NP3-MS-Test 1 Practice Test Questions
All Answered Correctly 2026-2027
Edition.
Which statement by a nurse to a patient newly diagnosed with type 2 diabetes is accurate?
a. Insulin is not used to control blood glucose in patients with type 2 diabetes.
b. Complications of type 2 diabetes are less serious than those of type 1 diabetes.
c. Changes in diet and exercise may control blood glucose levels in type 2 diabetes.
d. Type 2 diabetes is usually diagnosed when a patient is admitted in hyperglycemic
coma. - Answer c. Changes in diet and exercise may control blood glucose levels in type 2
diabetes.
Patient screened for diabetes at a clinic has a fasting plasma glucose level of 120 mg/dL (6.7
mmol/L). What should the nurse plan to teach the patient?
a. Self-monitoring of blood glucose
b. Using low doses of regular insulin
c. Lifestyle changes to lower blood glucose
d. Effects of oral hypoglycemic medications - Answer c. Lifestyle changes to lower blood
glucose
A 28-yr-old male patient with type 1 diabetes reports how he manages his exercise and glucose
control. Which behavior indicates
that the nurse should implement additional teaching?
a. The patient always carries hard candies when engaging in exercise.
b. The patient goes for a vigorous walk when his glucose is 200 mg/dL.
c. The patient has a peanut butter sandwich before going for a bicycle ride.
d. The patient increases daily exercise when ketones are present in the urine. - Answer d. The
patient increases daily exercise when ketones are present in the urine.
The nurse is assessing a 22-yr-old patient experiencing the onset of symptoms of type 1
diabetes. To which question would the
nurse anticipate a positive response?
a. "Are you anorexic?"
b. "Is your urine dark colored?"
c. "Have you lost weight lately?"
d. "Do you crave sugary drinks?" - Answer c. "Have you lost weight lately?"
,A patient with type 2 diabetes is scheduled for a follow-up visit in the clinic several months from
now. Which test will the nurse
schedule to evaluate the effectiveness of treatment for the patient?
a. Fasting blood glucose
b. Glycosylated hemoglobin
c. Oral glucose tolerance test
d. Urine dipstick for glucose and ketones - Answer b. Glycosylated hemoglobin
The nurse is assessing a 55-yr-old female patient with type 2 diabetes who has a body mass
index (BMI) of 31 kg/m2.Which goal in
the plan of care is most important for this patient?
a. The patient will reach a glycosylated hemoglobin level of less than 7%.
b. The patient will follow a diet and exercise plan that results in weight loss.
c. The patient will choose a diet that distributes calories throughout the day.
d. The patient will state the reasons for eliminating simple sugars in the diet. - Answer a. The
patient will reach a glycosylated hemoglobin level of less than 7%.
A patient who has type 1 diabetes plans to swim laps for an hour daily at 1:00 PM. What advice
should the clinic nurse plan to give
the patient?
a. Increase the morning dose of NPH insulin (Novolin N).
b. Check glucose level before, during, and after swimming.
c. Time the morning insulin injection to peak while swimming.
d. Delay eating the noon meal until after finishing the swimming. - Answer b. Check glucose
level before, during, and after swimming.
Which statement by the patient who has newly diagnosed type 1 diabetes indicates a need for
additional instruction from the nurse?
a. "I will need a bedtime snack because I take an evening dose of NPH insulin."
b. "I can choose any foods, as long as I use enough insulin to cover the calories."
c. "I can have an occasional beverage with alcohol if I include it in my meal plan."
d. "I will eat something at meal times to prevent hypoglycemia, even if I am not
hungry." - Answer b. "I can choose any foods, as long as I use enough insulin to cover the
calories."
,Which nursing action is most important in assisting an older patient who has diabetes to engage
in moderate daily exercise?
a. Determine what types of activities the patient enjoys.
b. Remind the patient that exercise improves self-esteem.
c. Teach the patient about the effects of exercise on glucose level.
d. Give the patient a list of activities that are moderate in intensity. - Answer a. Determine
what types of activities the patient enjoys.
Which patient statement to the nurse indicates a need for additional instruction in
administering insulin?
a. "I can buy the 0.5-mL syringes because the line markings are easier to see."
b. "I need to rotate injection sites among my arms, legs, and abdomen each day."
c. "I do not need to aspirate the plunger to check for blood before injecting insulin."
d. "I should draw up the regular insulin first, after injecting air into the NPH bottle." - Answer
b. "I need to rotate injection sites among my arms, legs, and abdomen each day."
Which patient action indicates accurate understanding of the nurse's teaching about
administration of aspart (NovoLog) insulin?
a. The patient avoids injecting the insulin into the upper abdominal area.
b. The patient cleans the skin with soap and water before insulin administration.
c. The patient stores the insulin in the freezer after administering the prescribed
dose.
d. The patient pushes the plunger down while removing the syringe from the
injection site. - Answer b. The patient cleans the skin with soap and water before insulin
administration.
