NURS 3661 Exam 1 questions with
verified answers A+ rated updated
A patient with type 1 diabetes has told the nurse that his most recent urine test for ketones was
positive. What is the nurses most plausible conclusion based on this assessment finding? -
correct answer ✔✔The patients insulin levels are inadequate.
A patient presents to the clinic complaining of symptoms that suggest diabetes. What criteria
would support checking blood levels for the diagnosis of diabetes? - correct answer ✔✔Fasting
plasma glucose greater than or equal to 126 mg/dL
A patient newly diagnosed with type 2 diabetes is attending a nutrition class. What general
guideline would be important to teach the patients at this class? - correct answer ✔✔Most
calories should be derived from carbohydrates.
A nurse is providing health education to an adolescent newly diagnosed with type 1 diabetes
mellitus and her family. The nurse teaches the patient and family that which of the following
nonpharmacologic measures will decrease the bodys need for insulin? - correct answer
✔✔Exercise
A medical nurse is caring for a patient with type 1 diabetes. The patients medication
administration record includes the administration of regular insulin three times daily. Knowing
that the patients lunch tray will arrive at 11:45, when should the nurse administer the patients
insulin? - correct answer ✔✔11:15
A patient has just been diagnosed with type 2 diabetes. The physician has prescribed an oral
antidiabetic agent that will inhibit the production of glucose by the liver and thereby aid in the
control of blood glucose. What type of oral antidiabetic agent did the physician prescribe for
this patient? - correct answer ✔✔A biguanide
,A diabetes nurse educator is teaching a group of patients with type 1 diabetes about sick day
rules. What guideline applies to periods of illness in a diabetic patient? - correct answer ✔✔Do
not eliminate insulin when nauseated and vomiting.
The nurse is discussing macrovascular complications of diabetes with a patient. The nurse would
address
what
topic during this dialogue? - correct answer ✔✔The fact that patients with diabetes have an
elevated risk of myocardial infarction
A school nurse is teaching a group of high school students about risk factors for diabetes. Which
of the following actions has the greatest potential to reduce an individuals risk for developing
diabetes? - correct answer ✔✔Lose weight, if obese.
A 15-year-old child is brought to the emergency department with symptoms of hyperglycemia
and is subsequently diagnosed with diabetes. Based on the fact that the childs pancreatic beta
cells are being destroyed, the patient would be diagnosed with what type of diabetes? - correct
answer ✔✔Type 1 diabetes
A newly admitted patient with type 1 diabetes asks the nurse what caused her diabetes. When
the nurse is explaining to the patient the etiology of type 1 diabetes, what process should the
nurse describe? - correct answer ✔✔Destruction of special cells in the pancreas causes a
decrease in insulin production. Glucose levels rise because insulin normally breaks it down.
An occupational health nurse is screening a group of workers for diabetes. What statement
should the nurse interpret as suggestive of diabetes? - correct answer ✔✔Lately, I drink and
drink and cant seem to quench my thirst.
A diabetes educator is teaching a patient about type 2 diabetes. The educator recognizes that
the patient understands the primary treatment for type 2 diabetes when the patient states
what? - correct answer ✔✔I will make sure to follow the weight loss plan designed by the
dietitian.
,A diabetes nurse educator is presenting the American Diabetes Association (ADA)
recommendations for levels of caloric intake. What do the ADAs recommendations include? -
correct answer ✔✔50% to 60% of calories from carbohydrates, 20% to 30% from fat, and the
remaining 10% to 20% from protein
An older adult patient with type 2 diabetes is brought to the emergency department by his
daughter. The patient is found to have a blood glucose level of 623 mg/dL. The patients
daughter reports that the patient recently had a gastrointestinal virus and has been confused
for the last 3 hours. The diagnosis of hyperglycemic hyperosmolar syndrome (HHS) is made.
What nursing action would be a priority? - correct answer ✔✔Fluid and electrolyte replacement
A nurse is caring for a patient with type 1 diabetes who is being discharged home tomorrow.
What is the best way to assess the patients ability to prepare and self-administer insulin? -
correct answer ✔✔Observe the patient drawing up and administering the insulin.
An elderly patient comes to the clinic with her daughter. The patient is a diabetic and is
concerned about foot care. The nurse goes over foot care with the patient and her daughter as
the nurse realizes that foot care is extremely important. Why would the nurse feel that foot care
is so important to this patient? - correct answer ✔✔Avoiding foot ulcers may mean the
difference between institutionalization and continued independent living.
