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Final exam NUR2030 – questions latest download already graded /[2024-2025], Exams of Nursing

Cheyney University of Pennsylvania Nursing

Final exam NUR2030 – questions latest download already graded /[2024-2025]

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2024/2025

Available from 07/14/2025

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Final exam NUR2030 – questions latest download

already graded /[2024-2025]

1. A patient is admitted for treatment of Cushing's syndrome. The nurse

cor- relates this disease process to which alteration in endocrine

function?

A. Decreased glucocorticoid level

B. Elevated aldosterone secretion

C. Decreased aldosterone secretion

D. Elevated glucocorticoid level: D. Elevated glucocorticoid level

2. A nurse is caring for a client who is 1 day postoperative following a

subtotal thyroidectomy. The client reports a tingling sensation in the

hands, the soles of the feel, and around the lips. For which of the

following findings should the nurse assess the client?

A. Chvostek's sign

B. Brudzinski's sign

C. Babinski's sign

D. Kernig's sign: A. Chvostek's sign

3. A nurse is assessing a client who is admitted for elective surgery and

has a history of Addison's disease. Which of the following finds should

the nurse expect?

A. Purple striations

B. Intention tremors

C. Hyperpigmentation

D. Hirsutism: C. Hyperpigmentation

4. A client who has Type 2 diabetes mellitus asks the nurse, Why did I

develop diabetes? Which of the following responses should the nurse

make?

A. Your body is destroying the cells that secrete insulin

Partial preview of the text

Download Final exam NUR2030 – questions latest download already graded /[2024-2025] and more Exams Nursing in PDF only on Docsity!

Final exam NUR2030 – questions latest download

already graded /[2024-2025]

A patient is admitted for treatment of Cushing's syndrome. The nurse cor- relates this disease process to which alteration in endocrine function? A. Decreased glucocorticoid level B. Elevated aldosterone secretion C. Decreased aldosterone secretion D. Elevated glucocorticoid level: D. Elevated glucocorticoid level
A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feel, and around the lips. For which of the following findings should the nurse assess the client? A. Chvostek's sign B. Brudzinski's sign C. Babinski's sign D. Kernig's sign: A. Chvostek's sign
A nurse is assessing a client who is admitted for elective surgery and has a history of Addison's disease. Which of the following finds should the nurse expect? A. Purple striations B. Intention tremors C. Hyperpigmentation D. Hirsutism: C. Hyperpigmentation
A client who has Type 2 diabetes mellitus asks the nurse, Why did I develop diabetes? Which of the following responses should the nurse make? A. Your body is destroying the cells that secrete insulin

B. Your body has insulin resistance and decreased insulin secretion C. Your kidneys are not able to reabsorb water which leads to Type 2 diabetes mellitus. D. An infection in your pancreas destroyed the cells that make insulin: B. Your body has insulin resistance and decreased insulin secretion

The nurse recognizes that the patient with dysfunction of the posterior pituitary gland is at risk for which disorder? A. Diabetes insipidus B. Type 2 diabetes mellitus C. Acromegaly D. Osteoporosis: A. Diabetes insipidus
A nurse is teaching a client who has type 1 diabetes mellitus about exercise. Which of the following instructions should the nurse include? A. Examine your feet weekly B. Do not exercise if ketones are present in your urine C. Perform vigorous exercise when blood glucose is less than 100 mg D. Avoid eating for 2 hours before exercise: B. Do not exercise if ketones are present in your urine.
A client with syndrome of inappropriate antidiuretic hormone (SIADH) is ex- periencing a headache and confusion. The nurse correlates which laboratory result to this clinical presentation of SIADH? A. Calcium 8.7 mEq/L (Range: 8.5 - 10.2 mEq/L) B. Sodium 125 mEq/L (Range: 135-145 mEq/L) C. Hematocrit 40% (Range: 37-52%) D. Potassium 5.5 mEq/L (Range: 3.5 - 5.2 mEq/L): B. Sodium 125 mEq/L (Range: 135-145 mEq/L)
A nurse is teaching a client who is taking metformin XR (Glucophage ER) for type II diabetes mellitus. Which of the following instructions should the nurse include in the teaching? A. This medication may turn your urine orange. B. You may crush or chew the medication. C. Take the medication with a meal

