Nursing Process Test Bank

Nursing Process Test Bank Related

Review Nursing Process Test Bank related questions and content

Laboratory studies indicate a client’s blood pressure level is 185mg/dl. Two hours have passed since the client ate breakfast. Which test would yield the most occlusive diagnostic information about the client’s glucose utilization?

  • A. A fasting blood glucose test
  • B. A test of serum glycosylated hemoglobin (HbA1c)
  • C. A 6-hour glucose tolerance test
  • D. A test for urine ketones
Correct Answer: C

Rationale: The correct answer is C: A 6-hour glucose tolerance test. This test involves measuring blood glucose levels at specific intervals after consuming a glucose solution, providing a comprehensive assessment of glucose utilization over time. This test is particularly useful in evaluating how the body processes glucose after a meal and can help diagnose conditions such as diabetes.

A: A fasting blood glucose test would not provide a comprehensive picture of glucose utilization over time since it only measures glucose levels in a fasted state.
B: A test of serum glycosylated hemoglobin (HbA1c) reflects average blood glucose levels over the past 2-3 months but does not directly assess glucose utilization after a meal.
D: A test for urine ketones is used to detect ketones in the urine, which can indicate diabetic ketoacidosis but does not directly measure glucose utilization.

You may also like to solve these questions

Hemodynamic monitoring by means of a multilumen pulmonary artery catheter can provide detailed information about:

  • A. Preload
  • B. Afterload
  • C. Cardiac output
  • D. All of the above
Correct Answer: D

Rationale: The correct answer is D because a multilumen pulmonary artery catheter can provide detailed information about preload, afterload, and cardiac output. Preload refers to the volume of blood in the ventricles at the end of diastole, afterload is the resistance the heart has to overcome to eject blood, and cardiac output is the amount of blood pumped by the heart per minute. This catheter allows for direct measurement of these parameters by monitoring pressures in the pulmonary artery. Choices A, B, and C are incorrect individually as they do not encompass the full range of information that can be obtained with a multilumen pulmonary artery catheter.

The nurse understands that for the parathyroid hormone to exert its effect, what must be present?

  • A. Decreased phosphate level
  • B. Functioning thyroid gland
  • C. Adequate vitamin D level
  • D. Increased calcium level
Correct Answer: D

Rationale: The correct answer is D: Increased calcium level. Parathyroid hormone functions to increase blood calcium levels. When calcium levels are low, the parathyroid gland releases PTH to stimulate the release of calcium from bones and increase calcium absorption from the intestines and kidneys. This helps to maintain normal calcium levels in the blood. Choices A, B, and C are incorrect because decreased phosphate level, functioning thyroid gland, and adequate vitamin D level are not direct requirements for the action of parathyroid hormone.

The nurse, in assessing the adequacy of a client's fluid replacement during the first 2 to 3 days following full- thickness burns to the trunk and right thigh, would be aware that the most significant data would be obtained from recording

  • A. Weights every day .
  • B. Blood pressure every 15 minutes
  • C. Urinary output every hour
  • D. Extent of peripheral edema every 4 hours
Correct Answer: C

Rationale: The correct answer is C: Urinary output every hour. This is because assessing urinary output is crucial for monitoring fluid balance in burn patients. Adequate urine output indicates proper fluid replacement, while decreased output may indicate dehydration. Recording weights daily (choice A) may be important but not as immediate and specific as urinary output. Blood pressure every 15 minutes (choice B) is too frequent and not directly related to fluid replacement in this context. Monitoring peripheral edema every 4 hours (choice D) is not as reliable as urinary output for assessing fluid status.

The nurse is providing breast cancer education at a community facility. The American Cancer Society recommends that women get with mammograms:

  • A. Yearly after age 40
  • B. After the birth of the first child and every 2 years thereafter
  • C. After the first menstrual period and annually thereafter
  • D. Every 3 years between ages 20 and 40 and annually thereafter
Correct Answer: A

Rationale: The correct answer is A: Yearly after age 40. This recommendation aligns with the American Cancer Society guidelines that suggest women should start getting annual mammograms at age 40. This age is important as it is when the risk of breast cancer increases. Yearly screenings help in early detection and better treatment outcomes. The other choices (B, C, D) are incorrect because they do not follow the ACS guidelines. Option B is incorrect as it does not specify an age for starting mammograms. Option C is incorrect as it suggests starting after the first menstrual period, which might be too early. Option D is incorrect as it recommends screenings every 3 years between ages 20 and 40, which is not in line with the ACS recommendation for yearly screenings after age 40.

A nurse is documenting the progress of a client who has been recovering from a myocardial infarction. Which of the following would be most appropriate to include in the evaluation?

  • A. Client's vital signs and lab results from admission.
  • B. Client reports walking 500 meters without chest pain.
  • C. Physician notes on the client’s progress.
  • D. Medications prescribed during hospitalization.
Correct Answer: B

Rationale: The correct answer is B because it directly reflects the client's progress in physical activity, a key indicator of recovery post-myocardial infarction. Walking 500 meters without chest pain shows improved cardiovascular function and exercise tolerance. Vital signs and lab results from admission (A) are important for initial assessment but not for ongoing evaluation. Physician notes (C) may provide insights but do not directly measure the client's progress. Medications prescribed (D) are important but do not reflect the client's specific improvement in physical activity.

Copyright © 2025 Nokea. All rights reserved.