Exam (elaborations)
COMPREHENSIVE EXAM REVIEW NC1 QUESTIONS AND ANSWERS
- Course
- Institution
COMPREHENSIVE EXAM REVIEW NC1 QUESTIONS AND ANSWERS
[Show more]
Content preview
COMPREHENSIVE EXAM REVIEW NC1QUESTIONS AND ANSWERS
Which is a by-product of fat breakdown in the absence of insulin and accumulates in the
blood and urine?
A) ketones
B) creatinine
C) haemoglobin
D) cholesterol - Answer-ketones
A nurse is caring for a client with type 1 diabetes who is being discharged home
tomorrow. What is the best way to assess the client’s ability to prepare and self-
administer insulin?
A) ask the client to describe the process in detail
B) observe the client drawing up and administering the insulin
C) provide a health education session reviewing the main points of insulin delivery
D) review the clients haemoglobin A1C result after discharge - Answer-B
A client with type 1 diabetes presents with a decreased LOC and a fingerstick glucose
level of 39 mg/dl. His family reports that he has been skipping meals in an effort to lose
weight. Which nursing intervention is most appropriate?
A) inserting a feeding tube and providing tube feedings
B) administer a 500-ml bolus of normal saline solution
C) administer 1 ampule of 50% dextrose solution, per physician’s order
D) observing the client for 1 hour, then rechecking the fingerstick glucose - Answer-C
A client with diabetes comes to the clinic for a follow-up visit. The nurse reviews the
client's glycosylated haemoglobin test results. Which results would indicate to the nurse
that the client's blood glucose level has been well controlled?
A) 6.5%
B) 7.5%
C) 8.0%
D)8.5% - Answer-A
Which statement indicates that a client with diabetes mellitus understands proper foot
care?
A) "ill schedule an appointment with my physician if my feet start to ache"
B) "ill rotate insulin injection sites from my left foot to my right foot"
C) "ill go barefoot around the house to avoid pressure areas on my feet"
D) "ill wear cotton socks with well-fitting shoes" - Answer-D
After being sick for 3 days, a client with a history of diabetes mellitus is admitted to the
hospital with diabetic ketoacidosis (DKA). The nurse should evaluate which diagnostic
test results to prevent arrhythmias?
, A) serum potassium level
B) serum calcium level
C) serum sodium level
D) serum chloride level - Answer-A
What is the only insulin that can be given IV?
A) regular
B) NPH
C) lantus
D) ultralente - Answer-A
A client with diabetes mellitus received 5 units of regular insulin and 25 units of NPH at
breakfast. At about 4:30 pm, the client experiences headache, sweating, tremor, pallor,
and irritability. What lab value is expected?
A) serum glucose level of 450
B) serum glucose level of 52
C) serum calcium level of 8.9
D) serum calcium level of 10.2 - Answer-B
A client with a history of type 1 diabetes is demonstrating fast, deep, labored breathing
and has fruity odored breath. What could be the case of the client's current serious
condition?
A) ketoacidosis
B) hyperosmolar hyperglycemic nonketotic syndrome
C) hepatic disorder
D) all options are correct - Answer-A
The nurse is administering lispro insulin. Based on the onset of the action, how long
before breakfast should the nurse administer the injection?
A) 3 hours
B) 1-2 hours
C) 30-40 mins
D) 10-15 mins - Answer-D
NPH is an example of which type of insulin?
A) rapid-acting
B) short-acting
C) intermediate-acting
D) long-acting - Answer-C
A nurse is teaching a client recovering from diabetic ketoacidosis (DKA) about
management of "sick days". The client asks the nurse why it is important to monitor the
urine for ketones. Which statement is the nurses best response?
A) "ketones are formed when insufficient insulin leads to cellular starvation. As cells
rupture, they release these acids into the blood"
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller biggdreamer. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75759 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now