NUR2392 week study questions

  • 61. A nurse is caring for a client that has recently been diagnosed with ulcerative colitis. Which of the following statements by the client would indicate an understanding of the disease process?
  1. I have to avoid eating nuts and seeds.
  2. I am at a lower risk of developing cancer
  3. Diet modification can cure the disease
  4. It is caused by an inflammatory process of the gastrointestinal tract
  • 67. An 8-month-old infant is hospitalized with severe diarrhea. The nurse knows that which of the following is the major problem associated with severe diarrhea?
  • Electrolyte and fluid loss
  • Presence of excessive flatus
  • Pain in the abdominal area
  • Irritation of perineal and rectal area
  • 38. The client has received a round of chemotherapy and will be discharged home. The nurse is educating the client about the concerns of neutropenia and the continuing risk for infection. Which of the following statement would not be appropriate given the client’s situation?
  • Avoid crowds and other large gatherings of people who might be ill
  • Wash your hands thoroughly with an antimicrobial soap before you eat and drink
  • Bathe daily, or wash armpits and perineal area twice daily with antimicrobial soap
  • If you experience a fever, treat it with over-the-counter medications and report it to your

physician if symptoms don’t resolve in 48 hours

  • 73. Which laboratory report is of the highest concern for the nurse to monitor for a client with bone marrow suppression receiving chemotherapy?
  • Urine specific gravity
  • White blood cell (WBC) count
  • Triglycerides
  • Serum Prostate-specific antigen (PSA)
  • 68. The nurse is assessing a client diagnosed with type 1diabetes mellitus for symptoms associated with diabetic ketoacidosis. Which of the following the nurse most likely assess in this client? ( Select all that apply)
  • Bradycardia
  • Fluid overload
  • Kussmaul breathing
  • Altered mental Status
  • Fruity breath odor
  • 53. The nurse is providing discharge instruction to a client with hepatitis B. Which of the following statements demonstrates understanding of the discharge instructions?
  • Chronic hepatitis will not lead to liver cirrhosis or liver cancer
  • I won’t share my shaving razors with my spouse
  • I don’t have to consider safe sex practices with this form of hepatitis
  • All food handling practices are the same when traveling overseas
  • 74. A client was admitted with the following arterial blood gas (ABG). How does the nurse interpret these results PH 7.31, PaCO2 31, mm Hg, HCO3 20mEq/L, PaO2 91 mm hg?
  • Respiration alkalosis with full metabolic compensation
  • Metabolic acidosis with partial respiratory compensation
  • Respiratory acidosis with full metabolic compensation
  • Metabolic alkalosis with partial respiratory compensation

 (8) 71. The nurse is assessing a client recently diagnosed with Leukemia. Which of the following assessment findings would support that diagnosis?

A. Blood in urine

B. Blood in stool

C. Petechlae or ecchymosis

D. Cough or hoarseness

9.50. The nurse is talking with a group of older clients about colorectal cancer (CRC) risk factors. Which of the following factors are considered to be common CRC risk factors? (select all that apply)

  1. High-fat-diet
  2. Family history of cancer
  3. Crohn’s disease
  4. Alcoholism
  5. Male gender

(10) 51. A nurse is preparing to administer cephalexin suspension 2 grams PO daily given in four doses. Available is cephalexin suspension 250mg/5ml. How many ml should the nurse administer in one dose? (Record answer as a whole number. Do not use a trailing Zero)

(11). 65. An older adult client reports lack of energy and needs several naps throughout the day. Which problem may these symptoms be associated with that is often seen in older adults?

A. Overproduction of cortisol

B. Underproduction of glucagon

C. Hypothyroidism

D. Hyperparathyroidism

(12). 47 A nurse is caring for a client who is postoperative following abdominal surgery. Which of the following findings would indicate to the nurse that the nurse client’s peristalsis is returning?

  1. Request for a cup of tea and some toast
  2. Passage of flatus
  3. Abdominal distention
  4. Hypoactive bowel sounds in two quadrants

(13). 70.  The nurse is providing care to a client diagnosed with fluid volume deficit. Which of the following assessment data is of greatest concern?

