Exam (elaborations)
Nursing 240 Exam 2 With Correct Answers 2024
Nursing 240 Exam 2 With Correct Answers 2024
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nursing 240 exam 2 with correct answers 2024
4 which assessment finding or findings indicate t
a nurse is caring for a client with end stage live
1 a client is experiencing health problems relate
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Nursing 240 Exam 2 With Correct Answers
2024
4) .Which .assessment .finding .or .findings .indicate .to .the .nurse .that .a .client .is .experiencing
.stress?
Select .all .that .apply.
A) .Chewing .on .a .finger .nail
B) .Checking .cellular .phone
C) .Reading .a .magazine
D) .Talking .with .others
E) .Tapping .foot .- .correct .answer.A) .Chewing .on .a .finger .nail
E) .Tapping .foot
A .nurse .is .caring .for .a .client .with .end-stage .liver .disease. .Which .hematological
.alterations .might .the .nurse .anticipate .with .this .client? .Select .all .that .apply
.A) .Elevated .serum .albumin .levels .due .to .increased .protein .synthesis
B) .Decreased .clotting .factor .levels .due .to .impaired .clotting .mechanisms
C) .Hyperglycemia .due .to .disrupted .glucose .metabolism
D) .Increased .serum .vitamin .K .due .to .impaired .clearance .of .fat-soluble .vitamins .- .correct
.answer.B) .Decreased .clotting .factor .levels .due .to .impaired .clotting .mechanisms
C) .Hyperglycemia .due .to .disrupted .glucose .metabolism
1) .A .client .is .experiencing .health .problems .related .to .alterations .in .adrenal .medulla
.function. .On .which .areas .should .the .nurse .focus .when .assessing .this .client? .
Select .all .that .apply.
A) .Heart .rate
B) .Weight
C) .Respiratory .rate
D) .Skin .integrity
E) .Blood .pressure .- .correct .answer.A) .Heart .rate
B) .Weight
C) .Respiratory .rate
E) .Blood .pressure
,2) .The .nurse .is .teaching .an .in-service .about .metabolic .disorders. .Which .person .is .at .the
.greatest .risk .for .malnutrition .as .a .result .of .hypermetabolism? .
A) .A .client .with .chronic .obstructive .pulmonary .disease
B) .A .client .with .osteoporosis
C) .A .client .who .is .a .vegetarian
D) .A .client .who .has .dysphagia .- .correct .answer.A) .A .client .with .chronic .obstructive
.pulmonary .disease
3) .The .nurse .is .assessing .the .vital .signs .of .a .client .experiencing .hypoparathyroidism.
.While .monitoring .the .blood .pressure, .the .nurse .notes .the .client's .hand .begins .to .spasm.
.How .should .the .nurse .document .this .assessment .finding? .
A) .Trousseau .sign
B) .Chvostek .sign
C) .Turner's .sign
D) .Cullen's .sign .- .correct .answer.A) .Trousseau .sign
4) .While .performing .an .endocrine .assessment .on .a .client .suspected .of .having .Cushing
.disease, .the .nurse .asks .the .female .client .if .she .has .experienced .recent .weight .changes.
.Which .endocrine .systems .is .the .nurse .assessing? .
Select .all .that .apply.
A) .Gonads
B) .Pituitary .gland
C) .Thyroid .gland
D) .Adrenal .gland
E) .Parathyroid .gland .- .correct .answer.B) .Pituitary .gland
C) .Thyroid .gland
D) .Adrenal .gland
5) .The .nurse .is .reviewing .the .laboratory .test .results .for .a .client .with .an .endocrine
.disorder. .For .which .tests .should .the .nurse .expect .to .have .current .values .on .the .medical
.record? .
Select .all .that .apply.
A) .Prothrombin .time
B) .Albumin
C) .Ammonia .level
D) .Liver .functions .studies
E) .Hemoglobin .and .hematocrit .- .correct .answer.B) .Albumin
D) .Liver .functions .studies
6) .The .client .with .diabetes .mellitus .reports .having .difficulty .cutting .his .toenails .because
.they .are .thick .and .ingrown. .What .should .the .nurse .recommend .to .this .client?
A) .Make .an .appointment .with .a .podiatrist.
B) .Offer .to .file .the .tops .of .the .nails .to .reduce .thickness .after .cutting.
C) .Cut .the .nails .straight .across .with .a .clipper .after .the .bath.
D) .Make .an .appointment .with .a .nail .shop .for .a .pedicure .- .correct .answer.A) .Make .an
.appointment .with .a .podiatrist
,7) .An .older .client .is .diagnosed .with .disorders .of .fat .metabolism, .reduced .absorption .of
.fat-soluble .vitamins, .and .slightly .elevated .blood .glucose .level. .When .caring .for .this .client,
.on .which .endocrine .organ .should .the .nurse .focus .interventions? .
A) .Pituitary
B) .Thyroid
C) .Pancreas
D) .Adrenal .medulla .- .correct .answer.C) .Pancreas
8) .The .nurse .is .caring .for .a .client .who .has .been .prescribed .calcitonin-human .(Cibacalcin)
.nasal .spray. .What .should .the .nurse .include .in .the .plan .of .care .for .this .client? .
A) .Take .1 .hour .before .meals .or .2 .hours .after .meals.
B) .Alternate .nostrils .used .daily.
C) .Take .on .an .empty .stomach .in .the .morning .with .water.
