NUR 112 FINAL EXAM PRACTICE QUESTIONS AND CORRECT ANSWERS

NUR 112 FINAL EXAM PRACTICE
QUESTIONS AND CORRECT
ANSWERS
AnA218-year-oldA2femaleA2client,A25′4′
′A2tall,A2weighingA2113A2kg,A2comesA2toA2theA2clinicA2forA2aA2nonhealingA2woundA2onA2herA2
lowerA2leg,A2whichA2sheA2hasA2hadA2forA2twoA2(2)A2weeks.A2WhichA2diseaseA2processA2sh
ouldA2theA2nurseA2suspectA2theA2clientA2hasA2developed?
1.A2TypeA21A2diabetes.
2.A2TypeA22A2diabetes.
3.A2GestationalA2diabetes.
4.A2AcanthosisA2nigricans.A2-A2Ans--2

TheA2clientA2diagnosedA2withA2typeA21A2diabetesA2hasA2aA2glycosylatedA2hemoglobinA2(A1
c)A2ofA28.1%.A2WhichA2interpretationA2shouldA2theA2nurseA2makeA2basedA2onA2thisA2result
?
1.A2ThisA2resultA2isA2belowA2normalA2levels.
2.A2ThisA2resultA2isA2withinA2acceptableA2levels.
3.A2ThisA2resultA2isA2aboveA2recommendedA2levels.
4.A2ThisA2resultA2isA2dangerouslyA2high.A2-A2Ans--3

TheA2nurseA2administeredA228A2unitsA2ofA2HumulinA2N,A2anA2intermediate-
actingA2insulin,A2toA2aA2clientA2diagnosedA2withA2typeA21A2diabetesA2atA21600.A2WhichA2int
erventionA2shouldA2theA2nurseA2implement?
1.A2EnsureA2theA2clientA2eatsA2theA2bedtimeA2snack.
2.A2DetermineA2howA2muchA2foodA2theA2clientA2ateA2atA2lunch.
3.A2PerformA2aA2glucometerA2readingA2atA20700.
4.A2OfferA2theA2clientA2proteinA2afterA2administeringA2insulin.A2-A2Ans--1

TheA2nurseA2isA2discussingA2theA2importanceA2ofA2exercisingA2withA2aA2clientA2diagnosedA
2withA2typeA22A2diabetesA2whoseA2diabetesA2isA2wellA2controlledA2withA2dietA2andA2exercis
e.A2WhichA2informationA2shouldA2theA2nurseA2includeA2inA2theA2teachingA2aboutA2diabetes
?
1.A2EatA2aA2simpleA2carbohydrateA2snackA2beforeA2exercising.
2.A2CarryA2peanutA2butterA2crackersA2whenA2exercising.
3.A2EncourageA2theA2clientA2toA2walkA220A2minutesA2threeA2(3)A2timesA2aA2week.
4.A2PerformA2warmupA2andA2cool-downA2exercises.A2-A2Ans--4

TheA2nurseA2isA2assessingA2theA2feetA2ofA2aA2clientA2withA2long-
termA2typeA22A2diabetes.A2WhichA2assessmentA2dataA2warrantA2immediateA2interventionA2
byA2theA2nurse?
1.A2TheA2clientA2hasA2crumblingA2toenails.

,2.A2TheA2clientA2hasA2athlete'sA2foot.
3.A2TheA2clientA2hasA2aA2necroticA2bigA2toe.
4.A2TheA2clientA2hasA2thickenedA2toenails.A2-A2Ans--3

TheA2homeA2healthA2nurseA2isA2completingA2theA2admissionA2assessmentA2forA2aA276-
year-
oldA2clientA2diagnosedA2withA2typeA22A2diabetesA2controlledA2withA270/30A2insulin.A2Which
A2interventionA2shouldA2beA2includedA2inA2theA2planA2ofA2care?
1.A2AssessA2theA2client'sA2abilityA2toA2readA2smallA2print.
2.A2MonitorA2theA2client'sA2serumA2PTA2level.
3.A2TeachA2theA2clientA2howA2toA2performA2aA2hemoglobinA2A1cA2testA2daily.
4.A2InstructA2theA2clientA2toA2checkA2theA2feetA2weekly.A2-A2Ans--1

TheA2clientA2withA2typeA22A2diabetesA2controlledA2withA2biguanideA2oralA2diabeticA2medicat
ionA2isA2scheduledA2forA2aA2computedA2tomographyA2(CT)A2scanA2withA2contrastA2ofA2theA2
abdomenA2toA2evaluateA2pancreaticA2function.A2WhichA2interventionA2shouldA2theA2nurseA
2implement?
1.A2ProvideA2aA2high-fatA2dietA224A2hoursA2priorA2toA2test.
2.A2HoldA2theA2biguanideA2medicationA2forA248A2hoursA2priorA2toA2test.
3.A2ObtainA2anA2informedA2consentA2formA2forA2theA2test.
4.A2AdministerA2pancreaticA2enzymesA2priorA2toA2theA2test.A2-A2Ans--2