A diabetic educator is discussing sick day rules with a newly diagnosed type 1 diabetic. The
educator is aware that the patient will require further teaching when the patient states what? -
correct answer ✔✔I will not take my insulin on the days when I am sick, but I will certainly
check my blood sugar every 2 hours.
Which of the following patients with type 1 diabetes is most likely to experience adequate
glucose control? - correct answer ✔✔A patient who adheres closely to a meal plan and meal
schedule
, A 28-year-old pregnant woman is spilling sugar in her urine. The physician orders a glucose
tolerance test, which reveals gestational diabetes. The patient is shocked by the diagnosis,
stating that she is conscientious about her health, and asks the nurse what causes gestational
diabetes. The nurse should explain that gestational diabetes is a result of what etiologic factor?
- correct answer ✔✔The effects of hormonal changes during pregnancy
A medical nurse is aware of the need to screen specific patients for their risk of hyperglycemic
hyperosmolar syndrome (HHS). In what patient population does hyperosmolar nonketotic
syndrome most often occur? - correct answer ✔✔Middle-aged or older people with either type
2 diabetes or no known history of diabetes
A nurse is caring for a patient newly diagnosed with type 1 diabetes. The nurse is educating the
patient about self-administration of insulin in the home setting. The nurse should teach the
patient to do which of the following? - correct answer ✔✔Avoid using the same injection site
more than once in 2 to 3 weeks.
A patient with type 2 diabetes achieves adequate glycemic control through diet and exercise.
Upon being admitted to the hospital for a cholecystectomy, however, the patient has required
insulin injections on two occasions. The nurse would identify what likely cause for this short-
term change in treatment? - correct answer ✔✔Stress has likely caused an increase in the
patients blood sugar levels.
A physician has explained to a patient that he has developed diabetic neuropathy in his right
foot. Later that day, the patient asks the nurse what causes diabetic neuropathy. What would be
the nurses best response? - correct answer ✔✔The cause is not known for sure but it is thought
to involve elevated blood glucose levels over a period of years.
A patient with type 2 diabetes has been managing his blood glucose levels using diet and
metformin (Glucophage). Following an ordered increase in the patients daily dose of metformin,
the nurse should prioritize which of the following assessments? - correct answer ✔✔Reviewing
the patients creatinine and BUN levels
verified answers A+ rated updated
A patient with type 1 diabetes has told the nurse that his most recent urine test for ketones was
positive. What is the nurses most plausible conclusion based on this assessment finding? -
correct answer ✔✔The patients insulin levels are inadequate.
A patient presents to the clinic complaining of symptoms that suggest diabetes. What criteria
would support checking blood levels for the diagnosis of diabetes? - correct answer ✔✔Fasting
plasma glucose greater than or equal to 126 mg/dL
A patient newly diagnosed with type 2 diabetes is attending a nutrition class. What general
guideline would be important to teach the patients at this class? - correct answer ✔✔Most
calories should be derived from carbohydrates.
A nurse is providing health education to an adolescent newly diagnosed with type 1 diabetes
mellitus and her family. The nurse teaches the patient and family that which of the following
nonpharmacologic measures will decrease the bodys need for insulin? - correct answer
✔✔Exercise
A medical nurse is caring for a patient with type 1 diabetes. The patients medication
administration record includes the administration of regular insulin three times daily. Knowing
that the patients lunch tray will arrive at 11:45, when should the nurse administer the patients
insulin? - correct answer ✔✔11:15
A patient has just been diagnosed with type 2 diabetes. The physician has prescribed an oral
antidiabetic agent that will inhibit the production of glucose by the liver and thereby aid in the
control of blood glucose. What type of oral antidiabetic agent did the physician prescribe for
this patient? - correct answer ✔✔A biguanide
,A diabetes nurse educator is teaching a group of patients with type 1 diabetes about sick day
rules. What guideline applies to periods of illness in a diabetic patient? - correct answer ✔✔Do
not eliminate insulin when nauseated and vomiting.
The nurse is discussing macrovascular complications of diabetes with a patient. The nurse would
address
what
topic during this dialogue? - correct answer ✔✔The fact that patients with diabetes have an
elevated risk of myocardial infarction
A school nurse is teaching a group of high school students about risk factors for diabetes. Which
of the following actions has the greatest potential to reduce an individuals risk for developing
diabetes? - correct answer ✔✔Lose weight, if obese.
