Download NUR 212 Midterm Exam: Endocrine and Gastrointestinal Disorders and more Exams Nursing in PDF only on Docsity!
NUR 212 MIDTERM EXAM||2025-2026||ACTUAL EXAM
WITH CORRECT &VERIFIED ANSWERS||A+ GRADE
1.1M4EN
2 points possible (graded, results hidden) Which nursing intervention is a priority for the patient with Graves’ disease who presents to the emergency room with a high fever, extreme tachycardia, sweating, abdominal pain and altered mental status? Apply a hypothermia blanket or ice packs. Begin infusion of 0.9% sodium chloride. Administer thyroid hormone medications. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.
2.1 M4EN
2 points possible (graded, results hidden) Which statement made to the RN by a patient diagnosed with Myxedema who is taking levothyroxine indicates the need for additional education? "I need to have routine blood draws while taking this medication.” "I should call my provider with symptoms of sweating and palpitations.” “I should take levothyroxine with meals to minimize GI upset.” submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.
3.1M4EN
2 points possible (graded, results hidden) Which assessment finding would indicate to the RN that the patient is in Stage 1 Hepatic Encephalopathy? Lethargy Fetor hepaticus Stupor
submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.
4.1M4EN
2 points possible (graded, results hidden) Which nursing intervention takes priority when providing care to a patient with Acute Pancreatitis? Insert nasogastric tube. Maintaining intake and output. Assessment of skin turgor. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.
5.1M4EN
2 points possible (graded, results hidden) Which intervention should the RN implement for the patient receiving long-term prednisone therapy? Provide a low-protein diet. Encourage foot exercises when in recumbent position. Restrict high-calcium foods. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.
6.2M4EN
2 points possible (graded, results hidden) Which of the following is recommended regarding exercise in a person with Diabetes Mellitus? Avoid exercise when the blood glucose level exceeds 250 mg/dL. Inspect feet prior to each exercise session. Exercise before breakfast.
submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.
7. 2 M4EN
2 points possible (graded, results hidden) The RN would expect to see which symptom when caring for a patient with common bile duct obstruction due to gallbladder disease? Clay-colored feces Hematuria Weight gain submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.
10.1M4EN
2 points possible (graded, results hidden) Which information should the RN include in the discharge education for the patient following a laparoscopic cholecystectomy? Select all that apply. Avoid sexual activity for at least 30 days. Phone the surgeon’s office if you experience a fever for more than 24 hours. Avoid lifting objects greater than 5 pounds for one week after surgery. Clean the puncture site daily with alcohol. Introduce fat back into the diet gradually. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.
11.2M4EN
2 points possible (graded, results hidden) Which symptom reported by the patient immediately following the surgical removal of the thyroid and parathyroid gland requires intervention by the RN?
Earache Increased appetite Foot cramps submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.
12.1M4EN
2 points possible (graded, results hidden) Which intervention is most important for the RN to implement for the patient that is one-hour postoperative thyroidectomy? Encourage the patient to speak. Observe posterior neck for bleeding. Monitor serum calcium level. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.
13.1M4EN
2 points possible (graded, results hidden) Which intervention should the RN implement first when the patient diagnosed with diabetes is confused and diaphoretic with slurred speech? Call the healthcare provider. Take a set of vital signs. Administer a fast-acting concentrated carbohydrate. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.
14.2M4EN
2 points possible (graded, results hidden) Which assessment finding in the patient with untreated Hypothyroidism should the RN report to the primary care provider?
calcium carbonate tablets 0.45% normal saline IV calcitonin submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.
18.1M4EN
2 points possible (graded, results hidden) Which assessment finding in the patient diagnosed with hypoparathyroidism needs to be reported to the provider? Facial twitching when a radial pulse is taken. Pain in all joints and the back. Spasm of the hand and wrist during a manual blood pressure reading. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.
19.1M4EN
2 points possible (graded, results hidden) The RN manager is organizing Quality and Safety Education for Nurses (QSEN) sessions with the goal of reducing complications in the client with Type 1 Diabetes Mellitus. Which initiative is most likely to achieve the goal of reducing complications? Mandate client foot checks on the unit at least once a shift. Place color-coded wristbands on all diabetic clients. Keep the unit refrigerator stocked with low-glycemic snacks. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.
20.1M4EN
2 points possible (graded, results hidden)
Liver transplantation involves many ethical considerations, especially with regards to allocation of organs. Which strategy is most appropriate to determine transplant need and minimize ethical considerations? Evaluating client for any history of drug or alcohol abuse. Use of the Model for End-Stage Liver Disease classification system. Determining client motivation to adhere to the post-transplant treatment regimen. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.
21.1M4EN
2 points possible (graded, results hidden) Which data finding for the patient with Acute Kidney Injury requires collaboration by the RN with the interprofessional team? Urine output of 80 mL per hour BUN of 35 mg Creatinine of 0.5 mg submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.
22.1M4EN
2 points possible (graded, results hidden) Which are known risk factors for the development of cholelithiasis? Select All that Apply Oral contraceptives Male gender Diabetes Age under 40 Obesity submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.
