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    Exam Review

    1. Which nursing interventions should the RN implement when providing care for a patient with ascites related to Cirrhosis of the liver? Select all that apply.(SATA)
      A)Administer furosemide as prescribed.
      B)Encourage an increase in oral fluids.
      C)Prepare patient for a paracentesis
      D)Maintain strict intake and output.
      E)Ambulate in hallway three times daily.
    2. A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For which of the following findings should the nurse assess the client?
      A)Brudzinski's sign
      B)Kernig's sign
      C)Chvostek's sign
      D)Babinski's sign
    3. A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis. Which of the following instructions should the nurse include in the teaching plan?
      A)Include foods high in starch and proteins.
      B)Include foods high in fiber.
      C)Avoid foods high in sodium.
      D)Avoid foods high in fat.
    4. A nurse is providing teaching to a client who has hypothyroidism and has been prescribed levothyroxine. Which of the following medication instructions would the nurse include in the teaching?
      A)"Take this medication during your morning meal."
      B)"Take this medication before a meal or several hours after a meal."
      C)"Take this medication with high-protein foods."
      D)"Take this medication with a full glass of water or fruit juice."
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    Exam Review

    1. A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider?
      A)"My period ended 2 days ago."
      B)"I don't eat shellfish because it gives me hives."
      C)"The last time I voided it was painful and red-tinged."
      D)"I drink at least 2 quarts of fluid every day."
    2. A nurse is teaching a community education course about the physical complications related to substance use disorder. Which of the following findings should the nurse identify as the primary cause of liver cirrhosis?
      A)Cocaine
      B)Inhalants
      C)Caffeine
      D)Alcohol
    3. Which symptoms reported by the patient immediately following the surgical removal of the thyroid and parathyroid gland requires intervention by the RN? Select the "2" findings that require immediate follow-up.(SATA)
      A)Dizziness
      B)Hand tremors
      C)Earache
      D)Foot cramps
      E)Increased appetite
    4. A nurse is planning care for a client who has urolithiasis. Which of the following actions should the nurse take?
      A)Apply cold compress to the client's flank area.
      B)Restrict protein intake to 2 servings per day.
      C)Encourage intake of at least 3 L of fluids per day.
      D)Discourage ambulation.
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    Exam Review

    1. The nurse is assessing an adult patient with Type 1 diabetes mellitus. Which labs result should be reported to the physician immediately? Select the "3" findings that require immediate follow-up.(SATA)
      A)Blood glucose 112 mg/dL
      B)Hemoglobin A1C 6.0%
      C)Hemoglobin 10.2 g/dl
      D)Creatinine 2.5 mg/dl
      E)Microalbuminuria 40mg/24hours
      F)Positive ketones in the urine
    2. For each client finding below, click to specify if the finding is consistent with the disease process
      Graves DiseaseMyxedema
      Heart rate is 54, patient has complained of constipation and poor appetite.✓
      Patient is anxious and irritable with skin moist and warm✓
      Nonpitting edema noted in the extremities with thinning hair✓
      Patient has recently lost over 10 pounds in the last month and has noticed a fine tremor in the hands✓
    3. A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose?
      A)Hypoactive deep-tendon reflexes
      B)Constipation
      C)Insomnia
      D)Drowsiness
    4. A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client?
      A)Insulin detemir
      B)Insulin glargine
      C)NPH insulin
      D)Regular insulin
    Page 3 of 7

    Exam Review

    1. A nurse is preparing to administer a dose of lactulose to a client who has cirrhosis. The client states, "I don't need this medication. I am not constipated." The nurse should explain that in clients who have cirrhosis, lactulose is used to decrease levels of which of the following components in the bloodstream?
      A)Ammonia
      B)Bicarbonate
      C)Glucose
      D)Potassium
    2. A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?
      A)BMI less than 25
      B)Diuretic use
      C)Hypocalcemia
      D)Family history
    3. The nurse is caring for a patient with diabetes. Exhibits The nurse has just completed the on-coming shift assessment for their client. Select the "6" findings that require immediate follow-up(SATA)
      A)Oxygen saturation
      B)Blurry vision
      C)Blood pressure
      D)Blood glucose
      E)Nausea
      F)Pain level
      G)Fruity odor to breath
      H)Heart rate
    4. The nurse is caring for a patient with diabetes. Exhibits The nurse is preparing to speak with the provider regarding the client's condition. Which of the following orders should the nurse anticipate? Select all that apply.(SATA)
      A)Oxygen at 2 liters via nasal cannula
      B)Tylenol 650 mg po every 6 hours prn pain
      C)Capillary blood glucose (CBG) before meals and at bedtime
      D)Regular insulin IV
      E)Measure intake and output every shift
      F)Repeat urinalysis in the morning
      G)Calorie Count
      H)Ambulate with assistance
    Page 4 of 7