D) .Remain .in .an .upright .position .for .30 .minutes .after .taking .- .correct .answer.B) .Alternate
.nostrils .used .daily.
1) .The .nurse .is .completing .an .assessment .interview .with .a .client .being .seen .for .a .yearly
.physical .examination. .Which .client .statement .would .indicate .a .possible .diagnosis .of
.diabetes? .
A) ."I'm .slightly .winded .when .I .walk .up .a .flight .of .stairs, .but .it .passes .quickly."
B) ."I .feel .a .bit .tired .by .mid-afternoon .and .take .a .30-minute .nap .most .days."
C) ."I .sometimes .have .muscle .aches .in .my .upper .legs .at .night."
D) ."I've .been .experiencing .increased .thirst .during .the .past .several .months." .- .correct
.answer.D) ."I've .been .experiencing .increased .thirst .during .the .past .several .months."
2) .The .nurse, .teaching .a .class .to .a .group .of .community .members .about .the .importance .of
.weight .loss .in .decreasing .the .risk .of .type .2 .diabetes .mellitus, .is .asked .why .weight .loss
.reduces .the .risk .associated .with .the .development .of .this .health .problem. .Which .response
.by .the .nurse .is .most .correct? .
A) ."Excess .body .weight .impairs .the .body's .release .of .insulin."
B) ."The .amount .of .food .taken .in .by .those .who .are .overweight .requires .more .insulin .to
.adequately .metabolize .them, .resulting .in .diabetes."
C) ."The .physical .inactivity .associated .with .obesity .causes .a .reduced .ability .by .the .body .to
.produce .insulin."
D) ."Thin .people .are .less .likely .to .become .diabetic." .- .correct .answer.A) ."Excess .body
.weight .impairs .the .body's .release .of .insulin."
3) .A .58-year-old .client .who .is .newly .diagnosed .with .type .2 .diabetes .has .smoked .for .30
.years. .When .teaching .the .client .on .ways .to .optimize .health .outcomes, .what .should .the
.nurse .explain .about .the .effects .of .smoking .and .diabetes?
A) .Smoking .is .a .major .factor .in .the .development .of .diabetic .neuropathy.
B) .Smoking .increases .insulin .resistance.
C) .Smoking .accelerates .arteriosclerotic .changes .in .blood .vessels.
D) .Smoking .promotes .weight .gain .- .correct .answer.C) .Smoking .accelerates
.arteriosclerotic .changes .in .blood .vessels
, 4) .The .nurse .is .planning .care .for .an .86-year-old .client .with .type .2 .diabetes .mellitus.
.Which .nursing .diagnosis .would .be .most .appropriate .for .this .client? .
A) .Risk .for .Falls
B) .Risk .for .Infection
C) .Ineffective .Tissue .Perfusion: .Cardiac
D) .Impaired .Tissue .Integrity .- .correct .answer.B) .Risk .for .Infection
5) .The .nurse .is .preparing .to .teach .a .client .who .is .newly .diagnosed .with .type .1 .diabetes
.mellitus .on .the .preferred .area .to .self-inject .insulin. .On .which .area .should .the .nurse .focus
.based .upon .insulin .absorption .rates? .
A) .Deltoid
B) .Thigh
C) .Hip
D) .Abdomen .- .correct .answer.D) .Abdomen
6) .During .a .home .visit, .the .nurse .evaluates .teaching .provide .to .a .client .with .type .1
.diabetes .mellitus .on .the .ability .to .prepare .an .insulin .injection. .List .the .order .in .which .the
.client .prepared .the .injection .that .indicates .teaching .has .been .effective.
1. .Wipe .the .selected .skin .site .with .alcohol .and .wait .for .it .to .dry.
2. .Fill .the .syringe .with .an .amount .of .air .equal .to .the .number .of .units .of .insulin, .and .insert
.the .needle .into .the .vial.
3. .Insert .the .insulin.
4. .Push .air .into .the .vial, .invert .the .vial, .and .withdraw .the .prescribed .units .of .insulin.
5. .Pinch .up .a .fold .of .skin, .and .insert .the .needle .into .the .tissue.
6. .Withdraw .the .needle .and .apply .firm .pressure .to .the .site .for .a .few .seconds .- .correct
.answer.2, .4, .1, .5, .3, .6
7) .The .healthcare .provider .prescribes .sitagliptin .(Januvia) .for .a .client .with .type .2 .diabetes
.mellitus. .For .which .potential .side .effect .should .the .nurse .monitor .in .this .client? .
A) .Elevated .blood .lipid .levels
B) .Hyperglycemia
C) .Pancreatitis
D) .Renal .insufficiency .- .correct .answer.C) .Pancreatitis
8) .A .client .newly .diagnosed .with .type .1 .diabetes .mellitus .tells .the .nurse .that .the .diagnosis
.must .be .wrong .because .the .client .is .not .overweight, .eats .all .of .the .time, .and .is .thin. .What
.should .the .nurse .respond .to .the .client? .
A) ."Thin .people .can .be .diabetic, .too."
B) ."Your .condition .makes .it .impossible .for .you .to .gain .weight."
C) ."Your .lab .tests .indicate .the .presence .of .diabetes."
D) ."You .are .eating .large .quantities .because .your .condition .makes .it .difficult .for .your .body
.to .obtain .energy .from .the .foods .taken .in." .- .correct .answer.D) ."You .are .eating .large
.quantities .because .your .condition .makes .it .difficult .for .your .body .to .obtain .energy .from
.the .foods .taken .in."