A patient receives aspart (NovoLog) insulin at 8:00 AM. At which time would the nurse
anticipate the highest risk for
hypoglycemia?
a. 10:00 AM
b. 12:00 AM
c. 2:00 PM
d. 4:00 PM - Answer a. 10:00 AM
Which patient action indicates an accurate understanding of the nurse's teaching about the use
of an insulin pump?
a. The patient programs the pump for an insulin bolus after eating.
, b. The patient changes the location of the insertion site every week.
c. The patient takes the pump off at bedtime and starts it again each morning.
d. The patient plans a diet with more calories than usual when using the pump. - Answer a.
The patient programs the pump for an insulin bolus after eating.
A patient with diabetes is starting on intensive insulin therapy. Which type of insulin will the
nurse discuss using for mealtime
coverage?
a. Lispro (Humalog)
b. Glargine (Lantus)
c. Detemir (Levemir)
d. NPH (Humulin N) - Answer a. Lispro (Humalog)
Which information will the nurse include when teaching a patient who has type 2 diabetes
about glyburide?
a. Glyburide decreases glucagon secretion from the pancreas.
b. Glyburide stimulates insulin production and release from the pancreas.
c. Glyburide should be taken even if the morning blood glucose level is low.
d. Glyburide should not be used for 48 hours after receiving IV contrast media. - Answer b.
Glyburide stimulates insulin production and release from the pancreas.
The nurse has been teaching a patient with type 2 diabetes about managing blood glucose
levels and taking glipizide (Glucotrol).
Which patient statement indicates a need for additional teaching?
a. "If I overeat at a meal, I will still take the usual dose of medication."
b. "Other medications besides the Glucotrol may affect my blood sugar."
c. "When I am ill, I may have to take insulin to control my blood sugar."
d. "My diabetes won't cause complications because I don't need insulin." - Answer d. "My
diabetes won't cause complications because I don't need insulin."
When a patient who takes metformin (Glucophage) to manage type 2 diabetes develops an
allergic rash from an unknown cause,
the health care provider prescribes prednisone. What should the nurse anticipate?
a. The patient may need a diet higher in calories while receiving prednisone.
b. The patient may develop acute hypoglycemia while taking the prednisone.
c. The patient may require administration of insulin while taking prednisone.
All Answered Correctly 2026-2027
Edition.
Which statement by a nurse to a patient newly diagnosed with type 2 diabetes is accurate?
a. Insulin is not used to control blood glucose in patients with type 2 diabetes.
b. Complications of type 2 diabetes are less serious than those of type 1 diabetes.
c. Changes in diet and exercise may control blood glucose levels in type 2 diabetes.
d. Type 2 diabetes is usually diagnosed when a patient is admitted in hyperglycemic
coma. - Answer c. Changes in diet and exercise may control blood glucose levels in type 2
diabetes.
Patient screened for diabetes at a clinic has a fasting plasma glucose level of 120 mg/dL (6.7
mmol/L). What should the nurse plan to teach the patient?
a. Self-monitoring of blood glucose
b. Using low doses of regular insulin
c. Lifestyle changes to lower blood glucose
d. Effects of oral hypoglycemic medications - Answer c. Lifestyle changes to lower blood
glucose
A 28-yr-old male patient with type 1 diabetes reports how he manages his exercise and glucose
control. Which behavior indicates
that the nurse should implement additional teaching?
a. The patient always carries hard candies when engaging in exercise.
b. The patient goes for a vigorous walk when his glucose is 200 mg/dL.
c. The patient has a peanut butter sandwich before going for a bicycle ride.
d. The patient increases daily exercise when ketones are present in the urine. - Answer d. The
patient increases daily exercise when ketones are present in the urine.
The nurse is assessing a 22-yr-old patient experiencing the onset of symptoms of type 1
diabetes. To which question would the
nurse anticipate a positive response?
a. "Are you anorexic?"
b. "Is your urine dark colored?"
c. "Have you lost weight lately?"
d. "Do you crave sugary drinks?" - Answer c. "Have you lost weight lately?"
,A patient with type 2 diabetes is scheduled for a follow-up visit in the clinic several months from
now. Which test will the nurse
schedule to evaluate the effectiveness of treatment for the patient?
a. Fasting blood glucose
b. Glycosylated hemoglobin
c. Oral glucose tolerance test
d. Urine dipstick for glucose and ketones - Answer b. Glycosylated hemoglobin
The nurse is assessing a 55-yr-old female patient with type 2 diabetes who has a body mass
index (BMI) of 31 kg/m2.Which goal in
the plan of care is most important for this patient?
a. The patient will reach a glycosylated hemoglobin level of less than 7%.
b. The patient will follow a diet and exercise plan that results in weight loss.
c. The patient will choose a diet that distributes calories throughout the day.
d. The patient will state the reasons for eliminating simple sugars in the diet. - Answer a. The
patient will reach a glycosylated hemoglobin level of less than 7%.
