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Exam 1 RNSG1533 Questions With Complete Solutions
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Exam 1 RNSG1533 Questions With Complete Solutions
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Exam 1 RNSG1533 Questions WithComplete Solutions
A 10-year-old boy has been brought to the emergency
department (ED) by ambulance in apparent anaphylaxis after
accidentally eating a snack bar that contained peanuts. The ED
nurse should be aware that this patient's signs and symptoms are
attributable to:
A) Dissolution of the basement membranes of epithelium
B) Rapid activation of the clotting cascade
C) Activation of the sympathetic nervous system (SNS)
D) A massive release of histamine Correct Answers D) A
massive release of histamine
A 10-year-old child is newly diagnosed with type 1 diabetes.
The child's hemoglobin A1C level is being monitored. The nurse
determines that additional intervention is needed with the child
based on which result?
A) 7.5 %
B) 8.5%
C) 6.5%
D) 7.0% Correct Answers B) 8.5%
A 16-year-old client newly diagnosed with type 1 diabetes has a
very low body weight despite eating regular meals. The client is
upset because friends frequently state, "You look anorexic."
Which statement by the nurse would be the best response to help
this client understand the cause of weight loss due to this
condition?
,A) "Your body is using protein and fat for energy instead of
glucose."
B) "Don't worry about what your friends think; the
carbohydrates you eat are being quickly digested, increasing
your metabolism."
C) "You may be having undiagnosed infections, causing you to
lose extra weight."
D) "I will refer you to a dietician who can help you with your
weight." Correct Answers A) "Your body is using protein and
fat for energy instead of glucose."
A 16-year-old girl tells the nurse that her friend has genital warts
and asks the nurse how to make sure that she does not get them.
Which of the following should the nurse recommend?
A) "Douching will help to prevent them."
B) "Get the human papillomavirus vaccine."
C) "Have the Norplant system implanted in your arm."
D) "If your male partner doesn't have genital warts, you will not
get them." Correct Answers B) "Get the human papillomavirus
vaccine."
A 26-week gestation pregnant woman has completed a 1-hour
glucose screening test. What action should the nurse take first if
the glucose level is 150 mg/dL (8.3 mmol/L)?
A) Document the results as normal.
B) Refer the client for a 3-hour glucose test.
C) Instruct the client on proper diet.
D) Teach the client how to administer insulin. Correct Answers
B) Refer the client for a 3-hour glucose test.
,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." Correct Answers A) "The problem that underlies
her diabetes is that her own body has destroyed the cells in her
pancreas that produce insulin."
A 36-year-old client is in the clinic for an annual physical. The
client asks the nurse, "Should I get a flu shot?" Which is the best
response by the nurse?
A) "The flu shot is recommended for all people over 6 months
of age."
B) "Do you have any chronic illnesses?"
C) "No, you are not in the age range for the flu shot."
D) "Only if you work around children or the elderly." Correct
Answers A) "The flu shot is recommended for all people over 6
months of age."
A 46-year-old client sustained a closed-head injury 4 hours ago.
The client now presents to the emergency department because
, the client is having difficulty breathing. This is a result of
swelling surrounding which brain structure?
A) Thalamus
B) Medulla oblongata
C) Pituitary
D) Cerebrum Correct Answers B) Medulla oblongata
A 51-year-old male has been diagnosed with alcohol-induced
liver disease. He admits to the nurse he does not understand
what the liver does in the body. Which of these statements
bestexplains the liver's function?
A) The liver contributes to the metabolism of ingested food and
provides the fluids that the GI tract requires.
B) The liver metabolizes most components of food and also
cleans the blood of bacteria and drugs.
C) The liver is responsible for the absorption of most dietary
nutrients as well as the production of growth hormones.
D) The liver maintains a balanced level of electrolytes and pH in
the body and stores glucose, minerals and vitamins. Correct
Answers B) The liver metabolizes most components of food
and also cleans the blood of bacteria and drugs.
A 55-year-old female client was admitted to the medical unit 2
days ago with liver failure secondary to alcohol use. She's on
bed rest with bathroom privileges and has just been up to use the
toilet. While helping the client to stand so she can wipe herself,
the nurse notices a few drops of blood on top of the semiliquid,
clay-colored stool in the toilet. What action should the nurse
take next?
A) Ask the client if she has noted any blood in her stools lately.
B) Nothing. The nurse shouldn't alarm her unnecessarily.
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