A. Oral fluid intake is 100 ML for the last 8 hour

B. Urine output is 40 ml over the last hour

C. There is prolonged skin tending over the sternum

D. The blood pressure is 86/40 mm Hg

(14). 62. The nurse knows which statement is true about age-related changes and the endocrine system in order adult?

A. The thyroid gland enlarges

B. Thyroid hormone secretion decreases

C. Adrenal glands enlarge

D. Decreased hormone sensitivity

(15). 43. The nurse is caring for a client diagnosed with cholelithiasis. Which of the following instructions should be included as part of the discharged teaching?

A. Removing gluten from your diet can reduce cramping

B. You should limit high-fat meats and fried foods from your diet

C. Reduce foods high in uric acid from your diet, like anchovies and venison.

D. Call the provider if you have ten or more bloody stools in a 24-hour period.

(16) 54. A nurse is caring for a client recently diagnosed with colorectal cancer. Which of the following lab value would confirm the diagnosis?

A. Increase serum Creatinine

B. Increase Carcinoembryonic antigens (CEA)

C. Decreased albumin

D Decrease white blood counts

(17). 49. The nurse is evaluating the serum laboratory results on the following four clients. Which of the following clients would the nurse assess first?

A. client with alcoholism and liver failure with a magnesium level of 1.6 mEq/L

B. A client with dehydration with a serum sodium level of 134 mEq/L

C. A Client admitted with abdominal pain and vomiting with a potassium level of 2.8 mEq/l

D. A client with osteoporosis with a serum calcium level of 8.1 mg/dL

(18) 59. A nurse is caring for a client recently diagnosed with diabetes insipidus. Which of the following medications would be appropriate for this disorder?

A. Desmopressin

B. Growth Hormone antagonist

C. Furosemide

D. Diltlazem

(19) 60. A client with a history of vomiting complains of cool, clammy skin and heart palpitations. The client is confused. The Client’s laboratory findings are as forever: Na 140 mEq/L and potassium 3.5 ,mEq/L and their blood pressure is 68/42. Which of the following is the client exhibiting?

  1. Hypokalemia
  2. Hyperphosphatemia
  3. Hypovolemia
  4. Hypocalcemia

(20) 45. What is a priority nursing intervention for a client with a nasogastric Tube?

A. irrigate the tube with 250 ml of normal saline every 4 hours

B. Confirmation of proper placement before initial use by aspirating the contents

C. Assess for proper placement, tube patency and output at least every 4 hours

D. Ensure that the nasogastric tube is always connected to high continuous suction to ensure tube patency

(21) 35. The nurse is working in a triage call center. A client calls who has a history of ascites and esophageal varies. Which situation requires immediate intervention?

A. The client was eating chips and salsa and has had one episode of hematemesis

B. The client notices that his feet are more swollen than normal

C. The client reports fatigue after his afternoon walks.

D. The client reports a new blood pressure reading of 178/82

(22) 63. The nurse is preparing to teach the most common signs of colorectal cancer at a free health care seminar. Which of the following will the nurse include in the teaching?

  1. Frequent nausea, heartburn and a metallic taste
  2. Increase hunger, weight gain and gross blood
  3. Rectal bleeding, anemia, and a change in stool consistency or shape
  4. Hemorrhoid, negative fecal occult blood test and abdominal swelling

(23)72. Which of the following is a life-threatening emergency and serious complications of untreated or poorly treated hypothyroidism?

A. Myxedema coma

B. Thyroid Storm

C. Multinodular toxic goiter

D. Endemic goiter

(25)46. A nurse is caring for a client who recently underwent a colon resection for colorectal cancer. The client post-op day two and has develop a fever. Vitals are a temperature of 102 degrees F, Heart rate 126 beats/minute, blood pressure 100/50 mm hg. The client is complaining of increased abdominal pain. Based on this information, which of the following conditions is the client exhibiting?

  1. Intestinal obstruction
  2. Peritonitis
  3. Deep vein thrombosis
  4. Appendicitis

(26). 56. A medication order states, administer 100 mEq of potassium chloride PO twice a day. Available is potassium chloride oral solution 40 mEq/15 mL. How many mL should the nurse administer per dose?

