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    Med Surg Module 4 > Review Questions NCLEX-RN Questions and Answers > Flashcards

    Flashcards in Review Questions NCLEX-RN Questions and Answers Deck (58)
    1

    The nurse admits a client diagnosed with a new onset of Type 1 diabetes mellitus. Which symptoms should the nurse expect to find during his initial physical assessment?
    1. polydipsia, polyuria, and weight loss
    2. weight gain, tiredness, and bradycardia
    3. Irritability, diaphoresis, and tachycardia
    4. Diarrhea, abdominal pain, and weigh loss

    1. polydipsia, polyuria, and weight loss

    2

    A client presents with diaphoresis, palpitations and tachycardia approximately two hours after receiving 20 units of insulin regular. What is the nurses''back card-face''suggestedAnswer''http://schema.org/Answer''card-face-overlay''card-face-header''card-answer''card-answer-text''text''card''http://schema.org/Question''card-header''card-number''card-face front''card-face-header''card-question''card-question-text''name text''back card-face''suggestedAnswer''http://schema.org/Answer''card-face-overlay''card-face-header''card-answer''card-answer-text''text''card''http://schema.org/Question''card-header''card-number''card-face front''card-face-header''card-question''card-question-text''name text''back card-face''suggestedAnswer''http://schema.org/Answer''card-face-overlay''card-face-header''card-answer''card-answer-text''text''card''http://schema.org/Question''card-header''card-number''card-face front''card-face-header''card-question''card-question-text''name text''back card-face''suggestedAnswer''http://schema.org/Answer''card-face-overlay''card-face-header''card-answer''card-answer-text''text''card''http://schema.org/Question''card-header''card-number''card-face front''card-face-header''card-question''card-question-text''name text''back card-face''suggestedAnswer''http://schema.org/Answer''card-face-overlay''card-face-header''card-answer''card-answer-text''text''card''http://schema.org/Question''card-header''card-number''card-face front''card-face-header''card-question''card-question-text''name text''back card-face''suggestedAnswer''http://schema.org/Answer''card-face-overlay''card-face-header''card-answer''card-answer-text''text''card''http://schema.org/Question''card-header''card-number''card-face front''card-face-header''card-question''card-question-text''name text''back card-face''suggestedAnswer''http://schema.org/Answer''card-face-overlay''card-face-header''card-answer''card-answer-text''text''card''http://schema.org/Question''card-header''card-number''card-face front''card-face-header''card-question''card-question-text''name text''s best response?
    1. HbA1c measures hemoglobin level in addition to blood glucose level
    2. HbA1c is used to assess long-term glycemic control
    3. HbA1c provides information about conditions that effect a red blood cell''back card-face''suggestedAnswer''http://schema.org/Answer''card-face-overlay''card-face-header''card-answer''card-answer-text''text''card''http://schema.org/Question''card-header''card-number''card-face front''card-face-header''card-question''card-question-text''name text''s best response would be:
    1. CSII is easy to use, and requires very little education
    2. CSII eliminates the potential for ketoacidosis
    3. CSII is cheaper to use than traditional insulin injections
    4. CSII allows for flexibility in meal timing

    4. CSII allows for flexibility in meal timing

    11

    The nurse is admitting a client with a diagnosis of myxedema. During the initial assessment, which findings would the nurse be most concerned about?
    1. Hypertension and weight loss
    2. Heat Intolerance and emotional lability
    3. Corneal ulcerations and increased appetite
    4. Bradycardia and decreased intellectual function

    4. Bradycardia and decreased intellectual function

    12

    The nurse is caring for a client who is on day postoperative from a total thyroidectomy. Which symptoms would prompt the nurse to immediately call the rapid response team (RRT) of intervention?
    1.Blood pressure of 150/92mmHg
    2.Harsh, high-pitched respiratory sounds
    3.Weak voice or hoarseness
    4.Decreased deep tendon reflexes

    2.Harsh, high-pitched respiratory sounds

    13

    The nurse admits a client with a diagnosis of chronic adrenal insufficiency. Which assessment findings confirm the diagnosis? Select all that apply.
    1.Hyponatremia
    2. Hyperkalemia
    3. Hyperglycemia
    4.Hypercalcemia
    5. Hypocalcemia

    1,2,4

    14

    A nurse is caring for a client diagnosed with diabetes insipidus. Which laboratory value is most important for the nurse to monitor?
    1. Glucose
    2. Hemoglobin
    3. Creatinine
    4. Sodium

