ADULT HEALTH 2 HESI TEST BANK EXAM
which eye problem is the leading cause of blindness in clients with
diabetes?
a. cataracts
b. glaucoma
c. retinopathy
d. astigmatism – ANSWER- retinopathy
which unique response is associated with DKA that is not exhibited with
HHNS?
a. fluid loss
b. glycosuria
c. kussmaul respirations
d. increased blood glucose level – ANSWER- kussmaul respirations
when obtaining a clients health history, which factor would the nurse
identify as predisposing the client to type 2 diabetes?
a. having diabetes insipidus
b. eating low cholesterol foods
c. being 20 pounds overweight
d. drinking a daily alcoholic beverage – ANSWER- being 20 pounds
overweight
with which condition would the nurse associate the response of
diaphoresis, weakness and pallor at 3:30pm in a client with type 1
diabetes who receives 30 units of NPH insulin at 7am?
A. diabetic coma
b. HHNS
c. DKA
d. hypoglycemic reaction – ANSWER- hypoglycemic reaction
a clients fasting plasma glucose levels are being evaluated. the nurse
identifies that the client is considered to be diabetic if the results are
within which range?
a. 2.2-3.3
b. 4.5-5.5
c. 5.6-6.9
d. 7-7.8 – ANSWER- 7-7.8
which rationale explains why IV potassium is prescribed in addition to
regular insulin for clients in diabetic ketosis?
a. potassium loss occurs rapidly from diaphoresis present during coma
b. potassium is carried with glucose to the kidneys to excreted in the
urine in increased amounts
c. potassium is quickly used up during the rapid series of catabolic
reactions stimulated by insulin and glucose
d. serum potassium levels will decrease as potassium ions shift from the
extracellular fluid to the intracellular fluid compartment – ANSWERserum potassium levels will decrease as potassium ions shift from the
extracellular fluid to the intracellular fluid compartment
an older adult is hospitalized for weight loss and dehydration due to
nutritional deficit. which factor would the nurse consider when planning
care for this client?
a. financial resources usually are unrelated to nutritional status
b. an older adults daily fluid intake must be increased
c. the clients diet should be high in carbohydrates and low in proteins
d. the nutritional needs of an older adult are basically unchanged except
for a decreased need for calories – ANSWER- the nutritional needs of an
older adult are basically unchanged except for a decreased need for
calories
the nurse is completing the health history of a client admitted to the
hospital with osteoarthritis. which joint would the nurse expect the client
to report as having been involved first? select all that apply
a. hips
b. knees
c. ankles
d. shoulders
e. metacarpals – ANSWER- hips, knees
which physiological change of the musculoskeletal system would the
nurse associate with aging? select all that apply.
a. slowed movement
b. cartilage degeneration
c. increased bone density
d. increased range of motion
e. increased bone prominence – ANSWER- slowed movement, cartilage
degeneration, increased bone prominence
when a client with COPD reports a 5lb weight gain in 1 week, the nurse
will assess for other signs and symptoms of which complication?
a. polycythemia
b. cor pulmonale
c. compensated acidosis
d. left ventricular failure – ANSWER- cor pulmonale
which assessment finding indicates to the nurse that a client with COPD
who is receiving oxygen is retaining CO2? select all that apply
a. anxiety
b. drowsiness
c. irregular pulse
d. mental confusion
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