ATI DIABETES MELLITUS ACTUAL EXAM
COMPLETE EXAM QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS
Jackie Dubuque, 58 is scheduled for an MRI with
contrast dye today. Jackie
takes Metformin 1000 mg BID and glimepiride 4 mg
BID. His serum creatinine is
0.9 mg/dL.
a. Jackie's serum creatinine is at an acceptable level
so he may restart the
Metformin immediately.
b. The glimepiride should be held for 48 hours so the
contrast dye can clear the
kidneys first.
c. The metformin should be held for 48 hours so the
contrast dye can clear the
kidneys first.
d. The glimepiride and metformin should both be held
for 48 hours so the
,contrast dye can clear the kidneys first. -
✔✔ANSW✔✔.. c. The metformin
should be held for 48 hours so the contrast dye can
clear the kidneys first.
John Bellegarde, 22 - is newly diagnosed type 1
diabetes. He's asking questions
whenever you enter his room. You are using your
"cheat sheets" to guide
conversations. However, some of his questions are
out of your realm of
expertise. What's the best way to proceed?
a. Advise John you are asking the Hospitalist for
referrals to an endocrinologist,
CDE and visiting nurses to help answer his
questions. Let John know that the
hospital has a medical library that patients are
welcome to utilize.
b. Advise John that you want to help him, but don't
know the answers to his
questions. Write his questions down share them with
his medical team.
c. A and B
,d. Let him know that you aren't an expert in type 1
diabetes and spend as little
time in his room as you can get away with. -
✔✔ANSW✔✔.. c. A and B
Which statement best describes why a patient with
type 1 diabetes may develop
DKA in the hospital?
a. The patient doesn't feel like eating, skips sliding
scale, but continues to take
Lantus.
b. The patient is eating with mealtime sliding scale
ordered and he has started to
take Lantus at bedtime.
c. The patient is transitioning from IV dextrose to
food, is on a sliding scale and
NPH twice daily.
d. The patient isn't eating much, the sliding scale
starts at >200 and no long
acting insulin has been ordered. - ✔✔ANSW✔✔.. d.
The patient isn't eating
much, the sliding scale starts at >200 and no long
acting insulin has been
, ordered.
In which case would the patient be more likely to
have DKA or HHS?
a. Positive ketones
b. Blood sugars >600 mg/dL
c. Symptoms developed quickly over 24 hours -
✔✔ANSW✔✔.. A. DKA
B. HHN
C. DKA
Which of the following should be a component of
hypoglycemia education for
your patient with a history of hypoglycemia
unawareness who was hospitalized
after an automobile accident involving low blood
sugars? (SELECT ALL THAT
APPLY)
a. Keep an emergency glucagon kit at home for
family members to administer
b. Purchase a medical identification bracelet that
says patient has diabetes
c. Avoiding hypoglycemia over several weeks can
help improve the
COMPLETE EXAM QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS
Jackie Dubuque, 58 is scheduled for an MRI with
contrast dye today. Jackie
takes Metformin 1000 mg BID and glimepiride 4 mg
BID. His serum creatinine is
0.9 mg/dL.
a. Jackie's serum creatinine is at an acceptable level
so he may restart the
Metformin immediately.
b. The glimepiride should be held for 48 hours so the
contrast dye can clear the
kidneys first.
c. The metformin should be held for 48 hours so the
contrast dye can clear the
kidneys first.
d. The glimepiride and metformin should both be held
for 48 hours so the
,contrast dye can clear the kidneys first. -
✔✔ANSW✔✔.. c. The metformin
should be held for 48 hours so the contrast dye can
clear the kidneys first.
John Bellegarde, 22 - is newly diagnosed type 1
diabetes. He's asking questions
whenever you enter his room. You are using your
"cheat sheets" to guide
conversations. However, some of his questions are
out of your realm of
expertise. What's the best way to proceed?
a. Advise John you are asking the Hospitalist for
referrals to an endocrinologist,
CDE and visiting nurses to help answer his
questions. Let John know that the
hospital has a medical library that patients are
welcome to utilize.
b. Advise John that you want to help him, but don't
know the answers to his
questions. Write his questions down share them with
his medical team.
c. A and B
,d. Let him know that you aren't an expert in type 1
diabetes and spend as little
time in his room as you can get away with. -
✔✔ANSW✔✔.. c. A and B
Which statement best describes why a patient with
type 1 diabetes may develop
DKA in the hospital?
a. The patient doesn't feel like eating, skips sliding
scale, but continues to take
Lantus.
b. The patient is eating with mealtime sliding scale
ordered and he has started to
take Lantus at bedtime.
c. The patient is transitioning from IV dextrose to
food, is on a sliding scale and
NPH twice daily.
d. The patient isn't eating much, the sliding scale
starts at >200 and no long
acting insulin has been ordered. - ✔✔ANSW✔✔.. d.
The patient isn't eating
much, the sliding scale starts at >200 and no long
acting insulin has been
, ordered.
In which case would the patient be more likely to
have DKA or HHS?
a. Positive ketones
b. Blood sugars >600 mg/dL
c. Symptoms developed quickly over 24 hours -
✔✔ANSW✔✔.. A. DKA
B. HHN
C. DKA
Which of the following should be a component of
hypoglycemia education for
your patient with a history of hypoglycemia
unawareness who was hospitalized
after an automobile accident involving low blood
sugars? (SELECT ALL THAT
APPLY)
a. Keep an emergency glucagon kit at home for
family members to administer
b. Purchase a medical identification bracelet that
says patient has diabetes
c. Avoiding hypoglycemia over several weeks can
help improve the
