Practice Mode Assessment

No.

1 :
A nurse is reviewing the medical record of a client who has hyperthyroidism (Graves disease). Which of the following serum laboratory findings should the nurse expect to be below the expected reference range?

Thyroxine (T4) level

Triiodothyronine (T3) level

Thyroid stimulating hormone (TSH) level

Glucose level

Hint : 🧪Focus on the lab value that is regulated by a feedback loop between the thyroid and pituitary gland.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

2 :
A nurse is reinforcing teaching with a client who has diabetes mellitus about the manifestations of hypoglycemia. Which of the following statements by the client indicates an understanding of the teaching?

“I will feel shaky.”

“My skin will be warm and moist.”

“I will be more thirsty than usual.”

“My appetite will be decreased.”

Hint : 🩺Think of how the body reacts quickly when glucose suddenly drops—it tries to get energy fast.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

3 :
A nurse is collecting data from a client who has hypoparathyroidism. Which of the following findings should the nurse expect?

Negative Chvostek’s sign

Flaccid muscles

Numbness of the hands

Hypercalcemia

Hint : 🖐️Think of symptoms related to low calcium and how it affects nerve and muscle function, especially in extremities.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

4 :
A nurse in a provider’s office is collecting data from a client who has hypothyroidism. Which of the following findings should the nurse expect?

Blurred vision

Bradycardia

Insomnia

Moist skin

Hint : 💓Consider how slowed hormone activity affects the heart rate and energy levels of the body.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

5 :
A nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription for lispro and Lantus insulins. Which of the following statements by the client indicates an understanding of the teaching?

"Insulin injected into the thigh is the most rapidly absorbed."

"I should shake the bottle of insulin before withdrawing the medication."

"I will use Lantus insulin immediately before each meal."

"Unopened vials of insulin should be kept in my refrigerator."

Hint : 🧪Think about how to store medications safely to keep them effective for long-term use.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

6 :
A nurse is assisting with menu selections for a client who has recovered from the acute phase of diverticulitis. Which of the following foods should the nurse recommend?

Roast chicken with white rice

A poached egg with sliced tomatoes

Bean soup with steamed broccoli

Ham sandwich on white bread

Hint : 🍽️Right after inflammation, stick to gentle, low-residue foods before reintroducing fiber.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

7 :
A nurse is reinforcing teaching about the manifestations of hyperglycemia with a client who has diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?

“My breath may have a fruity odor.”

“My appetite will be decreased.”

“I will be more thirsty than usual.”

“I might experience blurry vision at times.”

Hint : 👃Consider the distinctive symptom caused by fat metabolism during periods of severely elevated blood sugar.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

8 :
A nurse is reinforcing teaching about preventing long-term complications of retinopathy and neuropathy with an older adult client who has diabetes mellitus. Which of the following actions is the most important for the nurse to include in the teaching?

“Wear closed-toed shoes daily.”

“Maintain stable blood glucose levels.”

“Plan to have an eye examination once per year.”

“Examine your feet carefully every day.”

Hint : 🧪Focus on what underlying factor contributes most directly to the development of nerve and eye damage in diabetes.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

9 :
A nurse is reinforcing teaching with a client who is scheduled for a blood test to measure her thyroid stimulating hormone (TSH) level. Which of the following statements should the nurse give?

“This test detects antithyroid antibodies in your blood.”

“This test measures the amount of thyroid hormone that ataches to a protein in your blood.”

“This test determines whether your thyroid gland is overactive, appropriately active, or underactive.”

“This test measures the absorption of iodine and how it relates to the thyroid gland.”

Hint : 🧬Consider the role of the pituitary gland in monitoring and regulating thyroid function.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

10 :
A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?

“I should avoid injecting insulin into my thigh if I am going to go running.”

“I will carry a complex carbohydrate snack with me when I exercise.”

“I should exercise first thing in the morning before eating breakfast.”

“I will increase the intensity of my exercise routine if my urine is positive for ketones.”

Hint : 🦵Think about how muscle activity affects insulin absorption and the risk of low blood sugar.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

11 :
A nurse is collecting data from a client who has Cushing’s syndrome. Which of the following findings should the nurse expect?

Weight loss

Diaphoresis

Hyperpigmentation

Hypotension

Hint : 🎨Think about how excess ACTH can affect skin pigmentation, especially in hormone-driven disorders.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

12 :
A nurse is preparing a client who has advanced cirrhosis for an abdominal paracentesis. Which of the following actions should the nurse take?

Place the client on his back.

Have the client increase ﬂuid intake after the procedure.

