MS 2 Exam 4 Questions With
Accurate Answers
The nurse is teaching a client about the manifestations and emergency
management of hypoglycemia. Which response by the client indicates a correct
understanding of what to do if the client feels hungry and shaky?
"I will drink a glass of water."
"I will eat three graham crackers."
"I will give myself 1 mg of glucagon."
"I will sit down and rest." - ANSWER "I will eat three graham crackers."
A client with type 2 diabetes who is taking metformin (Glucophage) is seen in the
diabetic clinic. The fasting blood glucose is 108 mg/dL (6.0 mmol/L), and the
glycosylated hemoglobin (HbA1C) is 8.2%. Which action will the nurse take next?
Instruct the client to continue with the current diet and metformin use.
Discuss the need to check blood glucose several times every day.
Talk about the possibility of adding rapid-acting insulin to the regimen.
Ask the client about current dietary intake and medication use. - ANSWER Ask
the client about current dietary intake and medication use.
A client recently admitted with new-onset type 2 diabetes will be discharged
with a meter for self-monitoring of blood glucose (SMBG) levels. When is the
best time for the nurse to explain to the client the proper use of the glucose
monitor?
Day of discharge
On admission
When the client states readiness
While performing the test in the hospital - ANSWER While performing the test in
the hospital
An intensive care client with diabetic ketoacidosis (DKA) is receiving an insulin
infusion. When the cardiac monitor shows ventricular ectopy, which assessment
will the nurse make?
Urine output
12-lead electrocardiogram (ECG)
Potassium level
Rate of IV fluids - ANSWER Potassium level
, The nurse is providing discharge teaching to a client with type 2 diabetes and
peripheral neuropathy. Which statement by the client indicates a need for
further teaching about injury prevention?
"I can break in my shoes by wearing them all day."
"I need to monitor my feet daily for blisters or skin breaks."
"I will never go barefoot."
"I need to quit smoking." - ANSWER "I can break in my shoes by wearing them all
day."
A client with type 1 diabetes arrives in the emergency department breathing
deeply and stating, "I can't catch my breath." The client's vital signs are: T
98.4°F (36.9°C), P 112 beats/min, R 38 breaths/min, BP 91/54 mm Hg, and O2
saturation 99% on room air. Which action will the nurse take first?
Check the blood glucose.
Administer oxygen.
Offer reassurance.
Attach a cardiac monitor. - ANSWER Check the blood glucose.
The clinic nurse is providing teaching to a client with newly diagnosed diabetes.
Which statement by the client indicates a correct understanding about the need
to wear a MedicAlert bracelet?
"If I become hyperglycemic, it is a medical emergency."
"If I become hypoglycemic, I could become unconscious."
"Medical personnel may need confirmation of my insurance."
"I may need to be admitted to the hospital suddenly." - ANSWER "If I become
hypoglycemic, I could become unconscious."
The nurse in the endocrine clinic is reviewing type 1 and type 2 diabetes with a
group of nursing students. Which explanation by the students indicates their
understanding of the types of diabetes?
Most clients with type 1 diabetes are born with it.
People with type 1 diabetes are often obese.
Those with type 2 diabetes make insulin, but in inadequate amounts.
People with type 2 diabetes do not develop typical diabetic complications. -
ANSWER Those with type 2 diabetes make insulin, but in inadequate amounts.
The nurse working on a medical surgical endocrine unit has just received
change-of-shift report. Which client will the nurse see first?
Client with type 1 diabetes whose insulin pump is beeping "occlusion"
Newly diagnosed client with type 1 diabetes who is reporting thirst
Client with type 2 diabetes who has a blood glucose of 150 mg/dL (8.3 mmol/L)
Client with type 2 diabetes with a blood pressure of 150/90 mm Hg - ANSWER
Client with type 1 diabetes whose insulin pump is beeping "occlusion"
Which nursing action will the home health nurse delegate to a home health aide
who is making daily visits to a client with newly diagnosed type 2 diabetes?
