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    Exam Review

    1. A nurse is reviewing the medical record of a client who has hyperthyroidism (Graves disease). Which of the following serum laboratory findings should the nurse expect to be below the expected reference range?
      A)
      Thyroxine (T4) level
      B)
      Triiodothyronine (T3) level
      C)
      Thyroid stimulating hormone (TSH) level
      D)
      Glucose level
    2. A nurse is reinforcing teaching with a client who has diabetes mellitus about the manifestations of hypoglycemia. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      “I will feel shaky.”
      B)
      “My skin will be warm and moist.”
      C)
      “I will be more thirsty than usual.”
      D)
      “My appetite will be decreased.”
    3. A nurse is collecting data from a client who has hypoparathyroidism. Which of the following findings should the nurse expect?
      A)
      Negative Chvostek’s sign
      B)
      Flaccid muscles
      C)
      Numbness of the hands
      D)
      Hypercalcemia
    4. A nurse in a provider’s office is collecting data from a client who has hypothyroidism. Which of the following findings should the nurse expect?
      A)
      Blurred vision
      B)
      Bradycardia
      C)
      Insomnia
      D)
      Moist skin
    Page 1 of 7

    Exam Review

    1. A nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription for lispro and Lantus insulins. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      "Insulin injected into the thigh is the most rapidly absorbed."
      B)
      "I should shake the botle of insulin before withdrawing the medication."
      C)
      "I will use Lantus insulin immediately before each meal."
      D)
      "Unopened vials of insulin should be kept in my refrigerator."
    2. A nurse is assisting with menu selections for a client who has recovered from the acute phase of diverticulitis. Which of the following foods should the nurse recommend?
      A)
      Roast chicken with white rice
      B)
      A poached egg with sliced tomatoes
      C)
      Bean soup with steamed broccoli
      D)
      Ham sandwich on white bread
    3. A nurse is reinforcing teaching about the manifestations of hyperglycemia with a client who has diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      “My breath may have a fruity odor.”
      B)
      “My appetite will be decreased.”
      C)
      “I will be more thirsty than usual.”
      D)
      “I might experience blurry vision at times.”
    4. A nurse is reinforcing teaching about preventing long-term complications of retinopathy and neuropathy with an older adult client who has diabetes mellitus. Which of the following actions is the most important for the nurse to include in the teaching?
      A)
      “Wear closed-toed shoes daily.”
      B)
      “Maintain stable blood glucose levels.”
      C)
      “Plan to have an eye examination once per year.”
      D)
      “Examine your feet carefully every day.”
    Page 2 of 7

    Exam Review

    1. A nurse is reinforcing teaching with a client who is scheduled for a blood test to measure her thyroid stimulating hormone (TSH) level. Which of the following statements should the nurse give?
      A)
      “This test detects antithyroid antibodies in your blood.”
      B)
      “This test measures the amount of thyroid hormone that ataches to a protein in your blood.”
      C)
      “This test determines whether your thyroid gland is overactive, appropriately active, or underactive.”
      D)
      “This test measures the absorption of iodine and how it relates to the thyroid gland.”
    2. A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      “I should avoid injecting insulin into my thigh if I am going to go running.”
      B)
      “I will carry a complex carbohydrate snack with me when I exercise.”
      C)
      “I should exercise first thing in the morning before eating breakfast.”
      D)
      “I will increase the intensity of my exercise routine if my urine is positive for ketones.”
    3. A nurse is collecting data from a client who has Cushing’s syndrome. Which of the following findings should the nurse expect?
      A)
      Muscle hypertrophy.
      B)
      Positive Chvostek's sign.
      C)
      Butterfly rash.
      D)
      Moon face.
    4. A nurse is preparing a client who has advanced cirrhosis for an abdominal paracentesis. Which of the following actions should the nurse take?
      A)
      Place the client on his back.
      B)
      Have the client increase fluid intake after the procedure.
      C)
      Assure the client that the procedure is painless.
      D)
      Instruct the client to empty his bladder.
    Page 3 of 7