Assure the client that the procedure is painless.

Instruct the client to empty his bladder.

Hint : 🚽Consider which internal organ could be accidentally injured if it is full during a lower abdominal procedure.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

13 :
A nurse is reinforcing teaching for a client who has type 1 diabetes mellitus about foot care. Which of the following client statements should indicate to the nurse an understanding of the instructions?

“I put lotion between my toes.”

“I check my feet every day for sores and bruises.”

“I wear sandals in warm weather.”

“I soak my feet in warm, soapy water every night before I go to bed.”

Hint : 🔎Consider what routine habit would most help detect foot injuries early in someone with reduced sensation.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

14 :
A nurse is contributing to the plan of care for a client who has an intestinal obstruction and is receiving continuous gastrointestinal decompression using a nasogastric tube. Which of the following interventions should the nurse include in the plan of care?

Maintain the client in Fowler’s position.

Use sterile water to irrigate the nasogastric tube.

Moisten the client’s lips with lemon-glycerin swabs.

Measure abdominal girth daily.

Hint : 🪑Think about the position that helps prevent aspiration and supports digestive drainage.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

15 :
A nurse finds a client who has type 1 diabetes mellitus lying in bed, sweating, tachycardic, and reporting feeling lightheaded and shaky. Which of the following complications should the nurse suspect?

Ketoacidosis

Hyperglycemia

Hypoglycemia

Nephropathy

Hint : 🧃Think of the condition that would improve quickly with a glass of juice.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

16 :
A nurse is assisting with teaching a newly licensed nurse about parenteral nutrition (PN). Which of the following information should the nurse include in the teaching?

Weigh the client weekly.

Reduce the rate of the solution gradually to discontinue.

Remove solution from refrigerator 2 hr before infusion.

Shake the solution before hanging if there is a layer of fat present on the top.

Hint : ⚠️Consider how a sudden stop in glucose delivery might impact blood sugar levels.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

17 :
A charge nurse is reinforcing teaching with a newly licensed nurse about the common link between ulcerative colitis and Crohn’s disease. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

“Both illnesses result in malabsorption of nutrients.”

“Both illnesses begin in the rectum.”

“Both illnesses manifest fistula formation.”

“Both illnesses are inﬂammatory in nature.”

Hint : 🧪Focus on the immune response mechanism they both share, not necessarily where or how they present.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

18 :
A nurse is collecting data on a client who has hyperthyroidism. Which of the following manifestations should the nurse expect the client to report?

Sensitivity to cold

Frequent mood changes

Weight gain

Constipation

Hint : 💥Think about how excess thyroid hormones affect the nervous system and emotions.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

19 :
A nurse is contributing to the plan of care of a client who has a small bowel obstruction. Which of the following interventions should the nurse include?

Provide bulk-forming agent.

Elevate the head of the bed.

Measure abdominal girth daily.

Monitor intake and output every 8 hr.

Hint : 🪑Think about how to position the client to reduce risk when vomiting or decompression is involved.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

20 :
A nurse is reviewing the laboratory report of a client who has hypoparathyroidism. The nurse should expect which of the following values?

Phosphate 5.7 mg/dL

Vitamin D 25 ng/mL

Calcium 9.8 mg/dL

Magnesium 1.8 mEq/L

Hint : 🔁Think of the inverse relationship between calcium and phosphate controlled by PTH.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

21 :
A nurse is caring for a client who is experiencing an acute exacerbation of ulcerative colitis. The nurse should recognize that which of the following actions is the priority?

Provide emotional support.

Evaluate ﬂuid and electrolyte levels.

Promote physical mobility.

Review stress factors that can cause disease exacerbation

Hint : 🧴Start by addressing the most urgent threat to homeostasis caused by severe GI fluid loss.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

22 :
A nurse is collecting data on a client who has acute pancreatitis. Which of the following factors should the nurse anticipate in the client’s history?

Shock

Gallstones

Diabetes mellitus

GERD

Hint : Think of a condition that can obstruct the bile duct, triggering enzyme backup into the pancreas.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

23 :
A nurse is assisting in the plan of care for a client who had surgery for a bowel obstruction. The client has a nasogastric tube in place. Which of the following actions should the nurse include in the client’s plan of care? (Select all that apply).

Document the color, consistency, and amount of nasogastric drainage.

Encourage hourly use of an incentive spirometer while awake.

Irrigate the nasogastric tube every 4 to 8 hr.

Perform leg exercises every 2 hr.

