Custom: NUR212 Midpoint Assessment Summer 2 2026

Question 1

Custom: NUR212 Midpoint Assessment Summer 2 2026. A nurse is caring for a client who is 1 day postoperative following a subtotal thyroidectomy. The client reports a tingling sensation in the hands, the soles of the feet, and around the lips. For which of the following findings should the nurse assess the client?

• Chvostek’s sign
• Babinski’s sign
• Brudzinski’s sign
• Kernig’s sign

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Question 2

A nurse is assessing a client who is taking levothyroxine. The nurse should recognize that which of the following findings is a manifestation of levothyroxine overdose?

• Constipation
• Drowsiness
• Insomnia
• Hypoactive deep-tendon reflexes

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Question 3

A nurse is planning care for a client who has urolithiasis. Which of the following actions should the nurse take?

• Discourage ambulation
• Restrict protein intake to 2 servings per day
• Encourage intake of at least 3 L of fluids per day
• Apply cold compress to the client’s flank area

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Question 4

Which symptoms reported by the patient immediately following the surgical removal of the thyroid and parathyroid gland requires intervention by the RN? Select the “2” findings that require immediate follow-up.

• Earache
• Fine tremors
• Increased appetite
• Hand tremors
• Dizziness

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Question 5

For each client finding below, click to specify if the finding is consistent with the disease process.

Table

Assessment Findings	Graves Disease	Myxedema
Heart rate is 54; patient has complained of constipation and poor appetite	☐	☑
Patient has recently lost over 10 pounds in the last month and has noticed a fine tremor in the hands	☑	☐
Patient is anxious and irritable with skin moist and warm	☑	☐
Nonpitting edema noted in the extremities with thinning hair	☐	☑

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Question 6

A nurse is caring for a male client who has a urinary tract infection. Which of the following conditions is the client most likely to develop as a result of the UTI?

• Erectile dysfunction
• Benign prostatic hypertrophy
• Chlamydia
• Prostatitis

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Question 7

The nurse is assessing an adult patient with Type 1 diabetes mellitus. Which labs result should be reported to the physician immediately? Select the “3” findings that require immediate follow-up.

• Hemoglobin A1C 6.0%
• Blood glucose 112 mg/dL
• Microalbuminuria 40mg/24hours
• Creatinine 2.5 mg/dl
• Hemoglobin 10.2 g/dl
• Positive ketones in the urine

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Question 8

A patient with Type 2 Diabetes has been diagnosed with Hyperglycemic Hyperosmolar Syndrome (HHS). The patient’s spouse asks the RN which symptoms characterize this disorder. Which are the most appropriate responses by the RN? (Select All That Apply)

• Elevated BUN and creatinine
• Elevated blood glucose
• Taut, dry skin
• Slow heart rate
• Elevated Osmolality

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Question 9

A nurse is teaching a community education course about the physical complications related to substance use disorder. Which of the following findings should the nurse identify as the primary cause of liver cirrhosis?

• Alcohol
• Caffeine
• Inhalants
• Cocaine

Question 10

A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client?

• Insulin detemir
• NPH insulin
• Regular insulin
• Insulin glargine

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Question 11

A nurse is preparing to administer a dose of lactulose to a client who has cirrhosis. The client states, “I don’t need this medication. I am not constipated.” The nurse should explain that in clients who have cirrhosis, lactulose is used to decrease levels of which of the following components in the bloodstream?

• Potassium
• Bicarbonate
• Glucose Custom: NUR212 Midpoint Assessment Summer 2 2026
• Ammonia

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Question 12

A nurse is caring for a client who has a new diagnosis of urolithiasis. Which of the following should the nurse identify as an associated risk factor?

• Family history
• BMI less than 25
• Hypocalcemia
• Diuretic use

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Question 13

A nurse is preparing dietary instructions for a client who has episodes of biliary colic from chronic cholecystitis. Which of the following instructions should the nurse include in the teaching plan?

• Avoid foods high in fat
• Include foods high in starch and proteins
• Avoid foods high in sodium
• Include foods high in fiber

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Question 14

The nurse is caring for a patient with diabetes.

History & Physical: Skyler Hansen is an 18-year-old male diagnosed with type 1 diabetes 6 months ago. He was brought to the Emergency Department by his mother. The mother reports that he started acting “weird” after a wrestling tournament. He had not felt well on the bus ride with the team so his mother decided he should ride with her. His mother denies a history of chronic illness but did say he had like “a cold but with a stomachache” about 3 months ago.

She also says that he has been very thirsty, and they had to stop several times for him to urinate. She is also worried because he almost missed his wrestling weight class parameters because he was significantly lighter this past weekend than he has been in the past, even with him eating more than usual.

