front 1 New parents ask the nurse, ―Why is it necessary for our baby to have
the newborn blood test? The nurse explains that the priority outcome
of mandatory newborn screening for inborn errors of metabolism
is | back 1 c. early identification of serious genetically transmitted metabolic diseases. |
front 2 What is the priority nursing goal for a 14-year-old with Graves‘
disease? | back 2 c. Verbalizing the importance of adherence to the medication regimen |
front 3 What information provided by the nurse would be helpful to a
15-year-old adolescent taking methimazole three times a day? | back 3 a. Pill dispensers and alarms on a watch can be effective reminders to take the medication. |
front 4 A child is hospitalized after a serious motor vehicle crash and has developed increased urination. What action by the nurse takes priority? a. Weigh the child daily. | back 4 c. Assess the daily serum sodium level. |
front 5 What should the nurse include in the teaching plan for parents of a
child with diabetes insipidus who is receiving DDAVP? | back 5 c. The child should have free access to water and toilet facilities at school. |
front 6 A child with growth hormone deficiency is receiving growth hormone
(GH) therapy. What is the best time for the GH to be
administered? | back 6 a. At bedtime |
front 7 What is the most appropriate intervention for the parents of a 6-year-old child with precocious puberty? a. Advise the parents to consider birth control for their
daughter. | back 7 b. Explain the importance the child having relationships with same-age peers. |
front 8 A parent asks the nurse why self-monitoring of blood glucose is being
recommended for her child with diabetes. The nurse should base the
explanation on the knowledge that | back 8 c. children are better able to manage the diabetes. |
front 9 What is the primary concern for a 7-year-old child with type 1
diabetes mellitus who asks his mother not to tell anyone at school
that he has diabetes? | back 9 a. The child‘s safety |
front 10 What is the best nursing action when a child with type 1 diabetes
mellitus is sweating, trembling, and pale? | back 10 c. Give the child a glass of orange juice. |
front 11 Which sign is the nurse most likely to assess in a child with
hypoglycemia? | back 11 c. Irritability and serum glucose less than 60 mg/dL |
front 12 Which is the nurse‘s best response to the parents of a 10-year-old
child newly diagnosed with type 1 diabetes mellitus who are concerned
about the child‘s continued participation in soccer? d. ―Give the child an extra 15 to 30 g of carbohydrate snack before soccer practice. | back 12 d. ―Give the child an extra 15 to 30 g of carbohydrate snack before soccer practice. |
front 13 An infant has just been diagnosed with Tay-Sachs disease. What action
by the nurse is most appropriate? | back 13 a. Refer the family to a support group. |
front 14 A nurse is caring for a child undergoing an ACTH stimulation test.
After administering the Cortrosyn according to policy, what action by
the nurse takes priority? | back 14 c. Facilitate a lab draw in 30 minutes. |
front 15 Which nursing interventions are appropriate for a child with type 1
diabetes who is experiencing deficient fluid volume related to
abnormal fluid losses through diuresis and emesis? (Select all that
apply.) b. Begin IV fluid replacement with normal saline. | back 15 a. Initiate IV access. b. Begin IV fluid replacement with normal saline. |
front 16 Which children admitted to the pediatric unit would the nurse monitor
closely for development of syndrome of inappropriate antidiuretic
hormone (SIADH)? (Select all that apply.) | back 16 b. A school-age child returning from surgery for removal of a brain
tumor |
front 17 A child is diagnosed with hypothyroidism. The nurse should expect to
assess which symptoms associated with hypothyroidism? (Select all that
apply.) | back 17 b. Fatigue |
front 18 A nurse is teaching a client with diabetes mellitus who asks, “Why is
it necessary to maintain my blood glucose levels no lower than about
60 mg/dL (3.3 mmol/L)?” How would the nurse respond? | back 18 b. “Your brain needs a constant supply of glucose because it cannot store it.” |
front 19 The nurse is assessing a client for risk of developing metabolic
syndrome. Which risk factor is associated with this health
condition? | back 19 c. Abdominal obesity |
front 20 After teaching a young adult client who is newly diagnosed with type
1 diabetes mellitus, the nurse assesses the client’s understanding.
Which statement made by the client indicates a correct understanding
of the need for eye examinations? | back 20 d. “Diabetes can cause blindness, so I should see the ophthalmologist yearly.” |
front 21 A nurse assesses a client who has a 15-year history of diabetes and
notes decreased tactile sensation in both feet. What action would the
nurse take first? | back 21 c. Examine the client’s feet for signs of injury. |
front 22 A nurse cares for a client who has a family history of diabetes
mellitus. The client states, “My father has type 1 diabetes mellitus.
