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Rasmussen - MDC II Final exam with answers
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Rasmussen - MDC II Final exam with answers
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Rasmussen - MDC II Final exam withanswers
A \clients \blood \glucose \level \is \275 \mg/dL. \The \client \is \about \to \eat \breakfast. \Per \sliding \scale, \the
\nurse \administers \8 \units \of \regular \human \insulin \subcutaneously \at \0900,. \The \nurse \knows \the
\client \is \most \at \risk \for \hypoglycemia \at \what \time?
A) \1130
B) \0830
C) \1530
D) \1430 \- \ANSWERS✔✔ \A) \1130
The \nurse \is \caring \for \a \56-yr \old \female \with \a \small \bowel \obstruction. \The \nurse \should \question
\which \of \the \following \orders \preoperatively?
A) \Morphine \intravenously \for \pain
B) \Nasogastric \tube \to \low-intermittent \wall \suction
C) \Intravenous \maintenance \fluids
D) \Bland \diet \- \ANSWERS✔✔ \D) \Bland \diet
The \nurse \knows \which \of \the \therapeutic \response \to \hydrocortisone \for \Addisonian \crisis?
A) \Weight \gain
B) \No \signs \of \pitting \edema
C) \Increased \urine \output
D) \Client \is \alert \and \oriented \with \improved \lethargy \- \ANSWERS✔✔ \D) \Client \is \alert \and \oriented
\with \improved \lethargy
A \nurse \is \teaching \a \client \with \diabetes \mellitus \who \asks \"why \is \it \necessary \to \maintain \my \blood
\glucose \levels \to \no \lower \than \about \60 \mg/dL?" \How \would \you \respond?
A) \Glucose \is \the \only \fuel \used \by \the \body \to \produce \the \energy \it \needs
B) \Your \brain \needs \a \constant \supply \of \glucose \because \it \cannot \store \it
,C) \Without \a \minimum \level \of \glucose, \your \body \does \not \make \red \blood \cells
D) \Glucose \in \the \blood \prevents \the \formation \of \lactic \acid \and \prevents \acidosis \- \ANSWERS✔✔ \B)
\Your \brain \needs \a \constant \supply \of \glucose \because \it \cannot \store \it
A \nurse \caring \for \a \client \diagnosed \with \thyroid \cancer. \Which \of \the \following \lab \results \will
\validate \these \findings?
A) \Increased \serum \calcium \levels
B) \Increased \serum \phosphorus \levels
C) \Increased \serum \thyroglobulin \level
D) \Decreased \serum \thyroglobulin \level \- \ANSWERS✔✔ \C) \Increased \serum \thyroglobulin \level
A \nurse \cares \for \a \client \with \chronic \hypercortisolism. \What \action \would \the \nurse \take \to \prevent
\infection?
A) \Wash \hands \when \entering \room
B) \Keep \the \client \in \airborne \isolation
C) \Observe \the \client \for \weight \gain
D) \Asses \the \client's \daily \chest \x-ray \- \ANSWERS✔✔ \A) \Wash \hands \when \entering \room
The \nurse \identifies \which \lab \result \is \consistent \with \a \client's \diagnosis \of \hyperthyroidism?
A) \Decreased \serum \T3 \and \T4 \levels
B) \Elevated \serum \thyrotropin-releasing \hormone \(TRH) \level
C) \Decreased \radioactive \iodine \uptake
D) \Increased \serum \T3 \and \T4 \levels \- \ANSWERS✔✔ \D) \Increased \serum \T3 \and \T4 \levels
A \nurse \assesses \a \client \with \a \15-year \history \of \type \2 \diabetes \with \peripheral \neuropathy. \What
\action \would \the \nurse \take \first?
A) \Document \the \finding \in \the \client's \chart
B) \Compare \extremities \for \deficiencies
C) \Perform \a \focused \foot \assessment
D) \Notify \the \healthcare \provider \- \ANSWERS✔✔ \B) \Compare \extremities \for \deficiencies
, Continuous \muscle \spasms \in \a \client \with \hypoparathyroidism \are \related \to \which \condition?
A) \Nerve \damage
B) \Seizures
C) \Tetany
D) \Decreased \potassium \- \ANSWERS✔✔ \C) \Tetany
A \nurse \is \caring \for \a \client \recently \diagnosed \with \Addison's \crisis. \Which \of \the \following \signs \and
\symptoms \are \consistent \with \this \diagnosis?
A) \Hypernatremia
B) \Severe \hypotension
C) \Vascular \resistance
D) \Hypokalemia \- \ANSWERS✔✔ \B) \Severe \hypotension
The \nurse \is \caring \for \a \diabetic \client \with \a \blood \glucose \of \56mg/dL. \The \client \is \difficult \to
\arouse. \What \action \would \the \nurse \take?
A) \Give \a \glass \of \orange \juice \with \three \sugar \packets \mixed \in \and \monitor \the \client
B) \Give \a \glass \of \milk \and \monitor \the \client
C) \Give \a \complex \carbohydrate \and \monitor \the \client
D) \Administer \50% \dextrose \(d50) \IV \push \per \order \and \monitor \the \client \- \ANSWERS✔✔ \D)
\Administer \50% \dextrose \(d50) \IV \push \per \order \and \monitor \the \client
A \nurse \is \caring \for \a \client \admitted \with \acute \pancreatitis. \Which \of \the \following \are \treatment
\options \for \the \early \stages \of \mild \acute \pancreatitis? \(SATA)
A) \Nothing \by \mouth \for \24-48 \hours
B) \Assess \and \manage \pain
C) \Encourage \early \oral \nutrition
D) \Assess \labs \for \amylase \and \lipase \levels
E) \Measure \and \document \accurate \intake \and \output \- \ANSWERS✔✔ \A) \Nothing \by \mouth \for \24-48
\hours
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