    4. Sodium

    15

    A client diagnosed with Addisons disease is concerned about dark areas of skin around his knees and elbows. . The nurse''s disease. I will refer you to a dermatologist
    2.This skin change is related to your medication therapy, and should subside in a few weeks
    3.This is related to hormonal changes caused by Addisons disease
    4.This change is related to sun exposure and should not be a concern

    3.This is related to hormonal changes caused by Addisons disease

    16

    The nurse is caring for a postoperative client who has undergone a transsphenoidal hypophysectomy. Which assessments would be most important for this client? Select all that apply.
    1.Urinary output
    2. Psychological status
    3.Fluid and electrolyte balance
    4.gastrointestinal status
    5.visual assessment

    1,3,5

    17

    The nurse is caring for a postoperative client who has undergone surgical removal of the pituitary gland (hypophysectomy), and has now developed diabetes insipidus (DI). The nurse should assess for:
    1.hypertension and bradycardia
    2.glucosuria and weight gain
    3.fluid overload and hyponatremia
    4.severe dehydration and hypernatremia

    4.severe dehydration and hypernatremia

    18

    The nurse is caring for a client with diabetes insidious (DI). What is the nurse''back card-face''suggestedAnswer''http://schema.org/Answer''card-face-overlay''card-face-header''card-answer''card-answer-text''text''card''http://schema.org/Question''card-header''card-number''card-face front''card-face-header''card-question''card-question-text''name text''back card-face''suggestedAnswer''http://schema.org/Answer''card-face-overlay''card-face-header''card-answer''card-answer-text''text''card''http://schema.org/Question''card-header''card-number''card-face front''card-face-header''card-question''card-question-text''name text''back card-face''suggestedAnswer''http://schema.org/Answer''card-face-overlay''card-face-header''card-answer''card-answer-text''text''card''http://schema.org/Question''card-header''card-number''card-face front''card-face-header''card-question''card-question-text''name text''back card-face''suggestedAnswer''http://schema.org/Answer''card-face-overlay''card-face-header''card-answer''card-answer-text''text''card''http://schema.org/Question''card-header''card-number''card-face front''card-face-header''card-question''card-question-text''name text''s disease. An initial serum chemistry test is done. Which findings should the nurse expect?
    1.hyponatremia and hyperkalemia
    2.hypernatremia and hypokalemia
    3.hyperglycemia and hypernatremia
    4.hypercalcemia and hyperglycemia

    1.hyponatremia and hyperkalemia

    23

    Which assessment findings should the nurse expect in a patient with Addisons disease?
    1.weight gain and loss of skin pigment
    2.fatigue and muscle weakness
    3.hypertension and hypernatremia
    4.increased appetite and hypokalemia

    2.fatigue and muscle weakness

    24

    The nurse is caring for a client with Addisons disease. Which laboratory value would indicate the treatment has been effective?
    1. Sodium of 147 meq/L
    2.Potassium of 2.9 meq/L
    3. Sodium of 142 meq/L
    4.Potassium of 6.0 meq/L

    3. Sodium of 142 meq/L

    25

    The nurse caring for a client admitted with Addisonian crisis. Which outcome is he priority?
    1.Preventing irreversible shock
    2. Preventing infection
    3. Relieving anxiety
    4. Lowering blood pressure

    1.Preventing irreversible shock

    26

    What assessment finding is expected for a client diagnosed with Addisons disease?
    1.Fatigue
    2. Edema
    3. Heat intolerance
    4. Respiratory acidosis

    1.Fatigue

    27

    The nurse is planning care for a client with Addisons disease. What is an appropriate outcome for this client?
    1.Fluid intact of less than 1000 mL a day
    2.Participating in daily relaxation techniques
    3.Ambulating in the hall five to six times per day
    4.Choosing low sodium foods

    2.Participating in daily relaxation techniques

    28

    The nurse is providing education about disease management to a client with Addisons disease. The nurse''back blur-card card-face''suggestedAnswer''http://schema.org/Answer''card-face-overlay''card-face-header''card-answer''card-answer-text''text''card''http://schema.org/Question''card-header''card-number''card-face front''card-face-header''card-question''card-question-text''name text''s syndrome. The nurse is likely to find which signs or symptoms during his initial assessment?
    1."" and truncal obesity
    2.Weight loss and heat intolerance
    3.Changes in skin texture and low body temperature
    4.Polyuria and dehydration

