NSG 4100 Exam 2 Key Exam Guide Questions and Integral Marking Scheme version 2024/2025
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Course
NSG 4100
Institution
NSG 4100
NSG 4100 Exam 2 Key Exam Guide Questions and Integral Marking Scheme version 2024/2025
Physician has explained to a pt that he has developed diabetic neuropathy in his right foot. Later that day, the pt asks the nurse what causes diabetic neuropathy. What would be the nurse's best response?
A. ...
NSG 4100 Exam 2 Key Exam Guide Questions and
Integral Marking Scheme version 2024/2025
Physician has explained to a pt that he has developed diabetic neuropathy in his right
foot. Later that day, the pt asks the nurse what causes diabetic neuropathy. What would
be the nurse's best response?
A. Research has shown that diabetic neuropathy is caused by fluctuations in BG that
have gone on for years
B. The case is not known for sure but it is though to have something to do with
ketoacidosis
C. The cause is not known for sure but it is thought to involve elevated BG levels over a
period of years
D. Research has shown that diabetic neuropathy is caused by a combination of
elevated BG levels and elevated ketone levels - correct answer C
A pt with a hx of type 1 diabetes has just been admitted to the critical care unit (CCU)
for diabetic keto acidosis. The CCU nurse should prioritize what assessment during the
pt's initial phase of tx?
A. Monitoring pt for dysrhythmias
B. Maintaining and monitoring pt's fluid balance
C. Assess pt's LOC
D. Assessing the pt for s/s of venous thromboembolism - correct answer B
The most recent blood work of a pt with a longstanding diagnosis of type 1 diabetes has
shown the presence of microalbuminuria. What is the nurses most appropriate action?
A. Teach pt about actions to slow progression of nephropathy
B. Ensure that pt receives a comprehensive assessment of liver function
C. Determine whether pt has been using expired insulin
D. Administer a fluid challenge and have test repeated - correct answer A
, A nurse is assessing a pt who has diabetes for the presence of peripheral neuropathy.
The nurse should question the pt about what sign or symptom that would suggest the
possible development of peripheral neuropathy?
A. Persistently cold feet
B. Pain that does not respond to analgesia
C. Acute pain, unrelieved by rest
D. The presence of a tingling sensation - correct answer D
A pt is brought to the ED by paramedics. The pt is a type 2 diabetic and is experiencing
HHS. The nurse should identify what components of HHS? Select all that apply:
A. Leukocytosis
B. Glycosuria
C. Dehydration
D. Hypernatremia
E. Hyperglycemia - correct answer B, C, D, E
A pt has been admitted to the post-surgical unit following a thyroidectomy. To promote
comfort and safety, how should the nurse best position the pt?
A. Side-lying (lateral) with one pillow under the head
B. Head of the bed elevated 30 degrees and no pillows placed under the head
C. Semi-fowlers with the head supported on two pillows
D. Supine, with a small roll supporting the neck - correct answer C
A pt with thyroid cancer has undergone surgery and a significant amount of parathyroid
tissue has been removed. The nurse caring for the pt should prioritize what question
when addressing potential complications?
A. Do you feel any muscle twitches or spasms?
B. Do you feel flushed or sweaty?
C. Are you experiencing any dizziness or lightheadedness?
D. Are you having any pain that seems to be radiating from your bones? - correct
answer A
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