A. Serum sodium 146 mEq/L (Range 135-145 mEq/L) B. Urine specific gravity 1.014 (Range: 1.005-1.030) C. Blood glucose 80 mg/dL (Range: 70-110 mg/dL) D. Blood urea nitrogen (BUN) 15 mg/dL )Range: 6 - 24 mg/dL): B. Urine specific gravity 1.015 (Range: 1.005 - 1.030)

A nurse is caring for a client who has diabetic ketoacidosis. Which of the following manifestations should the nurse expect? A. Cheyne-Stokes breathing B. Acetone odor to breath C. Malignant hypertension D. Blood glucose level below 40 mg/dL: B. Acetone odor to breath
A nurse is assessing a client who has hyperthyroidism. The nurse should expect the client to report which of the following manifestations? A. Constipation B. Weight gain of 4.5 kg (10 lb) in 3 weeks C. Frequent mood changes D. Sensitivity to cold: C. Frequent mood changes
A nurse is caring for a client who has Cushing's syndrome. Which of the following interventions should the nurse expect to perform? Select all that apply. A. Assess for neck vein distention B. Weigh the client daily C. Monitor for postural hypotension D. Access blood glucose level E. Monitor for an irregular heart rate: A. Assess for neck vein distention B. Weigh the client daily D. Assess blood glucose level
A nurse is reviewing guidelines to prevent DKA during periods of illness with a client who has type 1 diabetes mellitus. Which of the following instruc- tions should the nurse include in the teaching? A. Test your blood glucose level every 8 hours B. Check your urine for ketones

C. Withhold your usual daily dose of insulin D. Drink 240 to 360 milliliters of calorie-free liquids every 8 hours: B. Check your urine for ketones

The nurse monitors for which clinical manifestations in the patient diag- nosed with pheochromocytoma? Select all that apply. A. Dry skin B. Palpitations C. Hypertension D. Chest pain E. Weight gain: B. Palpitations C. Hypertension D. Chest pain
A nurse is teaching a client who has type 1 diabetes mellitus about foot care. Which of the following statements by the client indicates an understand- ing of the teaching? A. I'll wear sandals in warm weather B. I'll soak my feet in cool water every night before I go to bed. C. I'll put lotion between my toes after drying my feet D. I'll check my feet every day for sores and bruises: D. I'll check my feet every day for sores and bruises.
A nurse is working for a home health agency is teaching a client who has diabetes mellitus about disease management. Which of the following glyco- sylated hemoglobin (HbA1c) values should the nurse include in the teaching as an indicator that the client is appropriately controlling his glucose levels? (Normal range: less than 5.7% in non- diabetic, less than 7% in diabetic) A. 6.3% B. 8.5% C. 10% D. 7.8%: A. 6.3%
A nurse in an emergency department is caring for a client who has diabetic ketoacidosis (DKA) and a blood glucose level of 725 mg/dL. The nurse should anticipate which of the following prescriptions from the

treated in the emergency department. Which findings would the nurse expect to note as confirming this diagnosis? Select all that apply. A. Elevated blood glucose level B. Low plasma bicarbonate level C. Decreased urine output D. Comatose state E. Increase in pH F. Deep, rapid breathing: A. Elevated blood glucose level B. Low plasma bicarbonate level F. Deep, rapid breathing

A client is admitted to the hospital with a diagnosis of diabetic ketoacidosis (DKA). The initial blood glucose level was 550 mg/dL. A continuous insulin infusion of short-acting insulin is initiated along with intravenous rehydration with normal saline. The serum glucose is now 235 mg/dL. The nurse would next prepare to administer which item? A. NPH Insulin subcutaneously B. Intravenous fluids containing dextrose C. Phenytoin (Dilantin) for the prevention of seizures D. Ampule of 50% dextrose: B. Intravenous fluids containing dextrose
A nurse is assessing a client who has hypothyroidism. The nurse should expect which of the following findings? A. Exophthalmos B. Weight gain C. Palpitations D. Diaphoresis: B. Weight gain
The nurse provides instructions to a client diagnosed with type 1 diabetes mellitus. The nurse recognizes understanding of measures to prevent diabetic ketoacidosis (DKA) when the client makes which statement? A. I will decrease my insulin dose during times of illness B. I will notify my healthcare provider if my blood glucose level is higher than 250 mg/dL C. I will stop taking my insulin if I'm too sick to eat