Hint : 📝Focus on actions that promote airway clearance, circulation, and proper monitoring, not ones that might interfere with current orders.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

24 :
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse determines that teaching has been eﬀective when the client identifies which of the following manifestations of hypoglycemia? (Select all that apply.)

Tachycardia

Blurry vision

Sweating

Polydipsia

Polyuria

Hint : ⚠️Think about symptoms that arise from the body's emergency response to low blood sugar.

Correct Answers:

No Correct Answers Available !

Rationale :

Rationale to be Available Soon

25 :
A nurse is assisting with the care of a client in the emergency department.

Nurses Notes

1030:

Client reports nausea and indigestion for the past few days and worsens after meals and belches a lot.

Denies vomiting.

Client is alert and oriented to person, place and time.

Clients skin is pink and moist to touch.

Bowel sounds are normoactive and in all quadrants.

Abdomen is soft, nontender to touch and doesn’t appear to be distended.

Lung sounds are clear.

Last bowel movement was this morning.

Peripheral pulses +2.

No edema present.

The nurse is reviewing the client’s health information. For each potential provider’s prescription, tick to specify if the assessment findings is consistent with myocardial infraction or gastroesophageal reﬂux disease (Gerd), each finding may support more than one disease process.

Options	Myocardial Infraction (MI)	Gastroesophageal reﬂux disease (GERD) GERD
Nausea
Indigestion
Hoarseness
Eructation
dyspnea

Hint : ⚖️Distinguish symptoms by considering whether they are caused by cardiac dysfunction or acid reflux irritation.

Correct Answers

Nausea [ Myocardial Infraction (MI) ; Gastroesophageal reﬂux disease (GERD) GERD ]
Indigestion [ Myocardial Infraction (MI) ; Gastroesophageal reﬂux disease (GERD) GERD ]
Hoarseness [ Gastroesophageal reﬂux disease (GERD) GERD ]
Eructation [ Gastroesophageal reﬂux disease (GERD) GERD ]
dyspnea [ Myocardial Infraction (MI) ]

Rationale :

Rationale to be Available Soon

Total Questions: 25

Choose Different Exam !

ATI Monroe college NY PN 23NS SP 126 exam 3

No.

1 : A nurse is reviewing the medical record of a client who has hyperthyroidism (Graves disease). Which of the following serum laboratory findings should the nurse expect to be below the expected reference range?

2 : A nurse is reinforcing teaching with a client who has diabetes mellitus about the manifestations of hypoglycemia. Which of the following statements by the client indicates an understanding of the teaching?

3 : A nurse is collecting data from a client who has hypoparathyroidism. Which of the following findings should the nurse expect?

4 : A nurse in a provider’s office is collecting data from a client who has hypothyroidism. Which of the following findings should the nurse expect?

5 : A nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription for lispro and Lantus insulins. Which of the following statements by the client indicates an understanding of the teaching?

6 : A nurse is assisting with menu selections for a client who has recovered from the acute phase of diverticulitis. Which of the following foods should the nurse recommend?

7 : A nurse is reinforcing teaching about the manifestations of hyperglycemia with a client who has diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?

8 : A nurse is reinforcing teaching about preventing long-term complications of retinopathy and neuropathy with an older adult client who has diabetes mellitus. Which of the following actions is the most important for the nurse to include in the teaching?

9 : A nurse is reinforcing teaching with a client who is scheduled for a blood test to measure her thyroid stimulating hormone (TSH) level. Which of the following statements should the nurse give?

10 : A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?

11 : A nurse is collecting data from a client who has Cushing’s syndrome. Which of the following findings should the nurse expect?

12 : A nurse is preparing a client who has advanced cirrhosis for an abdominal paracentesis. Which of the following actions should the nurse take?

13 : A nurse is reinforcing teaching for a client who has type 1 diabetes mellitus about foot care. Which of the following client statements should indicate to the nurse an understanding of the instructions?

14 : A nurse is contributing to the plan of care for a client who has an intestinal obstruction and is receiving continuous gastrointestinal decompression using a nasogastric tube. Which of the following interventions should the nurse include in the plan of care?

15 : A nurse finds a client who has type 1 diabetes mellitus lying in bed, sweating, tachycardic, and reporting feeling lightheaded and shaky. Which of the following complications should the nurse suspect?

16 : A nurse is assisting with teaching a newly licensed nurse about parenteral nutrition (PN). Which of the following information should the nurse include in the teaching?

17 : A charge nurse is reinforcing teaching with a newly licensed nurse about the common link between ulcerative colitis and Crohn’s disease. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

18 : A nurse is collecting data on a client who has hyperthyroidism. Which of the following manifestations should the nurse expect the client to report?

