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    Exam Review

    1. A nurse is caring for a client who is prescribed 15 units of NPH insulin to be administered at 0700. At which of the following times of day is most appropriate for the nurse plan to offer a snack?
      A)
      1500
      B)
      1230
      C)
      0730
      D)
      0900
    2. A nurse is assisting with the plan of care for a client who has hypothyroidism with myxedema. Which of the following interventions should the nurse include in the plan of care?
      A)
      Place the client on bedrest.
      B)
      Apply warm blankets.
      C)
      Limit high-fiber foods.
      D)
      Check the client for weight loss.
    3. A nurse is preparing to administer levothyroxine 100 mcg PO to a client who has hypothyroidism. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
      Correct Answer:2 tablets
    4. What are the classic symptoms of diabetes insipidus (DI)?
      A)
      Stress incontinence, vomiting, and edema
      B)
      Diuresis, dehydration, and thirst
      C)
      Bradycardia, insomnia, and muscle cramps
      D)
      Dizziness, hypertension, and excitability
    Page 1 of 13

    Exam Review

    1. 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 will increase the intensity of my exercise routine if my urine is positive for ketones."
      B)
      "I should avoid injecting insulin into my thigh if I am going to go running."
      C)
      "I should exercise first thing in the morning before eating breakfast."
      D)
      "I will carry a complex carbohydrate snack with me when I exercise."
    2. A nurse is caring for a client who has hyperparathyroidism. Based on this diagnosis, the nurse should monitor the client for which of the following complications?
      A)
      Impaired skin integrity
      B)
      Dysphagia
      C)
      Fluid retention
      D)
      Pathologic fractures
    3. A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus about self-care during illness. Which of the following instructions should the nurse include in the teaching?
      A)
      "Report a blood glucose level greater than 300."
      B)
      "Test your blood glucose level every 6 hours."
      C)
      "Administer your usual daily dose of insulin."
      D)
      "Limit juices, soda, and gelatin."
    4. A nurse in a clinic is caring for a client who has a new diagnosis of hypothyroidism. Which of the following findings should the nurse expect?
      A)
      Diaphoresis
      B)
      Protruding eyeballs
      C)
      Palpitations
      D)
      Weight gain
    Page 2 of 13

    Exam Review

    1. A nurse is contributing to the plan of care for a client who has a new diagnosis of type 2 diabetes mellitus. Which of the following interventions should the nurse include? (Select all that apply.)
      (SATA)
      A)
      Instruct the client to soak his feet daily.
      B)
      Give the client an extra dose of insulin for a blood glucose level of 50 mg/dL.
      C)
      Offer the client 240 mL (8 oz) of skim milk if the client's skin becomes cool and clammy.
      D)
      Assist the client to develop an individualized meal plan.
      E)
      Check the client's blood glucose level before meals and bedtime.
    2. A nurse is caring for a client who has diabetes insipidus. Which of the following findings should the nurse expect?
      A)
      Moist mucous membranes
      B)
      Bounding peripheral pulses
      C)
      Bradycardia
      D)
      Decreased urine specific gravity
    3. A nurse is reviewing the laboratory report of a client who has hyperparathyroidism. The nurse should expect which of the following findings?
      A)
      Increased phosphate level
      B)
      Decreased parathyroid hormone level
      C)
      Decreased calcium level
      D)
      Increased magnesium level
    4. A nurse is assisting with the plan of care for a client who had a subtotal thyroidectomy. In which of the following positions should the nurse plan to place the client?
      A)
      Sims' position
      B)
      Fowler's position
      C)
      Dorsal Recumbent
      D)
      Supine
    Page 3 of 13

    Exam Review

    1. Order: Solu-Medrol 60mg IV push STAT Supply: Solu-Medrol 125mg/1 mL. How many mLs of Solu-Medrol should be given? ROUND TO THE NEAREST TENTH
      A)
      0.48
      B)
      0.5
      C)
      0.4
      D)
      0.6
    2. 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)
      "Plan to have an eye examination once per year."
      B)
      "Examine your feet carefully every day."
      C)
      "Wear closed-toed shoes daily."
      D)
      "Maintain stable blood glucose levels."
    3. A nurse is assisting with meal planning for a client who has hypothyroidism. The nurse should reinforce with the client that she should increase her daily intake of which of the following nutrients?
      A)
      Fiber
      B)
      Polyunsaturated fats
      C)
      Monounsaturated fats
      D)
      Protein
    4. A nurse is discussing the care of a client who has type 1 diabetes mellitus with an assistive personnel (AP). Which of the following situations should the nurse instruct the AP to report immediately?
      A)
      The client reports dizziness when standing.
      B)
      The client reports urine that is dark yellow in color.
      C)
      The client asks the AP to trim his broken toenail.
      D)
      The client refuses breakfast and requests to sleep.
    Page 4 of 13

    Exam Review

    1. A nurse is preparing to administer prednisone 40 mg PO to an adolescent client. Available is prednisone oral solution 5 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    2. 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)
      "I might experience blurry vision at times."
      C)
      "I will be more thirsty than usual."
      D)
      "My appetite will be decreased."
    3. A nurse is caring for a client who has recurrent kidney stones and a history of diabetes mellitus. The client is scheduled for an intravenous pyelogram (IVP). The nurse should collect additional data about which of the following statements made by the client?
      A)
      "I haven't had anything to eat or drink since last night."
      B)
      "I took a laxative yesterday."
      C)
      "The last time I voided it was painful."
      D)
      "I took my metformin before breakfast."
    4. A nurse is reinforcing teaching with a client who has diabetes mellitus type 1 about sick-day management. Which of the following is the priority action for the nurse to recommend to the client?
      A)
      "Monitor blood glucose levels every 4 hours."
      B)
      "Consume 15 grams of carbohydrates every 1 to 2 hours."
      C)
      "Take the usual dosage of insulin."
      D)
      "Drink 8 ounces of fluid every hour while awake."
    Page 5 of 13

    Exam Review

    1. A nurse is caring for a client who has type 1 diabetes mellitus. The nurse misread the client's morning fasting 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. Which of the following actions should the nurse identify as the priority?
      A)
      Complete an incident report.
      B)
      Check the client's blood glucose level.
      C)
      Give the client 15 to 20 g of carbohydrate.
      D)
      Notify the nurse manager.
    2. 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)
      Thyroid stimulating hormone (TSH) level
      B)
      Triiodothyronine (Ts) level
      C)
      Glucose level
      D)
      Thyroxine (T4) level
    3. Which medication is used to treat hyperthyroidism?
      A)
      Propylthiouracil (Propacil)
      B)
      Liotrix (Thyrolar)
      C)
      Levothyroxine (Synthroid)
      D)
      Liothyronine (Cytomel)
    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)
      Polydipsia
      B)
      Polyuria
      C)
      Blurry vision
      D)
      Tachycardia
      E)
      Sweating
    Page 6 of 13