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Extract:


Question 1 of 5

A client with newly diagnosed type I diabetes mellitus is being seen by the home health nurse. The physician orders include: 1,200-calorie ADA diet, 15 units of NPH insulin before breakfast, and check blood sugar qid. When the nurse visits the client at 5 PM, the nurse observes the man performing a blood sugar analysis. The result is 50 mg/dL. The nurse would expect the client to be

Correct Answer: A

Rationale: A blood sugar of 50 mg/dL indicates hypoglycemia (normal 70–110 mg/dL), causing symptoms like confusion, cold, clammy skin, and tachycardia (pulse 110). Hyperglycemia (
B) causes hot, dry skin and Kussmaul respirations, normal findings (
C) are unlikely, and fluid overload (
D) is unrelated.

Extract:

Forty eight to 72 hours post birth, blood test for PKU is taken on the neonate.


Question 2 of 5

This test is called

Correct Answer: B

Rationale: The Guthrie blood test reliably detects abnormal phenylalanine levels as early as 4 days of age, provided the infant is fed a milk diet.

Extract:


Question 3 of 5

Which of the following statements regarding wound healing is correct?

Correct Answer: C

Rationale: Third intention healing involves delayed closure of a wound, allowing it to heal from the inside out, often used for contaminated wounds.

Extract:

The most sensitive and easily quantifiable measure of circulatory status in a child is


Question 4 of 5

The most sensitive and easily quantifiable measure of circulatory status in a child is

Correct Answer: C

Rationale: Capillary refill time is a quick, sensitive indicator of perfusion in children.

Extract:


Question 5 of 5

A nurse is administering insulin lispro (Humalog) to a patient with diabetes mellitus. Which of the following statements indicates the patient understands the medication?

Correct Answer: C

Rationale: Insulin lispro is a rapid-acting insulin administered immediately before meals to control postprandial glucose. Other timings disrupt glycemic control.

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