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Hondros Nur 176 exam 1 LATEST 2024 ACTUAL EXAM 153 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+

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Hondros Nur 176 exam 1 LATEST 2024 ACTUAL EXAM 153 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+ Interventions to prevent diabetes Signs of type 1 diabetes Signs of type 2 diabetes S/S of hypoglycemia S/S of hyperglycemia S/S of diabetic ketoacidosis and treatment First intervention if a pt. Presents with s/s of hypo/hyperglycemia Prevention of long term complications of diabetes Dietary teaching for a diabetic patient Diabetic Pt. should never increase carbs unless... Discharge teaching for diabetic pt. Diabetic foot care Lipid analysis What are low and high levels of HDL indicative of What insulins can not be mixed? How to mix insulin Should a nurse hold a patients insulin before consulting a dr? No insulin, beta cells are destroyed is a result of ? Beta cells exhaustion , insulin resistance is a result of ? Rapid acting insulin Onset, peak and duration of Novolog and Apidra onset, peak and duration of humalog Short acting insulin( regular) Intermediate insulin (NPH) Long acting insulin Which insulin is the only one that can be given through IV ? What is glucagon used for? If a pt. Is lethargic, what form of glucose should be administered? What is Lipohypotrophy and the prevention ? S/s of brain tumor S/S of traumatic brain injury If someone hit their head, which test should be completed? Early signs of IICP Nursing interventions for mannitol & lasix Nursing interventions for prednisone Glasgow coma scale measures .. S/S of Ischemic strokes S/S of hemorrhagic stroke What is Aphasia Dysphagia precautions Steps before administering TPA Side effects of Lovenox (enoxaparin) Is Delirium a disease of the CNS ? S/S of early stage dementia Main goal for dementia patients Nursing interventions for dementia patients How many pain assess menus are done for pt with dementia? Interventions for an agitated dementia pt. Reality orientation for dementia pts Safety interventions in the Alzheimer's pt. Med for multiple sclerosis Generalized tonic-clonic seizures (grand mal) Absence seizures ( petit mal) Psychomotor (partial seizures) Jacksonian-focal seizures ( local or partial) Myoclonic seizures Akinetic seizures What med will a pt get with new onset seizures? Pt education related to seizures Discharge education for a pt taking Dilantin Seizure disorder interventions What should be determined when assessing meningitis? Bacterial meningitis labs Isolation for meningitis Age of onset for type 1 diabetes Age of onset for type 2 diabetes Hyperglycemia Blood glucose levels Hypoglycemia blood glucose levels Euglycemia blood glucose level ( normal) Level of Consciousness oriented to S/S Intracranial Pressure Insulin When giving Insulin be careful to only inject into Intractable Diplopia NIHSS Characteristics of Parkinson's Disease Ischemic Stroke Postictal Period Epilepsy Seizure What is the action of glucagon? What does the nurse record after a seizure? Can we restrain a pt having a seizure? Can we place something in a pt's mouth to protect their airway? Phenytoin and pt teaching? Why is it important to find pathogen that caused Meningitis? meningitis What test is usually done to determine the type of organism in Meningitis? Pt teaching about Meningitis? If there is suspected bacterial meningitis? Alzheimer's pt and safety Dementia pt and reality orientation What do we monitor while pt on Mannitol (osmitrol)? What do we monitor for Dexamethasone and Prednisone? If pt complains of nausea and diarrhea while on glucaphage? (Metformin) What are early signs of dementia? What to check for after a fall? Guidelines for reality orientation Huntington Diseases Akinesia The nurse is assisting in implementing care plan for a patient with dementia. Which interventions would you expect to see? Which of the following indicates that teaching on meningitis is understood? The nurse is caring for a patient with alzheimer's who is stumbling in the hall frequently. The nurse will do which of the following to protect the client? The LPN is preparing to DC a patient with Type 1 Diabetes. What teaching should the LPN provide? Your patient is experiencing a new onset myoclonic (muscle-jerking) seizures. The nurse knows which one of the following statements are true about the seizure characteristics? The nurse is caring for a patient with type II Diabetes. Which statement would indicate a need for further assessment by the nurse? Patient in ER with symptoms of a stroke. The nurse knows prompt medication attention is needed within 3 hours to reduce permanent disability or death. Which interventions would nurse anticipate for patient? Nurse is caring for patient recently dx with seizures and prescribed phenytoin (Dilantin). What education should we include? When assessing for meningitis or encephalitis, the nurse is aware which of the following statements is true? Patient with new dx of seizures, nurse will instruct patient to keep a log of which of the following? Nurse caring for patient with suspected early dementia. What S&S will the nurse assess the patient for? Patient received 20 units of Novalog sub-q at 0800. What time should the nurse assess for hypoglycemic reaction Nurse caring for patient with elevated ICP recently dx with a brain tumor. Using Tanner's model, which question should the nurse ask? Patient receives 25 units of Lantus at 2100. What time would the LPN expect to see it start working? LPN caring for patient who had a stroke 5 days ago. Pt. is nonverbal and does not appear to have understanding of instructions given. What will nurse suspect? When providing care for patient with dementia, what is the priority goal to help the client? Patient has type II diabetes. Nurse is administering Lantus and regular insulin. How will the nurse administer it? The nurse is administering Decadron 60 mg PO to a patient admitted for cerebral edema. What should the nurse monitor for this patient? Nurse is caring for patient with Type II Diabetes prescribed prednisone (Deltasone for bronchitis. What is the included teaching? Nurse teaching patient with newly dx diabetes on how to prevent lipodystrophy. Which indicates understanding of proper prevention? Diabetic Type II in the ER lethargic and responding only to pain. What should the nurse do next? Nurse is caring for a patient in the ER who has rapid onset tachycardia, restlessness, polyphasia, and a 10 lb weight loss in the last month. Labs are glucose-472, LDL 200, and GAD positive. What intervention should nurse plan to do? Newly dx pt. with diabetes instructed to obtain glucagon for emergency home use. He asks what the purpose is. Nurse's response should be? Nurse is caring for patient with diabetes type II who has lab results for HDL of 29 and triglycerides of 260. The nurse knows the Dr. will further assess for what? The nurse is administering medication to a client with new onset seizures. Client and family teaching will include which of the following? Seizures precautions hemianopia Left side stroke Right side stroke Aspiration Precautions hemiparesis Donepezil (Aricept) Dilantatin (phenytoin) Tegretol (carbamazepine) Depakene ( valproic acid, Depakene) Ativan (lorazepam) Valium (diazepam) Acyclovir (Sitavig, Zovirax) Fastening blood glucose level subdural hematoma Battles sign would you give codenie to a patient with ICP? Patient with head trauma experiencing drainage do you clean orifices? Kernig's Sign Brudzinski's Sign Patient ICP has increased and ordered a lumbar puncture to diagnosis meningitis would puncture be preformed? encephalitis What neurotransmitter primarily affects motor function and is involved in gross subconscious movements of the skeletal muscles? The nurse is caring for a patient who is being evaluated for a neurologic disorder. She is not able to comprehend the written or spoken word. Which term would the nurse use to document this problem? The nurse will implement which of these nursing interventions for the patient with increased intracranial pressure? Two vaccines for meningitis for children Dysarthria

