NSG 4800 TEST BANK EXAMS SET EXAM
FULL QUESTIONS AND CORRECT ANSWERS
2026 100% CORRECT.
⫸ The nurse in the ambulatory care unit is providing home care
instructions to a client after cryotherapy for the treatment of
malignant skin lesions. Which statement would be most appropriate
for the nurse to include in the home care instructions for this client?
"Apply ice to the site to prevent swelling."
"Clean the site with alcohol 3 times daily."
"Apply a warm, damp washcloth if discomfort occurs."
"Avoid showering or taking baths until seen by the health care
provider in 1 week." Answer: 3, Cryotherapy involves the local
application of liquid nitrogen to the lesion; this causes cell death and
tissue destruction. Tissue freezing is followed in 1 to 2 days by
hemorrhagic blister formation; therefore, ice is not applied to the site.
The application of a warm, damp washcloth intermittently to the site
will provide relief of any discomfort. The nurse instructs the client to
clean the site with the prescribed solution to prevent secondary
infection. A topical antibiotic also may be prescribed. Alcohol would
cause irritation to the skin. There is no reason for the client to avoid
showering or bathing.
⫸ The registered nurse is caring for the following clients. It would be
a priority for the nurse to initiate a multidisciplinary conference for
the client who is
,A.12 years old with Autism who is starting a new school and recently
had a URI (upper respiratory tract infection)
B.39 years old, has type 2 Diabetes Mellitus, is homeless and had a
recent Hemoglobin A1c of 13%
C.52 years old, with Myasthenia Gravis, recently prescribed Mestinon
(pyridostigmine) and is employed as a mail carrier
D.79 years old, has bipolar and schizophrenia, lives alone and reports
hearing non threatening voices. Answer: B
A client with uncontrolled Diabetes Mellitus would require the
greatest number of disciplines (multidisciplinary) to manage their care
i.e. Medicine, Nursing, Social Work, Nutritionist; the other choices do
not require as many providers of care to meet their needs.
⫸ A client is scheduled to begin therapy with carbamazepine. The
nurse should assess the results of which test(s) before administering
the first dose of this medication to the client?
Liver function tests
Renal function tests
Pancreatic enzyme studies
Complete blood cell count Answer: D. Carbamazepine may be used to
treat a seizure disorder. It can cause leukopenia, anemia,
thrombocytopenia, and, very rarely, fatal aplastic anemia. To reduce
the risk of serious hematological effects, a complete blood cell count
should be done before treatment and periodically thereafter. This
medication should be avoided in clients with preexisting
hematological abnormalities. The client also is told to report the
occurrence of fever, sore throat, pallor, weakness, infection, easy
bruising, and petechiae. The results of the remaining tests listed in the
options are not associated with the use of this medication.
, ⫸ A client is admitted to a hospital with a diagnosis of diabetic
ketoacidosis (DKA). The initial blood glucose level is 950 mg/dL
(54.2 mmol/L). A continuous intravenous (IV) infusion of short-acting
insulin is initiated, along with IV rehydration with normal saline. The
serum glucose level is now decreased to 240 mg/dL (13.7 mmol/L).
The nurse would next prepare to administer which medication?
An ampule of 50% dextrose
NPH insulin subcutaneously
IV fluids containing dextrose
Phenytoin for the prevention of seizures Answer: C. Emergency
management of DKA focuses on correcting fluid and electrolyte
imbalances and normalizing the serum glucose level. If the
corrections occur too quickly, serious consequences, including
hypoglycemia and cerebral edema, can occur. During management of
DKA, when the blood glucose level falls to 250 to 300 mg/dL (14.2 to
17.1 mmol/L), the IV infusion rate is reduced and a dextrose solution
is added to maintain a blood glucose level of about 250 mg/dL (14.2
mmol/L), or until the client recovers from ketosis. Fifty percent
dextrose is used to treat hypoglycemia. NPH insulin is not used to
treat DKA. Phenytoin is not a usual treatment measure for DKA.
⫸ A client is being discharged from the emergency department after
an evaluation for a concussion. The nurse reinforces teaching
regarding follow-up should the client develop complications. Which
of the following complications, if listed by the client, would require
further instruction?