D. I will adjust my insulin dose according to the level of glucose in my urine.: B. I will notify my healthcare provider if my blood glucose level is higher than 250 mg/dL

A nurse is assessing a female client who is at risk for developing type 2 diabetes mellitus. The nurse should identify that which of the following manifestations increases the client's risk for developing type 2 diabetes? A. Abdominal girth 32 inches B. Blood pressure 138/98 mm Hg C. Fasting blood glucose 98 mg/dL (Range: 60 - 100 mg/dL) D. Triglyceride level 100 mg/dL (Range: <150 mg/dL): B. Blood pressure 138/98 mm Hg
A nurse is assessing a client who has myxedema. Which of the following findings should the nurse expect? A. Heat intolerance B. Facial edema C. Diarrhea D. Tachycardia: B. Facial edema
A nurse is caring for a client who is in a myxedema coma. Which of the following actions should the nurse take? A. Place the client on aspiration precautions B. Turn the client every 4 hr. C. Check the client's blood pressure every 2 hr. D. Initiate measures to cool the client.: A. Place the client on aspiration precau- tions
A nurse is collecting the medical history from a client who has manifesta- tions of syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should ask the client if he has a history of which of the following conditions that can cause SIADH? A. Osteoarthritis B. Liver cirrhosis

breakfast at which of the following times? A. 0815 B. 0720 C. 0730 D. 0745: D. 0745

A nurse is assessing a client to identify risk factors for disease. Which of the following findings is a risk factor for metabolic syndrome? A. History of asthma B. Large waist size C. Hypotension D. Hypoglycemia: B. Large waist size
A client is recovering from a thyroidectomy. Which observation needs to be reported immediately to the healthcare provider? A. Changes in voice tone B. Incisional pain C. Blood pressure 138/70 mm Hg D. Hypoactive bowel sounds: A. Changes in voice tone
The nurse is reviewing orders written for a client with syndrome of inappro- priate antidiuretic hormone (SIADH). Which order should the nurse question? A. Furosemide (Lasix) 20 mg by mouth every day B. No added salt diet C. Fluid restriction 1 L/day D. Intravenous fluids 0.9% normal saline 125 mL/hour: D. Intravenous fluids 0.9% normal saline 125 mL/hour
A nurse is caring for an adolescent client who has a long history of dia- betes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client? A. Insulin glargine B. Insulin detemir

C. NPH Insulin D. Regular insulin: D. Regular insulin

The nurse is interviewing a client with type 2 diabetes mellitus. Which statement by the client indicates an understanding of the treatment for this disorder? A. I take oral insulin instead of shots B. The medications I'm taking help the insulin I already make work more effectively C. By taking these medications, I am able to eat more D. When I become ill, I need to increase the number of pills I take.: B. The medications I'm taking help the insulin I already make work more effectively
A nurse is talking with a client whose thyroid-stimulating hormone (TSH) level will be measured. Which of the following statements by the nurse ex- plains the purpose of this test? A. This test determines whether your thyroid gland is overactive, appropriately active, or underactive B. This test measures the absorption of iodine and how it relates to the thyroid gland C. This test detects anti-thyroid antibodies in your blood D. This test measures the amount of thyroid hormone that attaches protein in your blood.: A. This test determines whether your thyroid gland is overactive, appropriately active, or underactive
A nurse is teaching about levothyroxine (Synthroid) with a client who has primary hypothyroidism. Which of the following statements should the nurse use when teaching the client A. Take this medication until your symptoms are gone and then discontinue B. Symptoms improve immediately after starting the medication C. Tremors, nervousness, and insomnia may indicate your dose is too high D. The medication decreases the overproduction of the thyroid hormone thy- roxine: C. Tremors, nervousness, and insomnia may indicate your dose is too high

head and trunk to tip backward: D. Hold the newborn in a semi-sitting position, then allow the newborn's head and trunk to tip backward

A nurse is caring for a newborn and observes sigs of diaphoresis, jitteri- ness, and lethargy. Which of the following actions should the nurse take: A. Monitor the newborn's blood pressure B. Obtain blood glucose by heel stick

