NUR 112 Final Exam practice questions with correct answers

NUR 112 Final Exam practice |\ |\ |\ |\ |\




questions with correct answers |\ |\ |\




An 18-year-old female client, 5′4′′ tall, weighing 113 kg, comes to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


the clinic for a nonhealing wound on her lower leg, which she
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


has had for two (2) weeks. Which disease process should the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


nurse suspect the client has developed?
|\ |\ |\ |\ |\




1. Type 1 diabetes.
|\ |\ |\




2. Type 2 diabetes.
|\ |\ |\




3. Gestational diabetes.
|\ |\




4. Acanthosis nigricans. - CORRECT ANSWERS ✔✔2
|\ |\ |\ |\ |\ |\




The client diagnosed with type 1 diabetes has a glycosylated
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


hemoglobin (A1c) of 8.1%. Which interpretation should the nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\


make based on this result?
|\ |\ |\ |\




1. This result is below normal levels.
|\ |\ |\ |\ |\ |\




2. This result is within acceptable levels.
|\ |\ |\ |\ |\ |\




3. This result is above recommended levels.
|\ |\ |\ |\ |\ |\




4. This result is dangerously high. - CORRECT ANSWERS ✔✔3
|\ |\ |\ |\ |\ |\ |\ |\ |\




The nurse administered 28 units of Humulin N, an intermediate-
|\ |\ |\ |\ |\ |\ |\ |\ |\


acting insulin, to a client diagnosed with type 1 diabetes at 1600.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


Which intervention should the nurse implement?
|\ |\ |\ |\ |\ |\




1. Ensure the client eats the bedtime snack.
|\ |\ |\ |\ |\ |\ |\




2. Determine how much food the client ate at lunch.
|\ |\ |\ |\ |\ |\ |\ |\ |\

,3. Perform a glucometer reading at 0700.
|\ |\ |\ |\ |\ |\




4. Offer the client protein after administering insulin. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔1 |\




The nurse is discussing the importance of exercising with a client
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


diagnosed with type 2 diabetes whose diabetes is well controlled
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


with diet and exercise. Which information should the nurse
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


include in the teaching about diabetes?
|\ |\ |\ |\ |\




1. Eat a simple carbohydrate snack before exercising.
|\ |\ |\ |\ |\ |\ |\




2. Carry peanut butter crackers when exercising.
|\ |\ |\ |\ |\ |\




3. Encourage the client to walk 20 minutes three (3) times a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


week.
4. Perform warmup and cool-down exercises. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔4 |\




The nurse is assessing the feet of a client with long-term type 2
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


diabetes. Which assessment data warrant immediate intervention
|\ |\ |\ |\ |\ |\


by the nurse?
|\ |\ |\




1. The client has crumbling toenails.
|\ |\ |\ |\ |\




2. The client has athlete's foot.
|\ |\ |\ |\ |\




3. The client has a necrotic big toe.
|\ |\ |\ |\ |\ |\ |\




4. The client has thickened toenails. - CORRECT ANSWERS ✔✔3
|\ |\ |\ |\ |\ |\ |\ |\ |\




The home health nurse is completing the admission assessment
|\ |\ |\ |\ |\ |\ |\ |\ |\


for a 76-year-old client diagnosed with type 2 diabetes controlled
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


with 70/30 insulin. Which intervention should be included in the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


plan of care? |\ |\

,1. Assess the client's ability to read small print.
|\ |\ |\ |\ |\ |\ |\ |\




2. Monitor the client's serum PT level.
|\ |\ |\ |\ |\ |\




3. Teach the client how to perform a hemoglobin A1c test daily.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\




4. Instruct the client to check the feet weekly. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔1 |\




The client with type 2 diabetes controlled with biguanide oral
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


diabetic medication is scheduled for a computed tomography
|\ |\ |\ |\ |\ |\ |\ |\


(CT) scan with contrast of the abdomen to evaluate pancreatic
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


function. Which intervention should the nurse implement?
|\ |\ |\ |\ |\ |\




1. Provide a high-fat diet 24 hours prior to test.
|\ |\ |\ |\ |\ |\ |\ |\ |\




2. Hold the biguanide medication for 48 hours prior to test.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\




3. Obtain an informed consent form for the test.
|\ |\ |\ |\ |\ |\ |\ |\




4. Administer pancreatic enzymes prior to the test. - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


ANSWERS ✔✔2 |\




The diabetic educator is teaching a class on diabetes type 1 and
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


is discussing sick-day rules. Which interventions should the
|\ |\ |\ |\ |\ |\ |\ |\


diabetes educator include in the discussion? Select all that apply.
|\ |\ |\ |\ |\ |\ |\ |\ |\




1. Take diabetic medication even if unable to eat the client's
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


normal diabetic diet. |\ |\




2. If unable to eat, drink liquids equal to the client's normal
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


caloric intake. |\




3. It is not necessary to notify the health-care provider if ketones
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


are in the urine.
|\ |\ |\




4. Test blood glucose levels and test urine ketones once a day
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


and keep a record.
|\ |\ |\

, 5. Call the health-care provider if glucose levels are higher than
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


180 mg/dL. - CORRECT ANSWERS ✔✔1, 2, 5
|\ |\ |\ |\ |\ |\ |\




The client received 10 units of Humulin R, a fast-acting insulin, at
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


0700. At 1030 the unlicensed assistive personnel (UAP) tells the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


nurse the client has a headache and is really acting "funny."
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


Which intervention should the nurse implement first?
|\ |\ |\ |\ |\ |\




1. Instruct the UAP to obtain the blood glucose level.
|\ |\ |\ |\ |\ |\ |\ |\ |\




2. Have the client drink eight (8) ounces of orange juice.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\




3. Go to the client's room and assess the client for hypoglycemia.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\




4. Prepare to administer one (1) ampule 50% dextrose
|\ |\ |\ |\ |\ |\ |\ |\ |\


intravenously. - CORRECT ANSWERS ✔✔3 |\ |\ |\ |\




The nurse at a freestanding health care clinic is caring for a 56-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


year-old male client who is homeless and is a type 2 diabetic
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


controlled with insulin. Which action is an example of client
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\


advocacy?
1. Ask the client if he has somewhere he can go and live.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\




2. Arrange for someone to give him insulin at a local homeless
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


shelter.
3. Notify Adult Protective Services about the client's situation.
|\ |\ |\ |\ |\ |\ |\ |\




4. Ask the HCP to take the client off insulin because he is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


homeless. - CORRECT ANSWERS ✔✔2 |\ |\ |\ |\




The nurse is developing a care plan for the client diagnosed with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


type 1 diabetes. The nurse identifies the problem "high risk for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\


hyperglycemia related to noncompliance with the medication |\ |\ |\ |\ |\ |\ |\