IMS Final Exam Review Part 2

Nora, a nurse, is reviewing the laboratory results of a client with Addison disease. Which laboratory finding should Nora expect to find in this client?

• Elevated blood glucose

• Increased sodium levels

• Decreased cortisol levels

• High aldosterone levels

Maya, a nurse on an endocrine floor, is beginning her morning rounds. She is assigned four patients. Which patient should Maya prioritize for assessment?

• The patient with newly diagnosed diabetes mellitus who is reporting increased thirst and urination.

• The patient who is two days post-parathyroidectomy and is experiencing tingling around the mouth and in the fingertips.

• The patient with Cushing's syndrome who has mild hypertension and facial puffiness.

• The patient with hyperthyroidism who is anxious and has a rapid heart rate.

Ava, a client with a diagnosis of diabetic ketoacidosis (DKA), arrives at the emergency department for treatment. Which findings support this diagnosis? Select all that apply.

• Increase in pH

• Comatose state

• Deep, rapid breathing

• Decreased urine output

• Elevated blood glucose level

Charlotte, who has diabetes, calls the nurse and says, 'I have been vomiting all day. Should I stop my insulin injections?' What is the nurse's best response?

• Stop insulin until you are consuming food again

• Continue normal insulin dosage and monitor blood sugar every 3 to 4 hours

• Decrease each dose by 2 units

• Increase each dose by 2 units

Tags

NGSS.HS-LS1-3

Nora has a condition where her body cannot produce insulin. When her blood sugar is low and there is no insulin available, what does her body primarily use for energy?

• fats

• carbohydrates

• proteins

• vitamins

Ava, who has diabetes, is concerned about the effects of drinking alcohol. What adverse effect is she at increased risk for?

• hypoglycemia

• hyperglycemia

James is at a clinic for a routine check-up. His blood sugar is measured at 70 mg/dL, and he is alert and orientated. What is the best treatment for James?

• 15 grams of a fast acting carbohydrate

• 30 grams of a short acting carbohydrate

• snickers bar

• table sugar packets

Tags

NGSS.HS-LS1-3

During a physical assessment, Charlotte, a nurse, percusses the suprapubic area of a client who has not voided for several hours and notes a dull sound. What does this finding most likely indicate?

• The client's bladder is distended with urine.

• The client has a normal bladder volume.

• The client is experiencing dehydration.

• The client has a bowel obstruction.

Zoe has been admitted to the hospital for a urinary tract infection and dehydration. After receiving treatment, the nurse checks Zoe's blood urea nitrogen (BUN) level to determine if she has received adequate volume replacement. To which value should Zoe's BUN level drop to indicate adequate hydration?

• 3 mg/dL (1.05 mmol/L)

• 15 mg/dL (5.25 mmol/L)

• 29 mg/dL (10.15 mmol/L)

• 35 mg/dL (12.25 mmol/L)

During a biology class, Daniel learns that a certain hormone helps the body retain 1 and excrete 2 . Which substances is this hormone affecting?

(a)   ​ (b)  

• sodium
• potassium

Tags

NGSS.HS-LS1-3