Test Bank for Advanced Nutrition and Human Metabolism 8th Edition
Gropper / All Chapters 1-14 / Complete Guide 2024/ Graded A+
1. Common symptoms of DM in- • Hyperglycemia
cludes? Select all that apply • Blurred vision
• Frequent urination
• Increased appetite.
2. Treatment of DKA would in- • IV fluids
clude? SELECT ALL THAT AP- • Bicarbonate
PLY • IV insulin.
3. Expected lab findings in the pt • Increased TSH
with hypothyroidism would in- • Decreased T3
clude? SELECT ALL THAT AP- • Decreased T4.
PLY
4. Pts with hyperparathyroidism True
are at risk for osteoporosis.
True or False
5. Approximately 50-75% of all Diabetes and hypertension
cases of chronic renal failure
result from which of the follow-
ing?
6. Which statement is true about It is caused by breakdown of fatty acids for
ketosis? energy.
7. Diabetes insipidus is from ex- True
cessive fluid excretion in the
kidneys caused by deficient
antidiuretic hormone levels.
True or False
8. The metabolic abnormalities Insulin resistance
that lead to type 2 diabetes in-
clude?
9. Pt education is important in di- • Need for regular exercise and weight
abetes. Which of the following management
would be essential to teach a • Need for good nail care and examination
of feet on a regular basis
, Metabolism 8th Edition Complete Guide 2024
diabetic pt? SELECT ALL THAT • Need for yearly dilated eye exams
APPLY • Need for lab tests for urine microalbumin.
10. Which electrolyte alteration oc- Hyponatremia
curs in Addison's disease?
11. Which of the following indi- Flushed dry skin and thirst.
cates hyperglycemia in a dia-
betic?
12. Which of the following resi- An 80-year-old woman who has unchar-
dents of a long-term facility acteristically lost her appetite of late and
is exhibiting signs and symp- often complains of feeling cold.
toms that are indicative of hy-
pothyroidism?
13. A pt is returning from a subto- Respiratory distress
tal throidectomy for the treat-
ment of hyperthyroidism.The
immediate priority for the
nurse assigned to this pt is to
assess for which of the follow-
ing?
14. A pt is admitted with the diag- Diaphoresis
nosis of hypoglycemia. What Hunger
clinical manifestations would
you expect to see? SELECT
ALL THAT APPLY
15. The major manifestations of Overt diabetes mellitus
Cushing's syndrome include?
16. Identify the risk factors for • Gestational diabetes
Type II diabetes mellitus. SE- • Family history
LECT ALL THAT APPLY • Advancing age.
17. Goiters can occur in hypothy- True
roidism and hyperthyroidism.
True or False
, Metabolism 8th Edition Complete Guide 2024
18. Long term corticosteroid ther- • Delayed wound healing
apy and Cushing's disease • Osteoporosis
may cause which of the follow- • "Moon" face.
ing? SELECT ALL THAT APPLY
19. A pt with longstanding type The stress of the event caused the release
2 diabetes is surprised at of cortisol.
his high blood sugar read-
ings while recovering from an
emergency surgery. Which of
the following factors may have
contributed to the pt's inordi-
nately elevated blood glucose
levels?
20. A pt has developed the facial Synthetic preparations of T3 or T4.
appearance that is characteris-
tic of myxedema, along with an
enlarged tongue, bradycardia,
and voice changes. Which of
the following treatment modal-
ities is most likely to benefit
this pt?
21. Common symptoms of dia- Frequent urination
betes mellitus includes: SE- Increased appetite
LECT ALL THAT APPLY Blurred vision
Hyperglycemia
22. The client is diagnosed Hair loss, cold intolerance, weight gain
with hypothyroidism. Which
signs/symptoms should the
nurse expect the client to ex-
hibit?
23. Long term corticosteroid ther- Delayed wound healing
apy and Cushing's disease "Moon" face
may cause which of the follow- Osteoporosis
ing?
, Metabolism 8th Edition Complete Guide 2024
24. A patient with longstanding The stress of the event caused the release
type 2 diabetes is surprised of cortisol
at his high blood sugar read-
ings while recovering from an
emergency surgery. Which of
the following factors may have
contributed to the patient' un-
usually elevated blood glucose
levels?
25. An agitated, confused female B.
client arrives in the emergency To reverse hypoglycemia, the American Di-
department. Her history in- abetes Association recommends ingesting
cludes type 1 diabetes melli- 10 to 15 g of a simple carbohydrate, such
tus, hypertension, and angina as three to five pieces of hard candy, two
pectoris. Assessment reveals to three packets of sugar (4 to 6 tsp), or 4
pallor, diaphoresis, headache, oz of fruit juice. If necessary, this treatment
and intense hunger. A stat can be repeated in 15 minutes. Ingesting
blood glucose sample mea- only 2 to 5 g of a simple carbohydrate may
sures 42 mg/dl, and the client not raise the blood glucose level sufficient-
is treated for an acute hy- ly. Ingesting more than 15 g may raise it
poglycemic reaction. After re- above normal, causing hyperglycemia.
covery, nurse Lily teaches the
client to treat hypoglycemia by
ingesting:
a. 2 to 5 g of a simple carbohy-
drate.
b. 10 to 15 g of a simple carbo-
hydrate.
c. 18 to 20 g of a simple carbo-
hydrate.
d. 25 to 30 g of a simple carbo-
hydrate.