19 : A nurse is contributing to the plan of care of a client who has a small bowel obstruction. Which of the following interventions should the nurse include?

20 : A nurse is reviewing the laboratory report of a client who has hypoparathyroidism. The nurse should expect which of the following values?

21 : A nurse is caring for a client who is experiencing an acute exacerbation of ulcerative colitis. The nurse should recognize that which of the following actions is the priority?

22 : A nurse is collecting data on a client who has acute pancreatitis. Which of the following factors should the nurse anticipate in the client’s history?

23 : A nurse is assisting in the plan of care for a client who had surgery for a bowel obstruction. The client has a nasogastric tube in place. Which of the following actions should the nurse include in the client’s plan of care? (Select all that apply).

24 : A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse determines that teaching has been eﬀective when the client identifies which of the following manifestations of hypoglycemia? (Select all that apply.)

25 : A nurse is assisting with the care of a client in the emergency department.

Correct Answers

1 :
A nurse is reviewing the medical record of a client who has hyperthyroidism (Graves disease). Which of the following serum laboratory findings should the nurse expect to be below the expected reference range?

2 :
A nurse is reinforcing teaching with a client who has diabetes mellitus about the manifestations of hypoglycemia. Which of the following statements by the client indicates an understanding of the teaching?

3 :
A nurse is collecting data from a client who has hypoparathyroidism. Which of the following findings should the nurse expect?

4 :
A nurse in a provider’s office is collecting data from a client who has hypothyroidism. Which of the following findings should the nurse expect?

5 :
A nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription for lispro and Lantus insulins. Which of the following statements by the client indicates an understanding of the teaching?

6 :
A nurse is assisting with menu selections for a client who has recovered from the acute phase of diverticulitis. Which of the following foods should the nurse recommend?

7 :
A nurse is reinforcing teaching about the manifestations of hyperglycemia with a client who has diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?

8 :
A nurse is reinforcing teaching about preventing long-term complications of retinopathy and neuropathy with an older adult client who has diabetes mellitus. Which of the following actions is the most important for the nurse to include in the teaching?

9 :
A nurse is reinforcing teaching with a client who is scheduled for a blood test to measure her thyroid stimulating hormone (TSH) level. Which of the following statements should the nurse give?

10 :
A nurse is reinforcing teaching about exercise with a client who has type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?

11 :
A nurse is collecting data from a client who has Cushing’s syndrome. Which of the following findings should the nurse expect?

12 :
A nurse is preparing a client who has advanced cirrhosis for an abdominal paracentesis. Which of the following actions should the nurse take?

13 :
A nurse is reinforcing teaching for a client who has type 1 diabetes mellitus about foot care. Which of the following client statements should indicate to the nurse an understanding of the instructions?

14 :
A nurse is contributing to the plan of care for a client who has an intestinal obstruction and is receiving continuous gastrointestinal decompression using a nasogastric tube. Which of the following interventions should the nurse include in the plan of care?

15 :
A nurse finds a client who has type 1 diabetes mellitus lying in bed, sweating, tachycardic, and reporting feeling lightheaded and shaky. Which of the following complications should the nurse suspect?

16 :
A nurse is assisting with teaching a newly licensed nurse about parenteral nutrition (PN). Which of the following information should the nurse include in the teaching?

17 :
A charge nurse is reinforcing teaching with a newly licensed nurse about the common link between ulcerative colitis and Crohn’s disease. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

18 :
A nurse is collecting data on a client who has hyperthyroidism. Which of the following manifestations should the nurse expect the client to report?

19 :
A nurse is contributing to the plan of care of a client who has a small bowel obstruction. Which of the following interventions should the nurse include?

20 :
A nurse is reviewing the laboratory report of a client who has hypoparathyroidism. The nurse should expect which of the following values?

21 :
A nurse is caring for a client who is experiencing an acute exacerbation of ulcerative colitis. The nurse should recognize that which of the following actions is the priority?

22 :
A nurse is collecting data on a client who has acute pancreatitis. Which of the following factors should the nurse anticipate in the client’s history?

23 :
A nurse is assisting in the plan of care for a client who had surgery for a bowel obstruction. The client has a nasogastric tube in place. Which of the following actions should the nurse include in the client’s plan of care? (Select all that apply).

24 :
A nurse is reinforcing teaching with a client who has type 2 diabetes mellitus. The nurse determines that teaching has been eﬀective when the client identifies which of the following manifestations of hypoglycemia? (Select all that apply.)

25 :
A nurse is assisting with the care of a client in the emergency department.