AH3 EXAM 3 REVIEW QUESTIONS & ANSWERS
A nurse plans care for a client w/hyperparathyroidism. Which intervention should the
nurse include in this client's plan of care? - Answers :Use a lift sheet to assist the client
w/position changes to reduce risk of fractures
While assessing a client w/Grave's disease, the nurse notes that the client's temp. has
risen 1 degree F. Which action should the nurse take 1st before notifying the provider? -
Answers :Turn the lights down & shut the client's door.
Which type of therapy will the nurse prepare to teach about to a client who has mild
hyperparathyroidism? - Answers :Diuretics & fluids.
. Performance of which assessment is a priority for the nurse before giving a client the
1st oral dose of hormone replacement for hypothyroidism? - Answers :Measuring heart
rate & rhythm.
. A client w/diabetes states having frequent blood glucose readings higher than
300mg/dL. Which action does the nurse teach the client about self-care? - Answers
:When blood glucose readings are high, check the urine ketones
. A client is receiving NPH insulin 20 units subcutaneously at 0700 hrs. daily. @ 1500
hrs., the nurse assess the client. Which of these findings are suggestive of
hypoglycemia? - Answers :Weakness, blurred vision.
A client newly diagnosed w/diabetes mellitus (DM) is assessed for signs of
complications. Which sign or symptom indicates the client is a risk for complications
associated w/diabetes if the blood glucose is not adequately managed? - Answers
:Polydipsia.
@ 4:45p.m., a nurse assesses a client w/DM who is recovering from an abdominal
hysterectomy 2 days ago. The nurse notes that the client is confused, diaphoretic, &
has nausea & vomiting. The client has a PICC line left upper extremity. The nurse
reviews the assessment data provided in the chart below: After reviewing the client's
assessment data, which action is appropriate @ this time? - Answers :Administer
dextrose 50% intravenously & reassess the client.
A client diagnosed w/DM has been controlled on Humulin NPH. After a recent diagnosis
of cellulitis treated w/prednisone, which prescription change does the nurse anticipate
during therapy w/the prednisone? - Answers :An increased amount of daily Humulin
NPH insulin.
The lab values of a client who has DM include a fasting blood glucose level of
82mg/dL(mmol/L) & hemoglobin A1C of 5.9%. What is the nurse's interpretation of
, these findings? - Answers :The values indicate that the client has managed his/her
disease well
. A client diagnosed w/type 2 diabetes is admitted to the ICU w/hyperosmolar
hyperglycemic syndrome & coma. Which assessment data should the nurse expect the
client to exhibit? - Answers :*Cool, clammy & pale skin.
Which insulin matches the following information? Onset:30-60 mins; peak:90-120mins;
duration:4-8hrs. - Answers :*Regular
The nurse is preparing a plan of care for a client w/DM who has hyperglycemia. The
nurse places highest priority on which client problem? - Answers :Inadequate fluid
volume.
After neck surgery, a patient develops hypoparathyroidism. The nurse should plan to
teach the patient about: - Answers :Calcium supplementation to normalize serum
calcium levels.
. A client has been admitted w/hyperparathyroidism. The nurse is aware that which of
these nursing problems occur w/this diagnosis? - Answers :Possible fractures of
unknown reason
A few hrs. after returning to the surgical nursing unit, a patient who has undergone a
subtotal thyroidectomy develops laryngeal stridor related to tetany. After giving an
administration of IV calcium gluconate, the nurse anticipates that the next intervention to
treat the tetany is: - Answers :Immediate tracheostomy & manual ventilation.
. Which statement by the client undergoing radioactive iodine (RAI) therapy
demonstrates to the nurse the need for more teaching regarding their correct
understanding of safety post-procedure precautions - Answers :I know I am unable to
hold my 3-mth old son, but am happy my 3-yr old can still stay close to me."
Which signs & symptoms are assessment findings indicative of thyroid storm - Answers
:Tachycardia
*Fever
*Elevated SBP (systolic BP)
Which assessment finding of a client 8 hrs. after a subtotal thyroidectomy does the
nurse consider most relevant as an indication of a possible complication? - Answers
:The client's hand spasms during BP measurement.
. The nurse performs an admission assessment on a client who visits a health care
clinic for the 1st time. The client tells the nurse that methimazole is taken daily. The
nurse continues to collect data from the client, suspecting that the client has a history of
which condition? - Answers :*Grave's disease.
