MDC2 Final
1) A nurse is caring for a client recently diagnosed with diabetes insipidus. Which of the following medications
would be appropriate for this disorder?
a. Furosemide
b. Diltiazem
c. Desmopressin
d. Growth hormone antagonist
2) A nurse assesses a client who is recovering from an ileostomy placement. Which clinical manifestation
would alert the nurse to contact the healthcare provider urgently?
a. A bluish stoma
b. Liquid stoma
c. Ostomy pouch intact
d. Blood smeared output
3) The nurse is caring for a client diagnosed with cholelithiasis. Which of the following nursing instructions
should be included as part of the discharge teaching?
a. ÒCall the provider if you have ten or more bloody stools in a 24-hour periodÓ
b. ÒYou should limit high-fat meats and friend foods from your dietÓ
c. ÒRemoving gluten from your diet can reduce crampingÓ
d. ÒReduce foods high in uric acid from your diet, like anchovies and venisonÓ
4) The nurse is caring for a 46-year-old female client who presented to the emergency department with
dizziness, nausea, vomiting, and fatigue over the past two days. The client has recently been diagnosed with
breast cancer and has been undergoing chemotherapy. The client labs reveal the following: Na 150
mEq/mL, potassium 3.0 mEq/mL, calcium 15 mg/dL. Which of the following imbalances is the client
exhibiting?
a. Hypervolemia, hypercalcemia, hyperkalemia
b. Hypernatremia, hypokalemia, hypercalcemia
c. Hyponatremia, hypercalcemia
d. Hypovolemia and hypercalcemia
5) A nurse cares for a dying client. Which manifestation of active dying would the nurse treat first?
a. Anorexia
b. Incontinence
c. Nausea
d. Pain
6) A nurse teaches a client who is diagnosed with diabetes mellitus. Which statement would the nurse include
in the clientÕs plan of care to delay the onset of microvascular and macrovascular complications?
a. ÒMaintain tight glycemic control and prevent hyperglycemiaÓ
b. ÒRestrict your fluid intake to no more than 2L a dayÓ
c. ÒPrevent hypoglycemia by eating a bedtime snackÓ
d. ÒLimit your intake of protein to prevent ketoacidosisÓ
7) A client assessment reveals fatigue, poor memory and weight gain. The lab results reveal elevated thyroid-
stimulating hormone (TSH) and decreased T3 and T4 levels. The nurse knows that these are manifestations
of which disorder?
a. Hypothyroidism
b. Hyperthyroidism
c. Hypoparathyroidism
d. Hyperparathyroidism
8) A nurse is providing client and family education for a client diagnosed with irritable bowel syndrome.
Which of the following is important to include in the education? (Select all that apply)
, a. Modify diet
b. Stress reduction
c. Adhere to prescribed medications
d. Limit physical activity
e. Limit fluid intake
9) The nurse is caring for a client with end stage renal failure Pa02 is 94mm Hg. Arterial blood gases indicate
that she is experiencing metabolic acidosis with partial respiratory compensation. Which of the following
arterial blood gases support this?
a. pH=7.32, PaCO2=48 mm Hg, HCO3=18 mEq/L
b. pH=7.33, PaCO2=31 mm Hg, HCO3=19 mEq/L
c. pH+7.37, PaCO2=33 mm Hg, HCO3=18 mEq/L
d. pH=7.47, PaCO2=50 mm Hg, HCO3=30 mEq/L
10) Which of the following signs or symptoms indicate a possible upper gastrointestinal (GI) bleed? (Select all
that apply)
a. Bright red or coffee ground vomitus
b. Increased blood pressure
c. Vertigo
d. Weak peripheral pulses
e. Increased hemoglobin and hematocrit
11) The nurse is providing care for a client who underwent a parathyroidectomy two days ago. To prevent
complications with the surgery, which laboratory value requires close monitoring by the nurse?
a. Serum calcium levels
b. Serum sodium levels
c. Serum potassium levels
d. Serum blood glucose levels
12) A nurse is preparing to administer cephalexin suspension 2 grams PO daily given in four doses. Available is
cephalexin suspension 250 mg/5 mL. How many mL should the nurse administer in one dose? (Record
answer as a whole number. Do not use a trailing zero.)
13) A client underwent a colon resection with colostomy placement. Which of the following would the surgeon
consult post-operatively for colostomy management?
a. Dietitian
b. Respiratory therapy
c. Physical therapy
d. Wound Ostomy Continence Nurse
14) The client has just received a round of chemotherapy and will be discharged home. The nurse is educating
the client about the concerns of neutropenia and the continuing risk for infection. Which of the following
statements would not be appropriate given the clientÕs situation?
a. ÒAvoid crowds and other large gatherings of people who might be illÓ
b. ÒBathe daily, or wash armpits and perineal area twice daily with antimicrobial soapÓ
c. ÒWash your hands thoroughly with an antimicrobial soap before you eat and drinkÓ
d. ÒIf you experience a fever, treat it with over-the-counter medications and report it to your
physician if symptoms donÕt resolve in 48 hoursÓ
15) A nurse is caring for a client recently diagnosed with Addisonian crisis. Which of the following signs and
symptoms are consistent with this diagnosis?