Will I develop this disease as well?” How would the nurse
respond? | back 22 a. “Your risk of diabetes is higher than the general population, but it may not occur.” |
front 23 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? c. “Prevent hypoglycemia by eating a bedtime snack.” | back 23 a. “Maintain tight glycemic control and prevent hyperglycemia.” |
front 24 A nurse assesses clients who are at risk for diabetes mellitus. Which
client is at greatest risk? | back 24 d. A 58-year-old American Indian |
front 25 A nurse teaches a patient about self-monitoring of blood glucose
levels. Which statement would the nurse include in this client’s
teaching to prevent bloodborne infections? | back 25 b. “Do not share your monitoring equipment.” |
front 26 A nurse teaches a client with type 2 diabetes mellitus who is
prescribed glipizide (Glucotrol). Which statement would the nurse
include in this client’s teaching? d. “Discontinue the medication if you develop a urinary infection.” | back 26 b. “Avoid taking nonsteroidal anti-inflammatory drugs (NSAIDs).” |
front 27 After teaching a patient with type 2 diabetes mellitus who is
prescribed nateglinide, the nurse assesses the client’s understanding.
Which statement made by the patient indicates a correct understanding
of the prescribed therapy? | back 27 d. “I will take this medicine immediately before I eat.” |
front 28 A nurse cares for a client with diabetes mellitus who asks, “Why do I
need to administer more than one injection of insulin each day?” How
would the nurse respond? c. “A regimen of a single dose of insulin injected each day would
require that you eat fewer carbohydrates.” | back 28 b. “A single dose of insulin each day would not match your blood insulin levels and your food intake patterns.” |
front 29 A nurse cares for a patient who is prescribed pioglitazone. After 6
months of therapy, the client reports that he has a new onset of ankle
edema. What assessment question would the nurse take? | back 29 a. “Have you gained unexpected weight this week?” |
front 30 After teaching a client with diabetes mellitus to inject insulin, the
nurse assesses the client’s understanding. Which statement made by the
client indicates a need for further teaching? | back 30 a. “The lower abdomen is the best location because it is closest to the pancreas.” |
front 31 A nurse reviews the laboratory test values for a client with a new
diagnosis of diabetes mellitus type 2. Which A1C value would the nurse
expect? | back 31 d. 7.4% A client is diagnosed with diabetes if the client’s A1C is 6.5% or greater. All listed values are below that level except for 7.4%. |
front 32 The nurse is planning teaching for a client who is starting exenatide
extended release (ER) for diabetes mellitus type 2. Which statement
will the nurse include in the teaching? c. “Give your drug injection the same day every week.” | back 32 c. “Give your drug injection the same day every week.” |
front 33 The nurse is planning teaching for a client who is starting acarbose
for diabetes mellitus type 2. Which statement will the nurse include
in the teaching? | back 33 a. “Be sure to take the drug with each meal.” |
front 34 After teaching a client who has diabetes mellitus with retinopathy,
nephropathy, and peripheral neuropathy, the nurse assesses the
client’s understanding. Which statement made by the client indicates a
correct understanding of the teaching? | back 34 d. “I should look into swimming or water aerobics to get my exercise.” |
front 35 The nurse assesses a client with diabetic ketoacidosis. Which
assessment finding would the nurse correlate with this
condition? d. Severe orthostatic hypotension | back 35 a. Increased rate and depth of respiration |
front 36 A nurse assesses a client who has diabetes mellitus. Which arterial blood gas values would the nurse identify as potential ketoacidosis in this client? A. pH 7.38, HCO3 22 mEq/L (22 mmol/L), PCO2 38 mm Hg, PO2 98 mm
Hg | back 36 B. pH 7.28, HCO3 18 mEq/L (18 mmol/L), PCO2 28 mm Hg, PO2 98 mm Hg |
front 37 A nurse cares for a client experiencing diabetic ketoacidosis who
presents with Kussmaul respirations. What action would the nurse
take? | back 37 d. Administration of intravenous insulin |
front 38 A nurse teaches a client with type 1 diabetes mellitus. Which
statement would the nurse include in this client’s teaching to
decrease the client’s insulin needs? b. “Animal organ meat is high in insulin.” | back 38 d. “Walk at a moderate pace for 1 mile daily.” |
front 39 After teaching a client who is recovering from pancreas
transplantation, the nurse assesses the client’s understanding. Which
statement made by the client indicates a need for further
teaching? | back 39 a. “If I develop an infection, I should stop taking my corticosteroid.” |
front 40 A nurse teaches a client with diabetes mellitus who is experiencing