    1."" and truncal obesity

    30

    The nurse is planning care for a client diagnosed with Cushing''back blur-card card-face''suggestedAnswer''http://schema.org/Answer''card-face-overlay''card-face-header''card-answer''card-answer-text''text''card''http://schema.org/Question''card-header''card-number''card-face front''card-face-header''card-question''card-question-text''name text''s syndrome is at risk for:
    1.hypoglycemia and dehydration
    2. hypotension and hyperkalemia hyperglycemia
    3. hyponatremia and dehydration
    4. hypertension and heart failure

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    32

    The nurse is admitting a client with newly diagnosed Cushing''back blur-card card-face''suggestedAnswer''http://schema.org/Answer''card-face-overlay''card-face-header''card-answer''card-answer-text''text''card''http://schema.org/Question''card-header''card-number''card-face front''card-face-header''card-question''card-question-text''name text''s syndrome. What is the priority assessment?
    1.serum glucose
    2.daily weight
    3.urinary output
    4.abdominal girth

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    34

    The nurse is caring for a client in the post anesthesia care unit following an adrenalectomy. What is the nurse''back blur-card card-face''suggestedAnswer''http://schema.org/Answer''card-face-overlay''card-face-header''card-answer''card-answer-text''text''card''http://schema.org/Question''card-header''card-number''card-face front''card-face-header''card-question''card-question-text''name text''back blur-card card-face''suggestedAnswer''http://schema.org/Answer''card-face-overlay''card-face-header''card-answer''card-answer-text''text''card''http://schema.org/Question''card-header''card-number''card-face front''card-face-header''card-question''card-question-text''name text''s syndrome. Which information would the nurse include in the teaching plan?
    1.dietary sodium should increased
    2.physical changes are disease related
    3.high fluid intake is important
    4.dietary protein should be restricted

    2.physical changes are disease related

    37

    The nurse is providing community education to a group of clients about the prevention of type 2 diabetes mellitus.Which client would be a highest risk for the development of diabetes mellitus?
    1.A young adult who plays basketball regularly
    2.an elderly woman who is sedentary
    3.a middle-age woman who delivers mail
    4.a middle-age man with a basal metabolic rate within normal limits

    2.an elderly woman who is sedentary

    38

    A client with type 1 diabetes mellitus often skips his ordered dose of insulin. What priority information should the nurse give to this client regarding the omission of insulin doses?
    1. may lead to ketoacidosis
    2. may cause hypoglycemic coma
    3. may lead to pancreatitis
    4. may cause diabetes insidious

    1. may lead to ketoacidosis

    39

    A client with type 1 diabetes mellitus presents with poluphagia, polydipsia, and polyuria. Further assessment shows signs of dehydration. The nurse determines that this client may be experiencing:
    1.Diabetes insipidus
    2.diabetic ketoacidosis
    3.hypoglycemia
    4.syndrom of inappropriate antidiuretic hormone (SIADH)

    2.diabetic ketoacidosis

    40

    A client with type 1 diabetes mellitus is exhibiting Kussmaul''back blur-card card-face''suggestedAnswer''http://schema.org/Answer''card-face-overlay''card-face-header''card-answer''card-answer-text''text''card''http://schema.org/Question''card-header''card-number''card-face front''card-face-header''card-question''card-question-text''name text''s priority intervention?
    1.subcutaneous glucagon administration
    2.transfusion of whole blood
    3.glucocorticoid administration
    4.inrtravenous insulin

    4.inrtravenous insulin

    42

    The nurse is caring for a client diagnosed with diabetic ketoacidosis (DKA). The client is receiving insulin and IV fluids. Which laboratory test would be a priority for the nurse to monitor?
    1.Serum potassium
    2.Hemoglobin A1C (HbA1c)
    3.serum calcium
    4.serum nitrogen

    1. serum potassium

    43

    The home health nurse is visiting a client newly diagnosed with type 1 diabetes mellitus. The client reports nausea and abdominal pain. The nurse observes dehydration and dry skin. What question should the nurse ask the client?
    1.what did you drink today?
    2.are you taking your insulin daily?
    3.when is the last time you had a checkup?
    4.Did you weigh yourself today?

    2. are you taking your insulin daily?

