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NUR 112 FINAL EXAM PRACTICE QUESTIONS AND ANSWERS.
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NUR 112 FINAL EXAM PRACTICEQUESTIONS AND ANSWERS
An e18-year-old efemale eclient, e5′4′′ etall, eweighing e113 ekg, ecomes eto ethe eclinic efor
ea enonhealing ewound eon eher elower eleg, ewhich eshe ehas ehad efor etwo e(2) eweeks.
eWhich edisease eprocess eshould ethe enurse esuspect ethe eclient ehas edeveloped?
1. eType e1 ediabetes.
2. eType e2 ediabetes.
3. eGestational ediabetes.
4. eAcanthosis enigricans. e- e✔✔2
The eclient ediagnosed ewith etype e1 ediabetes ehas ea eglycosylated ehemoglobin e(A1c)
eof e8.1%. eWhich einterpretation eshould ethe enurse emake ebased eon ethis eresult?
1. eThis eresult eis ebelow enormal elevels.
2. eThis eresult eis ewithin eacceptable elevels.
3. eThis eresult eis eabove erecommended elevels.
4. eThis eresult eis edangerously ehigh. e- e✔✔3
The enurse eadministered e28 eunits eof eHumulin eN, ean eintermediate-acting einsulin, eto
ea eclient ediagnosed ewith etype e1 ediabetes eat e1600. eWhich eintervention eshould ethe
enurse eimplement?
1. eEnsure ethe eclient eeats ethe ebedtime esnack.
2. eDetermine ehow emuch efood ethe eclient eate eat elunch.
3. ePerform ea eglucometer ereading eat e0700.
4. eOffer ethe eclient eprotein eafter eadministering einsulin. e- e✔✔1
The enurse eis ediscussing ethe eimportance eof eexercising ewith ea eclient ediagnosed
ewith etype e2 ediabetes ewhose ediabetes eis ewell econtrolled ewith ediet eand eexercise.
eWhich einformation eshould ethe enurse einclude ein ethe eteaching eabout ediabetes?
1. eEat ea esimple ecarbohydrate esnack ebefore eexercising.
2. eCarry epeanut ebutter ecrackers ewhen eexercising.
3. eEncourage ethe eclient eto ewalk e20 eminutes ethree e(3) etimes ea eweek.
4. ePerform ewarmup eand ecool-down eexercises. e- e✔✔4
The enurse eis eassessing ethe efeet eof ea eclient ewith elong-term etype e2 ediabetes.
eWhich eassessment edata ewarrant eimmediate eintervention eby ethe enurse?
1. eThe eclient ehas ecrumbling etoenails.
2. eThe eclient ehas eathlete's efoot.
3. eThe eclient ehas ea enecrotic ebig etoe.
,4. eThe eclient ehas ethickened etoenails. e- e✔✔3
The ehome ehealth enurse eis ecompleting ethe eadmission eassessment efor ea e76-year-
old eclient ediagnosed ewith etype e2 ediabetes econtrolled ewith e70/30 einsulin. eWhich
eintervention eshould ebe eincluded ein ethe eplan eof ecare?
1. eAssess ethe eclient's eability eto eread esmall eprint.
2. eMonitor ethe eclient's eserum ePT elevel.
3. eTeach ethe eclient ehow eto eperform ea ehemoglobin eA1c etest edaily.
4. eInstruct ethe eclient eto echeck ethe efeet eweekly. e- e✔✔1
The eclient ewith etype e2 ediabetes econtrolled ewith ebiguanide eoral ediabetic emedication
eis escheduled efor ea ecomputed etomography e(CT) escan ewith econtrast eof ethe
eabdomen eto eevaluate epancreatic efunction. eWhich eintervention eshould ethe enurse
eimplement?
1. eProvide ea ehigh-fat ediet e24 ehours eprior eto etest.
2. eHold ethe ebiguanide emedication efor e48 ehours eprior eto etest.
3. eObtain ean einformed econsent eform efor ethe etest.
4. eAdminister epancreatic eenzymes eprior eto ethe etest. e- e✔✔2
The ediabetic eeducator eis eteaching ea eclass eon ediabetes etype e1 eand eis ediscussing
esick-day erules. eWhich einterventions eshould ethe ediabetes eeducator einclude ein ethe
ediscussion? eSelect eall ethat eapply.
