NURS 330 - Ch. 56: Diabetes UPDATED ACTUAL Questions
and CORRECT Answers
Which hormone is not produced or used by patients with Insulin
diabetes mellitus (DM)? DM is a common, complex, chronic condition in which the ability to produce or
Insulin utilize the hormone insulin is impaired, resulting in impaired glucose metabolism.
Glucagon Glucose regulation is the process of maintaining optimal blood glucose levels.
Epinephrine
Proinsulin
Which cell secretes the hormone glucagon? Alpha cells
Alpha cells In the endocrine gland in the pancreas, alpha cells secrete the hormone
Beta cells glucagon. Glucagon is a regulatory hormone that stimulates the release of
Delta cells glucose from storage sites such as the liver and skeletal muscles.
Epsilon cells
Which organ is unable to produce or store much glucose Brain
and requires a continuous supply? Glucose is the main fuel for central nervous system (CNS) cells. Because the brain
Brain cannot produce or store much glucose, it requires a continuous supply from the
Kidney blood to prevent neuron dysfunction and cell death.
Skeletal muscle
Liver
Which complication of diabetes mellitus (DM) is a Heart disease
macrovascular complication? Macrovascular complications resulting from DM increase the risk of early
Vision problems morbidity and mortality, and include coronary heart disease, cerebrovascular
Heart disease disease, and peripheral vascular disease. Macrovascular changes occur in large
Neuropathy blood vessels because of chronic hyperglycemia.
Nephropathy
Which low-density lipoprotein (LDL) cholesterol level is < 70 mg/dL
recommended for patients presenting with diabetes Patients with CVD are recommended to maintain LDL at less than 70 mg/dL (1.8
mellitus (DM) and indications of cardiovascular disease mmol/L). Patients without CVD should maintain LDL cholesterol below 100 mg/dL
(CVD)? (2.60 mmol/L).
<100 mg/dL
<85 mg/dL
<75 mg/dL
<70 mg/dL
Which diabetic neuropathy complication is a result of Sensory alterations
distal symmetric polyneuropathy? Paresthesias are burning, tingling sensations, starting in toes and moving up legs,
Neurogenic bladder which are sensory alterations due to distal symmetric polyneuropathy. Other
Sexual dysfunction diabetic neuropathy complications include dysesthesias and anesthesia.
Sensory alterations
Cardiovascular autonomic neuropathy (CAN)
, Which teaching point would the nurse include when An autoimmune response which destroys the pancreatic beta cells.
providing education about the pathophysiology of type 1 T1DM is an autoimmune disorder in which the pancreatic beta cells are destroyed.
diabetes mellitus (T1DM)? The immune system fails to recognize normal body cells as "self," and immune
A genetic predisposition that is autosomal dominant system cells and antibodies take destructive actions against the insulin-secreting
An autoimmune response which destroys the pancreatic cells in the islets.
beta cells
The development of insulin resistance that occurs during
pregnancy
Metabolic factors that increase the risk of developing
T2DM
Which condition is a feature of metabolic syndrome? Abdominal obesity
Abdominal obesity
Hyperglycemia
Hypertension
Hyperlipidemia
Hyperkalemia
Which population would the nurse identify as having the Alaska Natives
highest rate of type 2 diabetes mellitus (T2DM) during T2DM has a rate of 9.5% among non-Hispanic Asians. Among non-Hispanic
screening? Whites, 7.4% of individuals have T2DM.
Alaska Natives
Non-Hispanic Blacks
Hispanic origin
Non-Hispanic Asians
Which symptom occurs in both type 1 and type 2 Fatigue
diabetes mellitus (DM)? Polydipsia
Fatigue Polyuria
Polydipsia
Polyuria
Obesity
Acetone breath
Which laboratory test is used to diagnose gestational Oral glucose tolerance test (OGTT)
diabetes mellitus (GDM)? The OGTT is a sensitive test for the diagnosis of DM. It is often used to diagnose
Random blood glucose GDM during pregnancy and is not routinely used for general diagnosis.
Fasting blood glucose (FBG)
Glycosylated hemoglobin (A1C)
Oral glucose tolerance test (OGTT)
Which health teaching content describes the purpose of "Your A1C level shows an average blood glucose level during the previous 120
the glycosylated hemoglobin test (A1C)? days."
"Your A1C level shows an average blood glucose level Measurement of A1C shows the average blood glucose level during the previous
during the previous 120 days." 120 days—the lifespan of red blood cells—and used to assess long-term glycemic
"This morning's meal may have affected your A1C level, management and predict the risk for complications. A1C test results are not
which shows your current glucose levels." altered by the eating habits on the day of the test but are assessed at diagnosis
"Time-in-range is determined by your A1C." and at specific intervals to evaluate the treatment plan.