(Record answer as a whole number. Do not use a trailing zero)

(27) 57. A nurse is providing client and family education for a client diagnosed with irritable bowel syndrome. Which of the following is important to include in the education? (select all that apply

A. Limit physical activity

B. Stress reduction

C. Adhere to prescribed medications

D. Modify diet

E Limit fluid intake

(28). 52. A client was admitted with the following arterial blood gas (ABG). How does the nurse interpret these results? PH 7.48, PaCo2 34, mm Hg, Hco3 20, PaO2 75 mm hg?

A. Metabolic alkalosis with partial respiratory compensation

B. Metabolic Acidosis with partial respiratory compensation

C. Respiratory acidosis with partial metabolic compensation

D. Respiratory alkalis with partial metabolic compensation

(29). 44. A client tells the nurse he is “so thirsty”. The lab results reveal an antidiuretic hormone (ADH) deficiency and increased urine output with a low urine specific gravity (<1.005). What endocrine disorder is the client most likely experiencing?

A. Myxedema

B Diabetes mellitus

C. Diabetes Insipidus

D. Syndrome of inappropriate antidiuretic hormone secretion (SIADH)

(30). 58  A nurse is reviewing lab values for a client and notes a potassium level of 2.3 mEq/L. What is the nurse’s priority?

A. Place seizure pads on the bed

B. Order a high potassium diet

C. Assess the Clients cardiovascular status

D. Initiate fall precautions

(31) 30. A nurse is caring for an adolescent client who has a long history of diabetes mellitus and being admitted to the emergency department confused, flushed, and with an acetone odder on the  breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to be given intravenously to treat this client?

  1. Insulin glargine
  2. Insulin detemir
  3. Regular insulin
  4. NPH insulin

(32) 17.  The nurse is preparing to teach a client on how to prevent fecal impaction. Which statement from the client, Indicates an Understanding?

A. I will not routinely take a laxative

B. I will use cold beverages to decrease peristalsis

C. I will eat plenty of protein and stay away from raw fruit and vegetables

D. I will avoid bulk forming products and foods

33) 10 A nurse is teaching a client with diabetes mellitus who ask Why is it necessary to maintain my blood glucose levels no lower than about 60 mg/dl (3.3 mmol/L)? How could the nurse respond?

  1. Glucose in the blood prevent the formation of lactic acid and prevents acidosis
  2. Your brain needs a constant supply of glucose because it cannot store it
  3. Without a minimum level of glucose, your body does not make red blood cells
  4. Glucose is the way fuel used by the body to produce the energy that it needs

34) 42. A client assessment reveals fatigue, poor memory, and weight gain. The lab result reveal elevated thyroid stimulating hormone (TSH) and decreased T3 and T4 Levels. The nurse knows that these are manifestation of which disorder

A. Hyperparathyroidism

B. Hypothyroidism

C. Hypoparathyroidism

D. Hyperthyroidism

35) 16. Which of the following surgical procedures is appropriate for  a client with chronic pancreatitis?

A. Fistulotomy

B. Sphincterotomy

C. Radical Pancreatectomy

D. Proctocolectomy

36). 7. A nurse cares for a dying client. Which manifestation of active dying would the nurse treat first?

A. pain

B. Incontinence

C. Nausea
 D. Anorexia

(37) 22. The nurse is assessing a client that displays a positive Chvostek’s sign. Which of the following is this assessment finding a clinical manifestation?

A. Hyponatremia

B. Hyperkalemia

C. Hypocalcemia

D. Hypermagnesemia

(38) 26. A client is diagnosed with metastatic cancer. The family asks the nurse, what is the difference between hospice and palliative care? The nurse correctly responds with which statement?

A. Hospice is for client with prognosis of less than 12 months to live

B. Palliative care is to prevent and treat symptoms and side effect of cancer treatments

C. Hospice care allows for continue chemotherapy treatments, and palliative care does not

D. Palliative care require revaluation every 30 day

(39). 19. A nurse is caring for a 60-year-old female that underwent a surgical procedure and is post-op day four. The client has no active bowel sounds, no bowel movement, and no flatulence. Which of the following does the nurse suspect the client is experiencing?

