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    Exam Review

    1. A nurse is preparing to administer prescribed intravenous potassium replacement supplements to a client who has a potassium level of 2.5 mEq/L. Which of the following actions should the nurse plan to include? (Select All that Apply.)(SATA)
      A)Cardiac monitoring during infusion.
      B)Ensure potassium infusion is prepared with 5
      C)Repeat blood serum potassium.
      D)Ensure that the client has adequate urine output.
      E)Educate client regarding high-potassium food sources.
    2. A nurse is providing teaching for a client who has diabetes and a new prescription for insulin glargine. Which of the following instructions should the nurse provide regarding this type of insulin?
      A)Insulin glargine has a duration of 18 to 24 hr.
      B)Insulin glargine has a duration of 14 hr.
      C)Insulin glargine has a duration of 3 to 6 hr.
      D)Insulin glargine has a duration of 6 to 10 hr.
    3. A nurse is preparing to administer Humalog (Lispro) insulin to a client who has type 1 diabetes mellitus. Which of the following actions should the nurse take?
      A)Monitor for polyuria.
      B)Assess for hypoglycemia 4 hr after the insulin injection.
      C)Inject the insulin 15 min before a meal.
      D)Administer with short-acting insulin.
    4. A nurse is caring for a client who had total thyroidectomy and a serum calcium level of 7.6 mg/dL. Which of the following findings should the nurse expect?
      A)Shortened QT intervals.
      B)Constipation.
      C)Hypoactive deep tendon reflexes.
      D)Tingling of the extremities.
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    Exam Review

    1. A nurse is assessing a client who has developed atelectasis postoperatively. Which of the following findings should the nurse expect?
      A)Friction rub.
      B)Increasing dyspnea.
      C)Decreasing respiratory rate.
      D)Facial flushing.
    2. A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia? (Select All that Apply.)(SATA)
      A)Tachycardia.
      B)Cool, clammy skin.
      C)Polydipsia.
      D)Polyuria.
      E)Blurred vision.
    3. A nurse is caring for a client who has type 1 diabetes mellitus. Which of the following conditions should the nurse monitor the client for due to the client's lack of insulin production?
      A)Hypoglycemia.
      B)Neuroglycopenia.
      C)Increased glycogen storage.
      D)Diabetic ketoacidosis (DKA).
    4. A nurse is receiving a client who is immediately postoperative following hip arthroplasty. Which of the following medications should the nurse plan to administer for DVT prophylaxis?
      A)Enoxaparin subcutaneous.
      B)Warfarin PO.
      C)Aspirin PO.
      D)Ondansetron.
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    Exam Review

    1. A nurse is caring for a client in the operating room. Which of the following interventions is the priority to perform prior to surgery in order to prevent surgical errors in the operating room?
      A)Educate the client about expectations.
      B)Introduce the client to the surgical team.
      C)Obtain vital signs.
      D)Initiate a time-out.
    2. A nurse is caring for a client who has hyperkalemia and is receiving insulin therapy. Which of the following should the nurse recognize as an adverse outcome?
      A)Serum glucose 58 mg/dL (74 to 106 mg/dL).
      B)Serum sodium 138 mEq/L (136 to 145 mEq/L).
      C)Calcium level of 10.0 mg/dL (9.0 to 10.5 mg/dL).
      D)Serum potassium 4.8 mEq/L (3.5 to 5.0 mEq/L).
    3. A nurse is teaching a client, who is newly diagnosed with type 1 diabetes mellitus, about insulin safety. Which of the following statements by the nurse is appropriate?
      A)Storing insulin in the freezer will prolong its stability.
      B)Clients with type 1 diabetes mellitus should keep backup medication and supplies in their car.
      C)All insulins can be mixed in the same syringe.
      D)Insulin is stable at room temperature for one month.
    4. A nurse is caring for a client who returns to the nursing unit from the recovery room after a sigmoid colon resection for adenocarcinoma. The client had an episode of intraoperative bleeding. Which finding indicates to the nurse that the client may be developing hypovolemia?
      A)Decrease in heart rate from 100 to 88 BPM.
      B)Increase in heart rate from 88 to 120 BPM.
      C)Increase in blood pressure from 120/80 to 130/88.
      D)Peripheral edema.
    Page 3 of 13