23.1M4EN
26.2M4EN
2 points possible (graded, results hidden) Which assessment is the priority for the RN to implement before administering sodium polystyrene sulfonate to a patient with Acute Kidney Injury? Serum digoxin level. Serum dilantin level. Serum potassium level. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.
27.2M4EN
2 points possible (graded, results hidden) Which is the initial step for the RN to perform when caring for a client who is scheduled for hemodialysis? Monitor for complications submitted Ensure the client has been NPO for 8 hours submitted Assess the bruit at the vascular access site submitted Access the fistula submitted Change the sterile dressing around the catheter submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.
28.2M4EN
2 points possible (graded, results hidden) What information about “sick-day rules” should the RN include in the teaching plan for a patient with Diabetes Mellitus? Hold the insulin dose to account for reduced food intake Check blood sugar and urine for ketones every 3 - 4 hours. Avoid consuming juice, soda or gelatin. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.
29.1M4EN
2 points possible (graded, results hidden) Which client assignment is most appropriate to delegate to the LPN? The client who is undergoing endoscopic retrograde cholangiopancreatography The client with acute pancreatitis who has hypocalcemia The client who had a percutaneous transhepatic cholangiography 2 hours ago submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.
30.2M4EN
2 points possible (graded, results hidden) Which laboratory value for the older adult patient admitted with mental status changes and decreased intake of oral fluids requires the RN to collaborate with the interprofessional team? Serum chloride of 110 mEq/L Serum ammonia level 20u/Mol/L Serum sodium of 151 mEq/L submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.
34.1M4EN
2 points possible (graded, results hidden) Which teaching point needs to be included for a client who had been prescribed a Sulfonylurea medication? This class of medications shouldn’t be taken if the patient has a penicillin allergy. These medications should be taken once a day 30-60 minutes before a meal. These medications can cause hypoglycemia. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.
35.2M4EN
2 points possible (graded, results hidden) Which of the following assessment findings indicate that it is necessary for the patient with End Stage Kidney Disease to take recombinant human erythropoietin? Hemoglobin of 10 g/dL Hematocrit of 38% Blood pressure of 170/ submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.
36.1M4EN
2 points possible (graded, results hidden) Which data finding indicates to the RN that the patient is in the oliguria period of Acute Kidney Injury? Creatinine of 2.2 mg/dL Urine specific gravity of 1. BUN 20mg/dL submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.
37.1M4EN
2 points possible (graded, results hidden) A client is preparing to donate a kidney to an identical sibling. Which comment indicates that the client may be experiencing an ethical conflict about this donation? I hope my family relationships will be better after I go through this.” “I have never had surgery before and I’m concerned about the procedure.” “What if I need my kidney in the future?” submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.
38.1M4EN
2 points possible (graded, results hidden) Which statement is most appropriate for the RN to make when a client asks if he could combine his glargine insulin with his lispro insulin? “Glargine can be combined with lispro in one injection, but only once a day since it’s long acting insulin.” “You can combine the insulins in a syringe, but you cannot mix them in an insulin pen.” “Glargine must be given by itself and cannot be combined with other insulins.” submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.
39.1M4EN
2 points possible (graded, results hidden) Based on the mechanism of action, which medication will be held by the RN when the patient is undergoing dialysis? docusate sodium metoprolol diphenhydramine submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button.
submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.
43.1M4EN
2 points possible (graded, results hidden) Which intervention is most appropriate a patient diagnosed with Acute Pancreatitis that is experiencing retroperitoneal edema? Administer oxygen via nasal cannula Administer acetaminophen Administer 0.9% sodium chloride intravenously submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.
44.1M4EN
2 points possible (graded, results hidden) Which statement made by the patient who is being discharged following a laparoscopic cholecystectomy indicates to the RN that more education is needed? “I should avoid all fat and limit protein in my diet.” “I wash the incision site with soap and water daily.” “I can use a heating pad for any abdominal discomfort.” submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.
45.0M4EN
2 points possible (graded, results hidden) A patient that weighs 198 lbs is prescribed urodeoxycholic acid 10 mg per kg per day, divided into 3 doses. How many mg per dose will the RN administer?
Record your answer as a whole number. (Round any fractions to the nearest whole number using standard rounding rules.) Do not include words or abbreviations in your answer. [x] mg 300 submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.
46.1M4EN
2 points possible (graded, results hidden) Which information should the RN include when educating a patient with a new diagnosis of Type 1 Diabetes? This disease can be controlled by diet and exercise. Oral medications are essential to manage blood glucose levels. Insulin must be used for life. submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted.
47.1M4EN
2 points possible (graded, results hidden) A client 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. Elevated BUN and creatinine Elevated blood glucose Taut, dry skin Slow heart rate Abdominal obesity submitted You have used 1 of 1 attempt Some problems have options such as save, reset, hints, or show answer. These options follow the Submit button. Answer submitted. 300