1. eTake ediabetic emedication eeven eif eunable eto eeat ethe eclient's enormal ediabetic
ediet.
2. eIf eunable eto eeat, edrink eliquids eequal eto ethe eclient's enormal ecaloric eintake.
3. eIt eis enot enecessary eto enotify ethe ehealth-care eprovider eif eketones eare ein ethe
eurine.
4. eTest eblood eglucose elevels eand etest eurine eketones eonce ea eday eand ekeep ea
erecord.
5. eCall ethe ehealth-care eprovider eif eglucose elevels eare ehigher ethan e180 emg/dL. e-
e✔✔1, e2, e5
The eclient ereceived e10 eunits eof eHumulin eR, ea efast-acting einsulin, eat e0700. eAt
e1030 ethe eunlicensed eassistive epersonnel e(UAP) etells ethe enurse ethe eclient ehas ea
eheadache eand eis ereally eacting e"funny." eWhich eintervention eshould ethe enurse
eimplement efirst?
1. eInstruct ethe eUAP eto eobtain ethe eblood eglucose elevel.
2. eHave ethe eclient edrink eeight e(8) eounces eof eorange ejuice.
3. eGo eto ethe eclient's eroom eand eassess ethe eclient efor ehypoglycemia.
4. ePrepare eto eadminister eone e(1) eampule e50% edextrose eintravenously. e- e✔✔3
The enurse eat ea efreestanding ehealth ecare eclinic eis ecaring efor ea e56-year-old emale
eclient ewho eis ehomeless eand eis ea etype e2 ediabetic econtrolled ewith einsulin. eWhich
eaction eis ean eexample eof eclient eadvocacy?
1. eAsk ethe eclient eif ehe ehas esomewhere ehe ecan ego eand elive.
2. eArrange efor esomeone eto egive ehim einsulin eat ea elocal ehomeless eshelter.
,3. eNotify eAdult eProtective eServices eabout ethe eclient's esituation.
4. eAsk ethe eHCP eto etake ethe eclient eoff einsulin ebecause ehe eis ehomeless. e- e✔✔2
The enurse eis edeveloping ea ecare eplan efor ethe eclient ediagnosed ewith etype e1
ediabetes. eThe enurse eidentifies ethe eproblem e"high erisk efor ehyperglycemia erelated
eto enoncompliance ewith ethe emedication eregimen." eWhich estatement eis ean
eappropriate eshort-term egoal efor ethe eclient?
1. eThe eclient ewill ehave ea eblood eglucose elevel ebetween e90 eand e140 emg/dL.
2. eThe eclient ewill edemonstrate eappropriate einsulin einjection etechnique.
3. eThe enurse ewill emonitor ethe eclient's eblood eglucose elevels efour e(4) etimes ea eday.
4. eThe eclient ewill emaintain enormal ekidney efunction ewith e30-mL/hr eurine eoutput. e-
e✔✔1
The eclient ediagnosed ewith etype e2 ediabetes eis eadmitted eto ethe eintensive ecare eunit
ewith ehyperosmolar ehyperglycemic enonketonic esyndrome e(HHNS) ecoma. eWhich
eassessment edata eshould ethe enurse eexpect ethe eclient eto eexhibit?
1. eKussmaul's erespirations.
2. eDiarrhea eand eepigastric epain.
3. eDry emucous emembranes.
4. eKetone ebreath eodor. e- e✔✔3
The eelderly eclient eis eadmitted eto ethe eintensive ecare edepartment ediagnosed ewith
esevere eHHNS. eWhich ecollaborative eintervention eshould ethe enurse einclude ein ethe
eplan eof ecare?
1. eInfuse e0.9% enormal esaline eintravenously.
2. eAdminister eintermediate-acting einsulin.
3. ePerform eblood eglucometer echecks edaily.
4. eMonitor earterial eblood egas eresults. e- e✔✔1
Which eelectrolyte ereplacement eshould ethe enurse eanticipate ebeing eordered eby ethe
ehealth-care eprovider ein ethe eclient ediagnosed ewith eDKA ewho ehas ejust ebeen
eadmitted eto ethe eICU?