numbness and reduced sensation. Which statement would the nurse
include in this client’s teaching to prevent injury? | back 40 d. “Use a bath thermometer to test the water temperature.” |
front 41 A nurse assesses a client with diabetes mellitus. Which assessment
finding would alert the nurse to decreased kidney function in this
client? | back 41 b. Presence of protein in the urine |
front 42 A nurse develops a dietary plan for a client with diabetes mellitus
and new-onset | back 42 b. Proteins |
front 43 A nurse assesses a client who has diabetes mellitus and notes that
the client is awake and alert, but shaky, diaphoretic, and weak. Five
minutes after administering a half-cup (120 mL) of orange juice, the
client’s signs and symptoms have not changed. What action would the
nurse take next? | back 43 a. Administer another half-cup (120 mL) of orange juice. |
front 44 A nurse reviews the laboratory results of a client who is receiving
intravenous insulin. Which would alert the nurse to intervene
immediately? | back 44 d. Serum potassium level of 2.5 mEq/L (2.5 mmol/L) |
front 45 A nurse teaches a client with diabetes mellitus about sick-day
management. Which statement would the nurse include in this client’s
teaching? | back 45 b. “Monitor your blood glucose levels at least every 4 hours while sick.” |
front 46 The nurse is caring for a client who has diabetes mellitus. The nurse
administers 6 units of regular insulin and 10 units of NPH insulin at
7:00 a.m. (0700). At which time would the nurse assess the client for
potential hypoglycemia related to the NPH insulin? | back 46 b. 4:00 p.m. (1600) |
front 47 When teaching a client recently diagnosed with type 1 diabetes
mellitus, the client states, “I will never be able to stick myself
with a needle.” How would the nurse respond? | back 47 d. “Tell me what it is about the injections that are concerning you.” |
front 48 A nurse assesses a client with diabetes mellitus who self-administers
subcutaneous insulin. The nurse notes a spongy, swelling area at the
site the client uses most frequently for insulin injection. What
action would the nurse take? | back 48 d. Instruct the client to rotate sites for insulin injection. |
front 49 After teaching a client who is newly diagnosed with type 2 diabetes
mellitus, the nurse assesses the client’s understanding. Which
statement made by the client indicates a need for additional
teaching? | back 49 c. “I should decrease my intake of protein and eliminate carbohydrates from my diet.” |
front 50 A nurse reviews laboratory results for a client with diabetes
mellitus who is prescribed an intensified insulin regimen: | back 50 b. Good control of blood glucose |
front 51 The nurse is caring for a newly admitted older adult who has a blood
glucose of 300 mg/dL (16.7 mmol/L), a urine output of 185 mL in the
past 8 hours, and a blood urea nitrogen (BUN) of 44 mg/dL (15.7
mmol/L). What diabetic complication does the nurse suspect? | back 51 d. Hyperglycemic-hyperosmolar state (HHS) |
front 52 The nurse is caring for a newly admitted client who is diagnosed with
hyperglycemic-hyperosmolar state (HHS). What is the nurse’s priority
action at this time? | back 52 c. Establish intravenous access to provide fluids. |
front 53 A nurse assesses adults at a health fair. Which adults would the
nurse counsel to be tested for diabetes? (Select all that
apply.) | back 53 a. A 56-year-old African-American male d. A 48-year-old female with a sedentary lifestyle |
front 54 A nurse assesses a patient who is experiencing diabetic ketoacidosis
(DKA). For which assessment findings would the nurse monitor the
client? (Select all that apply.) | back 54 a. Deep and fast respirations |
front 55 A nurse teaches a client with diabetes mellitus about foot care.
Which statements would the nurse include in this client’s teaching?
(Select all that apply.) | back 55 a. “Do not walk around barefoot.” |
front 56 A nurse provides diabetic education at a public health fair. Which
disorders would the nurse include as complications of diabetes
mellitus? (Select all that apply.) | back 56 a. Stroke |
front 57 A nurse collaborates with the interprofessional team to develop a
plan of care for a client who is newly diagnosed with diabetes
mellitus. Which team members would the nurse include in this
interprofessional team meeting? (Select all that apply.) | back 57 a. Registered dietitian nutritionist |
front 58 The nurse is caring for a client who has severe hypoglycemia and is
experiencing a seizure. What actions will the nurse take at this time?
(Select all that apply.) | back 58 a. Administer glucagon 1 mg subcutaneously. |
front 59 The nurse is caring for a client who has diabetes mellitus type 1 and is experiencing hypoglycemia. Which assessment findings will the nurse expect? (Select all that apply.) a. Warm, dry skin | back 59 b. Nervousness |