A. Non-mechanical bowel obstruction

B. Appendicitis

C. peritonitis

D Perforated colon

(40) 24. A nurse is providing teaching to a client about hyperglycemia. The nurse should recognize that the client understands the teaching when the identifies which of the following as manifestation specific to hyperglycemia? (Select all that apply)

A. Hypervolemia

B. Polyuria

C. Polydipsia

D. Polyphagia

E. Bradycardia

(41) 14 The nurse could incorporate which of the following into the plan of care as a primary prevention strategy for reduction

A. Administering the human papillomavirus (HPV) vaccine

B. Yearly prostrate specific antigen (PSA) and digital rectal exam for men aged 50 and over

C. Colonoscopy at age 50 and every 10 years as follow-up

D. Yearly mammography for woman age 40 years and older

(42) 15. A 42-year-old female presents to the emergency room with mid-upper abdominal pain radiating to her right shoulder, rebound tenderness, nausea, and dyspepsia. Based on the client’s presentation, which of the following does the nurse anticipate is the client diagnosis?

A. Diverticular disease

B. Appendicitis

C. Cholecystitis

D.

(43) 21, A nurse teaches a client who is diagnosed with diabetes mellitus. Which statement would the nurse include in this client’s plan of care to delay the onset of microvascular and macrovascular complications?

A. Maintain tight glycemic control and prevent hyperglycemia

B. Prevent hypoglycemia by eating a bedtime snack

C. Restrict your fluid intake to no more than 2 Liter a day

D. Limit your intake of protein to prevent ketoacidosis

(44) 28 A nurse is caring for a client recently diagnosed with thyroid cancer. Which of the following lab results will validate this diagnosed?

A. Increased serum thyroglobulin TG level

B. Increase serum calcium level

C. Increase serum phosphorus level

D. Decrease serum thyroglobulin (TG) level

(45) 40. A nurse is caring for a client who was prescribed high dose corticosteroid therapy for one month to treat a severe inflammatory condition in the intestines from irritable bowel syndrome. The client’s symptoms have now resolved, and the client asks, when can I stop taking these medications? How could the nurse respond?

A. The drug must be stopped abruptly

B.  The medications can be stopped when you start feeling better

C. The inflammation can’t recur if you stop the medication

D. Once you start corticosteroids, you must be tapered off the medication

(45) 36. A nurse is caring for a 57-year-old Hispanic male who was recently diagnosed with Cushing’s disease. Which of the following laboratories tests validate the diagnosed?

A. Elevated lymphocyte count

B. Decreased late-night salivary cortisol test

C. Decreased urine specific gravity

D. Elevated urine cortisol level

(46) 11. A client admitted with the following arterial blood gas ABG. How does the nurse interpret these result PH 7.45, PaCO2 29 mmHg, HcO3 17 mEq/L, PaO2 88 mm Hg?

A. Respiratory alkalosis with full metabolic compensation

B. Metabolic acidosis with full respiratory compensation

C. Respiratory acidosis with full metabolic compensation

D. Metabolic alkalosis with full respiratory compensation

(47) 12 A 28 year old female presented to the emergency room with complaints of abdominal pain, nausea, and vomiting for the past 24 hours. The client is afebrile. Heart rate is 130 beat/minute, and blood pressure is 90/60mm Hg, During the pain assessment, the client rates her pain a 10 on a scale of “0”-10. The nurse notes the client pain to be in the right lower quadrant region. Based on the assessment findings. Which of the following would the nurse anticipate as the client’s diagnosis

A. Ulcerative colitis

B. Cholecystitis

C.  appendicitis

D. Crohn’s Disease

(48) 13 A client was admitted with the following arterial blood gas (ABG). How does the nurse interpret these results: PH 7.36, PaCO2 33 mm Hg, HcO3 19 mEq/L, PaO2 mmHg?

A. Metabolic alkalosis with full respiratory compensation

B. Respiratory alkalosis alkalosis with full metabolic compensation

C. Respiratory acidosis with full metaboli compensation

D. Metabolic acidosis with full respiratory compensation

(49) 3 A nurse assesses a client who is recovering from an ileostomy placement. Which clinical manifestation would alert the  nurse to contact the health care provider urgently?