    44

    The nurse is preparing to administer IV insulin to a client diagnosed with diabetic ketoacidosis (DKA). What will the nurse monitor while the client is receiving this intervention?
    1.hypokalemia and hypoglycemia
    2.hypocalcemia and hyperkalemia
    3.hyperkalemia and hyperglycemia
    4.hypernatremia and hypercalcemia

    1.hypokalemia and hypoglycemia

    45

    A client diagnosed with hyperosmolar hyperglycemic nonketotic syndrome (HHNS) is most at risk for the development of :
    1.infection
    2.confusion
    3.dehydration
    4.skin breakdown

    3.dehydration

    46

    The nurse teaches a client diagnosed with hyperglycemic hyperosmolar state (HHS) how to monitor his condition . What is a potential warning sign of this condition?
    1.symptoms of hyperglycemia
    2.symptoms of hypoglycemia
    3.ketones in the urine
    4.rapid and deep respirations

    1. symptoms of hyperglycemia

    47

    The nurse is administering an insulin infusion for a client diagnosed with diabetic ketoacidosis (DKA). Which outcome indicates that treatment has been effective?
    1.lowered blood glucose level to normal limits within one hour
    2.the replacement of fluids during the first 24 hours
    3.an increase in anion gap within 24 hours
    4.an increase in blood glucose levels within the first three hours

    2.the replacement of fluids during the first 24 hours

    48

    A client with type 2 diabetes mellitus comes to the emergency department with weakness, thirst, and an inability to concentrate. What should the nurse assess?
    1.thyroid hormones
    2.weight
    3.apical pulse
    4.blood glucose

    4.blood glucose

    49

    The nurse is providing sick day rules to a group of clients with type 1 diabetes mellitus. Which information is appropriate to include?
    1.monitor blood glucose at lease once a day
    2.do not take insulin until you feel well
    3.drink 8-12 oz of fluid each waking hour
    4.if nauseous, do not eat or drink

    3.drink 8-12 oz of fluid each waking hour

    50

    A client who suffered a brain injury after falling off a ladder has recently developed syndrome of inappropriate antidiuretic hormone (SIADH). What findings indicate that the treatment being received for SIADH is effective? Select all that apply.
    1.decrease in body weight
    2.rise in blood pressure; drop in heart rate
    3.absence of wheezes in the lungs
    4.increase in urine output
    5.decrease in urine osmolarity

    1,4,5

    51

    A client with Addison''s teaching has been effective? Select all that apply.
    1.i hat to take my steroids for 10 days
    2.i need to weigh myself daily to be sue i don''ll carry on as usual because this is an expected response
    6. I need to obtain and wear a medical alert bracelet

    3,4,6

    52

    A client is admitted with a diagnosis of diabetic ketoacidosis. An insulin drink is initiated with 50 unites of insulin in 100 ml of normal saline solution. The IV is being infused via an infusion pump, and th pump is currently set at 10 ml/hr. How many units of insulin each hour is this client receiving?

    5 units

    53

    The nurse is providing education for a client diagnosed with Cushing''t need to watch my diet
    2. I should increase my fluid intake to three liters a day
    3. I will weigh myself daily and report any gain
    4. With this disease process, it is okay to increase my sodium intake.

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    54

    An adolescent client who has type 1 diabetes mellitus has a decreased level of 45. Which is the priority nursing intervention?
    1. Placing a Salem sump tube and providing tube feedings
    2. Administering 500 ml bolus of normal saline solution
    3. Administering 1mg of glucagon intramuscularly or subcutaneously
    4. Calling the healthcare provider for orders

    3. Administering 1mg of glucagon intramuscularly or subcutaneously

    55

    A client diagnosed with diabetic ketoacidosis (DKA) had a serum glucose level of 485 mg/dL. After treatment, the serum glucose level dropped to 185 mg/dL. The client developed an irregular heart rate. Which assessment finding most likely caused this irregularity?
    1. Decreased serum chloride level
    2. Decreased serum potassium level
    3. Elevated serum glucose level
    4. Elevated serum sodium level

    2. Decreased serum potassium level

    56

    A client is being treated for Addisonian crisis. Which laboratory values are most important for the nurse to monitor?
    1. Serum bicarbonate and sodium
    2. serum glucose and ketones
    3. serum sodium and potassium
    4. serum calcium and magnesium

    3. serum sodium and potassium

    57

    The nurse is providing education for a client newly diagnosed with Addison''back blur-card card-face''suggestedAnswer''http://schema.org/Answer''card-face-overlay''card-face-header''card-answer''card-answer-text''text''card''http://schema.org/Question''card-header''card-number''card-face front''card-face-header''card-question''card-question-text''name text''s respirations and a fruity odor to the breath
    2. Shallow respirations and sever abdominal pain
    3. Decreased respirations and increased urine output
    4. Cheyne-Stokes respirations and foul-smelling urine

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