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ADN 120 Final exam All Possible Questions Latest Update Actual Exam from Credible Sources with 100 Questions and Verified Correct Answers Golden Ticket to Guaranteed A+ Verified by Professor
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ADN 120
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ADN 120
ADN 120 Final exam All Possible Questions Latest Update Actual Exam from Credible Sources with 100 Questions and Verified Correct Answers Golden Ticket to Guaranteed A+ Verified by Professor
ADN 120 Final exam All Possible Questions
Latest Update 2024-2025 Actual Exam from
Credible Sources with 100 Questions and
Verified Correct Answers Golden Ticket to
Guaranteed A+ Verified by Professor
A 12-year-old with diabetes mellitus enters the emergency department complaining of
extreme thirst and weakness with a respiratory rate of 32 breaths/min. The child's skin is
warm and dry, and his mother states he has been urinating very frequently. What is the
nurse's priority action?
A. Apply a cooling blanket.
B. Start a peripheral intravenous (IV) line.
C. Instruct the child to breathe into a paper bag.
D. Encourage the child to drink the prescribed electrolyte and glucose solution. -
CORRECT ANSWER: B. Start a peripheral intravenous (IV) line.
A child is being assessed to determine whether the child is a victim of Munchausen
syndrome by proxy (MSBP). Which questions should be considered by the nurse?
Select all that apply.
A. Does the child appear to fear the caregiver?
B. Does the child appear to have suffered sexual abuse?
C. Does diagnostic evidence support the reported history?
D. Has anyone but the caregiver witnessed the symptoms?
E. Is the child's condition consistent with the reported history?
F. Is treatment being provided primarily because of the caregiver's demands? -
CORRECT ANSWER: C. Does diagnostic evidence support the reported history?
D. Has anyone but the caregiver witnessed the symptoms?
E. Is the child's condition consistent with the reported history?
,F. Is treatment being provided primarily because of the caregiver's demands?
A child newly diagnosed with type 1 diabetes mellitus who is receiving insulin suddenly
experiences signs of a hypoglycemic reaction. Which item should the nurse give to the
child immediately?
A. 8 oz (225 mL) of skim milk
B. ½ cup of diet cola
C. 1 teaspoon of honey
D. 1 teaspoon of sugar - CORRECT ANSWER: A. 8 oz (225 mL) of skim milk
A client at 10 weeks' gestation has type 1 diabetes mellitus and is receiving prenatal
care at a high-risk clinic. The nurse teaches the client about the early signs of
hyperglycemia and should tell the client that which is an early sign?
A. Hunger
B. Polyuria
C. Shakiness
D. Nervousness - CORRECT ANSWER: B. Polyuria
A client begins taking a sulfonylurea once daily. The nurse should observe for which
intended effect of this type of medication?
A. Weight loss
B. Resolution of infection
C. Decreased blood glucose
D. Decreased blood pressure - CORRECT ANSWER: C. Decreased blood glucose
A client diagnosed with schizophrenia is demonstrating the classic behaviors associated
with a psychotic relapse. How should the nurse best assess the client's current potential
to be violent?
,A. Arrange for one-on-one observation of the client.
B. Ask the client, "What are your voices saying to you?"
C. Ask family members if the client is generally an angry, aggressive person.
D. Review the client's medical record to determine when the behaviors began. -
CORRECT ANSWER: B. Ask the client, "What are your voices saying to you?"
A client experiencing delusions of being poisoned is admitted to the hospital. The client
shows no evidence of dehydration and malnutrition at this time. The nurse prepares a
plan of care for the client and should include which client need as the priority?
A. Self-esteem needs
B. Physiological needs
C. Safety and security needs
D. Love and belonging needs - CORRECT ANSWER: C. Safety and security needs
A client has been admitted to the acute care unit with a diagnosis of thyroid storm. What
is the priority nursing intervention?
A. Administer antipyretic medications, as prescribed.
B. Identify stressors that may have triggered the condition.
C. Begin a continuous infusion of normal saline 0.9% at keep vein open (KVO) rate.
D. Obtain a blood specimen to evaluate levels of thyroid-stimulating hormone (TSH), T3,
and T4. - CORRECT ANSWER: A. Administer antipyretic medications, as prescribed.
A client has been newly diagnosed with diabetes mellitus. The nurse should perform
which action as the first step in teaching the client about the disorder?
A. Decide on the teaching approach.
B.Plan for the evaluation of the session.
, C. Gather all available resource materials.
D. Identify the client's knowledge and needs. - CORRECT ANSWER: D. Identify the
client's knowledge and needs.
A client has been prescribed clozapine after other atypical antipsychotic medications
failed to produce acceptable management of schizophrenic-related symptomology. At
what point should the nurse alert the client's health care provider to the possible need to
adjust the client's medication therapy plan?
A. When the client begins to demonstrate fine facial tremors
B. When the client reports having a sore throat and mouth sores
C. When the client finds it difficult to sleep at night but naps during the day
D. When the client demonstrates paranoid ideations regarding certain staff members -
CORRECT ANSWER: B. When the client reports having a sore throat and mouth sores
A client is admitted to the emergency department exhibiting bizarre and violent behavior.
The health care provider suspects that the client has ingested hallucinogens. What
physiologic effects would the client exhibit? Select all that apply.
A. Tremor
B. Hypothermia
C. Incoordination
D. Hyperreflexia
E. Muscular weakness - CORRECT ANSWER: A. Tremor
C. Incoordination
D. Hyperreflexia
E. Muscular weakness
A client is admitted with the symptoms of dry, flushed skin; confusion; and postural
hypotension. Which laboratory result should the nurse most likely expect to note?
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