2024 RNSG 1533 Exam 1 | Actual Questions and Verified Answers ( Included ) 100% Correct
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2024 RNSG 1533
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2024 RNSG 1533
2024 RNSG 1533 Exam 1 | Actual Questions and Verified Answers ( Included ) 100% Correct
When performing a physical examination on a client with cirrhosis, a nurse notices that the client's abdomen is enlarged. Which of the following interventions should the nurse consider?
A) Report the co...
2024 RNSG 1533 Exam 1 | Actual Questions
and Verified Answers ( Included ) 100%
Correct
When performing a physical examination on a client with cirrhosis, a nurse notices that
the client's abdomen is enlarged. Which of the following interventions should the nurse
consider?
A) Report the condition to the physician immediately.
B) Measure abdominal girth according to a set routine.
C) Provide the client with nonprescription laxatives.
D) Ask the client about food intake. - ANSWER>>B) Measure abdominal girth according
to a set routine.
Evaluation of an adult client reveals oversecretion of growth hormone. Which of the
following would the nurse expect to find?
A) Excessive urine output
B) Weight loss
C) Bulging forehead
D) Constant thirst - ANSWER>>C) Bulging forehead
When caring for an older adult taking a psychotropic medication, the psychiatric nurse
must be aware that older adults:
A) usually require a lower dose of these medications than do younger counterparts.
B) are often refractory to psychotropic medications.
C) are always reluctant to take these medications because of stigma and stereotyping.
D) are not as sensitive to the effects of the psychotropics, and so are usually given
slightly higher doses than in younger people. - ANSWER>>A) usually require a lower
dose of these medications than do younger counterparts.
A 3-year-old girl has just been diagnosed with type 1A diabetes. Her parents are
currently receiving education from the diabetes education nurse. How can the nurse
best explain to the parents the etiology (cause) of their daughter's diabetes?
A) "The problem that underlies her diabetes is that her own body has destroyed the
cells in her pancreas that produce insulin."
,B) "It's not known exactly why your daughter has completely stopped making insulin,
and treatment will consist of your rigidly controlling her diet."
C) "This tendency to produce insufficient amounts of insulin is likely something that
she inherited."
D) "Environmental and lifestyle factors are known to play a part in the fact that her
pancreas secretes and withholds insulin at the wrong times." - ANSWER>>A) "The
problem that underlies her diabetes is that her own body has destroyed the cells in her
pancreas that produce insulin."
A nurse is educating the family of a small child with phenylketonuria about meal
choices. Which of the following meal choices by the parents indicate to the nurse that
they understand the dietary management of this disease?
A) A milkshake and a grilled cheese sandwich
B) A bowl of dry cereal with strawberries and apple juice
C) A steak, mashed potatoes, and orange juice
D) A hamburger and a diet pop sweetened with aspartame - ANSWER>>B) A bowl of
dry cereal with strawberries and apple juice.
A client with diabetes mellitus states, "I can eat as many carbohydrates as I want and
it will not affect my blood sugar." What is the nurse's best response?
A) "Carbohydrates are broken down into monosaccharides before being absorbed."
B) "You are correct."
C) "Carbohydrates do not affect blood glucose."
D) "Clients with diabetes cannot eat carbohydrates." - ANSWER>>A) "Carbohydrates
are broken down into monosaccharides before being absorbed."
A nurse, working in a health clinic, treats a variety of conditions on a daily basis. One
disorder that is rapidly increasing and is the leading cause of secondary morbidity is:
A) Kidney disease
B) Coronary heart disease
C) Obesity
D) Pneumonia - ANSWER>>C) Obesity
Which maternal factors should the nurse consider contributory to a newborn being
large for gestational age? Select all that apply.
A) diabetes mellitus
B) postdates gestation
C) alcohol use
D) prepregnancy obesity
E) renal infection - ANSWER>>A) diabetes mellitus
B) postdates gestation
D) prepregnancy obesity
,The nurse is caring for an adult client with acromegaly. What medication, administered
subcutaneously, would the nurse expect the health care provider to order if the client
is not a candidate for other therapy?
A) gonadorelin hydrochloride
B) octreotide
C) nafarelin
D) gonadorelin acetate - ANSWER>>B) octreotide
After administering propylthiouracil (PTU), what effect would the nurse anticipate the
drug will have in the client's body?
A) destruction of part of the thyroid gland
B) inhibited production of thyroid hormone in the thyroid gland
C) suppression of the anterior pituitary gland's secretion of thyroid-stimulating
hormone (TSH)
D) suppression of the hypothalamus's production of thyrotropin-releasing hormone
(TRH) - ANSWER>>B) inhibited production of thyroid hormone in the thyroid gland
A client with diabetes whose husband recently died reports elevated blood glucose
levels. She admits she is barely eating anything; she does not feel hungry. How will the
nurse best respond to this client?
A) "Have you checked the batteries in your glucose monitor recently?"
B) "You probably do not realize all that you are eating during this stressful time."
C) "The body reacts in strange ways when we go through stressful times."
D) "Often with stress, glucose level increases because the body needs more energy." -
ANSWER>>D) "Often with stress, glucose level increases because the body needs more
energy."
The nurse obtains a complete family history of a client with a suspected endocrine
disorder based on which rationale?
A) It helps determine the client's general status.
B) Endocrine disorders can be inherited.
C) Diet and drug histories are related to the family history.
D) An allergy to iodine is inherited. - ANSWER>>B) Endocrine disorders can be
inherited.
Which of the following hormones would the nurse identify as being secreted by the
thyroid gland?
A) Thyroxine
B) Parathormone
C) Thymosin
D) Somatotropin - ANSWER>>A) Thyroxine
, The nurse is reviewing a client's history which reveals that the client has had an
oversecretion of growth hormone (GH) that occurred before puberty. The nurse
interprets this as which of the following?
A) Dwarfism
B) Acromegaly
C) Simmonds' disease
D) Gigantism - ANSWER>>D) Gigantism
The most common type of goiter is caused by lack of which of the following?
A) Sodium
B) Potassium
C) Calcium
D) Iodine - ANSWER>>D) Iodine
A client has been brought to the emergency department following an overdose of
insulin that resulted in unconsciousness. When explaining the rationale for this to the
family, the nurse will emphasize that neurons:
A) store glycogen within the brain cavity.
B) can cause the liver to convert triglycerides into energy if needed quickly.
C) must rely on glucose from the blood to meet their energy needs.
D) require many amino acids in order to produce enough energy to function properly. -
ANSWER>>C) must rely on glucose from the blood to meet their energy needs.
The liver has many jobs. One of the most important functions of the liver is to cleanse
the portal blood of old and defective blood cells, bacteria in the bloodstream, and any
foreign material. Which cells in the liver are capable of removing bacteria and foreign
material from the portal blood?
A) Davidoff cells
B) Epstein cells
C) Langerhans cells
D) Kupffer cells - ANSWER>>D) Kupffer cells
When discussing the various functions of the cellular parts, the pathophysiology
professor asks a group of students, "Where are the primary sites of protein synthesis
located in a cell?" Which student response is correct?
A) Lysosomes
B) Peroxisomes
C) Nuclear envelope
D) Mitochondria
E) Endoplasmic reticulum - ANSWER>>E) Endoplasmic reticulum
A nurse is discussing nutrition and weight control with clients during a class about
diabetes. Which statement best reflects the purpose of nutritional management of
diabetes?
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