NUR,./257,./Exam,./3,./Practice
1. Insulin,./binding,./to,./its,./receptor,./on,./target,./cells,./results,./in:,./increased,./facilitated,./cellular
,./dittusion,./of,./glucose.
2. In,./the,./United,./States,,./more,./than,./
people,./have,./diabetes,./mellitus.:,./34.2,./million
3. Which,./are,./microvascular,./complications,./of,./diabetes,./mellitus?,./(Select,./all,./th
at,./apply.)
A. Cardiovascular, . / disease
B. Nephropathy
C. Retinopathy
D. Stroke
E. Neuropathy:, . / BC
4. Diabetic,./neuropathy,./is,./thought,./to,./result,./from:,./decreased,./myoinositol,./transport.
5. Which,./therapies,./would,./be,./appropriate,./for,./a,./patient,./with,./type,./1,./diabetes,./
mellitus?,./(Select,./all,./that,./apply.)
A. High-protein, . / diet
B. Oral,./hypoglycemic,./agents
C. Carbohydrate, . / counting
D. Insulin
E. Daily,./ exercise:,./ CDE
6. A, . / clinical, . / finding, . / consistent, . / with, . / a, . / hypoglycemic, . / reaction, . / is:, . / tremors.
7. is, . / the, . / most, . / powerful, . / predictor, . / of, . / developing, . / type, . / 2, . / diabetes, . /
melli-tus.:,./Obesity
8. The,./underlying,./pathogenic,./mechanism,./for,./type,./1,./diabetes,./is:,./pancreatic,./β-
cell,./destruction.
9. How,./is,./the,./principle,./of,./substituted,./judgement,./defined?:,./A,./surrogate,./makes,./a,./decisi
on,./based,./on,./what,./they,./believe,./the,./person,./would,./have,./made,./if,./they,./were,./able,./to,./do,./so.
10. An, . / older, . / client, . / with, . / Type, . / II, . / Diabetes, . / Mellitus, . / tells, . / a, . / nurse:, . / "I, . / don't, . / kno
w, . / how,./I, . / am, . / going, . / to, . / continue, . / with, . / this, . / blood, . / sugar, . / testing., . / I, . / know, . / it
, . / is, . / important,, . / but, . / the, . / strips, . / are, . / so, . / expensive.", . / The, . / nurse, . / formulates, .
/ a, . / response, . / based, . / on,./the,./what,./knowledge?:,./Diabetic,./testing,./supplies,./are,./covered,./by,./M
edicare,./part,./B.
11. What, . / indicator, . / is, . / most, . / helpful, . / in, . / evaluating, . / long-
, NUR,./257,./Exam,./3,./Practice
term, . / blood, . / glucose, . / man-
agement,./in,./patients,./with,./diabetes,./mellitus?:,./Glycosylated,./hemoglobin,./levels,./(HbA1c)
, NUR,./257,./Exam,./3,./Practice
12. The,./American,./Diabetes,./Association,./recommends,./a,./postprandial,./blood,./glu
-cose,./level,./of,./ mg/dL,./for,./adults,./with,./diabetes.:,./less,./than,./180
13. In, . / diabetic, . / ketoacidosis,, . / respiratory, . / compensation, . / may, . / occur, . / throug
h, . / a, . / process,./of:,./respiratory,./alkalosis.
14. A,./type,./of,./insulin,./that,./would,./be,./most,./appropriate,./for,./acute,./management,./
of,./hyperglycemia,./is:,./regular.
15. Type,./2,./diabetes,./mellitus,./is,./often,./associated,./with:,./nonketotic,./hyperosmolality.
16. The,./breakdown,./of,./stored,./glycogen,./in,./the,./liver,./and,./muscles,./is,./called:,./-
glycogenolysis.
17. When, . / an, . / older, . / adult, . / is, . / considering, . / long-
term, . / care, . / insurance, . / (LTCI),, . / which,./is,./an,./important,./consideration?:,./Carefully,./scrutini
ze,./all,./exclusions,./before,./enrolling.