C. Initiate phototherapy D. Place the newborn in a radiant warmer: B. Obtain blood glucose by heel stick

A nurse is caring for a client who is 16-hr postpartum and states "My baby has been breathing funny, fast and slow, off and on." Which of the following responses should the nurse provide? A. Let's sit here together and observe your baby while you feed him B. Why do you think there is something wrong with that? C. There's nothing for you to worry about. newborns often breathe that way D. Most new mothers feel somewhat anxious about things like that.: A. Let's sit here together and observe your baby while you feed him
A nurse is caring for a newborn 4 hr after birth. Which of the following actions should the nurse include in the plan of care to prevent jaundice? A. Begin phototherapy B. Initiate early feeding C. Suction excess mucus with a bulb syringe D. Prepare for an exchange blood transfusion: B. Initiate early feeding
The nurse completes an initial newborn examination. The nurse's find- ings include the following: heart rate, 136 beasts/ minute; respirator rate, 54 breaths/minute; temperature, 98.2F (36.8C). The nurse also documents a heart murmur, absences of bowel sounds, symmetry of ears and eyes, no grunting or nasal flaring, and full range of movement of all extremities. Which find requires immediate consultation with the healthcare provider? A. Respiratory rate B. Absent bowel sounds C. Heart murmur D. Temperature: B. Absent bowel sounds
A nurse is caring for a newborn who has hydrocephalus. Which of the following manifestations should the nurse expect to find? A. A backward sloping appearance of the forehead

A. Blue coloring of the hands and feet B. Facial edema C. Soft, edematous area o the scalp D. Poor sucking: D. Poor sucking

A parent calls a clinic and reports to a nurse that his 2-month old infant is hungry more than usual but is projectile vomiting immediately after eating. Which of the following responses should the nurse make? .A. Burp your baby more frequently during feedings. B. Try switching to a different formula C. Give your infant an oral rehydration solution D. Bring your baby in to the clinic today: D. Bring your baby in to the clinic today
A nurse is caring for a newborn and auscultates an apical heart rate of 130/min. Which of the following actions should the nurse take? A. Prepare the newborn for transport to the NICU B. Call the provider to further assess the newborn C. Ask another nurse to verify the heart rate D. Document this as an expected finding: D. Document this as an expected finding
A nurse is planning care of a newborn who has spina bifida. Which of the following actions should be included in the plan of care? A. Apply snug clean diapers. B. Place the newborn in the prone position C. Cover the lesion with a dry dressing D. Obtain rectal temperatures: B. Place the newborn in the prone position
A nurse is assessing a newborn. Which of the following should the nurse understand is a clinical manifestation of pyloric stenosis. A. Absent bowel sounds B. Increased sodium levels C. Golf ball sized mass over the left quadrant D. Projectile vomiting after feedings: D. Projectile vomiting after feedings
A nurse is preparing to assess a newborn who is postmature. Which

of the following findings should the nurse expect? Select all that apply A. Positive Moro reflex B. Abundant lanugo

D. Your baby should sleep at least 6 hours between feedings: B. Your baby should wet 6 to 8 diapers per day

The nurse is assessing a newborn who was born to a mother with sub- stance use disorder. Which assessment finding would alert the nurse to a potential related complication?

A. Excessive hunger B. Lethargy C. Constant high-pitched cry D. Sleepiness: C. Constant high-pitched cry

A nurse is caring for a client who is 6 hr postpartum. The client is Rh- neg- ative and her newborn is Rh-positive. The client asks why an indirect Coombs test was ordered by the provider. Which of the following is an appropriate response by the nurse? A. It determines the presence of maternal antibodies in the newborn's blood B. It detects Rh-positive antibodies in the mother's blood. C. It detects Rh-negative antibodies in the newborns blood D. It determines if kernicterus will occur in the newborn: B. It detects Rh- positive antibodies in the mother's blood.
A school nurse is performing a routine health assessment for a a school-age child. Which of the following findings indicates the nurse should investigate further for pediculosis capitis (lice)? A. Pruritus of the scalp B. Dry patches on the scalp C. Blisters on the scalp D. Bald patches on the scalp: A. Pruritus of the scalp
A nurse is teaching a parent of a 2-year-old child about safe food choices. Which of the following foods should the nurse recommend? A. Bananas B. Grapes C. Celery D. Raw carrots: A. Bananas
A nurse is caring for a child who has rheumatic fever. When obtaining the child's medical history from the parent, the nurse should recognize the significance of which of the following data as the possible source of the child's infection?