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Unit I Review draft

Total questions: 17

Worksheet time: 9mins

Name
Class
Date
1.

A patient is experiencing muscle twitching and tetany. Which electrolyte imbalance is most likely present?

a)

Hypercalcemia

b)

Hypocalcemia

c)

Hyperkalemia

d)

Hypokalemia

2.

Which electrolyte has an inverse relationship with phosphorous?

a)

potassium

b)

calcium

c)

magnesium

d)

sodium

3.

A patient is admitted with severe dehydration. Which of the following lab results would the nurse expect to find?

a)

Low hematocrit

b)

Low serum sodium

c)

Elevated blood urea nitrogen (BUN)

d)

Low serum potassium

4.

A patient is prescribed insulin glargine once daily. When should this insulin be administered?

a)

15 minutes before meals

b)

With each meal

c)

At bedtime

d)

At the same time every day

5.

A patient with Type II Diabetes asks about the benefits of exercise. Which response by the nurse is most appropriate?

a)

Exercise helps increase insulin sensitivity.

b)

Exercise can eliminate the need for medication.

c)

You should avoid high-intensity exercise.

d)

Exercise will lower your A1C by at least 3%.

6.

The nurse administers 10 units of regular insulin to a patient with Type II Diabetes before breakfast. What should the nurse do next?

a)

Administer another dose if blood glucose is not below 120 mg/dL in 30 minutes

b)

Ensure the patient eats within 15-30 minutes

c)

Assess for signs of hyperglycemia within 1 hour

d)

Withhold the patient’s breakfast for at least 1 hour

7.

You're caring for a patient with type II diabetes mellitus. The patient is scheduled for a coronary angiogram tomorrow. Which of the following scheduled medication orders should you question?

a)

simvastatin 80mg qHS

b)

lisinopril 20mg daily

c)

metformin 500mg BID

d)

metoprolol 25mg BID

8.

A nurse is evaluating a patient's risk for electrolyte imbalance. Which of the following patients is at highest risk for developing hyperkalemia?

a)

A patient with chronic kidney disease

b)

A patient taking diuretics

c)

A patient with alcoholism

d)

A patient with excessive sweating

9.

A patient is admitted with severe dehydration. Which of the following lab results would the nurse most likely to expect?

a)

Low hematocrit

b)

Low serum sodium

c)

Elevated blood urea nitrogen (BUN)

d)

Low serum potassium

10.

A patient with a potassium level of 3.0 mEq/L has 40 mg IV furosemide due, what should the nurse do?

a)

Notify the physician

b)

Recheck potassium in 4 hours

c)

Administer as ordered

d)

Encourage pt to eat a banana with lunch

11.

A patient's K+ is 6.4, what should the nurse do first?

a)

Administer 1 gram calcium gluconate IVPB

b)

Place patient on cardiac monitor

c)

Turn on bed alarm

d)

Anticipate STAT dialysis

12.

A patient reports drinking large amounts of water on a hot day. Pt complains of a headache. Which electrolyte imbalance is expected?

a)

Hypernatremia

b)

Hypokalemia

c)

Hypercalcemia

d)

Hyponatremia

13.

A patient presents with confusion and lethargy. The nurse suspects an electrolyte imbalance. Which lab result would most likely confirm this suspicion?

a)

Sodium 125 mEq/L

b)

Potassium 3.7 mEq/L

c)

Calcium 9.0 mg/dL

d)

Magnesium 1.7 mg/dL

14.

An unresponsive patient with diabetes is found to have a blood glucose level of 35 mg/dL. What is the most appropriate initial intervention?

a)

Administer oral glucose gel

b)

Start an insulin infusion

c)

Administer 50% dextrose IV

d)

Give the patient orange juice

15.

After treating an unresponsive patient for hypoglycemia with IV dextrose, which assessment is most important to perform next?

a)

Administer insulin

b)

Reassess blood glucose level

c)

Give oral fluids

d)

Check blood pressure

16.

A nurse is prioritizing care for four patients. Which patient is at greatest risk for respiratory failure due to an electrolyte imbalance?

a)

A patient with serum calcium of 9.5 mg/dL and muscle cramps

b)

A patient with serum sodium of 148 mEq/L and dry mucous membranes

c)

A patient with serum magnesium of 2.0 mg/dL and normal ECG

d)

A patient with serum potassium of 2.1 mEq/L and shallow breathing

17.

The nurse administers 12 units of regular insulin to the client at 0700. At which time should the nurse assess for potential problems related to the administration of the insulin?

a)

1000

b)

1500

c)

0800

d)

1700