A. Liquid stool

B. A bluish stoma

C. Blood smeared output

D. Ostomy pouch intact

(50) 75 A client complains of weight gain, has thin extremities, a buffalo hump, moon face, and a protruding abdomen. The nurse realizes that this client is most likely to be diagnosed with which disease process?

A. Cushing syndrome

B. Cretinism

C. Addison’s Disease

D Pheochromocytoma

(51) 31. Which of these laboratory results would be most important for a nurse to monitor for a client with a lower gastrointestinal bleed?

A. Potassium level

B. Hemoglobin and hematocrit

C. Platelet Count

D. Bleeding time

(52) 32 A nurse is providing care to a client that is diagnosed with hypokalemia. After reviewing the client’s current medication which of the following might have contributed to hypokalemia?

A opioids

B. Loop diuretics

C. Beta-blockers

D. Corticosteroids

(53) 6.  A nurse is caring for a client with a new diagnosis of adrenal insufficiency. Which of the following would the nurse expect upon assessment? (Select all that apply)

A. Hypotension

B. Polyphagia
C. Hyponatremia

D. Hyperkalemia

E. Hyperpigmentation

(54)18. A nurse is caring for a client who has diverticulitis. Which of the following is a clinical manifestation of diverticulitis?

A. Hypertension

B. generalized upper abdominal pain

C. Localized lower abdominal pain

D. Bradycardia

55) 29. A nurse is caring for a client in the emergency room after a motor vehicle accident, The client is unconscious with a cervical collar in place. The client has been diagnosed with syndrome of inappropriate antidiuretic hormone SIADH secretion. Which of the following lab values validates the diagnosis?

A. Decreased serum sodium

B. Decreased glomerular filtration rate

C. Decreased urine Osmolality

D. Increased serum sodium

 (56). 39 A nurse is caring for client with an opioid overdose. The client is difficult to arouse. The vital signs include blood pressure 90/60 mm Hg, respirations 10/minute, heart rate 60 beats/minute. The arterial blood gas (ABG) results include a PH 7.34, PaCo2 48 mm Hg, Hco3 24 mEq/L, PaO2 of 76 mmHg. How would the nurse interpret this result?

  1. Respiratory acidosis with partial metabolic compensation and hypoxemia
  2. Respiratory Alkalosis not compensated with hypoxemia
  3. Respiratory acidosis not compensated with hypoxemia
  4. Metabolic acidosis not compensated with normal oxygenation

(57) 41  The nurse is providing care for a client who underwent parathyroidectomy two days ago. To prevent complications with the surgery, which laboratory value requires close monitoring by the nurse?

A serum sodium levels

B. serum blood glucose level

C. serum potassium level

D. Serum calcium levels

(58) 25 A nurse is caring for a client recently diagnosed with cirrhosis. Which of the following are appropriate nursing interventions for this client (select all that Apply)?

A. strict bedrest for 48 hours

B. Pain management

C. Fiber restriction from diet

D monitor lab values

E.Allow moderate alcohol intake in diet

(59). 5. Which of the following signs or symptoms indicate a possible upper gastrointestinal (GI) breed? (Select all that apply)

  1. Bright red or coffee ground vomitus
  2. Weak peripheral pulses
  3. Increase blood pressure
  4. . vertigo
  5. Increase hemoglobin and hematocrit

(60) 23.  The laboratory values of a client with diabetes mellitus include a fasting blood glucose level of 152 mg/dl and hemoglobin A1C of 5.9%. What are the nurses interpretations of these findings

A. Values indicate that the client needs further disease management education

B. The client’s glucose control for the fasting glucose and past 90 days demonstrates good control

C. The values indicates that the client has poorly manage their disease

D. The client’s glucose control for the fasting has been poor, and the overall control is good

(61) 69. A nurse is caring for a 46-year-old female client who present to the emergency department with dizziness, nausea, vomiting and fatigue over the past few days. The client has recently been diagnosed with breast cancer and has been undergoing chemotherapy. The client labs reveal the following. Na 150 mEq/mL, potassium 3.0 mEq/ mL, Calcium 15 mg/dL. Which of the following imbalances is the client exhibiting?

