PCC Exam 3 Questions & Answers 2024/2025
"You are assessing a 12 month old infant for possible signs of dehydration. What are some things you might see? Select all that apply"
o Sunken fontanels
o Depressed, sunken eyes
o Increased respirations
o Elevated blood pressure
o Weak, thready, r...
"You are assessing a 12 month old infant for possible signs of dehydration. What are some things you
might see? Select all that apply"
o Sunken fontanels
o Depressed, sunken eyes
o Increased respirations
o Elevated blood pressure
o Weak, thready, rapid pulse
o Decreased urine osmolality - ANSWERSo Sunken fontanels
o Depressed, sunken eyes
o Increased respirations
o Weak, thready, rapid pulse
o will also see increase in BUN, urine osmolality, hematocrit, creatinine, Hgb
o hypotension
2.Which statement would be correct for a patient with type 2 diabetes who was admitted to the hospital
with pneumonia?
a.The patient must receive insulin therapy to prevent ketoacidosis.
b.The patient has islet cell antibodies that have destroyed the pancreas's ability to produce insulin.
c.The patient has minimal or absent endogenous insulin secretion and requires daily insulin injections.
d.The patient may have sufficient endogenous insulin to prevent ketosis but is at risk for hyperosmolar
hyperglycemic syndrome. - ANSWERSd.The patient may have sufficient endogenous insulin to prevent
ketosis but is at risk for hyperosmolar hyperglycemic syndrome.
1.Polydipsia and polyuria related to diabetes mellitus are primarily due to
a.the release of ketones from cells during fat metabolism.
,b.fluid shifts resulting from the osmotic effect of hyperglycemia.
c.damage to the kidneys from exposure to high levels of glucose.
d.changes in RBCs resulting from attachment of excessive glucose to hemoglobin. - ANSWERSb.fluid
shifts resulting from the osmotic effect of hyperglycemia.
3.Analyze the following diagnostic findings for your patient with type 2 diabetes. Which result will need
further assessment?
4.Which statement by the patient with type 2 diabetes is accurate?
a."I am supposed to have a meal or snack if I drink alcohol."
b."I am not allowed to eat any sweets because of my diabetes."
c."I do not need to watch what I eat because my diabetes is not the bad kind."
d."The amount of fat in my diet is not important. Only carbohydrates raise my blood sugar." -
ANSWERSa."I am supposed to have a meal or snack if I drink alcohol."
5.You are caring for a patient with newly diagnosed type 1 diabetes. What information is essential to
include in your patient teaching before discharge from the hospital (select all that apply)?
a.Insulin administration
b.Elimination of sugar from diet
c.Need to reduce physical activity
d.Use of a portable blood glucose monitor
e.Hypoglycemia prevention, symptoms, and treatment - ANSWERSa.Insulin administration
d.Use of a portable blood glucose monitor
e.Hypoglycemia prevention, symptoms, and treatment
, 6. What is the priority action for the nurse to take if the patient with type 2 diabetes complains of
blurred vision and irritability?
a.Call the physician.
b.Administer insulin as ordered.
c.Check the patient's blood glucose level.
d.Assess for other neurologic symptoms. - ANSWERSc.Check the patient's blood glucose level.
7.A diabetic patient has a serum glucose level of 824 mg/dL (45.7 mmol/L) and is unresponsive. After
assessing the patient, the nurse suspects diabetic ketoacidosis rather than hyperosmolar hyperglycemic
syndrome based on the finding of
a.polyuria.
b.severe dehydration.
c.rapid, deep respirations.
d.decreased serum potassium. - ANSWERSc.rapid, deep respirations.
8.Which are appropriate therapies for patients with diabetes mellitus (select all that apply)?
a.Use of statins to treat dyslipidemia
b.Use of diuretics to treat nephropathy
c.Use of ACE inhibitors to treat nephropathy
d.Use of serotonin agonists to decrease appetite
e.Use of laser photocoagulation to treat retinopathy - ANSWERSa.Use of statins to treat dyslipidemia
c.Use of ACE inhibitors to treat nephropathy
e.Use of laser photocoagulation to treat retinopathy
1.
A 54-year-old patient admitted with type 2 diabetes asks the nurse what "type 2" means. What is the
most appropriate response by the nurse?
A. "With type 2 diabetes, the body of the pancreas becomes inflamed."
B. "With type 2 diabetes, insulin secretion is decreased, and insulin resistance is increased."
C. "With type 2 diabetes, the patient is totally dependent on an outside source of insulin."
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