A patient who has type 1 diabetes plans to swim laps for an hour daily at 1:00 PM. What advice
should the clinic nurse plan to give
the patient?
a. Increase the morning dose of NPH insulin (Novolin N).
b. Check glucose level before, during, and after swimming.
c. Time the morning insulin injection to peak while swimming.
d. Delay eating the noon meal until after finishing the swimming. - Answer b. Check glucose
level before, during, and after swimming.
Which statement by the patient who has newly diagnosed type 1 diabetes indicates a need for
additional instruction from the nurse?
a. "I will need a bedtime snack because I take an evening dose of NPH insulin."
b. "I can choose any foods, as long as I use enough insulin to cover the calories."
c. "I can have an occasional beverage with alcohol if I include it in my meal plan."
d. "I will eat something at meal times to prevent hypoglycemia, even if I am not
hungry." - Answer b. "I can choose any foods, as long as I use enough insulin to cover the
calories."
,Which nursing action is most important in assisting an older patient who has diabetes to engage
in moderate daily exercise?
a. Determine what types of activities the patient enjoys.
b. Remind the patient that exercise improves self-esteem.
c. Teach the patient about the effects of exercise on glucose level.
d. Give the patient a list of activities that are moderate in intensity. - Answer a. Determine
what types of activities the patient enjoys.
Which patient statement to the nurse indicates a need for additional instruction in
administering insulin?
a. "I can buy the 0.5-mL syringes because the line markings are easier to see."
b. "I need to rotate injection sites among my arms, legs, and abdomen each day."
c. "I do not need to aspirate the plunger to check for blood before injecting insulin."
d. "I should draw up the regular insulin first, after injecting air into the NPH bottle." - Answer
b. "I need to rotate injection sites among my arms, legs, and abdomen each day."
Which patient action indicates accurate understanding of the nurse's teaching about
administration of aspart (NovoLog) insulin?
a. The patient avoids injecting the insulin into the upper abdominal area.
b. The patient cleans the skin with soap and water before insulin administration.
c. The patient stores the insulin in the freezer after administering the prescribed
dose.
d. The patient pushes the plunger down while removing the syringe from the
injection site. - Answer b. The patient cleans the skin with soap and water before insulin
administration.
A patient receives aspart (NovoLog) insulin at 8:00 AM. At which time would the nurse
anticipate the highest risk for
hypoglycemia?
a. 10:00 AM
b. 12:00 AM
c. 2:00 PM
d. 4:00 PM - Answer a. 10:00 AM
Which patient action indicates an accurate understanding of the nurse's teaching about the use
of an insulin pump?
a. The patient programs the pump for an insulin bolus after eating.
, b. The patient changes the location of the insertion site every week.
c. The patient takes the pump off at bedtime and starts it again each morning.
d. The patient plans a diet with more calories than usual when using the pump. - Answer a.
The patient programs the pump for an insulin bolus after eating.
A patient with diabetes is starting on intensive insulin therapy. Which type of insulin will the
nurse discuss using for mealtime
coverage?
a. Lispro (Humalog)
b. Glargine (Lantus)
c. Detemir (Levemir)
d. NPH (Humulin N) - Answer a. Lispro (Humalog)
Which information will the nurse include when teaching a patient who has type 2 diabetes
about glyburide?
a. Glyburide decreases glucagon secretion from the pancreas.
b. Glyburide stimulates insulin production and release from the pancreas.
c. Glyburide should be taken even if the morning blood glucose level is low.
d. Glyburide should not be used for 48 hours after receiving IV contrast media. - Answer b.
Glyburide stimulates insulin production and release from the pancreas.
The nurse has been teaching a patient with type 2 diabetes about managing blood glucose
levels and taking glipizide (Glucotrol).
Which patient statement indicates a need for additional teaching?
a. "If I overeat at a meal, I will still take the usual dose of medication."
b. "Other medications besides the Glucotrol may affect my blood sugar."
c. "When I am ill, I may have to take insulin to control my blood sugar."
d. "My diabetes won't cause complications because I don't need insulin." - Answer d. "My
diabetes won't cause complications because I don't need insulin."
When a patient who takes metformin (Glucophage) to manage type 2 diabetes develops an
allergic rash from an unknown cause,
the health care provider prescribes prednisone. What should the nurse anticipate?
a. The patient may need a diet higher in calories while receiving prednisone.
b. The patient may develop acute hypoglycemia while taking the prednisone.
c. The patient may require administration of insulin while taking prednisone.