18. An, . / older, . / client, . / is, . / pronounced, . / brain, . / dead,, . / and, . / the, . / attorney-in-
fact, . / or, . / surro-
gate,./named,./in,./her,./POA,./is,./opposed,./to,./organ,./donation;,./the,./law,./in,./the,./state,./a
llows,./a,./surrogate,./with,./a,./POA,./to,./make,./end-of-
life,./decisions.,./Although,./the,./client,./failed,./to,./document,./it,,./family,./members,./st
ate,./that,./the,./client,./wanted,./to,./be, . / an, . / organ, . / donator., . / Given, . / the, . / law, . / about, . /
a, . / POA,, . / what, . / does, . / the, . / nurse, . / expect,./the,./surrogate,./to,./do?:,./Provide,./consent.
19. The,./underlying,./pathogenic,./mechanism,./for,./type,./2,./diabetes,./is:,./insulin,./resistance
,./and,./β-cell,./dysfunction.
20. Which,./are,./clinical,./findings,./usually,./associated,./with,./type,./1,./diabetes,./mellitus
?,./(Select,./all,./that,./apply.)
Weight,./gain
A. Polyphagia
B. Polyuria
C. Obesity
D. Polydipsia
E. Weight, . / gain:, . / ABD
21. Diabetes,./mellitus,./is,./the,./
leading,./cause,./of,./death,./and,./a,./major,./cause,./of,./disability,./in,./the,./United,./States
.:,./seventh
, NUR,./257,./Exam,./3,./Practice
22. An,./older,./woman,./accompanies,./her,./husband,./to,./the,./geriatric,./clinic.,./The,./hu
sband,./has,./been,./diagnosed,./with,./Alzheimer's,./disease,./and,./needs,./maximum,./
assistance, . / with,. / activities, . / of, ./ daily, . / living, . / (ADLs)., . / The, . / wife, . / has, . / made, . / the, . / deci
sion
1. Insulin,./binding,./to,./its,./receptor,./on,./target,./cells,./results,./in:,./increased,./facilitated,./cellular
,./dittusion,./of,./glucose.
2. In,./the,./United,./States,,./more,./than,./
people,./have,./diabetes,./mellitus.:,./34.2,./million
3. Which,./are,./microvascular,./complications,./of,./diabetes,./mellitus?,./(Select,./all,./th
at,./apply.)
A. Cardiovascular, . / disease
B. Nephropathy
C. Retinopathy
D. Stroke
E. Neuropathy:, . / BC
4. Diabetic,./neuropathy,./is,./thought,./to,./result,./from:,./decreased,./myoinositol,./transport.
5. Which,./therapies,./would,./be,./appropriate,./for,./a,./patient,./with,./type,./1,./diabetes,./
mellitus?,./(Select,./all,./that,./apply.)
A. High-protein, . / diet
B. Oral,./hypoglycemic,./agents
C. Carbohydrate, . / counting
D. Insulin
E. Daily,./ exercise:,./ CDE
6. A, . / clinical, . / finding, . / consistent, . / with, . / a, . / hypoglycemic, . / reaction, . / is:, . / tremors.
7. is, . / the, . / most, . / powerful, . / predictor, . / of, . / developing, . / type, . / 2, . / diabetes, . /
melli-tus.:,./Obesity
8. The,./underlying,./pathogenic,./mechanism,./for,./type,./1,./diabetes,./is:,./pancreatic,./β-
cell,./destruction.
9. How,./is,./the,./principle,./of,./substituted,./judgement,./defined?:,./A,./surrogate,./makes,./a,./decisi
on,./based,./on,./what,./they,./believe,./the,./person,./would,./have,./made,./if,./they,./were,./able,./to,./do,./so.
