Exam (elaborations)
Exam 1
- Course
- NR 325 (ADULTHEALTH2)
- Institution
- Chamberlain College Nursing
Adult Health 2 Exam 1
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1. A nurse is reviewing the laboratory values of a client who has primary hypothyroidism.The nurse should anticipate an elevation in which of the following laboratory values?
a. Thyroid stimulating hormone (TSH)
b. Free T4
c. Serum T4
d. Serum T3
2. The nurse is preparing to communicate with an older client with impaired hearing. Which
intervention should be the nurse implement?
a. Use high-pitched tones
b. Use low-pitched tones
c. Speak slower
d. Speak loudly
3. A nurse is monitoring a client who is postoperative following thyroidectomy. Which of the
following data should the nurse identify as the priority to monitor?
a. Airway patency
b. Temperature
c. Urine output
d. Pain control
4. A nurse in an emergency department is caring for a client who has diabetic ketoacidosis
(DKA) and a bloodglucose level of 925 mg/dL. The nurse should anticipate which of the
following prescriptions from the provider?
a. Glucocorticoid medication
b. Dextrose 5% in 0.45% sodium chloride
c. Oral hypoglycemic medications
d. 0.9% sodium chloride IV bolus
5. A nurse is planning care for a client who has a new diagnosis of diabetes insipidus.
Which of the followinginterventions should the nurse include in the plan of care?
a. Measure blood glucose every 4 hrs
b. Administer diuretic
c. Check urine specific gravity
d. Initiate fluid restrictions
6. A nurse is caring for a client who is in a myxedema coma. Which of the following actions
should the nurse take?
a. Turn the client every 4 hrs
b. Place the client on aspiration precautions
c. Initiate measures to cool the client
d. Check BP every 2 hrs
7. A nurse is reviewing guidelines to prevent DKA during periods of illness with a client who
has type 1 diabetes mellitus. Which of the following instructions should the nurse include
in the teaching?
a. “Test your blood glucose every 8 hrs”
b. “Check your urine ketones when bloog glucose levels are > 240 mg/dL”
c. “Withhold your daily dose of insulin”
d. “Drink 240 - 360 milliters of calorie-free liquids every 8 hrs”
, 8. A client who has type 2 diabetes mellitus asks the nurse, "Why did I develop diabetes?"
Which of the following responses should the nurse make?
a. "Your body is destroying the cells that secrete insulin."
b. "Your body has insulin resistance and decreased insulin secretion."
c. "An infection in your pancreas destroyed the cells that make insulin."
d. "Your kidneys are not able to reabsorb water which leads to type 2 diabetes
mellitus."
9. A nurse is providing teaching about foot care for a client who has type 2 diabetes
mellitus. Which of the followingstatements by the client indicates an understanding of the
teaching?
a. “I should soak my feet before trimming my nails”
b. “I should buy new shoes late in the day”
c. “I should wear a clean pair of nylon socks every day”
d. “I should use a heating pad at night when my feet get cold”
10. A nurse is teaching a client who has a new diagnosis of hyperparathyroidism. The nurse
should include in the teaching that the client is at risk for which of the following
complications?
a. Impaired skin integrity
b. Fluid retention
c. Pathologic fractures
d. Dysphagia
11. A nurse in the emergency department is caring for a patient who has eye pain and is
diagnosed with acute closed glaucoma which provider order is priority?
a. Administer miotic
12. The nurse is caring for a client with noticeable hearing loss who states “I so not think I
am ready for hearing aids yet” what is the best response by the nurse?
13. A patient who is being admitted to the hospital for abdominal pain and nausea tells the
nurse about a history of glaucoma. Which of these prescribed medications should the
nurse question?
a. Morphine sulfate 4 mg IV
b. Diazepam 5 mg IV
c. Betaxolol 0.25% eyedrops
d. Scopolamine Patch 1.5 mg
14. The nurse observes a visiting family member deliver a client, with Type 2 Diabetes a
breakfast of pancakes, eggs, orange juice, and sugar free syrup. Which statements are
most appropriate for the nurse to make to the family?
a. “Before you begin eating please remember to self administer your insulin”
b. “Feel free to go downstairs and eat together but please put on non skid socks”
c. “How are you tracking your carb intake?”
d. “You should not be eating this many carbs when you have diabetes”
e. “Lets scheck your blood sugar before you eat”
15. The patient seems to be somewhat apprehensive about the nurse examining his neck.
How should the nurse proceed that would allow the patient to feel more comfortable with
the nurse examining his thyroid gland?
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