[App] SHRM-CP Offline Exam on All PC version 2025 - 1000 + Question
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NCLEX-RN Exam Questions - Part 19
1. Which of the following should be included in discharge teaching for a client with hepatitis C?
A) He should take aspirin as needed for muscle and joint pain.
B) He may become a blood donor when his liver enzymes return to normal.
C) He should avoid alcoholic beverages during his recovery period.
D) He should use disposable dishes for eating and drinking.
2. A 27-year-old man was diagnosed with type I diabetes 3 months ago. Two weeks ago he complained of pain, redness, and tenderness in his right lower leg. He is admitted to the hospital with a slight elevation of temperature and vague complaints of 'not feeling well.' At 4:30 PM on the day of his admission, his blood glucose level is 50 mg; dinner will be served at 5:00 PM. The best nursing action would be to:
A) Give him 3 tbsp of sugar dissolved in 4 oz of grape juice to drink
B) Ask him to dissolve three pieces of hard candy in his mouth
C) Have him drink 4 oz of orange juice
D) Monitor him closely until dinner arrives
3. A male client receives 10 U of regular human insulin SC at 9:00 AM. The nurse would expect peak action from this injection to occur at:
A) 9:30 AM
B) 10:30 AM
C) 12 noon
D) 4:00 PM
4. A type I diabetic client is diagnosed with cellulitis in his right lower extremity. The nurse would expect which of the following to be present in relation to his blood sugar level?
A) A normal blood sugar level
B) A decreased blood sugar level
C) An increased blood sugar level
D) Fluctuating levels with a predawn increase
5. The physician has ordered that a daily exercise program be instituted by a client with type I diabetes following his discharge from the hospital. Discharge instructions about exercise should include which of the following?
A) Exercise should be performed 30 minutes before meals.
B) A snack may be needed before and/or during exercise.
C) Hyperglycemia may occur 2 - 4 hours after exercise.
D) The blood glucose level should be 100 mg or below before exercise is begun.
A) He should take aspirin as needed for muscle and joint pain.
B) He may become a blood donor when his liver enzymes return to normal.
C) He should avoid alcoholic beverages during his recovery period.
D) He should use disposable dishes for eating and drinking.
2. A 27-year-old man was diagnosed with type I diabetes 3 months ago. Two weeks ago he complained of pain, redness, and tenderness in his right lower leg. He is admitted to the hospital with a slight elevation of temperature and vague complaints of 'not feeling well.' At 4:30 PM on the day of his admission, his blood glucose level is 50 mg; dinner will be served at 5:00 PM. The best nursing action would be to:
A) Give him 3 tbsp of sugar dissolved in 4 oz of grape juice to drink
B) Ask him to dissolve three pieces of hard candy in his mouth
C) Have him drink 4 oz of orange juice
D) Monitor him closely until dinner arrives
3. A male client receives 10 U of regular human insulin SC at 9:00 AM. The nurse would expect peak action from this injection to occur at:
A) 9:30 AM
B) 10:30 AM
C) 12 noon
D) 4:00 PM
4. A type I diabetic client is diagnosed with cellulitis in his right lower extremity. The nurse would expect which of the following to be present in relation to his blood sugar level?
A) A normal blood sugar level
B) A decreased blood sugar level
C) An increased blood sugar level
D) Fluctuating levels with a predawn increase
5. The physician has ordered that a daily exercise program be instituted by a client with type I diabetes following his discharge from the hospital. Discharge instructions about exercise should include which of the following?
A) Exercise should be performed 30 minutes before meals.
B) A snack may be needed before and/or during exercise.
C) Hyperglycemia may occur 2 - 4 hours after exercise.
D) The blood glucose level should be 100 mg or below before exercise is begun.
1. Right Answer: C
Explanation: (A) Aspirin is hepatotoxic, may increase bleeding, and should be avoided. (B) Blood should not be donated by a client who has had hepatitis C because of the possibility of transmission of disease. (C) Alcohol is detoxified in the liver. (D) Hepatitis C is not spread through the oral route.
2. Right Answer: C
Explanation: (A) The combination of sugar and juice will increase the blood sugar beyond the normal range. (B) Concentrated sweets are not absorbed as fast as juice; consequently, they elevate the blood sugar beyond the normal limit. (C) Four ounces of orange juice will act immediately to raise the blood sugar to a normal level and sustain it for 30 minutes until supper is served. (D) There is an increased potential for the clients blood sugar to decrease even further, resulting in diabetic coma.
3. Right Answer: C
Explanation: (A) This is too early for peak action to occur. (B) This is too early for peak action to occur. (C) Regular insulin peak action occurs 24 hours after administration.(D) This is too late for peak action to occur.
4. Right Answer: C
Explanation: (A) Blood sugar levels increase when the body responds to stress and illness. (B) Blood sugar levels increase when the body responds to stress and illness. (C)Hyperglycemia occurs because glucose is produced as the body responds to the stress and illness of cellulitis. (D) Blood sugar levels remain elevated as long as the body responds to stress and illness.
5. Right Answer: B
Explanation: (A) Exercise should not be performed before meals because the blood sugar is usually lower just prior to eating; therefore, there is an increased risk for hypoglycemia. (B) Exercise lowers blood sugar levels; therefore, a snack may be needed to maintain the appropriate glucose level. (C) Exercise lowers blood sugar levels. (D) Exercise lowers blood sugar levels. If the blood glucose level is 100 mg or below at the start of exercise, the potential for hypoglycemia is greater.
Explanation: (A) Aspirin is hepatotoxic, may increase bleeding, and should be avoided. (B) Blood should not be donated by a client who has had hepatitis C because of the possibility of transmission of disease. (C) Alcohol is detoxified in the liver. (D) Hepatitis C is not spread through the oral route.
2. Right Answer: C
Explanation: (A) The combination of sugar and juice will increase the blood sugar beyond the normal range. (B) Concentrated sweets are not absorbed as fast as juice; consequently, they elevate the blood sugar beyond the normal limit. (C) Four ounces of orange juice will act immediately to raise the blood sugar to a normal level and sustain it for 30 minutes until supper is served. (D) There is an increased potential for the clients blood sugar to decrease even further, resulting in diabetic coma.
3. Right Answer: C
Explanation: (A) This is too early for peak action to occur. (B) This is too early for peak action to occur. (C) Regular insulin peak action occurs 24 hours after administration.(D) This is too late for peak action to occur.
4. Right Answer: C
Explanation: (A) Blood sugar levels increase when the body responds to stress and illness. (B) Blood sugar levels increase when the body responds to stress and illness. (C)Hyperglycemia occurs because glucose is produced as the body responds to the stress and illness of cellulitis. (D) Blood sugar levels remain elevated as long as the body responds to stress and illness.
5. Right Answer: B
Explanation: (A) Exercise should not be performed before meals because the blood sugar is usually lower just prior to eating; therefore, there is an increased risk for hypoglycemia. (B) Exercise lowers blood sugar levels; therefore, a snack may be needed to maintain the appropriate glucose level. (C) Exercise lowers blood sugar levels. (D) Exercise lowers blood sugar levels. If the blood glucose level is 100 mg or below at the start of exercise, the potential for hypoglycemia is greater.
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