TheA2diabeticA2educatorA2isA2teachingA2aA2classA2onA2diabetesA2typeA21A2andA2isA2discussi
ngA2sick-
dayA2rules.A2WhichA2interventionsA2shouldA2theA2diabetesA2educatorA2includeA2inA2theA2dis
cussion?A2SelectA2allA2thatA2apply.
1.A2TakeA2diabeticA2medicationA2evenA2ifA2unableA2toA2eatA2theA2client'sA2normalA2diabetic
A2diet.
2.A2IfA2unableA2toA2eat,A2drinkA2liquidsA2equalA2toA2theA2client'sA2normalA2caloricA2intake.
3.A2ItA2isA2notA2necessaryA2toA2notifyA2theA2health-
careA2providerA2ifA2ketonesA2areA2inA2theA2urine.
4.A2TestA2bloodA2glucoseA2levelsA2andA2testA2urineA2ketonesA2onceA2aA2dayA2andA2keepA2a
A2record.
5.A2CallA2theA2health-careA2providerA2ifA2glucoseA2levelsA2areA2higherA2thanA2180A2mg/
dL.A2-A2Ans--1,A22,A25

TheA2clientA2receivedA210A2unitsA2ofA2HumulinA2R,A2aA2fast-
actingA2insulin,A2atA20700.A2AtA21030A2theA2unlicensedA2assistiveA2personnelA2(UAP)A2tell
sA2theA2nurseA2theA2clientA2hasA2aA2headacheA2andA2isA2reallyA2actingA2"funny."A2WhichA2i
nterventionA2shouldA2theA2nurseA2implementA2first?
1.A2InstructA2theA2UAPA2toA2obtainA2theA2bloodA2glucoseA2level.
2.A2HaveA2theA2clientA2drinkA2eightA2(8)A2ouncesA2ofA2orangeA2juice.
3.A2GoA2toA2theA2client'sA2roomA2andA2assessA2theA2clientA2forA2hypoglycemia.
4.A2PrepareA2toA2administerA2oneA2(1)A2ampuleA250%A2dextroseA2intravenously.A2-A2Ans--
3

,TheA2nurseA2atA2aA2freestandingA2healthA2careA2clinicA2isA2caringA2forA2aA256-year-
oldA2maleA2clientA2whoA2isA2homelessA2andA2isA2aA2typeA22A2diabeticA2controlledA2withA2ins
ulin.A2WhichA2actionA2isA2anA2exampleA2ofA2clientA2advocacy?
1.A2AskA2theA2clientA2ifA2heA2hasA2somewhereA2heA2canA2goA2andA2live.
2.A2ArrangeA2forA2someoneA2toA2giveA2himA2insulinA2atA2aA2localA2homelessA2shelter.
3.A2NotifyA2AdultA2ProtectiveA2ServicesA2aboutA2theA2client'sA2situation.
4.A2AskA2theA2HCPA2toA2takeA2theA2clientA2offA2insulinA2becauseA2heA2isA2homeless.A2-
A2Ans--2


TheA2nurseA2isA2developingA2aA2careA2planA2forA2theA2clientA2diagnosedA2withA2typeA21A2di
abetes.A2TheA2nurseA2identifiesA2theA2problemA2"highA2riskA2forA2hyperglycemiaA2relatedA2
toA2noncomplianceA2withA2theA2medicationA2regimen."A2WhichA2statementA2isA2anA2appro
priateA2short-termA2goalA2forA2theA2client?
1.A2TheA2clientA2willA2haveA2aA2bloodA2glucoseA2levelA2betweenA290A2andA2140A2mg/dL.
2.A2TheA2clientA2willA2demonstrateA2appropriateA2insulinA2injectionA2technique.
3.A2TheA2nurseA2willA2monitorA2theA2client'sA2bloodA2glucoseA2levelsA2fourA2(4)A2timesA2aA2
day.
4.A2TheA2clientA2willA2maintainA2normalA2kidneyA2functionA2withA230-mL/
hrA2urineA2output.A2-A2Ans--1

TheA2clientA2diagnosedA2withA2typeA22A2diabetesA2isA2admittedA2toA2theA2intensiveA2careA2
unitA2withA2hyperosmolarA2hyperglycemicA2nonketonicA2syndromeA2(HHNS)A2coma.A2Whi
chA2assessmentA2dataA2shouldA2theA2nurseA2expectA2theA2clientA2toA2exhibit?
1.A2Kussmaul'sA2respirations.
2.A2DiarrheaA2andA2epigastricA2pain.
3.A2DryA2mucousA2membranes.
4.A2KetoneA2breathA2odor.A2-A2Ans--3

