Title RECALLS 5 - NP3 - SC ✅

2 | Page hyperglycemic syndrome is made. Nurse Rosie would immediately prepare to initiate which anticipated doctor's order? A. Endotracheal intubation B. 100 units of NPH insulin C. Intravenous infusion of normal saline D. Intravenous infusion of sodium bicarbonate 12. An external insulin pump is prescribed for a client with diabetes mellitus. When the client asks the nurse about the functioning of the pump, the nurse bases the response on which information about the pump? A. It is timed to release programmed doses of either short-duration or NPH insulin into the bloodstream at specific intervals. B. It continuously infuses small amounts of NPH insulin into the bloodstream while regularly monitoring blood glucose levels. C. It is surgically attached to the pancreas and infuses regular insulin into the pancreas. This releases insulin into the bloodstream. D. It administers a small continuous dose of short- duration insulin subcutaneously. The client can self- administer an additional bolus dose from the pump before each meal. 13. A client with a diagnosis of diabetic ketoacidosis (DKA) is being treated in the emergency department. All findings support this diagnosis, which is not? A. Comatose state B. Deep, rapid breathing C. Increase in pH D. Elevated blood glucose level 14. The nurse teaches a client with diabetes mellitus about differentiating between hypoglycemia and ketoacidosis. The client demonstrates an understanding of the teaching by stating that a form of glucose needs to be taken if which symptoms develop? A. Polyuria, Shakiness, Palpitations B. Polydypsia, Blurred Vision, Light-headedness C. Fruity breath odor, Palpitations, Tremors D. Palpitations, Light-Headedness, Shakiness 15. A client with diabetes mellitus demonstrates acute anxiety when admitted to the hospital for the treatment of hyperglycemia. What is the appropriate intervention to decrease the client’s anxiety? A. Administer a sedative. B. Convey empathy, trust, and respect toward the client. C. Ignore the signs and symptoms of anxiety, anticipating that they will soon disappear. D. Make sure that the client is familiar with the correct medical terms to promote understanding of what is happening. 16. The nurse provides instructions to a client newly diagnosed with type 1 diabetes mellitus about measures to take if feeling sick to prevent diabetic ketoacidosis (DKA). The nurse recognizes an accurate understanding of measures to prevent DKA when the client makes which statement? A. “I will stop taking my insulin if I’m too sick to eat.” B. “I will decrease my insulin dose during times of illness.” C. “I will adjust my insulin dose according to the level of glucose in my urine.” D. “I will notify my doctor if my blood glucose level is higher than 250 mg/dL.” 17. A client is admitted to a hospital with a diagnosis of diabetic ketoacidosis (DKA). The initial blood glucose level is 950 mg/dL. A continuous intravenous (IV) infusion of short- acting insulin is initiated, along with IV rehydration with normal saline. The serum glucose level is now decreased to 240 mg/dL. The nurse would next prepare to administer which medication? A. An ampule of 50% dextrose B. NPH insulin subcutaneously C. IV fluids containing dextrose D. Phenytoin for the prevention of seizures 18. The nurse is monitoring a client diagnosed with diabetes mellitus for signs of complications. Nurse Noy wants to check if the client is compliant with the therapeutic regimen prescribed for her, so he monitored the: A. Fasting Blood Sugar B. Urine Glucose Level C. Rapid Glucose Test D. Glycosylated Hemoglobin 19. The nurse is preparing a plan of care for a client with diabetes mellitus who has hyperglycemia. The nurse places priority on which client problem? A. Lack of knowledge B. Inadequate fluid volume C. Compromised family coping D. Inadequate consumption of nutrients 20. The home health nurse visits a client with a diagnosis of type 1 diabetes mellitus. The client reports a history of vomiting and diarrhea and tells the nurse that no food has been consumed for the last 24 hours. Which additional statement by the client indicates a need for further teaching? A. “I need to stop my insulin.” B. “I need to increase my fluid intake.” C. “I need to monitor my blood glucose every 3 to 4 hours.” D. “I need to call my doctor because of these symptoms.” 