1
NURS 221 EXAM 2 ACTUAL EXAM NEWEST EXAM
COMPLETE ACCURATE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
A patient diagnosed with type 1 diabetes is receiving a continuous subcutaneous
insulin infusion via an insulin pump contacts the clinic to report mechanical failure
of the infusion pump. The nurse instructs the patient to begin monitoring for signs
of what possible complication?
A. Adrenal insufficiency
B. Diabetic ketoacidosis
C. Hyperosmolar, hyperglycemic state
D. Hypoglycemia - (answers)B. Diabetic ketoacidosis
Which laboratory values would be more common in patients with diabetic
ketoacidosis?
A. Blood glucose >1000 mg/dL
B. Negative ketones in the urine
C. Normal anion gap
D. pH 7.24 - (answers)D. pH 7.24
, 2
Which nursing diagnosis is a high-priority for both diabetic ketoacidosis and
hyperosmolar hyperglycemic syndrome?
A. Activity intolerance
B. Fluid volume deficient
C. Hyperthermia
D. Impaired nutrition, more than body requirements - (answers)B. Fluid volume
deficient
A continuous insulin intravenous infusion is started, and hourly bedside glucose
monitoring is ordered for a patient who presented to the emergency department
experiencing diabetic ketoacidosis. What is the targeted blood glucose value after
the first hour of therapy?
A. 70 to 120 mg/dL
B. A decrease of 25 to 50 mg/dL compared with admitting values
C. A decrease of 50 to 75 mg/dL compared with admitting values
D. Less than 200 mg/dL - (answers)C. A decrease of 50 to 75 mg/dL compared
with admitting values
The nurse is caring for a 27-year-old patient with a diagnosis of head trauma. The
nurse notes that the patient's urine output has increased tremendously over the past
18 hours. The nurse suspects that the patient may be developing what complication
of the injury?
, 3
A. Diabetes insipidus
B. Diabetic ketoacidosis
C. Hyperosmolar hyperglycemic syndrome
D. Syndrome of inappropriate secretion of antidiuretic hormone - (answers)A.
Diabetes insipidus
In the management of diabetic ketoacidosis and hyperosmolar hyperglycemic
syndrome, when is an intravenous (IV) solution that contains dextrose started?
A. Never; normal saline is the only appropriate solution in diabetes management
B. When the blood sugar reaches 70 mg/dL
C. When the blood sugar reaches 150 mg/dL
D. When the blood glucose reaches 250 mg/dL - (answers)D. When the blood
glucose reaches 250 mg/dL
A 32-year-old patient is admitted to the critical care unit with a diagnosis of
diabetic ketoacidosis. Following aggressive fluid resuscitation and intravenous
(IV) insulin administration, the blood glucose begins to normalize. In addition to
glucose monitoring, which of the following electrolytes requires close monitoring?
A. Calcium
, 4
B. Chloride
C. Potassium
D. Sodium. - (answers)C. Potassium
A patient is admitted to the oncology unit with a small cell lung carcinoma. During
the admission, the patient is noted to have a significant decrease in urine output
accompanied by shortness of breath, edema, and mental status changes. The nurse
is aware that this clinical presentation is consistent with what diagnosis?
A. Adrenal crisis
B. Diabetes insipidus
C. Myxedema coma
D. Syndrome of inappropriate secretion of antidiuretic hormone (SIADH) -
(answers)D. Syndrome of inappropriate secretion of antidiuretic hormone (SIADH)
What differences would you expect to see in patients experiencing hyperosmolar
hyperglycemic syndrome rather than diabetic ketoacidosis?