TheA2elderlyA2clientA2isA2admittedA2toA2theA2intensiveA2careA2departmentA2diagnosedA2with
A2severeA2HHNS.A2WhichA2collaborativeA2interventionA2shouldA2theA2nurseA2includeA2inA2t
heA2planA2ofA2care?
1.A2InfuseA20.9%A2normalA2salineA2intravenously.
2.A2AdministerA2intermediate-actingA2insulin.
3.A2PerformA2bloodA2glucometerA2checksA2daily.
4.A2MonitorA2arterialA2bloodA2gasA2results.A2-A2Ans--1

WhichA2electrolyteA2replacementA2shouldA2theA2nurseA2anticipateA2beingA2orderedA2byA2th
eA2health-
careA2providerA2inA2theA2clientA2diagnosedA2withA2DKAA2whoA2hasA2justA2beenA2admittedA2
toA2theA2ICU?
1.A2Glucose.
2.A2Potassium.
3.A2Calcium.
4.A2Sodium.A2-A2Ans--2

, TheA2clientA2diagnosedA2withA2HHNSA2wasA2admittedA2yesterdayA2withA2aA2bloodA2glucos
eA2levelA2ofA2780A2mg/dL.A2TheA2client'sA2bloodA2glucoseA2levelA2isA2nowA2300A2mg/
dL.A2WhichA2interventionA2shouldA2theA2nurseA2implement?
1.A2IncreaseA2theA2regularA2insulinA2IVA2drip.
1.A2CheckA2theA2client'sA2urineA2forA2ketones.
3.A2ProvideA2theA2clientA2withA2aA2therapeuticA2diabeticA2meal.
4.A2NotifyA2theA2HCPA2toA2obtainA2anA2orderA2toA2decreaseA2insulin.A2-A2Ans--4

TheA2clientA2diagnosedA2withA2typeA21A2diabetesA2isA2foundA2lyingA2unconsciousA2onA2theA
2floorA2ofA2theA2bathroom.A2WhichA2interventionA2shouldA2theA2nurseA2implementA2first?
1.A2AdministerA250%A2dextroseA2IVP.
2.A2NotifyA2theA2health-careA2provider.
3.A2MoveA2theA2clientA2toA2theA2ICU.
4.A2CheckA2theA2serumA2glucoseA2level.A2-A2Ans--1

WhichA2assessmentA2dataA2indicateA2theA2clientA2diagnosedA2withA2diabeticA2ketoacidosis
A2isA2respondingA2toA2theA2medicalA2treatment?
1.A2TheA2clientA2hasA2tentedA2skinA2turgorA2andA2dryA2mucousA2membranes.
2.A2TheA2clientA2isA2alertA2andA2orientedA2toA2date,A2time,A2andA2place.
3.A2TheA2client'sA2ABGA2resultsA2areA2pHA27.29,A2PaCO2A244,A2HCO3A215.
4.A2TheA2client'sA2serumA2potassiumA2levelA2isA23.3A2mEq/L.A2-A2Ans--2

TheA2UAPA2onA2theA2medicalA2floorA2tellsA2theA2nurseA2theA2clientA2diagnosedA2withA2DKA
A2wantsA2somethingA2elseA2toA2eatA2forA2lunch.A2WhichA2interventionA2shouldA2theA2nurseA
2implement?
1.A2InstructA2theA2UAPA2toA2getA2theA2clientA2additionalA2food.
2.A2NotifyA2theA2dietitianA2aboutA2theA2client'sA2request.
3.A2RequestA2theA2HCPA2increaseA2theA2client'sA2caloricA2intake.
4.A2TellA2theA2UAPA2theA2clientA2cannotA2haveA2anythingA2else.A2-A2Ans--2

TheA2emergencyA2departmentA2nurseA2isA2caringA2forA2aA2clientA2diagnosedA2withA2HHNS
A2whoA2hasA2aA2bloodA2glucoseA2ofA2680A2mg/
dL.A2WhichA2questionA2shouldA2theA2nurseA2askA2theA2clientA2toA2determineA2theA2causeA2
ofA2thisA2acuteA2complication?
1.A2"WhenA2isA2theA2lastA2timeA2youA2tookA2yourA2insulin?"
2.A2"WhenA2didA2youA2haveA2yourA2lastA2meal?"
3.A2"HaveA2youA2hadA2someA2typeA2ofA2infectionA2lately?"
4.A2"HowA2longA2haveA2youA2hadA2diabetes?"A2-A2Ans--3

TheA2nurseA2isA2discussingA2waysA2toA2preventA2diabeticA2ketoacidosisA2withA2theA2clientA
2diagnosedA2withA2typeA21A2diabetes.A2WhichA2instructionA2isA2mostA2importantA2toA2discu
ssA2withA2theA2client?
1.A2ReferA2theA2clientA2toA2theA2AmericanA2DiabetesA2Association.
2.A2DoA2notA2takeA2anyA2over-the-counterA2medications.
3.A2TakeA2theA2prescribedA2insulinA2evenA2whenA2unableA2toA2eatA2becauseA2ofA2illness.
4.A2ExplainA2theA2needA2toA2getA2theA2annualA2fluA2andA2pneumoniaA2vaccines.A2-A2Ans--3