A nurse plans care for a client w/hyperparathyroidism. Which intervention should the
nurse include in this client's plan of care? - Answers :Use a lift sheet to assist the client
w/position changes to reduce risk of fractures
While assessing a client w/Grave's disease, the nurse notes that the client's temp. has
risen 1 degree F. Which action should the nurse take 1st before notifying the provider? -
Answers :Turn the lights down & shut the client's door.
Which type of therapy will the nurse prepare to teach about to a client who has mild
hyperparathyroidism? - Answers :Diuretics & fluids.
. Performance of which assessment is a priority for the nurse before giving a client the
1st oral dose of hormone replacement for hypothyroidism? - Answers :Measuring heart
rate & rhythm.
. A client w/diabetes states having frequent blood glucose readings higher than
300mg/dL. Which action does the nurse teach the client about self-care? - Answers
:When blood glucose readings are high, check the urine ketones
. A client is receiving NPH insulin 20 units subcutaneously at 0700 hrs. daily. @ 1500
hrs., the nurse assess the client. Which of these findings are suggestive of
hypoglycemia? - Answers :Weakness, blurred vision.
A client newly diagnosed w/diabetes mellitus (DM) is assessed for signs of
complications. Which sign or symptom indicates the client is a risk for complications
associated w/diabetes if the blood glucose is not adequately managed? - Answers
:Polydipsia.
@ 4:45p.m., a nurse assesses a client w/DM who is recovering from an abdominal
hysterectomy 2 days ago. The nurse notes that the client is confused, diaphoretic, &
has nausea & vomiting. The client has a PICC line left upper extremity. The nurse
reviews the assessment data provided in the chart below: After reviewing the client's
assessment data, which action is appropriate @ this time? - Answers :Administer
dextrose 50% intravenously & reassess the client.
A client diagnosed w/DM has been controlled on Humulin NPH. After a recent diagnosis
of cellulitis treated w/prednisone, which prescription change does the nurse anticipate
during therapy w/the prednisone? - Answers :An increased amount of daily Humulin
NPH insulin.
The lab values of a client who has DM include a fasting blood glucose level of
82mg/dL(mmol/L) & hemoglobin A1C of 5.9%. What is the nurse's interpretation of
, these findings? - Answers :The values indicate that the client has managed his/her
disease well
. A client diagnosed w/type 2 diabetes is admitted to the ICU w/hyperosmolar
hyperglycemic syndrome & coma. Which assessment data should the nurse expect the
client to exhibit? - Answers :*Cool, clammy & pale skin.
Which insulin matches the following information? Onset:30-60 mins; peak:90-120mins;
duration:4-8hrs. - Answers :*Regular
The nurse is preparing a plan of care for a client w/DM who has hyperglycemia. The
nurse places highest priority on which client problem? - Answers :Inadequate fluid
volume.
After neck surgery, a patient develops hypoparathyroidism. The nurse should plan to
teach the patient about: - Answers :Calcium supplementation to normalize serum
calcium levels.
. A client has been admitted w/hyperparathyroidism. The nurse is aware that which of
these nursing problems occur w/this diagnosis? - Answers :Possible fractures of
unknown reason
A few hrs. after returning to the surgical nursing unit, a patient who has undergone a
subtotal thyroidectomy develops laryngeal stridor related to tetany. After giving an
administration of IV calcium gluconate, the nurse anticipates that the next intervention to
treat the tetany is: - Answers :Immediate tracheostomy & manual ventilation.
. Which statement by the client undergoing radioactive iodine (RAI) therapy
demonstrates to the nurse the need for more teaching regarding their correct
understanding of safety post-procedure precautions - Answers :I know I am unable to
hold my 3-mth old son, but am happy my 3-yr old can still stay close to me."
Which signs & symptoms are assessment findings indicative of thyroid storm - Answers
:Tachycardia
*Fever
*Elevated SBP (systolic BP)
Which assessment finding of a client 8 hrs. after a subtotal thyroidectomy does the
nurse consider most relevant as an indication of a possible complication? - Answers
:The client's hand spasms during BP measurement.
. The nurse performs an admission assessment on a client who visits a health care
clinic for the 1st time. The client tells the nurse that methimazole is taken daily. The
nurse continues to collect data from the client, suspecting that the client has a history of
which condition? - Answers :*Grave's disease.
