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NUR 155 Final Review – Questions With Solutions

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NUR 155 Final Review – Questions With Solutions

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  • January 31, 2024
  • 19
  • 2023/2024
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NUR 155 Final Review – Questions With Solutions

A nurse is evaluating a patients understanding of proper treatment of
hypoglycemia. Which of the following measures indicates effective
teaching? Select all that apply.

A. "I will drink 120 mL of orange juice"
B. "I could eat 2 soft boiled eggs with 2 saltine crackers"
C. "I will take a 4 mg Glucose tablet"
D. "I will drink a regular 150 mL of Coca Cola"
E. "I should keep Lifesavers or other hard candies with me at all times"
✔️Ans - A. I will drink 120 mL of orange juice
D. I will drink a regular 150 mL of Coca Cola

When considering patient teaching about glargine insulin (Lantus), the
nurse should include which of the following information?

A. Glargine peaks in 4-6 hours to control glucose levels in between meals
B. This insulin is designed to provide a basal rate of insulin for 24 hours
C. Glargine will treat acute spikes in your glucose levels
D. Glargine may be given IV in an emergent situation to lower blood sugar
rapidly ✔️Ans - B. This insulin is designed to provide a basal rate of
insulin for 24 hours

A nurse at the clinic speaks to a diabetic patient on the phone who reports
symptoms of nausea and vomiting. What priority instruction should the
nurse tell this patient?

A. "You should continue with your normal diet"
B. "Try to eat or drink small amounts of carbohydrates every 1-2 hours if
possible to keep your BGL in the target range"
C. "Make sure you check your blood sugar levels AC and HS during this time
of day"
D. "Let your digestive system rest and only consume sips of water for the
next eight hours" ✔️Ans - B. "Try to eat or drink small amounts of
carbohydrates every 1-2 hours if possible to keep your BGL in the target
range"

,The goal of insulin therapy is to regulate insulin and blood sugar as would
the normal pancreas. This goal is best achieved by:

A. Giving regular insulin whenever BGL is above 200
B. Using a combination of Aspart or Lispro insulin with Glargine insulin
C. Administering NPH insulin twice daily
D. Using a sliding scalee to manage basal and bolus dosing ✔️Ans - B.
Using a combination of Aspart or Lispro insulin with Glargine insulin

One day after cataract surgery, the client is having discomfort from bright
light. The nurse would advise the client to:

A. Dim lights in the house and stay inside for 1 week
B. Attach sun shields to existing eyeglasses when in direct sunlight
C. Use sunglasses that wrap around the side of the face when in bright light
D. Patch the affected eye when in bright light ✔️Ans - C. Use sunglasses
that wrap around the side of the face when in bright light

A client has been diagnosed with an acute episode of angle-closure
glaucoma. The nurse plans the clients nursing care with the understanding
that acute angle-closure glaucoma:

A. Frequently resolves without treatment
B. Is typically treated with sustained bed rest
C. Is a medical emergency that can rapidly lead to blindness
D. Is the most commonly treated with steroid therapy ✔️Ans - C. Is a
medical emergency that can rapidly lead to blindness

A client has vertigo. Which goal would be most appropriate to prevent
injury related to altered immobility and gait disturbances? Select all that
apply.

A. The client assume a safe position when dizzy
B. The client experiences no falls
C. The client performs vestibular/balance exercises
D. The client demonstrates family involvement
E. The client keep the head still when dizzy ✔️Ans - A. The client
assume a safe position when dizzy
B. The client experiences no falls

, C. The client performs vestibular/balance exercises
E. The client keep the head still when dizzy

When receiving a patients lab work, the nurse notes the following values.
Which value would require immediate action by the nurse?

A. Magnesium 1.2 mEq/L
B. Calcium 8.5 mg/dL
C. Phosphorous 2.6 mg/dL
D. Chloride 98 mEq/L ✔️Ans - A. Magnesium 1.2 mEq/L

Which of the following dietary choices would best indicate that a patient
understands the lifestyle management of hypertension?

A. Fried fish, coleslaw and baked potato with butter and sour cream
B. Broiled shrimp, Caesar salad and garlic roasted potatoes
C. Grilled sirloin steak, garden salad and garlic cheese bread
D. Chicken Alfredo, green beans and apple pie ✔️Ans - B. Broiled
shrimp, Caesar salad and garlic roasted potatoes

The home health nurse is visiting a patient diagnosed with peripheral
arterial disease. Upon entering the patients home, the nurse finds the
patient sitting upright in a chair (picture). What action is best for the nurse
at this time?

A. Assess the vital signs and begin assessment
B. Assist the patient to elevate her legs
C. Ask the patient is she is experiencing pain
D. Emphasize the patient should be on bedrest ✔️Ans - A. Assess the
vital signs and begin assessment

As the nurse is ambulating a patient diagnosed with vascular insufficiency,
the patient complains of pain in the lower extremities. The nurse would
document this finding as:

A. Deep vein thrombosis
B. Vasculitis obliterans
C. Intermittent claudication
D. Varicosities ✔️Ans - C. Intermittent claudication

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