26. A female adult client with a his- A.
tory of chronic hyperparathy- Poorly controlled hyperparathyroidism
roidism admits to being non- may cause an elevated serum calcium
compliant. Based on initial as- level. This, in turn, may diminish calcium
Gropper / All Chapters 1-14 / Complete Guide 2024/ Graded A+
1. Common symptoms of DM in- • Hyperglycemia
cludes? Select all that apply • Blurred vision
• Frequent urination
• Increased appetite.
2. Treatment of DKA would in- • IV fluids
clude? SELECT ALL THAT AP- • Bicarbonate
PLY • IV insulin.
3. Expected lab findings in the pt • Increased TSH
with hypothyroidism would in- • Decreased T3
clude? SELECT ALL THAT AP- • Decreased T4.
PLY
4. Pts with hyperparathyroidism True
are at risk for osteoporosis.
True or False
5. Approximately 50-75% of all Diabetes and hypertension
cases of chronic renal failure
result from which of the follow-
ing?
6. Which statement is true about It is caused by breakdown of fatty acids for
ketosis? energy.
7. Diabetes insipidus is from ex- True
cessive fluid excretion in the
kidneys caused by deficient
antidiuretic hormone levels.
True or False
8. The metabolic abnormalities Insulin resistance
that lead to type 2 diabetes in-
clude?
9. Pt education is important in di- • Need for regular exercise and weight
abetes. Which of the following management
would be essential to teach a • Need for good nail care and examination
of feet on a regular basis
, Metabolism 8th Edition Complete Guide 2024
diabetic pt? SELECT ALL THAT • Need for yearly dilated eye exams
APPLY • Need for lab tests for urine microalbumin.
10. Which electrolyte alteration oc- Hyponatremia
curs in Addison's disease?
11. Which of the following indi- Flushed dry skin and thirst.
cates hyperglycemia in a dia-
betic?
12. Which of the following resi- An 80-year-old woman who has unchar-
dents of a long-term facility acteristically lost her appetite of late and
is exhibiting signs and symp- often complains of feeling cold.
toms that are indicative of hy-
pothyroidism?
13. A pt is returning from a subto- Respiratory distress
tal throidectomy for the treat-
ment of hyperthyroidism.The
immediate priority for the
nurse assigned to this pt is to
assess for which of the follow-
ing?
14. A pt is admitted with the diag- Diaphoresis
nosis of hypoglycemia. What Hunger
clinical manifestations would
you expect to see? SELECT
ALL THAT APPLY
15. The major manifestations of Overt diabetes mellitus
Cushing's syndrome include?
16. Identify the risk factors for • Gestational diabetes
Type II diabetes mellitus. SE- • Family history
LECT ALL THAT APPLY • Advancing age.
17. Goiters can occur in hypothy- True
roidism and hyperthyroidism.
True or False
, Metabolism 8th Edition Complete Guide 2024
18. Long term corticosteroid ther- • Delayed wound healing
apy and Cushing's disease • Osteoporosis
may cause which of the follow- • "Moon" face.
ing? SELECT ALL THAT APPLY
19. A pt with longstanding type The stress of the event caused the release
2 diabetes is surprised at of cortisol.
his high blood sugar read-
ings while recovering from an
emergency surgery. Which of
the following factors may have
contributed to the pt's inordi-
nately elevated blood glucose
levels?
20. A pt has developed the facial Synthetic preparations of T3 or T4.
appearance that is characteris-
tic of myxedema, along with an
enlarged tongue, bradycardia,
and voice changes. Which of
the following treatment modal-
ities is most likely to benefit
this pt?
21. Common symptoms of dia- Frequent urination
betes mellitus includes: SE- Increased appetite
LECT ALL THAT APPLY Blurred vision
Hyperglycemia
22. The client is diagnosed Hair loss, cold intolerance, weight gain
with hypothyroidism. Which
signs/symptoms should the
nurse expect the client to ex-
hibit?
23. Long term corticosteroid ther- Delayed wound healing
apy and Cushing's disease "Moon" face
may cause which of the follow- Osteoporosis
ing?
, Metabolism 8th Edition Complete Guide 2024
24. A patient with longstanding The stress of the event caused the release
type 2 diabetes is surprised of cortisol
at his high blood sugar read-
ings while recovering from an
emergency surgery. Which of
the following factors may have
contributed to the patient' un-
usually elevated blood glucose
levels?
25. An agitated, confused female B.
client arrives in the emergency To reverse hypoglycemia, the American Di-
department. Her history in- abetes Association recommends ingesting
cludes type 1 diabetes melli- 10 to 15 g of a simple carbohydrate, such
tus, hypertension, and angina as three to five pieces of hard candy, two
pectoris. Assessment reveals to three packets of sugar (4 to 6 tsp), or 4
pallor, diaphoresis, headache, oz of fruit juice. If necessary, this treatment
and intense hunger. A stat can be repeated in 15 minutes. Ingesting
blood glucose sample mea- only 2 to 5 g of a simple carbohydrate may
sures 42 mg/dl, and the client not raise the blood glucose level sufficient-
is treated for an acute hy- ly. Ingesting more than 15 g may raise it
poglycemic reaction. After re- above normal, causing hyperglycemia.
covery, nurse Lily teaches the
client to treat hypoglycemia by
ingesting:
a. 2 to 5 g of a simple carbohy-
drate.
b. 10 to 15 g of a simple carbo-
hydrate.
c. 18 to 20 g of a simple carbo-
hydrate.
d. 25 to 30 g of a simple carbo-
hydrate.
26. A female adult client with a his- A.
tory of chronic hyperparathy- Poorly controlled hyperparathyroidism
roidism admits to being non- may cause an elevated serum calcium
compliant. Based on initial as- level. This, in turn, may diminish calcium
