NursGuru

    Exam Review

    1. A nurse is reinforcing education with a client who has type 1 diabetes mellitus and has been experiencing hypoglycemic episodes. Which of the following statements by the nurse is appropriate?
      A)
      "Clients will usually have obvious manifestations of hypoglycemia."
      B)
      "Keeping supplies on hand to treat hypoglycemic episodes is important."
      C)
      "Increasing exercise can help with hypoglycemia."
      D)
      "Clients with hypoglycemia cannot participate in religious/cultural fasting."
    2. A nurse is explaining the difference between Type 1 and Type 2 diabetes mellitus. Which statement accurately describes the cause of Type 1 diabetes mellitus?
      A)
      Autoimmune destruction of beta cells
      B)
      Insulin resistance
      C)
      Poor diet
      D)
      Obesity
    3. A client with SIADH is being monitored for complications. Which finding should the nurse recognize as a sign of worsening condition?
      A)
      Confusion and headache
      B)
      Weight loss
      C)
      Dry mucous membranes
      D)
      Increased urine output
    4. A client has decreased cardiac output due to impaired heart muscle function. Which layer of the heart is most directly affected?
      A)
      Myocardium
      B)
      Epicardium
      C)
      Pericardium
      D)
      Endocardium

    Exam Review

    1. A nurse is teaching a group of clients about risk factors for developing pericarditis. Which of the following should the nurse include in the teaching?
      A)
      Family history of pericarditis
      B)
      Thyroid disease
      C)
      Sedentary lifestyle
      D)
      Recent flu-like illness
    2. A client with suspected diabetes insipidus reports excessive thirst and frequent urination. Which additional finding should the nurse expect?
      A)
      Dilute urine
      B)
      Weight gain
      C)
      Decreased urine output
      D)
      Hyponatremia
    3. A client is diagnosed with a disorder affecting hormone production, resulting in changes in metabolism and growth. Which primary function of the endocrine system is most directly affected?
      A)
      Muscle contraction
      B)
      Blood clotting
      C)
      Hormone secretion and regulation
      D)
      Oxygen transport
    4. Which laboratory finding is most consistent with the fluid imbalance seen in diabetes insipidus?
      A)
      Hypernatremia
      B)
      Hypercalcemia
      C)
      Hyponatremia
      D)
      Hypokalemia

    Exam Review

    1. A nurse is reinforcing teaching with a client who has hypothyroidism and has been prescribed levothyroxine. Which of the following medication instructions would the nurse reinforce?
      A)
      "Take this medication with high-protein foods."
      B)
      "Take this medication before a meal or several hours after a meal."
      C)
      "Take this medication during your morning meal."
      D)
      "Take this medication with a full glass of water or fruit juice."
    2. A client presents for a wellness visit. Which finding places the client at highest risk for developing Type 2 diabetes mellitus?
      A)
      Trauma
      B)
      Infection
      C)
      Genetics only
      D)
      Obesity
    3. Which of the following are signs and symptoms of hyperthyroidism? Select all that apply. (Select All that Apply.)
      A)
      Highly excitable and overactive
      B)
      Exophthalmos (bulging eyes)
      C)
      Tremors
      D)
      Chronic neck ache
      E)
      Mask-like expressions
    4. A nurse is collecting data on a client who has valvular heart disease. Which of the following manifestations should the nurse anticipate? (Select All that Apply.)
      A)
      Heart murmur
      B)
      Abdominal pain
      C)
      Chest pain
      D)
      Palpitations
      E)
      Varicose veins

    Exam Review

    1. A nurse is delegating care for a group of four clients. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?
      A)
      Irrigate and perform a dressing change for a client who has a pressure injury wound.
      B)
      Obtain a daily weight on a client who has heart failure.
      C)
      Teach the use of an incentive spirometer to a postoperative client.
      D)
      Administer oral PRN pain medication to a client who has arthritis.
    2. A client with atrial fibrillation is being evaluated for complications. Which condition is the nurse's priority concern?
      A)
      Hypoglycemia
      B)
      Stroke
      C)
      Infection
      D)
      Dehydration
    3. A client with untreated hyperthyroidism develops a thyroid storm. Which complication should the nurse monitor for most closely?
      A)
      Hypoglycemia
      B)
      Hypothermia
      C)
      Renal failure
      D)
      Heart failure
    4. A client with untreated hyperthyroidism presents with a sudden onset of symptoms. Which finding should the nurse recognize as indicative of thyroid storm?
      A)
      Fever and tachycardia
      B)
      Bradycardia
      C)
      Hypotension
      D)
      Cold intolerance

    Exam Review

    1. A client is admitted with suspected diabetic ketoacidosis (DKA). Which findings should the nurse expect? (Select all that apply.)
      A)
      Polyuria
      B)
      Fruity breath odor
      C)
      Bradycardia
      D)
      Kussmaul respirations
      E)
      Abdominal pain
    2. A nurse is collecting data from a client who has peripheral venous disease. Which of the following findings should the nurse recognize as a manifestation of peripheral venous disease?
      A)
      Diminished hair growth on the lower extremities
      B)
      Shiny appearance to the lower extremities
      C)
      Loss of pigmentation over the shin area
      D)
      Swollen and enlarged veins
    3. A client is diagnosed with central diabetes insipidus related to decreased antidiuretic hormone (ADH) secretion. Which medication should the nurse anticipate administering?
      A)
      Desmopressin (DDAVP)
      B)
      Furosemide
      C)
      Insulin
      D)
      Metformin
    4. A nurse is reinforcing teaching with a client about hypothyroidism. Which of the following potentially fatal conditions associated with hypothyroidism will the nurse include?
      A)
      Goiters
      B)
      Myxedema coma
      C)
      Sjogren's syndrome
      D)
      Hashimoto's disease

    Exam Review

    1. A nurse is assessing an adult client at rest. Which heart rate finding should the nurse recognize as within normal limits?
      A)
      120-140 bpm
      B)
      40-60 bpm
      C)
      60-100 bpm
      D)
      100-120 bpm
    2. A nurse is providing care for a client who is postoperative for removal of a pituitary tumor. Which of the following priority developments should the nurse anticipate?
      A)
      Diabetic ketoacidosis (DKA)
      B)
      Hyperosmolar hyperglycemic syndrome (HHS)
      C)
      Diabetes insipidus (DI)
      D)
      Pheochromocytoma
    3. Which intervention should the nurse implement first to prevent complications in a client with SIADH?
      A)
      Bed rest
      B)
      Fluid restriction
      C)
      High potassium diet
      D)
      Encourage fluids
    4. Which random blood glucose level is indicative of hyperglycemia in an adult client?
      A)
      >150 mg/dL
      B)
      >100 mg/dL
      C)
      >200 mg/dL
      D)
      >300 mg/dL