Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is teaching about disease management for a client who has type 1 diabetes mellitus.
Which statement made by the client indicates an understanding of the teaching?
A. "A weight reduction program will make me hypoglycemic.”.
Weight reduction programs are generally beneficial for type 2 diabetes, not type 1.
B. "Insulin allows me to eat ice cream at bedtime.”.
Insulin does not permit unrestricted dietary choices.
C. "I give the insulin injections in my abdominal area.”.
Insulin injections are often given in the abdominal area due to its high vascularity, promoting faster absorption.
D. "I am to take my blood sugar reading after meals.”.
Blood sugar readings are typically taken before meals to determine insulin dosage.
This question is an excerpt from Nurse Dive's nursing test bank - ATI RN Med Surg Custom Proctored Exam 2. Take the full exam now
Full Explanation
Choice A rationale:
Weight reduction programs are generally beneficial for type 2 diabetes, not type 1.
Choice B rationale:
Insulin does not permit unrestricted dietary choices.
Choice C rationale:
Insulin injections are often given in the abdominal area due to its high vascularity, promoting faster absorption.
Choice D rationale:
Blood sugar readings are typically taken before meals to determine insulin dosage.
Similar Questions
A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication?
A. anti-inflammatory.
While aspirin does have anti-inflammatory properties, this is not the primary reason it is prescribed post-MI.
B. antipyretic.
Aspirin does have antipyretic properties, but this is not relevant to a history of MI.
C. analgesic.
Aspirin can act as an analgesic, but this is not the main reason for its prescription post-MI.
D. antiplatelet aggregate.
Aspirin is an antiplatelet aggregate that helps prevent further clot formation, a key factor in MI treatment.
Full Explanation
Choice A rationale:
While aspirin does have anti-inflammatory properties, this is not the primary reason it is prescribed post-MI.
Choice B rationale:
Aspirin does have antipyretic properties, but this is not relevant to a history of MI.
Choice C rationale:
Aspirin can act as an analgesic, but this is not the main reason for its prescription post-MI.
Choice D rationale:
Aspirin is an antiplatelet aggregate that helps prevent further clot formation, a key factor in MI treatment.
A nurse is teaching an older adult client who has diabetes mellitus about preventing the long-term complications of retinopathy and nephropathy.
Which of the following instructions should the nurse include?
A. "Examine your feet carefully every day.”.
Examining feet daily is important for preventing complications related to peripheral neuropathy, not retinopathy or nephropathy.
B. "Maintain stable blood glucose levels.”.
Maintaining stable blood glucose levels can help prevent microvascular complications such as retinopathy and nephropathy.
C. "Have an eye examination once per year.”.
Annual eye examinations are important, but they do not prevent retinopathy.
D. "Wear compression stockings daily.”.
Wearing compression stockings daily is not directly related to preventing retinopathy or nephropathy.
Full Explanation
Choice A rationale:
Examining feet daily is important for preventing complications related to peripheral neuropathy, not retinopathy or nephropathy.
Choice B rationale:
Maintaining stable blood glucose levels can help prevent microvascular complications such as retinopathy and nephropathy.
Choice C rationale:
Annual eye examinations are important, but they do not prevent retinopathy.
Choice D rationale:
Wearing compression stockings daily is not directly related to preventing retinopathy or nephropathy.
A nurse is caring for a client who is receiving total parenteral nutrition via a peripherally inserted central catheter (PICC). When assessing the client, the nurse notes swelling of the client's arm above the PICC insertion site.
Which of the following actions should the nurse take first?
A. Apply a cold pack to the client's upper arm.
Applying a cold pack to the client’s upper arm would not be the first action to take. It may help reduce swelling, but it does not address the underlying issue.
B. Measure the circumference of both upper arms.
Measuring the circumference of both upper arms is the correct first action. This will provide objective data about the extent of the swelling, which can then be reported to the healthcare provider.
C. Remove the PICC line.
Removing the PICC line is not the first action to take. This should only be done under the direction of a healthcare provider.
D. Notify the provider who inserted the PICC line.
Notifying the provider who inserted the PICC line is important, but it should be done after gathering all necessary data, including measuring the arm circumference.
Full Explanation
Choice A rationale:
Applying a cold pack to the client’s upper arm would not be the first action to take. It may help reduce swelling, but it does not address the underlying issue.
Choice B rationale:
Measuring the circumference of both upper arms is the correct first action. This will provide objective data about the extent of the swelling, which can then be reported to the healthcare provider.
Choice C rationale:
Removing the PICC line is not the first action to take. This should only be done under the direction of a healthcare provider.
Choice D rationale:
Notifying the provider who inserted the PICC line is important, but it should be done after gathering all necessary data, including measuring the arm circumference.