    Exam Review

    1. A nurse is reviewing surgical screening lab work with a client who has arrived for an elective procedure. During which of the following phases is this task performed?
      A)Perioperative.
      B)Preoperative.
      C)Intraoperative.
      D)Postoperative.
    2. A nurse is assessing a client who has type 1 diabetes mellitus and has a blood glucose level of 550 mg/dL. Which of the following should the nurse assess the client for if diabetic ketoacidosis (DKA) is suspected?
      A)Mental status changes.
      B)Dizziness.
      C)Cool, clammy skin.
      D)Nervousness.
    3. A provider prescribes dextrose 5 The drop factor on the manual IV tubing is 60 gtt/mL. The nurse should set the IV flow rate to deliver how many gtt/min? (Round the answer to the nearest whole number.)
    4. A nurse is providing preoperative teaching for a client who will undergo surgery. The nurse explains that the client will wear antiembolism stockings during and after the procedure. When the client asks what the stockings do, which of the following responses should the nurse make?
      A)They help keep you warm after your surgery.
      B)They improve your circulation to keep blood from pooling in your legs.
      C)They make it easier for you to do leg exercises after your surgery.
      D)They protect your legs and heels from skin breakdown.
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    Exam Review

    1. A nurse is reviewing the medical history on a client who is preoperative for surgery. Which of the following findings places the client at risk for a postoperative complication?
      A)Glucose level 75 mg/dL (70-100 mg/dL).
      B)BMI 24 (18.5-24.9).
      C)Fractured ankle.
      D)Obstructive sleep apnea.
    2. A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the client's morning blood glucose level as 210 mg/dL instead of 120 mg/dL and administered the insulin dose appropriate for a reading over 200 mg/dL before the client's breakfast. Which of the following actions is the nurse's priority?
      A)Notify the nurse manager.
      B)Check the client's blood sugar.
      C)Give the client 10 g of carbohydrate.
      D)Complete an incident report.
      E)Complete an incident report.
    3. A nurse is assessing a client who is 3 days postoperative following abdominal surgery and notes the absence of bowel sounds, abdominal distention, and the client passing no flatus. Which of the following conditions should the nurse suspect?
      A)Ulcerative colitis.
      B)Paralytic ileus.
      C)Wound dehiscence.
      D)Cholecystitis.
    4. A nurse is caring for a client immediately following a procedure that required spinal anesthesia. Which of the following findings indicates the client is experiencing a complication of the anesthesia?
      A)Hiccups.
      B)Numbness in the legs.
      C)Headache.
      D)Absence of urge to void.
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    Exam Review

    1. A nurse is caring for a client who is postoperative following an appendectomy and is prescribed D5 lactated Ringer's at 150 mL/hr by continuous IV infusion for 12 hr. The drop factor of the manual IV tubing is 20 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min?
    2. A nurse is reviewing the medical record of a client who has a potassium level of 3.0 mEq/L. Which of the following findings should the nurse recognize as a potential causative factor?
      A)Client reports drinking 3.5 to 4L of water each day.
      B)Client uses salt substitute seasoning on their food.
      C)Client has an NG tube to gastric suction.
      D)Client is currently prescribed spironolactone.
    3. A 70-year-old female with type 2 diabetes is brought to the clinic by her daughter, who states that her mother has been more drowsy and irritable than usual. This morning, she was found confused, diaphoretic, and unable to answer Questions clearly. The patient has a history of poor oral intake over the past 2 days and is currently taking glipizide. Vital signs show BP 130/82 mmHg HR 98 bpm RR 18 breaths/min Temp 97.8 Blood glucose is 42 mg/dL Based on these findings, which condition is the client most likely experiencing?
      A)Hypoglycemia.
      B)Diabetic Ketoacidosis (DKA).
      C)Stroke.
      D)Hyperosmolar Hyperglycemic State (HHS).
    4. A nurse is caring for a client with a blood glucose of 42 mg/dL who is confused and diaphoretic. Which of the following are the priority nursing interventions?(SATA)
      A)Encourage increased oral fluid intake.
      B)Prepare for emergency dialysis.
      C)Administer 50
      D)Recheck blood glucose in 15 minutes.
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