    Exam Review

    1. A nurse is reinforcing teaching for a client who has type 1 diabetes mellitus about foot care. Which of the following client statements should indicate to the nurse an understanding of the instructions?
      A)
      “I put lotion between my toes.”
      B)
      “I check my feet every day for sores and bruises.”
      C)
      “I wear sandals in warm weather.”
      D)
      “I soak my feet in warm, soapy water every night before I go to bed.”
    2. A nurse is contributing to the plan of care for a client who has an intestinal obstruction and is receiving continuous gastrointestinal decompression using a nasogastric tube. Which of the following interventions should the nurse include in the plan of care?
      A)
      Maintain the client in Fowler’s position.
      B)
      Use sterile water to irrigate the nasogastric tube.
      C)
      Moisten the client’s lips with lemon-glycerin swabs.
      D)
      Measure abdominal girth daily.
    3. A nurse finds a client who has type 1 diabetes mellitus lying in bed, sweating, tachycardic, and reporting feeling lightheaded and shaky. Which of the following complications should the nurse suspect?
      A)
      Nephropathy
      B)
      Hypoglycemia
      C)
      Ketoacidosis
      D)
      Hyperglycemia
    4. A nurse is assisting with teaching a newly licensed nurse about parenteral nutrition (PN). Which of the following information should the nurse include in the teaching?
      A)
      Weigh the client weekly.
      B)
      Reduce the rate of the solution gradually to discontinue.
      C)
      Remove solution from refrigerator 2 hr before infusion.
      D)
      Shake the solution before hanging if there is a layer of fat present on the top.
    Page 4 of 7

    Exam Review

    1. A charge nurse is reinforcing teaching with a newly licensed nurse about the common link between ulcerative colitis and Crohn’s disease. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
      A)
      “Both illnesses result in malabsorption of nutrients.”
      B)
      “Both illnesses begin in the rectum.”
      C)
      “Both illnesses manifest fistula formation.”
      D)
      “Both illnesses are inflammatory in nature.”
    2. A nurse is collecting data on a client who has hyperthyroidism. Which of the following manifestations should the nurse expect the client to report?
      A)
      Sensitivity to cold
      B)
      Frequent mood changes
      C)
      Constipation
      D)
      Weight gain
    3. A nurse is contributing to the plan of care of a client who has a small bowel obstruction. Which of the following interventions should the nurse include?
      A)
      Measure abdominal girth daily.
      B)
      Provide bulk-forming agent.
      C)
      Elevate the head of the bed.
      D)
      Monitor intake and output every 8 hr.
    4. A nurse is reviewing the laboratory report of a client who has hypoparathyroidism. The nurse should expect which of the following values?
      A)
      Phosphate 5.7 mg/dL
      B)
      Vitamin D 25 ng/mL
      C)
      Calcium 9.8 mg/dL
      D)
      Magnesium 1.8 mEq/L
    Page 5 of 7

    Exam Review

    1. A nurse is caring for a client who is experiencing an acute exacerbation of ulcerative colitis. The nurse should recognize that which of the following actions is the priority?
      A)
      Review stress factors that can cause disease exacerbation.
      B)
      Promote physical mobility.
      C)
      Provide emotional support.
      D)
      Evaluate fluid and electrolyte levels.
    2. A nurse is collecting data on a client who has acute pancreatitis. Which of the following factors should the nurse anticipate in the client’s history?
      A)
      Diabetes mellitus
      B)
      Shock
      C)
      GERD
      D)
      Gallstones
    3. A nurse is assisting in the plan of care for a client who had surgery for a bowel obstruction. The client has a nasogastric tube in place. Which of the following actions should the nurse include in the client’s plan of care? (Select all that apply).
      A)
      Document the color, consistency, and amount of nasogastric drainage.
      B)
      Encourage hourly use of an incentive spirometer while awake.
      C)
      Irrigate the nasogastric tube every 4 to 8 hr.
      D)
      Perform leg exercises every 2 hr.
    4. A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse determines that teaching has been effective when the client identifies which of the following manifestations of hypoglycemia? (Select all that apply.)
      A)
      Tachycardia
      B)
      Blurry vision
      C)
      Sweating
      D)
      Polydipsia
      E)
      Polyuria
    Page 6 of 7