NURSING 212 EXAM 2. LATEST 2020/2021. A GRADED

NURSING 212 EXAM 2 Question 1 A patient with Type 2 Diabetes has been diagnosed with Hyperglycemic Hyperosmolar Syndrome (HHS). The patient’s spouse asks the RN which symptoms characterize this disorder. Which are th ...

NURSING 212 EXAM 2 Question 1 A patient with Type 2 Diabetes has been diagnosed with Hyperglycemic Hyperosmolar Syndrome (HHS). The patient’s spouse asks the RN which symptoms characterize this disorder. Which are the most appropriate responses by the RN? Select all that apply. a. Slow heart rate b. Abdominal obesity c. Change in mental status d. Taut, P.1445 e. Low blood pressure Question 2 The RN would expect to see which symptom when caring for a patient with common bile duct obstruction due to gallbladder disease? a. Hematuria b. Pale, dilute urine c. Excess of vitamin K d. Clay-colored feces P.1393 Question 3 Which instruction should the RN give to the LPN when assigning care of a patient with Type 1 Diabetes Mellitus who is prescribed lispro (HumaLog)? a. Take a fingerstick blood glucose 30 minutes after injecting the medication. b. Offer 4 ounces of fruit juice prior to taking the medication. c. Administer lispro (HumaLog) 20-30 minutes before a meal. N - c d. Provide food within 5 minutes of taking the medication. Question 4 The RN instructs the LPN to notify her if the next urinalysis result shows which of the following for a patient experiencing cramping pain in the left retroperitoneal area? a. Red blood cells n/c b. Ketones c. Glucose d. Protein Question 5 The RN is teaching a client about signs and symptoms of macrovascular complications of Diabetes Mellitus, which will include which of the following? a. Peripheral Neuropathy b. Sexual Dysfunction c. Intermittent claudication d. Diabetic Retinopathy Question 6 Which statement made by the patient who is being discharged following a non-laparoscopic cholecystectomy indicates to the RN that more education is needed? a. “I should avoid all fat and limit protein and carbohydrates in my diet.” P.1400 low in fat high in carbs and protein b. “I can expect the number of stools each day to decrease in several weeks.” c. “I need to call my surgeon if my skin appears yellow in color.” d. “I will change the dressing around the drainage tube to keep my skin dry.” Question 7 When teaching a teenaged client newly diagnosed with Type I Diabetes Mellitus about the importance of follow-up care, which type of collaborative care would the RN recommend at this time? a. Follow-up with a Podiatrist. b. Follow-up with an Ophthalmologist. c. Follow-up with a Cardiologist. d. Follow-up with an Endocrinologist. Question 8 While the RN is teaching a new diabetic client about the insulin regimen that will need to be followed, the client expresses fear about self-injection. Which item should be taught first to this client? a. How to mix two insulins in one syringe b. How to insert the needle and inject c. How to store the insulin d. How to prepare the insulin Question 9 Which intervention should the RN implement when caring for a patient diagnosed with Addisonian crisis? a. Maintaining a tracheotomy set at bedside for emergency insertion. b. Encouraging attendance at physical therapy. c. Infusing intravenous fluid replacement with glucose and electrolytes. P. 1495 d. Initiating patient-controlled analgesic (PCA). Question 10 Which nursing intervention is a priority for the patient admitted with a diagnosis of Acute Pancreatitis? a. Withhold all oral intake. P. 1403 Medical Mgmt b. Administer ranitidine (Zantac). c. Administer meperidine (Demerol). d. Insert a nasogastric tube. Question 11 Which task should the RN assign to the LPN when providing care for a patient diagnosed with Acute Pancreatitis that is experiencing retroperitoneal edema? a. Administer insulin subcutaneously b. Administer oral antibiotics c. Administer acetaminophen (Tylenol) d. Administer oxygen via nasal cannula Question 12 Which data findings should the RN expect to find when assessing an adult patient diagnosed with Acromegaly? a. Extreme fatigue with tingling of the fingers. b. Severe headaches and visual disturbances.