A. Hypovolemia and hypercalcemia

B. Hypervolemia, Hypercalcemia, Hyperkalemia

C. Hypernatremia, Hypokalemia, Hypercalcemia

D. Hyponatremia, Hypercalcemia

62). 8.  A nurse is planning to educate a client diagnosed with fluid volume overload. Which of the following would the nurse educate the client to determine gains and losses in fluid?

A. Presence of edema

B. Skin turgor

C. Monitor daily weights

D. appearance of mucous membranes

(63) 76 . The graduate nurse is caring for a child with type 1 diabetes. The Child’s blood glucose is 246.

 The child is going to eat a snack that requires 1.5 units of as part insulin to cover the Carbohydrates of the snack. Using the sliding scale below. Calculate the total amount of As part insulin you will administer to the child to cover the snack and the blood glucose.

Blood glucose:

.70 to 150 Give 0.5 units of Aspart insulin

. 151 to 200 Give 1 unit of Aspart insulin

.201 250 give 1.5 units of Aspart insulin

.251-300 give 2 units of aspart insulin

.301+dive 2.5 units of aspart insulin

_

(64) 27. After chemotherapy for cancer, a client develops, chemotherapy induced nausea and vomiting (CINV). For this client, the nurse should give highest priority to which action in the plan of care?

A. Serving small portions of bland food

B. Administering an antiemetic medication as prescribed

C. Encourage rhythmic breathing exercises

D. with holding fluids for the first 4-6 hrs after chemotherapy administration

(65) 55.  The nurse is providing discharge education to a client diagnosed with anorexia nervosa, Which statement by the client would indicate the client needs further educations?

  1. I need to keep a food journal of my progress, food intake, and timing of meals
  2. I will take my multivitamin, zinc, and iron as prescribed to prevent malnutrition
  3. If I feel constipated, I will start an over-the counter oral laxative
  4.  I will schedule an outpatient session with a counselor to talk about my fear of gaining weight

(66) 2. The nurse is caring for a client with type 1 diabetes. The blood glucose is 52. Using the sliding scale below. Calculate the total amount of aspart insulin you will administer based on the clients blood glucose

Blood glucose:

Less than 70 call provider and provider and provide a fast acting carbohydrate snack

.70 to 150 Give 0.5 units of Aspart insulin

. 151 to 200 Give 1 unit of Aspart insulin

.201 250 give 1.5 units of Aspart insulin

.251-300 give 2 units of aspart insulin

.301+dive 2.5 units of aspart insulin and call provider

  1. Call provider and provide a fast-acting carbohydrate snack
  2. 2.5 units of aspart insulin
  3. 0.5 units of aspart insulin
  4. 1.5 units of aspart insulin

(67). 9. Aclient was admitted with the following arterial blood gas (ABG). How does the nurse interpret this result: PH 7.41, PaC02 mm Hg, HC03 26 mEq/L, PaO2 89 mm hg?

  1. Respiratory acidosis with full metabolic compensation
  2. Metabolic acidosis with partial respiratory compensation
  3. Normal ABG
  4. Respiratory alkalosis with full metabolic compensation

(68). 34. A nurse is caring for a client administer for an exacerbation of Crohn’s disease. A nasogastric (NG) tube has been placing and is connected to suction. And the client is currently receiving an infusion of total parenteral nutrition via a peripherally inserted central Cather (PICC) line. Which of the following actions should the nurse take?

  1. Monitor the flow rate of the parenteral nutrition carefully and increase the needed if it falls behind
  2. Remove unused parenteral nutrition after 12 hours of use
  3. Place the parenteral at nutrition solution on a warming device during infusing
  4. Monitor laboratory values and asses for abnormal respiratory or cardiac functioning

(69).  4. A nurse is caring for client recently diagnosed with Addisonian crisis. Which of the following signs and symptoms are consistent with this diagnosis?

A. Hypokalemia

B. Severe hypotension

C. Hypernatremia

D. Vascular resistance

(70) 33.  A nurse is preparing to administer levothyroxine 125 mcg po daily. Available is levothyroxine 50 mcg tablets. How many tablets should the nurse administer per dose? (Record answer to the nearest tenth, or one decimal place. Using a leading zero if it applies. Do not use a trailing zero)

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