A 15-year-old child is brought to the emergency department with symptoms of hyperglycemia
and is subsequently diagnosed with diabetes. Based on the fact that the childs pancreatic beta
cells are being destroyed, the patient would be diagnosed with what type of diabetes? - correct
answer ✔✔Type 1 diabetes
A newly admitted patient with type 1 diabetes asks the nurse what caused her diabetes. When
the nurse is explaining to the patient the etiology of type 1 diabetes, what process should the
nurse describe? - correct answer ✔✔Destruction of special cells in the pancreas causes a
decrease in insulin production. Glucose levels rise because insulin normally breaks it down.
An occupational health nurse is screening a group of workers for diabetes. What statement
should the nurse interpret as suggestive of diabetes? - correct answer ✔✔Lately, I drink and
drink and cant seem to quench my thirst.
A diabetes educator is teaching a patient about type 2 diabetes. The educator recognizes that
the patient understands the primary treatment for type 2 diabetes when the patient states
what? - correct answer ✔✔I will make sure to follow the weight loss plan designed by the
dietitian.
,A diabetes nurse educator is presenting the American Diabetes Association (ADA)
recommendations for levels of caloric intake. What do the ADAs recommendations include? -
correct answer ✔✔50% to 60% of calories from carbohydrates, 20% to 30% from fat, and the
remaining 10% to 20% from protein
An older adult patient with type 2 diabetes is brought to the emergency department by his
daughter. The patient is found to have a blood glucose level of 623 mg/dL. The patients
daughter reports that the patient recently had a gastrointestinal virus and has been confused
for the last 3 hours. The diagnosis of hyperglycemic hyperosmolar syndrome (HHS) is made.
What nursing action would be a priority? - correct answer ✔✔Fluid and electrolyte replacement
A nurse is caring for a patient with type 1 diabetes who is being discharged home tomorrow.
What is the best way to assess the patients ability to prepare and self-administer insulin? -
correct answer ✔✔Observe the patient drawing up and administering the insulin.
An elderly patient comes to the clinic with her daughter. The patient is a diabetic and is
concerned about foot care. The nurse goes over foot care with the patient and her daughter as
the nurse realizes that foot care is extremely important. Why would the nurse feel that foot care
is so important to this patient? - correct answer ✔✔Avoiding foot ulcers may mean the
difference between institutionalization and continued independent living.
A diabetic educator is discussing sick day rules with a newly diagnosed type 1 diabetic. The
educator is aware that the patient will require further teaching when the patient states what? -
correct answer ✔✔I will not take my insulin on the days when I am sick, but I will certainly
check my blood sugar every 2 hours.
Which of the following patients with type 1 diabetes is most likely to experience adequate
glucose control? - correct answer ✔✔A patient who adheres closely to a meal plan and meal
schedule
, A 28-year-old pregnant woman is spilling sugar in her urine. The physician orders a glucose
tolerance test, which reveals gestational diabetes. The patient is shocked by the diagnosis,
stating that she is conscientious about her health, and asks the nurse what causes gestational
diabetes. The nurse should explain that gestational diabetes is a result of what etiologic factor?
- correct answer ✔✔The effects of hormonal changes during pregnancy
A medical nurse is aware of the need to screen specific patients for their risk of hyperglycemic
hyperosmolar syndrome (HHS). In what patient population does hyperosmolar nonketotic
syndrome most often occur? - correct answer ✔✔Middle-aged or older people with either type
2 diabetes or no known history of diabetes
A nurse is caring for a patient newly diagnosed with type 1 diabetes. The nurse is educating the
patient about self-administration of insulin in the home setting. The nurse should teach the
patient to do which of the following? - correct answer ✔✔Avoid using the same injection site
more than once in 2 to 3 weeks.
A patient with type 2 diabetes achieves adequate glycemic control through diet and exercise.
Upon being admitted to the hospital for a cholecystectomy, however, the patient has required
insulin injections on two occasions. The nurse would identify what likely cause for this short-
term change in treatment? - correct answer ✔✔Stress has likely caused an increase in the
patients blood sugar levels.
A physician has explained to a patient that he has developed diabetic neuropathy in his right
foot. Later that day, the patient asks the nurse what causes diabetic neuropathy. What would be
the nurses best response? - correct answer ✔✔The cause is not known for sure but it is thought
to involve elevated blood glucose levels over a period of years.
A patient with type 2 diabetes has been managing his blood glucose levels using diet and
metformin (Glucophage). Following an ordered increase in the patients daily dose of metformin,
the nurse should prioritize which of the following assessments? - correct answer ✔✔Reviewing
the patients creatinine and BUN levels