Nurse’s Notes: Capillary blood glucose obtained; machine gives no value. Instead, an error message indicating “HI” displays on the machine. He A/O x 4. He complains of a “stomachache” and reports he has nausea and experienced vomiting shortly before arrival. His skin is warm and dry, but his face is flushed. When asked about pain, he says he has a headache, and his vision is blurry. Noted fruity odor to his breath during vital signs.

Vital Signs:

• Time: 1000
• Temperature: 98.6°F
• Heart rate: 122
• Respiratory rate: 26
• Blood pressure: 90/54 mmHg
• Oxygen saturation: 98% RA
• Pain: 0/10 on scale of 1-10

Stimulus: 1 of 6

The nurse has just completed the on-coming shift assessment for their client.

Select the “6” findings that require immediate follow-up.

• Nausea
• Blurry vision
• Oxygen saturation
• Fruity odor to breath
• Heart rate
• Blood pressure
• Pain level
• Blood glucose

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Question 15

Stimulus: 2 of 6

The nurse is preparing to speak with the provider regarding the client’s condition. Which of the following orders should the nurse anticipate? (Select all that apply.)

• Measure intake and output every shift
• Calorie Count
• Capillary blood glucose (CBG) before meals and at bedtime
• Tylenol 650 mg po every 6 hours prn pain
• Repeat urinalysis in the morning
• Ambulate with assistance
• Regular insulin IV
• Oxygen at 2 liters via nasal cannula

Question 16

Stimulus: 3 of 6

Complete the following sentence by choosing from the list of options.

“The client is at highest risk for developing Diabetic ketoacidosis as evidence by the client’s fruity odor to his breath.”

Dropdown options:

• Phlebitis
• Diabetic ketoacidosis
• Perforated Bowel
• Anemia
• Distended Bladder

Question 17 (Stimulus 4)

The nurse is caring for a patient with diabetes. Only choose one option (anticipated, nonessential, contraindicated) for each potential order. Each option will be used at least once.

• IV Dextrose 5% with NS at 100 ml/hr: Anticipated ☐ | Nonessential ◉ | Contraindicated ☐
• Insert a urinary catheter: Anticipated ☐ | Nonessential ◉ | Contraindicated ☐
• Check Urinalysis in the morning: Anticipated ☐ | Nonessential ☐ | Contraindicated ◉
• Maintain NPO: Anticipated ☐ | Nonessential ☐ | Contraindicated ◉
• Physical therapy consult: Anticipated ☐ | Nonessential ☐ | Contraindicated ◉

Question 18 (Stimulus 5)

The nurse is caring for a patient with diabetes. Which of the following actions should the nurse take? Select all that apply.

• Stop insulin drip
• Obtain temperature
• Assess bowel sounds
• Administer dextrose
• Obtain blood glucose from the lab
• Obtain pulse oximeter
• Assess neurological status

Question 19 (Stimulus 6)

For each assessment finding, click to specify if the finding indicates that the client’s condition has improved, has not changed, or has declined. Only choose one option for each assessment finding. Each option will be used at least once.

• Heart Rate: Improved ◉ | No Change ☐ | Declined ☐
• Hyperglycemia: Improved ☐ | No Change ☐ | Declined ◉
• Temperature: Improved ☐ | No Change ◉ | Declined ☐
• Blood pressure: Improved ◉ | No Change ☐ | Declined ☐
• Respirations: Improved ◉ | No Change ☐ | Declined ☐

Question 20

Which nursing interventions should the RN implement when providing care for a patient with ascites related to Cirrhosis of the liver? Select all that apply.

• Maintain strict intake and output.
• Administer furosemide as prescribed.
• Prepare patient for a paracentesis
• Ambulate in hallway three times daily.
• Encourage an increase in oral fluids.

Question 21

A nurse is assessing a client who is experiencing thyroid storm. Which of the following findings should the nurse anticipate?

• Coma
• Tachycardia
• Fruity smelling breath
• Hypothermia

Question 22

A nurse is reviewing the laboratory data of a client who has acute pancreatitis. The nurse should expect to find an elevation of which of following values?

• RBC count Custom: NUR212 Midpoint Assessment Summer 2 2026
• Magnesium
• Calcium
• Amylase

Question 23

A nurse is caring for a female client who has recurrent kidney stones and is scheduled for an intravenous pyelogram. Which of the following statements by the client should the nurse report to the provider?

• “I don’t eat shellfish because it gives me hives.”
• “My period ended 2 days ago.”
• “I drink at least 2 quarts of fluid every day.”
• “The last time I voided it was painful and red-tinged.”

Question 24

Complete the following sentence by choosing from the list of options.

The nurse should first address the patient’s Glucose followed by the client’s Temperature.