Question

QUESTION 14

1. A client is receiving rapid acting insulin (Lispro) at 7:30 AM. The nurse ensures that the client has breakfast by which time?

   	A.	8:30 AM.
   	B.	7:40 AM.
   	C.	7:50 AM.
   	D.	8:00 AM.

0.5 points   

QUESTION 15

1. Which term describes the narrowing of the orifice of a heart valve?

   	A.	Regurgitation.
   	B.	Stenosis.
   	C.	Hypertrophy.
   	D.	Prolapse.

0.5 points   

QUESTION 16

1. A patient with portal hypertension has been admitted to the unit you work on. What will you assess for related to portal hypertension?

   	A.	Vitamin A deficiency.
   	B.	Ascites.
   	C.	Hepatic encephalopathy.
   	D.	Bowel obstruction.

0.5 points   

QUESTION 17

1. A client with cholelithiasis has a gallstone lodged in the common bile duct. When assessing this client, the nurse expects to note _____.

   	A.	circumoral pallor
   	B.	yellow sclerae
   	C.	light amber urine
   	D.	black, tarry stools

0.5 points   

QUESTION 18

1. Right-sided heart failure results in pulmonary congestion and pulmonary crackles.

   	A.	True
   	B.	False

0.5 points   

QUESTION 19

1. A nurse is providing discharge education to a client who has undergone a laparoscopic cholecystectomy. During the immediate recovery period, the nurse should recommend what foods?

   	A.	High-fiber foods
   	B.	Low-fat foods high in proteins and carbohydrates
   	C.	Low-purine, nutrient-dense foods
   	D.	Foods that are low residue and low in fat

0.5 points   

QUESTION 20

1. While providing care to a client with hepatitis B, the nurse is exposed to this client's blood. What should the nurse do?

   	A.	Report the exposure and prepare to receive immune globulin (IG).
   	B.	Report the exposure and prepare to receive hepatitis B immune globulin.
   	C.	Prepare to be treated with interferon.
   	D.	Nothing.

0.5 points   

QUESTION 21

1. A client with type 1 diabetes comes into the emergency department with deep respirations, lethargy, and extreme thirst. The nurse realizes that this client is demonstrating ______.

   	A.	hypoglycemia.
   	B.	the onset of the flu.
   	C.	possible diabetic ketoacidosis.
   	D.	insulin overdose.

0.5 points   

QUESTION 22

1. A nurse educates a group of clients with diabetes mellitus on the prevention of diabetic nephropathy. Which of the following suggestions would be most important?

   	A.	Control blood glucose levels.
   	B.	Take the antidiabetic drugs regularly.
   	C.	Eat a high-fiber diet.
   	D.	Drink plenty of fluids.

0.5 points   

QUESTION 23

1. A patient who has required prolonged mechanical ventilation has the following arterial blood gas results: pH 7.32, PaO2 75 mm Hg, PaCO2 30 mm Hg, and HCO3 30 mEq/L. The nurse interprets these results as ______.

   	A.	respiratory acidosis
   	B.	metabolic alkalosis
   	C.	respiratory alkalosis
   	D.	metabolic acidosis

0.5 points   

QUESTION 24

1. A client has just been diagnosed with type 1 diabetes. When teaching the client and family how diet and exercise affect insulin requirements, the nurse should include which guideline?

   	A.	"You'll need more insulin when you exercise or decrease your food intake."
   	B.	"You'll need less insulin when you increase your food intake."
   	C.	"You'll need more insulin when you exercise or increase your food intake."
   	D.	"You'll need less insulin when you exercise or reduce your food intake."

0.5 points   

QUESTION 25

1. A nurse expects to find which signs and symptoms in a client experiencing hypoglycemia?

   	A.	Polyuria, headache, and fatigue.
   	B.	Polydipsia, pallor, and irritability.
   	C.	Nervousness, diaphoresis, and confusion.
   	D.	Polyphagia and flushed, dry skin.

0.5 points   

QUESTION 26

1. A heavily sedated postoperative patient has shallow respirations at a rate of 12 breaths per minute. This patient is at risk for which acid—base disturbance?

   	A.	metabolic acidosis.
   	B.	respiratory acidosis.
   	C.	metabolic alkalosis.
   	D.	respiratory alkalosis.

0.5 points   

QUESTION 27

1. Laboratory studies indicate a client's blood glucose level is 185 mg/dl. Which test would yield the most reliable diagnostic information about the client's glucose control?

   	A.	Urine ketones.
   	B.	Fasting blood glucose test.
   	C.	Serum glycosylated hemoglobin (Hb A1c).
   	D.	6-hour glucose tolerance test.

0.5 points   

QUESTION 28

1. A nurse is instructing a client with newly diagnosed hypoparathyroidism about the regimen used to treat this disorder. The nurse should state that the physician probably will order daily supplements of calcium and ______.

   	A.	vitamin D
   	B.	folic acid
   	C.	iron
   	D.	potassium

0.5 points   

QUESTION 29

1. The nurse knows that to confirm peptic ulcer disease, the physician is likely to order a diagnostic test to detect the presence of infection with Helicobacter pylori.

   	A.	True
   	B.	False

0.5 points   

QUESTION 30

1. A client with pneumonia developed thick and persistent secretions. Which intervention should the nurse include when planning this client's care?

   	A.	Elevating the head of the bed to 15 degrees.
   	B.	Turning the client every 1 hour.
   	C.	Increasing fluid intake.
   	D.	Maintaining a cool room temperature.

Answer 1

QUESTION 14

B.7:40 AM :diabetes experts have recommended taking it within 15 minutes of starting a meal

QUESTION 15

B.Stenosis : is an abnormal narrowing in a blood vessel or other tubular organ or structure

QUESTION 16

B.Ascities ; Ascites (an accumulation of fluid in the abdomen)

QUESTION 17

B.yellow Sclera :If the bile backs up in the liver, it can cause your skin and white part of your eyes to turn yellow (jaundice)

QUESTION 18

B.False : Left sided heart failure causes pulmonary congestion and crackles

QUESTION 19

A.High-fiber foods :Fiber can improve digestion in the absence of concentrated bil

QUESTION 20 :

B.Report the exposure and prepare to receive hepatitis B immune globulin:Hepatitis B infection can be prevented by getting vaccine and HBIG

QUESTION 21;

C.possible diabetic ketoacidosis

Extreme thirst,Lethargy and deep respirations are symptoms of DKA.

QUESTION 22:

A.Control blood glucose levels

QUESTION 23;

A.respiratory acidosis