21. A client with diabetes mellitus has a glycosylated hemoglobin A1c level of 8%. On the basis of this test result, the nurse plans to teach the client about the need for which measure? A. Avoiding infection B. Taking in adequate fluids C. Preventing and recognizing hypoglycemia D. Preventing and recognizing hyperglycemia   RESEARCH SITUATION: Nurse Shane plans to pursue a career in nursing research. She uses her knowledge to organize topics that she had in mind.    22. Nurse Shane wants to explore the topic ¨The Use of Pomodoro Technique in Increasing Exam Scores.¨ What is the independent variable for this research title? A. Pomodoro Technique B. Increasing C. Exam Scores D. Use 23. Since she is aware of the independent variable, she also wants to highlight the dependent variable, which is: A. Pomodoro Technique B. Increasing C. Exam Scores D. Use 24. Nurse Shane also remembered the research that she did during her undergrad. What is the independent variable in her research topic ¨The Effects of Health Vlogs on the Health Awareness of the Community¨ A. Health Vlogs B. Health Awareness C. Effects D. Community 25. Nurse Shane wants to identify the dependent variable for her research topic: ¨The Effects of Health Vlogs on the Health Awareness of the Community.¨ Which is the appropriate answer? A. Health Vlogs B. Health Awareness C. Effects D. Community DIABETES INSIPIDUS   SITUATION: Nurse Jeneena is caring for a client with diabetes insipidus. She is very cautious of her actions; thus, she reviewed the case of her client carefully.  26. Nurse Jeneena is assessing her patient with Diabetes Insipidus. Which key assessment finding would the nurse expect? A. Oliguria with high specific gravity B. Polyuria and Polydipsia C. Significant weight gain and edema D. Hyperglycemia 27. What is a priority nursing intervention for a patient experiencing acute symptoms of Diabetes Insipidus?
3 | Page A. Monitor fluid and electrolyte balance closely. B. Restrict fluid intake to decrease urine output. C. Administering insulin subcutaneously. D. Encouraging a low-protein diet to reduce kidney workload. 28. Her patient is prescribed desmopressin (DDAVP). As a knowledgeable nurse, she should educate the patient that this medication primarily works by: A. Blocking the action of ADH at the renal tubules. B. Stimulating adrenal hormone secretion. C. Replacing deficient antidiuretic hormone (ADH). D. Increasing insulin production from the pancreas. 29. When caring for a patient with Diabetes Insipidus, which laboratory value is the nurse most concerned about becoming dangerously elevated? A. Serum Sodium B. Hemoglobin C. Blood Glucose D. Serum Calcium 30. The nurse teaches the client who is newly diagnosed with diabetes insipidus about the prescribed intranasal desmopressin. Which statements by the client indicate additional teaching is required? A. “This medication will not turn my urine orange.” B. “I need to decrease my oral fluids when I start this medication. C. “The amount of urine I make should increase if this medicine is working.” D. “I need to report headache and drowsiness to my doctor since these symptoms could be related to my desmopressin.” SIADH 31. What is the primary pathophysiological characteristic of the Syndrome of Inappropriate Antidiuretic Hormone (SIADH)? A. Overproduction of aldosterone causing hypertension. B. Excessive release of ADH, leading to fluid retention and dilutional hyponatremia. C. Insufficient insulin production resulting in hyperglycemia. D. d. Deficient release of ADH leading to dehydration. 32. A nurse assessing a patient with SIADH would expect to find which clinical manifestation? A. Hypotension and tachycardia. B. Polyuria and intense thirst. C. Weight gain without significant edema and concentrated urine. D. High serum sodium (hypernatremia) and edema. 