10. An, . / older, . / client, . / with, . / Type, . / II, . / Diabetes, . / Mellitus, . / tells, . / a, . / nurse:, . / "I, . / don't, . / kno
w, . / how,./I, . / am, . / going, . / to, . / continue, . / with, . / this, . / blood, . / sugar, . / testing., . / I, . / know, . / it
, . / is, . / important,, . / but, . / the, . / strips, . / are, . / so, . / expensive.", . / The, . / nurse, . / formulates, .
/ a, . / response, . / based, . / on,./the,./what,./knowledge?:,./Diabetic,./testing,./supplies,./are,./covered,./by,./M
edicare,./part,./B.
11. What, . / indicator, . / is, . / most, . / helpful, . / in, . / evaluating, . / long-
, NUR,./257,./Exam,./3,./Practice
term, . / blood, . / glucose, . / man-
agement,./in,./patients,./with,./diabetes,./mellitus?:,./Glycosylated,./hemoglobin,./levels,./(HbA1c)
, NUR,./257,./Exam,./3,./Practice
12. The,./American,./Diabetes,./Association,./recommends,./a,./postprandial,./blood,./glu
-cose,./level,./of,./ mg/dL,./for,./adults,./with,./diabetes.:,./less,./than,./180
13. In, . / diabetic, . / ketoacidosis,, . / respiratory, . / compensation, . / may, . / occur, . / throug
h, . / a, . / process,./of:,./respiratory,./alkalosis.
14. A,./type,./of,./insulin,./that,./would,./be,./most,./appropriate,./for,./acute,./management,./
of,./hyperglycemia,./is:,./regular.
15. Type,./2,./diabetes,./mellitus,./is,./often,./associated,./with:,./nonketotic,./hyperosmolality.
16. The,./breakdown,./of,./stored,./glycogen,./in,./the,./liver,./and,./muscles,./is,./called:,./-
glycogenolysis.
17. When, . / an, . / older, . / adult, . / is, . / considering, . / long-
term, . / care, . / insurance, . / (LTCI),, . / which,./is,./an,./important,./consideration?:,./Carefully,./scrutini
ze,./all,./exclusions,./before,./enrolling.
18. An, . / older, . / client, . / is, . / pronounced, . / brain, . / dead,, . / and, . / the, . / attorney-in-
fact, . / or, . / surro-
gate,./named,./in,./her,./POA,./is,./opposed,./to,./organ,./donation;,./the,./law,./in,./the,./state,./a
llows,./a,./surrogate,./with,./a,./POA,./to,./make,./end-of-
life,./decisions.,./Although,./the,./client,./failed,./to,./document,./it,,./family,./members,./st
ate,./that,./the,./client,./wanted,./to,./be, . / an, . / organ, . / donator., . / Given, . / the, . / law, . / about, . /
a, . / POA,, . / what, . / does, . / the, . / nurse, . / expect,./the,./surrogate,./to,./do?:,./Provide,./consent.
19. The,./underlying,./pathogenic,./mechanism,./for,./type,./2,./diabetes,./is:,./insulin,./resistance
,./and,./β-cell,./dysfunction.
20. Which,./are,./clinical,./findings,./usually,./associated,./with,./type,./1,./diabetes,./mellitus
?,./(Select,./all,./that,./apply.)
Weight,./gain
A. Polyphagia
B. Polyuria
C. Obesity
D. Polydipsia
E. Weight, . / gain:, . / ABD
21. Diabetes,./mellitus,./is,./the,./
leading,./cause,./of,./death,./and,./a,./major,./cause,./of,./disability,./in,./the,./United,./States
.:,./seventh
, NUR,./257,./Exam,./3,./Practice
22. An,./older,./woman,./accompanies,./her,./husband,./to,./the,./geriatric,./clinic.,./The,./hu
sband,./has,./been,./diagnosed,./with,./Alzheimer's,./disease,./and,./needs,./maximum,./
assistance, . / with,. / activities, . / of, ./ daily, . / living, . / (ADLs)., . / The, . / wife, . / has, . / made, . / the, . / deci
sion