Q.

A client with advanced cirrhosis with ascites is short of breath and

has an increase respiratory rate. What can the nurse do? High
fowlers position.
Q. A pt. is suspected of haing hept. Which diagnosic test result will
assist inconfirming the disease. Elevated serum bilirubin
Practice questions:
1.
when assessing he client with type 1 diabetes mellitus, which is
most appropriate to the nurse to ask? have you felt hungry, thirsty,
and tired recently?
2.
A nurse is assisting a client with DM who is recovering from
diabetic who is recovering from a DKA, to develop a teacing plan to
prevent a recurrence of this condition. Which of the foll is most
important to include in the teaching plan? monitor blood glucose
levels as schedule or more frequently
3.
A client w/ type 2 diabetes has just been admitted in the hospital
who is schedule for an oral glucose tolerance test. Which client
assessment finding would be documented and reported to the HCP to
the diagnostic test? taking a dose of the glucocorticoid mediation
4.
A nursing student is caring for a client diagnosed with type 2 DM
who has a glycosylated hemoglobin ATc of 8.1 %. Which of the foll
responses by the nursing students is most appropriate? The test result
is not withing an acceptable level
5.
The nurse is evaluating the effectivess of discharge teaching for a
client with DM. which of the following responses by the client requires
follow up? Select all that apply? I soak my feet in hot water, going to
the salon for foot care
6.
A licent who received 34 u of NPH insulin at 0700 is away from the
med-surg unit, awaiting diagnostic testing for a procedure that does
not require a dietary prescription when lunch trays are distributed.
Which intervention is appropriate at 1200 hours? request tha the
client be returned to the unit to eat if testing will no be performed
7.
A client with type 2 diabetes whose blood sugar is well controlled
with metformin. Is prescribed prednisone 10mg by mouth daily. Which
of the following outcomes will the nurse most likely anticipate?A blood
glucose level >200 mg/dl
8.
After the nurse has finished teaching a client about self
administration fo the prescriber aspart insulin before discharge, which

client response indicates good understanding of the teaching? the

client cleans the skin with soap and water bf insulin administration
9.
A client newly diagnosed with diabetes mellitus is injected aspart
insulin at 800 am later, the client begins to become nervous and izzy.
Which time are these clinical manifestaiont most likely occurring and
what is the most appropriate nursing management at this time? 0900
check the blood glucose level
10. The client received 10 units of humulin r. at 07;00. At 1000 the UAP
tell the nurse the client is diaphoretic and is really acting funny. Which
intervention should the nurse implement first? check the clients
condition
11. A 43 y/o client with suspected acromegaly I seen at the clienic.
Which assessment questions is the most appropriate to the nurse ask
to assist in conforming this diagnosis do youhave to war larger shoes
now than 7 years ago?
12. A client schedule for a transsphenidal hypophysectomy for
treatment of a pituitary adenoma. Which of the following instruction
should the nurse incude during the preop teachibg? Select all that
applyelevated the head of bed at 30 degress angle at all times, avoid
straining during bowel movement valasaba maneuver,
13. A male client, who was admitted with a head injury several days
ago becomes confused and is experiencing weakness, was diagnosed
of inapproapriate andiuretic hormone. SIAD. Based on the healh
information which laboratory results would the nurse most likely expect
to find? Sodium of 129 meq/
14. A 52 year old female client with a history of cardiac disease is
diagnosed with hypothyroidism and levothyroxine (synthroid) 25 mcg
by mouth eery day is prescribed. Which assessment is most important
for the nurse to make during the initial phase of thyroid replacement
therapy? Apical pulse rate and blood pressure
15. When caring for a client with a diagnosis of Cushing syndrome,
which data will the urse expect to find during the admission
assessment purplish red streaks on the abdomen
16. A client is admitted to the hospital in addisonian crisis. Which client
statement supports the nursing diagnosis fo ineffective self-health
management r/t lack of knowledge about management of Addisons
disease? I had the stomach flu from a party earlier this week and
couldnt take the hydrocortisone

17. A client is admitted to the hospital w/ pheochromocytoma. Aside

from HTN, severe headache, and tachycardia, which assessment
finding will the nurse monitor the client for? profuse sweating
18. A client w/ symptoms of DM is admitted to the hospital for
evaluation and treatment of the condition. Which of the following is
most appropriate nursing diagnoss or the client? insomnia r/t frequent
waking at night to void
19. a nurse is caring for a client who has an adrenocortical adenoma,
causing hyperaldosteronism. Which intervention by the nurse requires
follow up? provide a potassium restricted diet
20. a client with hypoparathyroidism develops tingling of the lips and
positive Trouseseaus sign. Which nursing action should be taken first?
check the electrolyte levels and give the oral calcium supplements
21. a client newly diagnosed with pancreatic cancer was admitted to
the med surg unit and a student nurse is caring for the client . which
of the following statements y the student nurse requires follow up?we
can reassure the family that the prognosis is good for this type of
cancer.
22. A client is admitted to the hospital with acute cholcystitis. Which
assessment information will be most important for the nurse to report
to the HCP? clay colored stools
23. A client with cirrhosis has been stabilized and brought to the
medical surgical unit. In which order will the nurse implement the
actions below? Please arrange in the correct numerical order, then
select the best answer. all number must be used: 4. 3.1.2.5
Place the client in the semi-fowlers to fowlers position.
Check BP, HR, and Respiration
Insert a large-gauge IV catheter
Draw blood for coagulation studies.
Place call light with in reach and ask client to call for assistance.
24. Which data obtained by the nurse during the assessment of a client
with cirrhosis will be of most concern? confusion and had flapping
when the arms are extended
25. The nurse is caring for a client with chronic pancreatitis who is
being discharged after an acute pancreatitis attack? relieve
obstruction and dietary management

26. A client is diagnosed with Heapatitis B. which of the following

nursing interventions is most appropriate for the nurse to include in the
care plan? measure that will be helpful in promoting rest and
nutrition
27. The nurse is caring for a male client with the HIV who has chronic.
The PHCP has prescribed alphainterferon and ribavirin. Which of the
following side effects requires immediate attention? cd4 count 180
28. Which information given by a client who is experiencing body
malaise, jaundice, and hepatomegaly during the nursing assessment
indicates that screening for Hep C should be performed? one time use
of iv drugs with frineds las year
29. the nurse has just provided discharge insturnction to a client
following a laparoscopic cholecystectomy. Which statement by the
client requires follow up? I should plan to limit my activities and not
return to work for 4-6 weeks
30. a client with ascites secondary to liver disease who has morning
doses of spironolactone and furosemide prescribed has a serum
potassium level 3.1 mEq/L. which should the nurse do next? (Lasix is
potassium waisting) contact HCP administer the spironolactone and
withhold furosemide.