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A nurse is caring for a client who has diabetes mellitus and is receiving long-acting daily insulin for blood glucose management. The nurse should anticipate administering which of the following types of insulin?

Glargine insulin

NPH insulin

Regular insulin

Insulin aspart

Answer and Explanation

The Correct Answer is A

A. Glargine insulin is a long-acting insulin that provides consistent basal glucose control for up to 24 hours.

B. NPH insulin is intermediate-acting, not long-acting.

C. Regular insulin is short-acting, used for meal coverage or acute hyperglycemia.

D. Insulin aspart is rapid-acting, used for postprandial glucose control.

Nursing Test Bank

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Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"}}

Explanation

Finding	Improved	Not changed
Heart rate		✓
Blood pressure	✓
Edema	✓
Deep tendon reflexes	✓

Rationale

Heart rate: Not changed
- The heart rate increased from 72/min to 90/min, indicating no improvement.
Blood pressure: Improved
- The blood pressure decreased from 166/110 mm Hg to 152/90 mm Hg, indicating improvement.
Edema: Improved
- The edema decreased from +3 pitting to +2 pitting, indicating improvement.
Deep tendon reflexes: Improved
- The patellar reflex decreased from 4+ to 2+, indicating improvement.

A. Generativity vs self-absorption B. Identity vs role confusion C. Intimacy vs isolation D. Trust vs mistrust

Correct Answer is B

Explanation

A. Generativity vs. Self-absorption is the stage for adults in middle adulthood (ages 40-65), where individuals focus on contributing to society and guiding the next generation.

B. According to Erikson’s stages of psychosocial development, adolescents (ages 12-18) are in the stage of Identity vs. Role Confusion. During this stage, they work to develop a sense of personal identity and to explore different roles and beliefs.

C. Intimacy vs. Isolation occurs in young adulthood (ages 18-40), where individuals seek to form intimate relationships.

D. Trust vs. Mistrust is the first stage of Erikson’s theory, occurring during infancy (0-18 months), where infants develop a sense of trust when their needs are consistently met.

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System	Findings
General	Adult child accompanying parent reports decline in client, expressing concern over memory and thought process, appetite, and self-care. Adult child states, "My sibling and I hired help at home for my parent. We thought that would help but it has not.. I found the title to the car today, signed over to me.
Physical	Client makes poor eye contact, speaks in a monotone voice, and has a lack of facial expression. Client reports sleeping 7 hr a night and getting up "once or twice per night to go to the bathroom. Client reports not wanting to eat anymore. Client reports not wanting to eat anymore. Client's child reports their parent has lost about 8 lb in the past month. Heart rate 68/min
Affect	Client says, "Why don't you just leave me? I am of no use."

A nurse is caring for a client who has diabetes mellitus and is receiving long-acting daily insulin for blood glucose management. The nurse should anticipate administering which of the following types of insulin?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"}}

Explanation

A nurse in an outpatient mental health clinic is assessing an adolescent client. The nurse should expect the adolescent to be in which of the following of Erikson's stages of psychosocial development?

Correct Answer is B

Explanation

A nurse is planning care for a group of clients and is working with one licensed practical nurse (LPN) and one assistive personnel (AP). Which of the following actions should the nurse take first to manage her time effectively?

A nurse is providing discharge instructions to a client who has a new prescription for haloperidol. Which of the following adverse effects should the nurse instruct the client to report to the provider?

A nurse working in the emergency department (ED) is admitting a client. Exhibits The nurse is reviewing the client's medical record. Which of the following conditions should the nurse identify as a risk factor for pneumonia? Select all that apply.

A nurse is preparing to admit a 6-year-old with varicella to the pediatric unit. Which of the following actions should the nurse take?

A nurse is providing care for a client who has esophageal cancer and has received radiation therapy. Which of the following findings should the nurse identify as the priority?

A nurse is inserting an indwelling urinary catheter for a male client. Which of the following actions should the nurse take?

A nurse manager is addressing reports of conflict within a nursing unit. The nurse should identify which of the following situations as an example of interpersonal conflict?