Page 1 of 100
NSG123 / NSG 123 Exam 4 (Latest 2025 Update):
Medical-Surgical Nursing I | Questions and Verified
Answers | 100% Correct | Grade A - Herzing
Which of the following are risk factors for HHS? SATA
A. evidence of recent myocardial infarction
B. BUN 35
C. takes calcium channel blocker
D. age 77 years
E. daily insulin injection
s .....ANSWER.....A, B, C, D
A nurse is assessing a client who has DKA & ketones in the urine.
The nurse should suspect which of the following findings? SATA
A. weight gain
B. fruity odor of breath
,Page 2 of 100
C. abd pain
D. Kussmaul respirations
E. metabolic acidosis
.....ANSWER.....B, C, D, E
The nurse is reviewing lab results of a client who has HHS. Which
of the following findings should the nurse expect?
A. blood pH 7.2
B. blood osmolarity 350
C. blood K 3.8
D. blood Cr 0.8
.....ANSWER.....B
A nurse is reviewing the medical record for a client who is to
begin therapy for DKA. Which of the following prescriptions
should the nurse expect?
,Page 3 of 100
A. admin IV infusion of regular insulin at 0.3 unit/kg/hr
B. admin slow IV infusion of 3% sodium chloride
C. rapidly admin IV infusion of 0/9% sodium chloride
D. add glucose to the IV infusion when blood glucose is 350
.....ANSWER.....C
A nurse is providing discharge teaching to a client who had DKA.
Which of the following info should the nurse include about
preventing DKA? SATA
A. drink 2 L fluids daily
B. monitor blood glucose every 4 hr when ill
C. admin insulin as prescribed when ill
D. notify provider when blood glucose is 200
E. report ketones in the urine after 24 hr of illness
.....ANSWER.....A, B, C, E
, Page 4 of 100
A nurse is teaching clients about the use of insulin to treat type 1
DM. For which of the following types of insulin should the nurse
tell the clients to expect a peak effect 1-5 hr after admin?
A. insulin glargine
B. NPH insulin
C. regular insulin
D. insulin lispro
.....ANSWER.....C
A nurse is caring for a client who has been taking acarbose for
type 2 DM. Which of the following lab tests should the nurse plan
to monitor?
A. WBC
B. Amylase
C. platelet count
NSG123 / NSG 123 Exam 4 (Latest 2025 Update):
Medical-Surgical Nursing I | Questions and Verified
Answers | 100% Correct | Grade A - Herzing
Which of the following are risk factors for HHS? SATA
A. evidence of recent myocardial infarction
B. BUN 35
C. takes calcium channel blocker
D. age 77 years
E. daily insulin injection
s .....ANSWER.....A, B, C, D
A nurse is assessing a client who has DKA & ketones in the urine.
The nurse should suspect which of the following findings? SATA
A. weight gain
B. fruity odor of breath
,Page 2 of 100
C. abd pain
D. Kussmaul respirations
E. metabolic acidosis
.....ANSWER.....B, C, D, E
The nurse is reviewing lab results of a client who has HHS. Which
of the following findings should the nurse expect?
A. blood pH 7.2
B. blood osmolarity 350
C. blood K 3.8
D. blood Cr 0.8
.....ANSWER.....B
A nurse is reviewing the medical record for a client who is to
begin therapy for DKA. Which of the following prescriptions
should the nurse expect?
,Page 3 of 100
A. admin IV infusion of regular insulin at 0.3 unit/kg/hr
B. admin slow IV infusion of 3% sodium chloride
C. rapidly admin IV infusion of 0/9% sodium chloride
D. add glucose to the IV infusion when blood glucose is 350
.....ANSWER.....C
A nurse is providing discharge teaching to a client who had DKA.
Which of the following info should the nurse include about
preventing DKA? SATA
A. drink 2 L fluids daily
B. monitor blood glucose every 4 hr when ill
C. admin insulin as prescribed when ill
D. notify provider when blood glucose is 200
E. report ketones in the urine after 24 hr of illness
.....ANSWER.....A, B, C, E
, Page 4 of 100
A nurse is teaching clients about the use of insulin to treat type 1
DM. For which of the following types of insulin should the nurse
tell the clients to expect a peak effect 1-5 hr after admin?
A. insulin glargine
B. NPH insulin
C. regular insulin
D. insulin lispro
.....ANSWER.....C
A nurse is caring for a client who has been taking acarbose for
type 2 DM. Which of the following lab tests should the nurse plan
to monitor?
A. WBC
B. Amylase
C. platelet count