1.Vomiting
2.Minor headache
FULL QUESTIONS AND CORRECT ANSWERS
2026 100% CORRECT.
⫸ The nurse in the ambulatory care unit is providing home care
instructions to a client after cryotherapy for the treatment of
malignant skin lesions. Which statement would be most appropriate
for the nurse to include in the home care instructions for this client?
"Apply ice to the site to prevent swelling."
"Clean the site with alcohol 3 times daily."
"Apply a warm, damp washcloth if discomfort occurs."
"Avoid showering or taking baths until seen by the health care
provider in 1 week." Answer: 3, Cryotherapy involves the local
application of liquid nitrogen to the lesion; this causes cell death and
tissue destruction. Tissue freezing is followed in 1 to 2 days by
hemorrhagic blister formation; therefore, ice is not applied to the site.
The application of a warm, damp washcloth intermittently to the site
will provide relief of any discomfort. The nurse instructs the client to
clean the site with the prescribed solution to prevent secondary
infection. A topical antibiotic also may be prescribed. Alcohol would
cause irritation to the skin. There is no reason for the client to avoid
showering or bathing.
⫸ The registered nurse is caring for the following clients. It would be
a priority for the nurse to initiate a multidisciplinary conference for
the client who is
,A.12 years old with Autism who is starting a new school and recently
had a URI (upper respiratory tract infection)
B.39 years old, has type 2 Diabetes Mellitus, is homeless and had a
recent Hemoglobin A1c of 13%
C.52 years old, with Myasthenia Gravis, recently prescribed Mestinon
(pyridostigmine) and is employed as a mail carrier
D.79 years old, has bipolar and schizophrenia, lives alone and reports
hearing non threatening voices. Answer: B
A client with uncontrolled Diabetes Mellitus would require the
greatest number of disciplines (multidisciplinary) to manage their care
i.e. Medicine, Nursing, Social Work, Nutritionist; the other choices do
not require as many providers of care to meet their needs.
⫸ A client is scheduled to begin therapy with carbamazepine. The
nurse should assess the results of which test(s) before administering
the first dose of this medication to the client?
Liver function tests
Renal function tests
Pancreatic enzyme studies
Complete blood cell count Answer: D. Carbamazepine may be used to
treat a seizure disorder. It can cause leukopenia, anemia,
thrombocytopenia, and, very rarely, fatal aplastic anemia. To reduce
the risk of serious hematological effects, a complete blood cell count
should be done before treatment and periodically thereafter. This
medication should be avoided in clients with preexisting
hematological abnormalities. The client also is told to report the
occurrence of fever, sore throat, pallor, weakness, infection, easy
bruising, and petechiae. The results of the remaining tests listed in the
options are not associated with the use of this medication.
, ⫸ A client is admitted to a hospital with a diagnosis of diabetic
ketoacidosis (DKA). The initial blood glucose level is 950 mg/dL
(54.2 mmol/L). A continuous intravenous (IV) infusion of short-acting
insulin is initiated, along with IV rehydration with normal saline. The
serum glucose level is now decreased to 240 mg/dL (13.7 mmol/L).
The nurse would next prepare to administer which medication?
An ampule of 50% dextrose
NPH insulin subcutaneously
IV fluids containing dextrose
Phenytoin for the prevention of seizures Answer: C. Emergency
management of DKA focuses on correcting fluid and electrolyte
imbalances and normalizing the serum glucose level. If the
corrections occur too quickly, serious consequences, including
hypoglycemia and cerebral edema, can occur. During management of
DKA, when the blood glucose level falls to 250 to 300 mg/dL (14.2 to
17.1 mmol/L), the IV infusion rate is reduced and a dextrose solution
is added to maintain a blood glucose level of about 250 mg/dL (14.2
mmol/L), or until the client recovers from ketosis. Fifty percent
dextrose is used to treat hypoglycemia. NPH insulin is not used to
treat DKA. Phenytoin is not a usual treatment measure for DKA.
⫸ A client is being discharged from the emergency department after
an evaluation for a concussion. The nurse reinforces teaching
regarding follow-up should the client develop complications. Which
of the following complications, if listed by the client, would require
further instruction?
1.Vomiting
2.Minor headache