a. Hypernatremia
b. Severe hypotension
c. Vascular resistance
d. Hypokalemia
1) A nurse is caring for a client recently diagnosed with diabetes insipidus. Which of the following medications
would be appropriate for this disorder?
a. Furosemide
b. Diltiazem
c. Desmopressin
d. Growth hormone antagonist
2) A nurse assesses a client who is recovering from an ileostomy placement. Which clinical manifestation
would alert the nurse to contact the healthcare provider urgently?
a. A bluish stoma
b. Liquid stoma
c. Ostomy pouch intact
d. Blood smeared output
3) The nurse is caring for a client diagnosed with cholelithiasis. Which of the following nursing instructions
should be included as part of the discharge teaching?
a. ÒCall the provider if you have ten or more bloody stools in a 24-hour periodÓ
b. ÒYou should limit high-fat meats and friend foods from your dietÓ
c. ÒRemoving gluten from your diet can reduce crampingÓ
d. ÒReduce foods high in uric acid from your diet, like anchovies and venisonÓ
4) The nurse is caring for a 46-year-old female client who presented to the emergency department with
dizziness, nausea, vomiting, and fatigue over the past two days. The client has recently been diagnosed with
breast cancer and has been undergoing chemotherapy. The client labs reveal the following: Na 150
mEq/mL, potassium 3.0 mEq/mL, calcium 15 mg/dL. Which of the following imbalances is the client
exhibiting?
a. Hypervolemia, hypercalcemia, hyperkalemia
b. Hypernatremia, hypokalemia, hypercalcemia
c. Hyponatremia, hypercalcemia
d. Hypovolemia and hypercalcemia
5) A nurse cares for a dying client. Which manifestation of active dying would the nurse treat first?
a. Anorexia
b. Incontinence
c. Nausea
d. Pain
6) A nurse teaches a client who is diagnosed with diabetes mellitus. Which statement would the nurse include
in the clientÕs plan of care to delay the onset of microvascular and macrovascular complications?
a. ÒMaintain tight glycemic control and prevent hyperglycemiaÓ
b. ÒRestrict your fluid intake to no more than 2L a dayÓ
c. ÒPrevent hypoglycemia by eating a bedtime snackÓ
d. ÒLimit your intake of protein to prevent ketoacidosisÓ
7) A client assessment reveals fatigue, poor memory and weight gain. The lab results reveal elevated thyroid-
stimulating hormone (TSH) and decreased T3 and T4 levels. The nurse knows that these are manifestations
of which disorder?
a. Hypothyroidism
b. Hyperthyroidism
c. Hypoparathyroidism
d. Hyperparathyroidism
8) A nurse is providing client and family education for a client diagnosed with irritable bowel syndrome.
Which of the following is important to include in the education? (Select all that apply)
, a. Modify diet
b. Stress reduction
c. Adhere to prescribed medications
d. Limit physical activity
e. Limit fluid intake
9) The nurse is caring for a client with end stage renal failure Pa02 is 94mm Hg. Arterial blood gases indicate
that she is experiencing metabolic acidosis with partial respiratory compensation. Which of the following
arterial blood gases support this?
a. pH=7.32, PaCO2=48 mm Hg, HCO3=18 mEq/L
b. pH=7.33, PaCO2=31 mm Hg, HCO3=19 mEq/L
c. pH+7.37, PaCO2=33 mm Hg, HCO3=18 mEq/L
d. pH=7.47, PaCO2=50 mm Hg, HCO3=30 mEq/L
10) Which of the following signs or symptoms indicate a possible upper gastrointestinal (GI) bleed? (Select all
that apply)
a. Bright red or coffee ground vomitus
b. Increased blood pressure
c. Vertigo
d. Weak peripheral pulses
e. Increased hemoglobin and hematocrit
11) The nurse is providing care for a client who underwent a parathyroidectomy two days ago. To prevent
complications with the surgery, which laboratory value requires close monitoring by the nurse?
a. Serum calcium levels
b. Serum sodium levels
c. Serum potassium levels
d. Serum blood glucose levels
12) A nurse is preparing to administer cephalexin suspension 2 grams PO daily given in four doses. Available is
cephalexin suspension 250 mg/5 mL. How many mL should the nurse administer in one dose? (Record
answer as a whole number. Do not use a trailing zero.)
13) A client underwent a colon resection with colostomy placement. Which of the following would the surgeon
consult post-operatively for colostomy management?
a. Dietitian
b. Respiratory therapy
c. Physical therapy
d. Wound Ostomy Continence Nurse
14) The client has just received a round of chemotherapy and will be discharged home. The nurse is educating
the client about the concerns of neutropenia and the continuing risk for infection. Which of the following
statements would not be appropriate given the clientÕs situation?
a. ÒAvoid crowds and other large gatherings of people who might be illÓ
b. ÒBathe daily, or wash armpits and perineal area twice daily with antimicrobial soapÓ
c. ÒWash your hands thoroughly with an antimicrobial soap before you eat and drinkÓ
d. ÒIf you experience a fever, treat it with over-the-counter medications and report it to your
physician if symptoms donÕt resolve in 48 hoursÓ
15) A nurse is caring for a client recently diagnosed with Addisonian crisis. Which of the following signs and
symptoms are consistent with this diagnosis?
a. Hypernatremia
b. Severe hypotension
c. Vascular resistance
d. Hypokalemia
