LEWIS - CH 53 QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
Which information provided by a nurse to a patient newly diagnosed with type 2 diabetes is accurate?
a. Insulin is not used to control 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 glucose levels with type 2 diabetes.
d. Type 2 diabetes is usually diagnosed when a patient is admitted in hyperglycemic
coma. - ANSWER C
A patient screened for diabetes at a clinic has a fasting plasma glucose level of 120 mg/dL (6.7 mmol/L).
Which information will the nurse plan to teach the patient?
a. Self-monitoring of glucose
b. Using small doses of regular insulin
c. Lifestyle changes to lower the glucose
d. Effects of oral hypoglycemic medications - ANSWER C
A 28-yr-old male patient with type 1 diabetes reports how he manages his exercise and glucose control.
Which behavior indicates a need for the nurse to 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 nurse is assessing a 22-yr-old patient experiencing the onset of symptoms of type 1 diabetes. Which
finding would the nurse anticipate?
a. Anorexia
b. Weight loss
c. Dark colored urine
, d. Craving sugary drinks - ANSWER B
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
The nurse is assessing a 55-yr-old female patient with type 2 diabetes who has a body mass index (BMI)
of 32 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
A patient who has type 1 diabetes plans to swim laps for an hour daily at 1:00 PM. Which advice would
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
Which statement by the person 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
ANSWERS WITH SOLUTIONS 2024
Which information provided by a nurse to a patient newly diagnosed with type 2 diabetes is accurate?
a. Insulin is not used to control 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 glucose levels with type 2 diabetes.
d. Type 2 diabetes is usually diagnosed when a patient is admitted in hyperglycemic
coma. - ANSWER C
A patient screened for diabetes at a clinic has a fasting plasma glucose level of 120 mg/dL (6.7 mmol/L).
Which information will the nurse plan to teach the patient?
a. Self-monitoring of glucose
b. Using small doses of regular insulin
c. Lifestyle changes to lower the glucose
d. Effects of oral hypoglycemic medications - ANSWER C
A 28-yr-old male patient with type 1 diabetes reports how he manages his exercise and glucose control.
Which behavior indicates a need for the nurse to 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 nurse is assessing a 22-yr-old patient experiencing the onset of symptoms of type 1 diabetes. Which
finding would the nurse anticipate?
a. Anorexia
b. Weight loss
c. Dark colored urine
, d. Craving sugary drinks - ANSWER B
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
The nurse is assessing a 55-yr-old female patient with type 2 diabetes who has a body mass index (BMI)
of 32 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
A patient who has type 1 diabetes plans to swim laps for an hour daily at 1:00 PM. Which advice would
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
Which statement by the person 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
