NUR 325 Exam 2 New Latest Version Updated 2024-2025
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Correct Answers
Which term is used for black, sticky, tarry, foul-smelling stools from digested dark blood?
A. Melena
B. Coffee ground
C. Hematochezia
D. Occult bleeding ----------- Correct Answer ----------- A. Melena
Which statement describes early symptoms of ovarian cancer?
A. Early ovarian cancer can be detected by a Pap smear.
B. Early ovarian cancer does not have any signs and symptoms.
C. Early symptoms of ovarian cancer include abdominal pain, constipation, and irregular periods.
D. Early symptoms of ovarian cancer include infertility, protruding abdomen, and constipation. -
---------- Correct Answer ----------- B. Early ovarian cancer does not have any signs and
symptoms.
Which assessment findings are concerning and would prompt further evaluation for breast
cancer? Select all that apply.
A. Painless lump in the breast
B. Enlarged axillary lymph nodes
C. Dimpling of the skin on the breast
D. Abnormal discharge from the nipple
E. Breast pain timed with the menstrual cycle ----------- Correct Answer ----------- A. Painless
lump in the breast
B. Enlarged axillary lymph nodes
C. Dimpling of the skin on the breast
D. Abnormal discharge from the nipple
The first sign of breast cancer is usually a painless lump. Other presenting signs include palpable
nodes in the axilla, retraction of tissue (dimpling), or bone pain caused by metastasis to the
vertebrae. Abnormal discharge from the nipple can be a sign of breast cancer. Breast pain timed
with the menstrual cycle is not characteristic of breast cancer and is usually a normal finding.
Which condition is associated with human papillomavirus (HPV) infection of the cervix?
A. Cervical atrophy
B. Cervical dysplasia
C. Cervical hyperplasia
D. Cervical hypertrophy ----------- Correct Answer ----------- B. Cervical dysplasia
,Infection with high-risk (oncogenic) types of HPV (predominantly types 16 and 18) is a
necessary precursor to
development of the precancerous dysplasia of the cervix that leads to invasive cancer. Atrophy is
caused by
chronic ischemia, decreased hormonal or neural stimulation, or decreased workload (disuse).
Hyperplasia is caused by increased stimulation by hormones or growth factors. Hypertrophy is
caused by increased workload.
Which information should be included about clinical manifestations when writing an
education pamphlet about the early detection of breast cancer? Select all that apply.
A. Amenorrhea
B. Skin retraction
C. Orange-peel skin
D. Nipple discharge
E. Painful breast lump
F. Menstrual-like cramps ----------- Correct Answer ----------- B. Skin retraction
C. Orange-peel skin
D. Nipple discharge
A patient with diabetes has a morning glucose of 50. The patient is sweaty, cold, and clammy.
Which of the following nursing interventions is the MOST important?
A. Recheck the glucose level
B. Give the patient ½ cup (4 oz) of fruit juice
C. Call the doctor
D. Keep the patient on nothing by mouth ----------- Correct Answer ----------- B. Give the patient
½ cup (4 oz) of fruit juice
Treatment for a CONSCIOUS patient experiencing HYPOglycemia
Which of the following patients is at most risk for Type 2 diabetes?
A. A 6 year old girl recovering from a viral infection with a family history of diabetes.
B. A 28 year old male with a BMI of 49.
C. A 76 year old female with a history of cardiac disease.
D. None of the options provided. ----------- Correct Answer ----------- B. A 28 year old male with
a BMI of 49.
Remember Type 2 diabetes risk factors are related to lifestyle - being obese is a risk factor (BMI
>30 in males is considered obese). So, the 28 year old male with a BMI of 49 is most at risk for
Type 2.
The _____ ______ secrete insulin which are located in the _______.
A. Alpha cells, liver
B. Alpha cells, pancreas
C. Beta cells, liver
, D. Beta cells, pancreas ----------- Correct Answer ----------- D. Beta cells, pancreas
A 36-year-old male is newly diagnosed with Type 2 diabetes. Which of the following treatments
do you expect the patient to be started on initially?
A. Diet and exercise regimen
B. Metformin BID by mouth
C. Regular insulin subcutaneous
D. None, monitoring at this time is sufficient enough ----------- Correct Answer ----------- A. Diet
and exercise regimen
Which of the following statements are true regarding Type 2 diabetes treatment?
A. Insulin and oral diabetic medications are administered routinely in the treatment of Type 2
diabetes.
B. Insulin may be needed during times of surgery or illness.
C. Insulin is never taken by the Type 2 diabetic.
D. Oral medications are the first line of treatment for newly diagnosed Type 2 diabetics -----------
Correct Answer ----------- B
What statement or statements are INCORRECT regarding Diabetic Ketoacidosis?A. DKA
occurs mainly in Type 1 diabetics.B. Ketones are present in the urine in DKA.C. Cheyne-stokes
breathing will always present in DKA.D. Severe hypoglycemia is a hallmark sign in DKA.E.
Options C & DThe answer is E. ----------- Correct Answer -----------
A patient who has diabetes is nothing by mouth as prep for surgery. The patient states they feel
like their blood sugar is low. You check the glucose and find it to be 52. The next nursing
intervention would be to:
A. Administer Dextrose 50% IV per protocol
B. Continue to monitor the glucose
C. Give the patient 4 oz of fruit juice
D. None, this is a normal blood glucose reading ----------- Correct Answer ----------- A.
Administer Dextrose 50% IV per protocol
This question requires critical thinking because the patient is NPO for surgery and can NOT eat
but is experiencing hypoglycemia.
Which of the following symptoms do NOT present in hyperglycemia?
A. Extreme thirst
B. Hunger
C. Blood glucose <60 mg/dL
D. Glycosuria ----------- Correct Answer ----------- C. Blood glucose <60 mg/dL
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