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Extract:

Francis is a 48-year-old female with elevated blood sugar.


Question 1 of 5

The type of insulin expected to be ordered by the physician to treat Francis elevated blood sugar would be:

Correct Answer: B

Rationale: Short-acting or regular insulin usually reaches the blood within 30 minutes after injection, peaks in 2 to 4 hours, and stays in the bloodstream for 6 to 8 hours. Because of its short and predictable peak action, regular insulin is routinely used for intravenous administration.

Extract:

Baby Larry was born with Down's syndrome.


Question 2 of 5

When performing physical assessment, the nurse should carefully evaluate the infant's:

Correct Answer: A

Rationale: Cardiac anomalies often accompany other genetic problems such as Down syndrome. 30 to 40% of these infants have congenital heart defects.

Extract:


Question 3 of 5

The nurse observes a woman in the first stage of labor and encourages her to push before the cervix is fully dilated. The nurse's action could primarily lead to

Correct Answer: D

Rationale: The weight of the uterus can put pressure on the vena cava and aorta when a pregnant woman is flat on her back causing supine hypotension. Turning the woman to the side reduces this pressure and relieves postural hypotension.

Question 4 of 5

An adult is admitted for surgery for a secreting adrenal tumor. In the immediate postoperative period, which nursing action will be highest priority?

Correct Answer: B

Rationale: Adrenal tumor resection may cause adrenal insufficiency; administering adrenal hormones is critical to replace deficient cortisol, preventing crisis. Liquids, breathing exercises, and pain management are secondary.

Extract:

Ms. Cox is an adult patient who was prescribed depo-provera.


Question 5 of 5

The drug was prescribed for which of the following?

Correct Answer: A

Rationale: Depo-Provera is a contraceptive administered IM every 3 months.

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