"To measure your A1C, you must wear a sensor for 7 to 14
days, for a continual glucose measurement."
and CORRECT Answers
Which hormone is not produced or used by patients with Insulin
diabetes mellitus (DM)? DM is a common, complex, chronic condition in which the ability to produce or
Insulin utilize the hormone insulin is impaired, resulting in impaired glucose metabolism.
Glucagon Glucose regulation is the process of maintaining optimal blood glucose levels.
Epinephrine
Proinsulin
Which cell secretes the hormone glucagon? Alpha cells
Alpha cells In the endocrine gland in the pancreas, alpha cells secrete the hormone
Beta cells glucagon. Glucagon is a regulatory hormone that stimulates the release of
Delta cells glucose from storage sites such as the liver and skeletal muscles.
Epsilon cells
Which organ is unable to produce or store much glucose Brain
and requires a continuous supply? Glucose is the main fuel for central nervous system (CNS) cells. Because the brain
Brain cannot produce or store much glucose, it requires a continuous supply from the
Kidney blood to prevent neuron dysfunction and cell death.
Skeletal muscle
Liver
Which complication of diabetes mellitus (DM) is a Heart disease
macrovascular complication? Macrovascular complications resulting from DM increase the risk of early
Vision problems morbidity and mortality, and include coronary heart disease, cerebrovascular
Heart disease disease, and peripheral vascular disease. Macrovascular changes occur in large
Neuropathy blood vessels because of chronic hyperglycemia.
Nephropathy
Which low-density lipoprotein (LDL) cholesterol level is < 70 mg/dL
recommended for patients presenting with diabetes Patients with CVD are recommended to maintain LDL at less than 70 mg/dL (1.8
mellitus (DM) and indications of cardiovascular disease mmol/L). Patients without CVD should maintain LDL cholesterol below 100 mg/dL
(CVD)? (2.60 mmol/L).
<100 mg/dL
<85 mg/dL
<75 mg/dL
<70 mg/dL
Which diabetic neuropathy complication is a result of Sensory alterations
distal symmetric polyneuropathy? Paresthesias are burning, tingling sensations, starting in toes and moving up legs,
Neurogenic bladder which are sensory alterations due to distal symmetric polyneuropathy. Other
Sexual dysfunction diabetic neuropathy complications include dysesthesias and anesthesia.
Sensory alterations
Cardiovascular autonomic neuropathy (CAN)
, Which teaching point would the nurse include when An autoimmune response which destroys the pancreatic beta cells.
providing education about the pathophysiology of type 1 T1DM is an autoimmune disorder in which the pancreatic beta cells are destroyed.
diabetes mellitus (T1DM)? The immune system fails to recognize normal body cells as "self," and immune
A genetic predisposition that is autosomal dominant system cells and antibodies take destructive actions against the insulin-secreting
An autoimmune response which destroys the pancreatic cells in the islets.
beta cells
The development of insulin resistance that occurs during
pregnancy
Metabolic factors that increase the risk of developing
T2DM
Which condition is a feature of metabolic syndrome? Abdominal obesity
Abdominal obesity
Hyperglycemia
Hypertension
Hyperlipidemia
Hyperkalemia
Which population would the nurse identify as having the Alaska Natives
highest rate of type 2 diabetes mellitus (T2DM) during T2DM has a rate of 9.5% among non-Hispanic Asians. Among non-Hispanic
screening? Whites, 7.4% of individuals have T2DM.
Alaska Natives
Non-Hispanic Blacks
Hispanic origin
Non-Hispanic Asians
Which symptom occurs in both type 1 and type 2 Fatigue
diabetes mellitus (DM)? Polydipsia
Fatigue Polyuria
Polydipsia
Polyuria
Obesity
Acetone breath
Which laboratory test is used to diagnose gestational Oral glucose tolerance test (OGTT)
diabetes mellitus (GDM)? The OGTT is a sensitive test for the diagnosis of DM. It is often used to diagnose
Random blood glucose GDM during pregnancy and is not routinely used for general diagnosis.
Fasting blood glucose (FBG)
Glycosylated hemoglobin (A1C)
Oral glucose tolerance test (OGTT)
Which health teaching content describes the purpose of "Your A1C level shows an average blood glucose level during the previous 120
the glycosylated hemoglobin test (A1C)? days."
"Your A1C level shows an average blood glucose level Measurement of A1C shows the average blood glucose level during the previous
during the previous 120 days." 120 days—the lifespan of red blood cells—and used to assess long-term glycemic
"This morning's meal may have affected your A1C level, management and predict the risk for complications. A1C test results are not
which shows your current glucose levels." altered by the eating habits on the day of the test but are assessed at diagnosis
"Time-in-range is determined by your A1C." and at specific intervals to evaluate the treatment plan.
"To measure your A1C, you must wear a sensor for 7 to 14
days, for a continual glucose measurement."
