1|Page
NUR 445 EXAM 1 NEWEST 2026 ACTUAL EXAM COMPLETE 350
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
The nurse is reviewing type 1 diabetes mellitus with a group of patients
newly diagnosed with the disorder. What should the nurse explain as
the major cause for the disorder?
1. Autoimmune process
2. Cancer of the pancreas
3. Alteration in lipid and protein utilization
4. Malfunction of carbohydrate metabolism
1. Autoimmune process
Rationale: Type 1 diabetes mellitus (DM) is typically triggered by an
autoimmune processing which the insulin-producing beta cells of the
pancreas are destroyed, resulting in an absolute lack of insulin.
A patient with type 1 diabetes mellitus is scheduled for a hemoglobin
A1c level. What information does the nurse include in the patient
teaching about this diagnostic test?
,2|Page
1. "You need to schedule this test for first thing in the morning."
2. "You can have this test drawn at any time during the day."
3. "Avoid eating and drinking anything after midnight the day before the
test."
4. "Restrict the intake of red meat for 3 days before having the test."
2. "You can have this test drawn at any time during the day."
Rationale: On the day the hemoglobin A1c (HgbA1c) sample is
collected, eating, physical activity, or acute stresses do not affect the
result, and the test can be done at any time of day and does not
require fasting.
The nurse is reviewing the results of a patient's recent hemoglobin A1c
level drawn to evaluate type 1 diabetes management. Which result
indicates that treatment has been successful?
1. Less than or equal to 8%
2. Less than or equal to 6.5%
3. Greater than or equal to 6.5%
4. Greater than or equal to 8.5%
2. Less than or equal to 6.5%
,3|Page
Rationale: A hemoglobin A1c result less than or equal to 6.5%
indicates good glycemic control.
The nurse provides care to a patient diagnosed with type 1 diabetes
mellitus (DM) whose hemoglobin A1c level remains elevated despite
the use of the prescribed sliding scale insulin. The healthcare provider
prescribes an insulin pump. The patient asks, "Why did my doctor
prescribe a pump?" Which response by the nurse is best?
1. "The pump is worn continuously."
2. "The pump is more convenient for you."
3. "The pump provides more precise dosages of insulin."
4. "The pump provides better control of your blood sugar."
4. "The pump provides better control of your blood sugar."
Rationale: The use of the subcutaneous insulin pump has been found
to provide better glycemic control, especially in patients with higher
hemoglobin A1c levels, indicating poor glycemic control with
traditional methods. This is the best response because this patient has
an elevated A1c level despite the implementation of a sliding scale
insulin prescription.
, 4|Page
A patient with type 1 diabetes mellitus will be self-monitoring blood
glucose levels at home. What is the minimum number of measurements
that this patient should make each day?
1. 1
2. 3
3. 4
4. 8
3. 4
Rationale: Generally, patients with type 1 diabetes are advised to
check their blood glucose a minimum of before meals and at bedtime
or four times a day.
The nurse correlates which assessment findings to a patient
experiencing diabetic ketoacidosis?
1. Slow heart rate
2. Deep rapid respirations
3. Decreased urine output
4. Increased blood pressure
2. Deep rapid respirations
NUR 445 EXAM 1 NEWEST 2026 ACTUAL EXAM COMPLETE 350
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
The nurse is reviewing type 1 diabetes mellitus with a group of patients
newly diagnosed with the disorder. What should the nurse explain as
the major cause for the disorder?
1. Autoimmune process
2. Cancer of the pancreas
3. Alteration in lipid and protein utilization
4. Malfunction of carbohydrate metabolism
1. Autoimmune process
Rationale: Type 1 diabetes mellitus (DM) is typically triggered by an
autoimmune processing which the insulin-producing beta cells of the
pancreas are destroyed, resulting in an absolute lack of insulin.
A patient with type 1 diabetes mellitus is scheduled for a hemoglobin
A1c level. What information does the nurse include in the patient
teaching about this diagnostic test?
,2|Page
1. "You need to schedule this test for first thing in the morning."
2. "You can have this test drawn at any time during the day."
3. "Avoid eating and drinking anything after midnight the day before the
test."
4. "Restrict the intake of red meat for 3 days before having the test."
2. "You can have this test drawn at any time during the day."
Rationale: On the day the hemoglobin A1c (HgbA1c) sample is
collected, eating, physical activity, or acute stresses do not affect the
result, and the test can be done at any time of day and does not
require fasting.
The nurse is reviewing the results of a patient's recent hemoglobin A1c
level drawn to evaluate type 1 diabetes management. Which result
indicates that treatment has been successful?
1. Less than or equal to 8%
2. Less than or equal to 6.5%
3. Greater than or equal to 6.5%
4. Greater than or equal to 8.5%
2. Less than or equal to 6.5%
,3|Page
Rationale: A hemoglobin A1c result less than or equal to 6.5%
indicates good glycemic control.
The nurse provides care to a patient diagnosed with type 1 diabetes
mellitus (DM) whose hemoglobin A1c level remains elevated despite
the use of the prescribed sliding scale insulin. The healthcare provider
prescribes an insulin pump. The patient asks, "Why did my doctor
prescribe a pump?" Which response by the nurse is best?
1. "The pump is worn continuously."
2. "The pump is more convenient for you."
3. "The pump provides more precise dosages of insulin."
4. "The pump provides better control of your blood sugar."
4. "The pump provides better control of your blood sugar."
Rationale: The use of the subcutaneous insulin pump has been found
to provide better glycemic control, especially in patients with higher
hemoglobin A1c levels, indicating poor glycemic control with
traditional methods. This is the best response because this patient has
an elevated A1c level despite the implementation of a sliding scale
insulin prescription.
, 4|Page
A patient with type 1 diabetes mellitus will be self-monitoring blood
glucose levels at home. What is the minimum number of measurements
that this patient should make each day?
1. 1
2. 3
3. 4
4. 8
3. 4
Rationale: Generally, patients with type 1 diabetes are advised to
check their blood glucose a minimum of before meals and at bedtime
or four times a day.
The nurse correlates which assessment findings to a patient
experiencing diabetic ketoacidosis?
1. Slow heart rate
2. Deep rapid respirations
3. Decreased urine output
4. Increased blood pressure
2. Deep rapid respirations
