagnosis of Addisonian crisis is being admitted to the ICU. Which findings
will the inter-professional care team focus on? Select all that apply:
a. hypotension
b. leuocytosis
c. hyperkalmeia
d. hypercalcemia
,e. hypernatremia Ans: A, C
Nurse is caring for a client after hypophysectomy and notes clear nasal drainage from
the client's nostril. The nurse should take which initial action?
a. lower the head of the bed
b. test drainage for glucose
c. obtain culture of drainage
d. continue to observe drainage Ans: B
Nurse is admitting a client who is diagnosed w/ SIADH and has serum sodium of 118
mEq/L. Which physician prescription should the nurse anticipate receiving? Select all
that apply:
a. Initiate infusion of 3% NaCl
b. administer IV furosemide
c. Restrict fluids to 800ml over 24hrs
d. elevate HOB to high fowler's
e. administer a vasopressin antagonist as prescribed Ans: A, C, E
Nurse performing an assessment on a client w/ pheochromocytoma. Which
assessment data would indicate potential complication with this disease?
a. urinary output of 50ml/h
b. coagulation time of 5 mins
c. HR that is 90bpm & irregular
© Get it right 2025 Getaway - Stuvia US All rights reserved
, d. BUN of 20 mg/dL Ans: C
Client is to have transsphenoidal hypophysectomy to remove a large, invasive pituitary
tumor. The nurse should instruct the client that the surgery will be performed through
an incision in the
a. back of mouth
b. nose
c. sinus channel below right eye
d. upper gingival mucosa in the space between the upper gum and lip Ans: D
Nurse teaches client to report s/s of which potential complication after a
hypophysectomy?
a. acromegaly
b. Cushing's ds
c. diabetes mellitus
d. hypopituitarism Ans: D
After pituitary surgery, the nurse should assess the client for
a. urine gravity <1.010
b. UO between 1-2L/day
c. BG >300 mg/dL
d. urine negative for glucose & ketones Ans: A
© Get it right 2025 Getaway - Stuvia US All rights reserved