    Exam Review

    1. The nurse is caring for a patient with diabetes. Exhibits Complete the following sentence by choosing from the list of options. The client is at highest risk for developing  ▾ Diabetic ketoacidosis (DKA) as evidence by the client's ▾ pH of 7.25 and HCO₃ of 15.
      Dropdown 1:
      Option 1: Hypoglycemia
      Option 2: Diabetic ketoacidosis (DKA)
      Option 3: Acute kidney injury
      Option 4: Hyperosmolar hyperglycemic state (HHS)
      Dropdown 2:
      Option 1: Capillary blood glucose of 140 mg/dL
      Option 2: Oxygen saturation of 98% on room air
      Option 3: Creatinine and BUN levels
      Option 4: pH of 7.25 and HCO₃ of 15
    2. The nurse is caring for a patient with diabetes. Exhibits Exhibits Only choose one option (anticipated, nonessential, contraindicated) for each potential order. Each option will be used at least once.
      AnticipatedNonessentialContraindicated
      Check Urinalysis in the morning✓
      Maintain NPO✓
      Physical therapy consult✓
      Insert a urinary catheter✓
      IV Dextrose 5% with NS at 100 ml/hr✓
    3. The nurse is caring for a patient with diabetes. Exhibits Which of the following actions should the nurse take? Select all that apply.(SATA)
      A)Assess bowel sounds
      B)Obtain blood glucose from the lab
      C)Obtain temperature
      D)Obtain pulse oximeter
      E)Stop insulin drip
      F)Administer dextrose
      G)Assess neurological status
    4. The nurse is caring for a patient with diabetes. Exhibits For each assessment finding, click to specify if the finding indicates that the client's condition has improved, has not changed, or has declined. Only choose one option for each assessment finding. Each option will be used at least once.
      ImprovedNo ChangeDeclined
      Blood pressure✓
      Respirations✓
      Hyperglycemia✓
      Temperature✓
      Heart Rate✓
    Page 5 of 7

    Exam Review

    1. A patient with Type 2 Diabetes has been diagnosed with Hyperglycemic Hyperosmolar Syndrome (HHS). The patient's spouse asks the RN which symptoms characterize this disorder. Which are the most appropriate responses by the RN? Select all that apply.(SATA)
      A)Slow heart rate
      B)Elevated blood glucose
      C)Taut, dry skin
      D)Decreased Osmolality
      E)Elevated BUN and creatinine
    2. Complete the following sentence by choosing from the list of options. Exhibits The nurse should first address the patient's  ▾ Hyperglycemia followed by the client's ▾ Infection.
      Dropdown 1:
      Option 1: Hyperglycemia
      Option 2: Infection
      Option 3: Hypertension
      Option 4: Neuropathy
      Option 5: Pain from the lower extremity ulcer
      Option 6: Decreased activity
      Dropdown 2:
      Option 1: Hyperglycemia
      Option 2: Infection
      Option 3: Hypertension
      Option 4: Neuropathy
      Option 5: Pain from the lower extremity ulcer
      Option 6: Decreased activity
    3. A patient newly diagnosed with hyperthyroidism has a fever of 101.3°F. Which additional assessment findings should the nurse identify as those associated with thyroid storm? Select all that apply.(SATA)
      A)Periorbital edema
      B)Recent tooth extraction
      C)Hypoventilation
      D)Diarrhea last 4 days
      E)Heart rate 140 bpm
    4. A nurse is reviewing the laboratory data of a client who has acute pancreatitis. The nurse should expect to find an elevation of which of following values?
      A)RBC count
      B)Calcium
      C)Amylase
      D)Magnesium
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