Accurate Answers
The nurse is teaching a client about the manifestations and emergency
management of hypoglycemia. Which response by the client indicates a correct
understanding of what to do if the client feels hungry and shaky?
"I will drink a glass of water."
"I will eat three graham crackers."
"I will give myself 1 mg of glucagon."
"I will sit down and rest." - ANSWER "I will eat three graham crackers."
A client with type 2 diabetes who is taking metformin (Glucophage) is seen in the
diabetic clinic. The fasting blood glucose is 108 mg/dL (6.0 mmol/L), and the
glycosylated hemoglobin (HbA1C) is 8.2%. Which action will the nurse take next?
Instruct the client to continue with the current diet and metformin use.
Discuss the need to check blood glucose several times every day.
Talk about the possibility of adding rapid-acting insulin to the regimen.
Ask the client about current dietary intake and medication use. - ANSWER Ask
the client about current dietary intake and medication use.
A client recently admitted with new-onset type 2 diabetes will be discharged
with a meter for self-monitoring of blood glucose (SMBG) levels. When is the
best time for the nurse to explain to the client the proper use of the glucose
monitor?
Day of discharge
On admission
When the client states readiness
While performing the test in the hospital - ANSWER While performing the test in
the hospital
An intensive care client with diabetic ketoacidosis (DKA) is receiving an insulin
infusion. When the cardiac monitor shows ventricular ectopy, which assessment
will the nurse make?
Urine output
12-lead electrocardiogram (ECG)
Potassium level
Rate of IV fluids - ANSWER Potassium level
, The nurse is providing discharge teaching to a client with type 2 diabetes and
peripheral neuropathy. Which statement by the client indicates a need for
further teaching about injury prevention?
"I can break in my shoes by wearing them all day."
"I need to monitor my feet daily for blisters or skin breaks."
"I will never go barefoot."
"I need to quit smoking." - ANSWER "I can break in my shoes by wearing them all
day."
A client with type 1 diabetes arrives in the emergency department breathing
deeply and stating, "I can't catch my breath." The client's vital signs are: T
98.4°F (36.9°C), P 112 beats/min, R 38 breaths/min, BP 91/54 mm Hg, and O2
saturation 99% on room air. Which action will the nurse take first?
Check the blood glucose.
Administer oxygen.
Offer reassurance.
Attach a cardiac monitor. - ANSWER Check the blood glucose.
The clinic nurse is providing teaching to a client with newly diagnosed diabetes.
Which statement by the client indicates a correct understanding about the need
to wear a MedicAlert bracelet?
"If I become hyperglycemic, it is a medical emergency."
"If I become hypoglycemic, I could become unconscious."
"Medical personnel may need confirmation of my insurance."
"I may need to be admitted to the hospital suddenly." - ANSWER "If I become
hypoglycemic, I could become unconscious."
The nurse in the endocrine clinic is reviewing type 1 and type 2 diabetes with a
group of nursing students. Which explanation by the students indicates their
understanding of the types of diabetes?
Most clients with type 1 diabetes are born with it.
People with type 1 diabetes are often obese.
Those with type 2 diabetes make insulin, but in inadequate amounts.
People with type 2 diabetes do not develop typical diabetic complications. -
ANSWER Those with type 2 diabetes make insulin, but in inadequate amounts.
The nurse working on a medical surgical endocrine unit has just received
change-of-shift report. Which client will the nurse see first?
Client with type 1 diabetes whose insulin pump is beeping "occlusion"
Newly diagnosed client with type 1 diabetes who is reporting thirst
Client with type 2 diabetes who has a blood glucose of 150 mg/dL (8.3 mmol/L)
Client with type 2 diabetes with a blood pressure of 150/90 mm Hg - ANSWER
Client with type 1 diabetes whose insulin pump is beeping "occlusion"
Which nursing action will the home health nurse delegate to a home health aide
who is making daily visits to a client with newly diagnosed type 2 diabetes?
