NURS 309 QUIZ 9 - ACUTE TYPE 2 DIABETES UPDATED
ACTUAL QUESTIONS AND CORRECT ANSWERS
Question:
1. 1. You are preparing to review a teaching plan for a pt with type 2 diabetes mellitus. To determine the
pt's level of compliance with his prescribed diabetic regimen, which value would you be sure to review?
1. fasting glucose level
2. oral glucose tolerance test
3. glycosylated hemoglobin (HbgA1C) level
4. fingerstick glucose findings for 24 hours
Answer:
3
Question:
2. 2. A patient has newly-diagnosed type 2 diabetes. Which task should you delegate to the UAP?
1. arranging a consult with the dietitian
2. assessing the pt's insulin injection technique
3. teaching the pt to use a glucometer to monitor glucose at home
4. reminding the pt to check glucose level before each meal
Answer:
4
Question:
3. 7. A UAP tells you that, while assisting with the morning care of a postoperative pt with type 2 diabetes
who has been given insulin, the pt asked if she will always need to take insulin now. What is your priority
for teaching the pt?
1. explain to the pt that she is now considered to have type 1 diabetes
2. tell the pt to monitor fingerstick glucose level every 4 hours after discharge
3. teach the pt that a person with type 2 diabetes does not always need insulin
4. talk with the pt about the relationship between illness and increased glucose levels
Answer:
4
Question:
4. 9. In care of a pt with type 2 diabetes, which actions can you delegate to the UAP? (select all that apply)
1. providing pt with extra packets of artificial sweetener for coffee
2. assessing how well the pt's shoes fit
3. recording the liquid intake from the pt's breakfast tray
4. teaching pt what to do if dizziness or lightheadedness occurs
5. checking and recording pt's BP
Answer:
1,3,5
, Question:
5. 14. A pt has a newly diagnosed type 2 diabetes. Which action should you assign to an LPN/LVN instead
of a UAP?
1. measuring pt's vital signs every shift
2. checking pt's glucose level before each meal
3. administering subcutaneous insulin on a sliding scale as needed
4. assisting pt with morning care
Answer:
3
Question:
6. 18. While you are performing an admission assessment on a pt with type 2 diabetes, he tells you that he
routinely drinks 3 beers a day. What is your priority follow-up question at this time?
1. "Do you have any days when you do not drink?"
2. "When during the day do you drink your beers?"
3. "Do you drink any other forms of alcohol?"
4. "Have you ever had a lipid profile completed?"
Answer:
2
Question:
7. 22. You are caring for an 81-year-old adult with type 2 diabetes, hypertension, and peripheral vascular
disease. Which admission assessment findings increase the pt's risk for development of
hyperglycemic-hyperosmolar syndrome (HHS)? (select all that apply)
1. hydrochlorothiazide (HCTZ) prescribed to control her diabetes
2. weight gain of 6 pounds over the past month
3. avoids consuming liquids in the evening
4. BP of 168/94 mmHg
5. urine output of 50-75 mL/hr
Answer:
1,3
Question:
8. 25. You are caring for a diabetic pt admitted with hypoglycemia that occurred at home. Which teaching
points for treatment of hypoglycemia at home would you include in a teaching plan for the pt and family
before discharge? (select all that apply)
1. signs and symptoms of hypoglycemia include hunger, irritability, weakness, headache, and blood
glucose less than 60 mg/dL
2. treat hypoglycemia with 4-8 g of carbohydrate such as glucose tablets or 1/4 cup of fruit juice
3. retest blood glucose in 30 min
4. repeat the carbohydrate treatment if the symptoms do not resolve
5. eat a small snack of carbohydrate and protein if the next meal is more than an hour away
Answer:
1,4,5
ACTUAL QUESTIONS AND CORRECT ANSWERS
Question:
1. 1. You are preparing to review a teaching plan for a pt with type 2 diabetes mellitus. To determine the
pt's level of compliance with his prescribed diabetic regimen, which value would you be sure to review?
1. fasting glucose level
2. oral glucose tolerance test
3. glycosylated hemoglobin (HbgA1C) level
4. fingerstick glucose findings for 24 hours
Answer:
3
Question:
2. 2. A patient has newly-diagnosed type 2 diabetes. Which task should you delegate to the UAP?
1. arranging a consult with the dietitian
2. assessing the pt's insulin injection technique
3. teaching the pt to use a glucometer to monitor glucose at home
4. reminding the pt to check glucose level before each meal
Answer:
4
Question:
3. 7. A UAP tells you that, while assisting with the morning care of a postoperative pt with type 2 diabetes
who has been given insulin, the pt asked if she will always need to take insulin now. What is your priority
for teaching the pt?
1. explain to the pt that she is now considered to have type 1 diabetes
2. tell the pt to monitor fingerstick glucose level every 4 hours after discharge
3. teach the pt that a person with type 2 diabetes does not always need insulin
4. talk with the pt about the relationship between illness and increased glucose levels
Answer:
4
Question:
4. 9. In care of a pt with type 2 diabetes, which actions can you delegate to the UAP? (select all that apply)
1. providing pt with extra packets of artificial sweetener for coffee
2. assessing how well the pt's shoes fit
3. recording the liquid intake from the pt's breakfast tray
4. teaching pt what to do if dizziness or lightheadedness occurs
5. checking and recording pt's BP
Answer:
1,3,5
, Question:
5. 14. A pt has a newly diagnosed type 2 diabetes. Which action should you assign to an LPN/LVN instead
of a UAP?
1. measuring pt's vital signs every shift
2. checking pt's glucose level before each meal
3. administering subcutaneous insulin on a sliding scale as needed
4. assisting pt with morning care
Answer:
3
Question:
6. 18. While you are performing an admission assessment on a pt with type 2 diabetes, he tells you that he
routinely drinks 3 beers a day. What is your priority follow-up question at this time?
1. "Do you have any days when you do not drink?"
2. "When during the day do you drink your beers?"
3. "Do you drink any other forms of alcohol?"
4. "Have you ever had a lipid profile completed?"
Answer:
2
Question:
7. 22. You are caring for an 81-year-old adult with type 2 diabetes, hypertension, and peripheral vascular
disease. Which admission assessment findings increase the pt's risk for development of
hyperglycemic-hyperosmolar syndrome (HHS)? (select all that apply)
1. hydrochlorothiazide (HCTZ) prescribed to control her diabetes
2. weight gain of 6 pounds over the past month
3. avoids consuming liquids in the evening
4. BP of 168/94 mmHg
5. urine output of 50-75 mL/hr
Answer:
1,3
Question:
8. 25. You are caring for a diabetic pt admitted with hypoglycemia that occurred at home. Which teaching
points for treatment of hypoglycemia at home would you include in a teaching plan for the pt and family
before discharge? (select all that apply)
1. signs and symptoms of hypoglycemia include hunger, irritability, weakness, headache, and blood
glucose less than 60 mg/dL
2. treat hypoglycemia with 4-8 g of carbohydrate such as glucose tablets or 1/4 cup of fruit juice
3. retest blood glucose in 30 min
4. repeat the carbohydrate treatment if the symptoms do not resolve
5. eat a small snack of carbohydrate and protein if the next meal is more than an hour away
Answer:
1,4,5