1. eGlucose.
2. ePotassium.
3. eCalcium.
4. eSodium. e- e✔✔2
The eclient ediagnosed ewith eHHNS ewas eadmitted eyesterday ewith ea eblood eglucose
elevel eof e780 emg/dL. eThe eclient's eblood eglucose elevel eis enow e300 emg/dL. eWhich
eintervention eshould ethe enurse eimplement?
1. eIncrease ethe eregular einsulin eIV edrip.
1. eCheck ethe eclient's eurine efor eketones.
3. eProvide ethe eclient ewith ea etherapeutic ediabetic emeal.
4. eNotify ethe eHCP eto eobtain ean eorder eto edecrease einsulin. e- e✔✔4
, The eclient ediagnosed ewith etype e1 ediabetes eis efound elying eunconscious eon ethe
efloor eof ethe ebathroom. eWhich eintervention eshould ethe enurse eimplement efirst?
1. eAdminister e50% edextrose eIVP.
2. eNotify ethe ehealth-care eprovider.
3. eMove ethe eclient eto ethe eICU.
4. eCheck ethe eserum eglucose elevel. e- e✔✔1
Which eassessment edata eindicate ethe eclient ediagnosed ewith ediabetic eketoacidosis eis
eresponding eto ethe emedical etreatment?
1. eThe eclient ehas etented eskin eturgor eand edry emucous emembranes.
2. eThe eclient eis ealert eand eoriented eto edate, etime, eand eplace.
3. eThe eclient's eABG eresults eare epH e7.29, ePaCO2 e44, eHCO3 e15.
4. eThe eclient's eserum epotassium elevel eis e3.3 emEq/L. e- e✔✔2
The eUAP eon ethe emedical efloor etells ethe enurse ethe eclient ediagnosed ewith eDKA
ewants esomething eelse eto eeat efor elunch. eWhich eintervention eshould ethe enurse
eimplement?
1. eInstruct ethe eUAP eto eget ethe eclient eadditional efood.
2. eNotify ethe edietitian eabout ethe eclient's erequest.
3. eRequest ethe eHCP eincrease ethe eclient's ecaloric eintake.
4. eTell ethe eUAP ethe eclient ecannot ehave eanything eelse. e- e✔✔2
The eemergency edepartment enurse eis ecaring efor ea eclient ediagnosed ewith eHHNS
ewho ehas ea eblood eglucose eof e680 emg/dL. eWhich equestion eshould ethe enurse eask
ethe eclient eto edetermine ethe ecause eof ethis eacute ecomplication?
1. e"When eis ethe elast etime eyou etook eyour einsulin?"
2. e"When edid eyou ehave eyour elast emeal?"
3. e"Have eyou ehad esome etype eof einfection elately?"
4. e"How elong ehave eyou ehad ediabetes?" e- e✔✔3
The enurse eis ediscussing eways eto eprevent ediabetic eketoacidosis ewith ethe eclient
ediagnosed ewith etype e1 ediabetes. eWhich einstruction eis emost eimportant eto ediscuss
ewith ethe eclient?
1. eRefer ethe eclient eto ethe eAmerican eDiabetes eAssociation.
2. eDo enot etake eany eover-the-counter emedications.
3. eTake ethe eprescribed einsulin eeven ewhen eunable eto eeat ebecause eof eillness.
4. eExplain ethe eneed eto eget ethe eannual eflu eand epneumonia evaccines. e- e✔✔3
The echarge enurse eis emaking eclient eassignments ein ethe eintensive ecare eunit. eWhich
eclient eshould ebe eassigned eto ethe emost eexperienced enurse?
1. eThe eclient ewith etype e2 ediabetes ewho ehas ea eblood eglucose elevel eof e348 emg/dL.
2. eThe eclient ediagnosed ewith etype e1 ediabetes ewho eis eexperiencing ehypoglycemia.
3. eThe eclient ewith eDKA ewho ehas emultifocal epremature eventricular econtractions.
4. eThe eclient ewith eHHNS ewho ehas ea eplasma eosmolarity eof e290 emOsm/L. e- e✔✔3
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