A. Lower serum glucose, lower osmolality, and greater ketosis
B. Lower serum glucose, lower osmolality, and milder ketosis
C. Higher serum glucose, higher osmolality, and greater ketosis
D. Higher serum glucose, higher osmolality, and no ketosis - (answers)D. Higher
serum glucose, higher osmolality, and no ketosis
NURS 221 EXAM 2 ACTUAL EXAM NEWEST EXAM
COMPLETE ACCURATE EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT
ANSWERS) /ALREADY GRADED A+
A patient diagnosed with type 1 diabetes is receiving a continuous subcutaneous
insulin infusion via an insulin pump contacts the clinic to report mechanical failure
of the infusion pump. The nurse instructs the patient to begin monitoring for signs
of what possible complication?
A. Adrenal insufficiency
B. Diabetic ketoacidosis
C. Hyperosmolar, hyperglycemic state
D. Hypoglycemia - (answers)B. Diabetic ketoacidosis
Which laboratory values would be more common in patients with diabetic
ketoacidosis?
A. Blood glucose >1000 mg/dL
B. Negative ketones in the urine
C. Normal anion gap
D. pH 7.24 - (answers)D. pH 7.24
, 2
Which nursing diagnosis is a high-priority for both diabetic ketoacidosis and
hyperosmolar hyperglycemic syndrome?
A. Activity intolerance
B. Fluid volume deficient
C. Hyperthermia
D. Impaired nutrition, more than body requirements - (answers)B. Fluid volume
deficient
A continuous insulin intravenous infusion is started, and hourly bedside glucose
monitoring is ordered for a patient who presented to the emergency department
experiencing diabetic ketoacidosis. What is the targeted blood glucose value after
the first hour of therapy?
A. 70 to 120 mg/dL
B. A decrease of 25 to 50 mg/dL compared with admitting values
C. A decrease of 50 to 75 mg/dL compared with admitting values
D. Less than 200 mg/dL - (answers)C. A decrease of 50 to 75 mg/dL compared
with admitting values
The nurse is caring for a 27-year-old patient with a diagnosis of head trauma. The
nurse notes that the patient's urine output has increased tremendously over the past
18 hours. The nurse suspects that the patient may be developing what complication
of the injury?
, 3
A. Diabetes insipidus
B. Diabetic ketoacidosis
C. Hyperosmolar hyperglycemic syndrome
D. Syndrome of inappropriate secretion of antidiuretic hormone - (answers)A.
Diabetes insipidus
In the management of diabetic ketoacidosis and hyperosmolar hyperglycemic
syndrome, when is an intravenous (IV) solution that contains dextrose started?
A. Never; normal saline is the only appropriate solution in diabetes management
B. When the blood sugar reaches 70 mg/dL
C. When the blood sugar reaches 150 mg/dL
D. When the blood glucose reaches 250 mg/dL - (answers)D. When the blood
glucose reaches 250 mg/dL
A 32-year-old patient is admitted to the critical care unit with a diagnosis of
diabetic ketoacidosis. Following aggressive fluid resuscitation and intravenous
(IV) insulin administration, the blood glucose begins to normalize. In addition to
glucose monitoring, which of the following electrolytes requires close monitoring?
A. Calcium
, 4
B. Chloride
C. Potassium
D. Sodium. - (answers)C. Potassium
A patient is admitted to the oncology unit with a small cell lung carcinoma. During
the admission, the patient is noted to have a significant decrease in urine output
accompanied by shortness of breath, edema, and mental status changes. The nurse
is aware that this clinical presentation is consistent with what diagnosis?
A. Adrenal crisis
B. Diabetes insipidus
C. Myxedema coma
D. Syndrome of inappropriate secretion of antidiuretic hormone (SIADH) -
(answers)D. Syndrome of inappropriate secretion of antidiuretic hormone (SIADH)
What differences would you expect to see in patients experiencing hyperosmolar
hyperglycemic syndrome rather than diabetic ketoacidosis?
A. Lower serum glucose, lower osmolality, and greater ketosis
B. Lower serum glucose, lower osmolality, and milder ketosis
C. Higher serum glucose, higher osmolality, and greater ketosis
D. Higher serum glucose, higher osmolality, and no ketosis - (answers)D. Higher
serum glucose, higher osmolality, and no ketosis