33. Which laboratory result is a key diagnostic finding in a patient with SIADH? A. Elevated Blood Urea Nitrogen (BUN) B. Serum Sodium < 135 mEq/L C. Urine Specific Gravity < 1.005 D. Serum Osmolality > 295 mOsm/kg 34. What is a priority nursing intervention for a patient hospitalized with SIADH and a serum sodium level of 120 mEq/L? A. Administering hypotonic IV fluids (e.g., 0.45% NaCl). B. Encouraging a liberal intake of oral fluids, especially water. C. Implementing and monitoring strict fluid restriction. D. Administering a potassium-sparing diuretic. 35. For a patient with severe hyponatremia from SIADH, the nurse should be vigilant for which major complication? A. Hypertensive crisis. B. Acute kidney injury. C. Cardiac arrhythmias. D. Seizures and cerebral edema. CUSHING'S SYNDROME   SITUATION: Patient Haley was diagnosed with Bell's palsy and was given Prednisone. She was advised to follow up after a week. However, the patient just continued the drug without follow-up. 36. What do you think will develop in this patient due to exogenous steroid intake? A. Addisons Disease B. Cushings Syndrome C. Hypothyroidism D. Hyperthyroidism 37. What manifestations would patient Haley most likely present?  A. Moon face B. Bronze Skin C. Fruity Breath D. None of the above 38. The best treatment for Patient Haley would be? A. Adrenalectomy B. Thyroidectomy C. Stop the prednisone right away D. Titrate the prednisone to discontinue 39. A nurse is caring for another patient with Cushing's Syndrome. Which nursing diagnosis would be most appropriate? A. Risk for Infection related to a hyperactive immune response B. Disturbed Body Image related to changes in physical appearance C. Imbalanced Nutrition: Less Than Body Requirements related to anorexia D. Risk for Deficient Fluid Volume related to polyuria 40. What is the primary cause of endogenous Cushing's Syndrome? A. Adrenal insufficiency B. Prolonged use of exogenous corticosteroids C. Insufficient estrogen D. Excessive secretion of ACTH by a pituitary tumor 41. Which clinical manifestation is a classic finding in a patient with chronic Addison's Disease? A. Exophthalmos and goiter B. Moon face and buffalo hump C. Bronze pigmentation of the skin and mucous membranes D. Weight gain and hypertension 42. A patient with Addison's Disease is at risk for which electrolyte imbalance? A. Hyperglycemia and hypercalcemia B. Hypocalcemia and hypermagnesemia C. Hypernatremia and hypokalemia D. Hyponatremia and hyperkalemia 43. When providing dietary teaching to a patient with Addison's Disease, the nurse should advise: A. A liberal intake of sodium and adequate fluid intake B. Strict sodium restriction to prevent edema C. A diet high in simple carbohydrates to avoid hypoglycemia D. Increased intake of potassium-rich foods 44. A patient with Addison's Disease is at highest risk for developing an adrenal crisis during which situation? A. Engaging in light exercise daily B. Experiencing a severe infection or undergoing major surgery C. Consuming a balanced diet D. A routine follow-up appointment with their endocrinologist 45. A patient with Addison's Disease is admitted with profound weakness, hypotension, and nausea. The nurse suspects an adrenal crisis. Which of the following lab values would the nurse anticipate? A. Normal blood glucose and normal serum potassium B. Low serum sodium and high serum potassium C. High serum sodium and low serum potassium D. High blood glucose and high serum sodium PALMR: LEGAL DOCTRINES 46. A hospital faces a lawsuit after a severe earthquake disrupts power, leading to critical equipment failure and patient harm. The hospital might invoke which legal doctrine to argue against liability? A. Respondeat Superior B. Force Majeure C. Res Ipsa Loquitor D. False Imprisonment 47. A nurse, while on duty, commits an act of negligence that causes harm to a patient. Under which legal doctrine could the hospital employing the nurse also be held liable for the nurse's actions? A. Respondeat Superior B. Force Majure