RN 104 MIDTERM /FINAL EXAM NEWEST ACTUAL
EXAM COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |
ALREADY GRADED A+.
Which statement is appropriate for the nurse to include in patient teaching
regarding type 2 diabetes?
a. "Insulin injections are never used with type 2 diabetes."
b. "You don't need to measure your blood glucose levels because you are not
taking insulin injections." c. "A person with type 2 diabetes still has some
functioning beta cells in his or her pancreas."
d. "Patients with type 2 diabetes usually have better control over their
diabetes than those with type 1 diabetes." ✔✔ANSWER✔✔c. "A person with
type 2 diabetes still has some functioning beta cells in his or her pancreas."
The nurse monitoring a patient for a therapeutic response to oral diabetes
drugs will look for which of these?
a. Fewer episodes of diabetic ketoacidosis (DKA)
b. Weight loss of 5 pounds
c. Hemoglobin A1C levels of less than 7%
d. Glucose levels of 150 mg/dL ✔✔ANSWER✔✔c. Hemoglobin A1C levels of
less than 7%
A patient with type 2 diabetes is scheduled for magnetic resonance imaging
(MRI) with contrast dye. The nurse reviews the orders and notices that the
,patient is receiving metformin (Glucophage). Which action by the nurse is
appropriate?
a. Proceed with the MRI as scheduled.
b. Notify the radiology department that the patient is receiving metformin.
c. Expect to hold the metformin the day of the test and for 48 hours after the
test is performed.
d. Call the prescriber regarding holding the metformin for 2 days before the
MRI is performed. ✔✔ANSWER✔✔c. Expect to hold the metformin the day
of the test and for 48 hours after the test is performed.
A patient with type 2 diabetes has a new prescription for repaglinide
(Prandin). After 1 week, she calls the office to ask what to do, because she
keeps missing meals. "I work right through lunch sometimes, and I'm not
sure whether I need to take it. What do I need to do?" What is the nurse's
best response?
a. "You need to try not to skip meals, but if that happens, you will need to
skip that dose of Prandin." b. "We will probably need to change your
prescription to insulin injections because you can't eat meals on a regular
basis."
c. "Go ahead and take the pill when you first remember that you missed it."
d. "Take both pills with the next meal, and try to eat a little extra to make up
for what you missed at lunchtime." ✔✔ANSWER✔✔a. "You need to try not
to skip meals, but if that happens, you will need to skip that dose of
Prandin."
When checking a patient's fingerstick blood glucose level, the nurse obtains
a reading of 42 mg/dL. The patient is awake but states he feels a bit "cloudy-
,headed." After double-checking the patient's glucose level and getting the
same reading, which action by the nurse is most appropriate?
a. Administer two packets of table sugar.
b. Administer oral glucose in the form of a semisolid gel.
c. Administer 50% dextrose IV push.
d. Administer the morning dose of lispro insulin. ✔✔ANSWER✔✔b.
Administer oral glucose in the form of a semisolid gel.
A patient is taking metformin for new-onset type 2 diabetes mellitus. When
reviewing potential adverse effects, the nurse will include information about:
(Select all that apply.)
a. Abdominal bloating
b. Nausea
c. Diarrhea
d. Headache
e. Weight gain
f. Metallic taste ✔✔ANSWER✔✔a. Abdominal bloating
b. Nausea
c. Diarrhea
f. Metallic taste
A patient who has a new diagnosis of type 2 diabetes asks the nurse about a
new insulin that can be inhaled. "Is there a reason I can't take that drug?"
Which conditions, if present in the patient, would be a concern? (Select all
that apply.)
, a. Atrial fibrillation
b. History of smoking
c. Chronic lung disease
d. Hypothyroidism
e. Rheumatoid arthritis ✔✔ANSWER✔✔b. History of smoking
c. Chronic lung disease
The nurse is monitoring a patient who is receiving anti-thrombolytic therapy
in the emergency department because of a possible MI. Which adverse
effect would be of the greatest concern at this time?
a. Dizziness
b. Blood pressure of 130/98 mm Hg
c. Slight bloody oozing from the IV insertion site
d. Irregular heart rhythm ✔✔ANSWER✔✔d. Irregular heart rhythm
A patient is receiving instructions regarding warfarin therapy and asks the
nurse about what medications she can take for headaches. The nurse will tell
her to avoid which type of medication? Select all that apply.
a. aspirin
b. acetaminophen
c. NSAIDs
d. The herbal product gingko
e. Caffeine ✔✔ANSWER✔✔a. aspirin
c. NSAIDs
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