NRS 3015 Chapter 46 Prep U
Questions and All Correct Answers.
Insulin is secreted by which of the following types of cells?
A. Beta cells
B. Melanocytes
C. Neural cells
D. Basal cells - Answer A. Beta cells
A client is admitted with hyperosmolar hyperglycemic nonketotic syndrome (HHNS). Which
laboratory finding should the nurse expect in this client?
A. Arterial pH 7.25
B. Plasma bicarbonate 12 mEq/L
C. Blood glucose level 1,100 mg/dl
D. Blood urea nitrogen (BUN) 15 mg/dl - Answer C. Blood glucose level 1,100 mg/dl
A nurse is caring for a client with an abnormally low blood glucose concentration. What glucose
level should the nurse observe when assessing laboratory results?
A. Less than 70 mg/dL (3.7 mmol/L)
B. Between 70 and 75 mg/dL (3.9 to 4.16 mmol/L)
C. Between 75 and 90 mg/dL (4.16 to 5.00 mmol/L)
D. 95 mg/dL (5.27 mmol/L) - Answer A. Less than 70 mg/dL (3.7 mmol/L)
After teaching a client with type 1 diabetes who is scheduled to undergo an islet cell transplant,
which client statement indicates successful teaching?
A. "This transplant will provide me with a cure for my diabetes."
B. "I will receive a whole organ with extra cells to produce insulin."
C. "They'll need to create a connection from the pancreas to allow enzymes to drain."
D. "I might need insulin later on but probably not as much or as often." - Answer D. "I might
need insulin later on but probably not as much or as often."
A nurse is providing education to a client who is newly diagnosed with diabetes mellitus. What
are classic symptoms associated with diabetes?
A. Increased thirst, hunger, and urination
B. Increased weight loss, dehydration, and fatigue
C. Loss of appetite, increased urination, and dehydration
, D. Increased weight gain, appetite, and thirst - Answer A. Increased thirst, hunger, and
urination
A nurse is teaching a client with diabetes mellitus about self-management of his condition. The
nurse should instruct the client to administer 1 unit of insulin for every:
A. 10 g of carbohydrates.
B. 15 g of carbohydrates.
C. 20 g of carbohydrates.
D. 25 g of carbohydrates. - Answer B. 15 g of carbohydrates.
A nurse is preparing to administer insulin to a child who's just been diagnosed with type 1
diabetes. When the child's mother stops the nurse in the hall, she's crying and anxious to talk
about her son's condition. The nurse's best response is:
A. "I can't talk now. I have to give your son his insulin as soon as possible."
B. "If you'll wait in your son's room, the physician will talk with you as soon as he's free."
C. "Everything will be just fine. I'll be back in a minute and then we can talk."
D. "I'm going to give your son some insulin. Then I'll be happy to talk with you." - Answer D.
"I'm going to give your son some insulin. Then I'll be happy to talk with you."
Which intervention is essential when performing dressing changes on a client with a diabetic
foot ulcer?
A. Applying a heating pad
B. Debriding the wound three times per day
C. Using sterile technique during the dressing change
D. Cleaning the wound with a povidone-iodine solution - Answer C. Using sterile technique
during the dressing change
A client with diabetes mellitus is receiving an oral antidiabetic agent. When caring for this client,
the nurse should observe for signs of:
A. hypoglycemia
B. polyuria
C. blurred vision
D. polydipsia - Answer A. hypoglycemia
A client's blood glucose level is 45 mg/dl. The nurse should be alert for which signs and
symptoms?
A. Coma, anxiety, confusion, headache, and cool, moist skin
B. Kussmaul respirations, dry skin, hypotension, and bradycardia
Questions and All Correct Answers.
Insulin is secreted by which of the following types of cells?
A. Beta cells
B. Melanocytes
C. Neural cells
D. Basal cells - Answer A. Beta cells
A client is admitted with hyperosmolar hyperglycemic nonketotic syndrome (HHNS). Which
laboratory finding should the nurse expect in this client?
A. Arterial pH 7.25
B. Plasma bicarbonate 12 mEq/L
C. Blood glucose level 1,100 mg/dl
D. Blood urea nitrogen (BUN) 15 mg/dl - Answer C. Blood glucose level 1,100 mg/dl
A nurse is caring for a client with an abnormally low blood glucose concentration. What glucose
level should the nurse observe when assessing laboratory results?
A. Less than 70 mg/dL (3.7 mmol/L)
B. Between 70 and 75 mg/dL (3.9 to 4.16 mmol/L)
C. Between 75 and 90 mg/dL (4.16 to 5.00 mmol/L)
D. 95 mg/dL (5.27 mmol/L) - Answer A. Less than 70 mg/dL (3.7 mmol/L)
After teaching a client with type 1 diabetes who is scheduled to undergo an islet cell transplant,
which client statement indicates successful teaching?
A. "This transplant will provide me with a cure for my diabetes."
B. "I will receive a whole organ with extra cells to produce insulin."
C. "They'll need to create a connection from the pancreas to allow enzymes to drain."
D. "I might need insulin later on but probably not as much or as often." - Answer D. "I might
need insulin later on but probably not as much or as often."
A nurse is providing education to a client who is newly diagnosed with diabetes mellitus. What
are classic symptoms associated with diabetes?
A. Increased thirst, hunger, and urination
B. Increased weight loss, dehydration, and fatigue
C. Loss of appetite, increased urination, and dehydration
, D. Increased weight gain, appetite, and thirst - Answer A. Increased thirst, hunger, and
urination
A nurse is teaching a client with diabetes mellitus about self-management of his condition. The
nurse should instruct the client to administer 1 unit of insulin for every:
A. 10 g of carbohydrates.
B. 15 g of carbohydrates.
C. 20 g of carbohydrates.
D. 25 g of carbohydrates. - Answer B. 15 g of carbohydrates.
A nurse is preparing to administer insulin to a child who's just been diagnosed with type 1
diabetes. When the child's mother stops the nurse in the hall, she's crying and anxious to talk
about her son's condition. The nurse's best response is:
A. "I can't talk now. I have to give your son his insulin as soon as possible."
B. "If you'll wait in your son's room, the physician will talk with you as soon as he's free."
C. "Everything will be just fine. I'll be back in a minute and then we can talk."
D. "I'm going to give your son some insulin. Then I'll be happy to talk with you." - Answer D.
"I'm going to give your son some insulin. Then I'll be happy to talk with you."
Which intervention is essential when performing dressing changes on a client with a diabetic
foot ulcer?
A. Applying a heating pad
B. Debriding the wound three times per day
C. Using sterile technique during the dressing change
D. Cleaning the wound with a povidone-iodine solution - Answer C. Using sterile technique
during the dressing change
A client with diabetes mellitus is receiving an oral antidiabetic agent. When caring for this client,
the nurse should observe for signs of:
A. hypoglycemia
B. polyuria
C. blurred vision
D. polydipsia - Answer A. hypoglycemia
A client's blood glucose level is 45 mg/dl. The nurse should be alert for which signs and
symptoms?
A. Coma, anxiety, confusion, headache, and cool, moist skin
B. Kussmaul respirations, dry skin, hypotension, and bradycardia