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Hondros Nur 176 exam 1 LATEST 2024 ACTUAL
EXAM 153 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|
ALREADY GRADED A+

1). Interventions to prevent diabetes

 Ans: Maintain healthy weight, diet and exercise


2). Signs of type 1 diabetes

 Ans: 3 polys, blurred vision, cold feet, numbness, shiny thin skin w/ no hair, age 30 and
under, sudden onset, underweight,


3). Signs of type 2 diabetes

 Ans: No symptoms at first , later develop the 3 polys, obesity, Nigricans (black line on
back of neck) skin tags


4). S/s of hypoglycemia

 Ans: Fatigue, weakness, irritability, reduce cognition, tremors, seizures, diaphoresis(
sweating)


5). S/s of hyperglycemia

 Ans: 3 polys, fruity breath


6). S/s of diabetic ketoacidosis and treatment

 Ans: High BS, high HR, restlessness, weight loss, fruity breath, kussmaul(fast deep
RR) -- treatments; IV regular insulin




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, 7). First intervention if a pt. presents with s/s of hypo/hyperglycemia

 Ans: Check blood sugar


8). Prevention of long term complications of diabetes

 Ans: Takes meds, daily feet care, yearly renal test, eye exams every 6 months, LDL
less than 150


9). Dietary teaching for a diabetic patient

 Ans: Meals at the same time every day, decrease saturated fats, increase exercise ,
refer pt. To MyPlate learning tool,


10). Diabetic pt. should never increase carbs unless...

 Ans: Sugar is low before exercising


11). Discharge teaching for diabetic pt.

 Ans: Know hypo/hyperglycemia s/s, know that stress and illness increase BS , see a
diabetic educator, know what the effect of Exercise can have on Bs


12). Diabetic foot care

 Ans: Clean w/ soap and warm water, clean socks everyday, cut toe nails straight
across, keep feet dry, no powder or lotion b/t toes , wear shoes , inspect feet daily, no
gardners


13). Lipid analysis

 Ans: LDL-less than 100 HDL- more than 40 Triglycerides- more than 150


14). What are low and high levels of hdl indicative of

 Ans: High- insulin resistance, low- insulin sensitivity


15). What insulins can not be mixed?

 Ans: Levemir and Lantus ( detemir and glargine )




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, 16). How to mix insulin

 Ans: Short acting to long acting, regular to NPH, Clear to cloudy


17). Should a nurse hold a patients insulin before consulting a dr?

 Ans: No


18). No insulin, beta cells are destroyed is a result of ?

 Ans: Diabetes type 1


19). Beta cells exhaustion , insulin resistance is a result of ?

 Ans: Diabetes type 2


20). Rapid acting insulin

 Ans: Lispro(Humalog) aspart(Novolog) glulisine(Apidra)


21). Onset, peak and duration of novolog and apidra

 Ans: Onset-15-30, Peak-1-3hr, duration-3-5hr


22). Onset, peak and duration of humalog

 Ans: Onset-15-30, Peak-1-2hr, duration-3-4hr


23). Short acting insulin( regular)

 Ans: Humulin R, Novolin R, ReliOn R, Onset-30-60 , Peak-2-4hr, duration-6-8hr


24). Intermediate insulin (nph)

 Ans: Humulin N, Novolin N, ReliOn N, Onset-1-4hr Peak-4-12hr, duration-12-16hr


25). Long acting insulin

 Ans: Lantus and levemir Onset-1-2hr, Peak- none, duration-24hr




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