NR - 325 CH. 48 DIABETES MELLITUS - PRACTICE
QUESTIONS WITH ALL CORRECT & VERIFIED ANSWERS
1. Which statement by a nurse to a patient newly ANS: C
diagnosed with type 2 diabetes is accurate? For some patients with
type 2 dia-
a. Insulin is not used to control blood glucose betes, changes in lifestyle
are suflcient
in patients with type 2 diabetes. his exercise
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 the patient is admitted with a
hyperglycemic coma.
2. 2. A patient screened for diabetes at
a clin- ic has a fasting plasma glucose
level of 120 mg/dL (6.7 mmol/L). The
nurse will plan to teach the patient
about
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.
3. 3. A 28-yr-old male patient with type
1 dia- betes reports how he manages
, NR - 325 CH. 48 DIABETES MELLITUS - PRACTICE
QUESTIONS WITH ALL CORRECT & VERIFIED ANSWERS
to achieve blood glucose control. Insulin is frequently used for prevent the development of type 2
type 2 diabetes, complications are equally severe as for type 1 diabetes. The patient with predi-
diabetes, and type 2 diabetes is usually diagnosed with routine abetes does not require insulin or
labora- tory testing or after a patient develops complications oral hypoglycemics for glucose
such as frequent yeast in- fections. control and does not need to self-
monitor blood glucose.
C - lifestyle changes to lower blood glu- cose.
d. The patient increases daily
The patient's impaired fasting glucose indicates prediabetes,
exercise when ketones are present
and the patient should be counseled about lifestyle changes to
in the urine.
and glucose control. Which behavior indicates - When the patient is
ketotic, exercise
that the nurse should implement may result in an increase in blood
additional teaching? glu- cose level. Patients with type 1
a. The patient always carries hard diabetes should be taught to avoid
candies when engaging in exercise. exercise when ketosis is present.
b. The patient goes for a vigorous walk The other statements are correct
when
, NR - 325 CH. 48 DIABETES MELLITUS - PRACTICE
QUESTIONS WITH ALL CORRECT & VERIFIED ANSWERS
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.
c. "Have you lost weight lately?"
4. 4. The nurse is assessing a 22-yr-old
patient
experiencing the onset of symptoms of type 1 - Weight loss occurs
because the body
diabetes. To which question would the
nurse anticipate a positive response? 6. 6. The nurse is
a. "Are you anorexic?" assessing a 55-yr-
b. "Is your urine dark colored?" old female patient
c. "Have you lost weight lately?" with type 2
d. "Do you crave sugary drinks?" diabetes who has a
body
5. 5. A patient with type 2 diabetes is
sched- uled for a follow-up visit in the
clinic sev- eral months from now.
Which test will the nurse schedule to
evaluate the effectiveness of
treatment for the patient?
a. Fasting blood glucose
b. Oral glucose tolerance
c. Glycosylated hemoglobin
d. Urine dipstick for glucose
, NR - 325 CH. 48 DIABETES MELLITUS - PRACTICE
QUESTIONS WITH ALL CORRECT & VERIFIED ANSWERS
is no longer able to absorb glucose and starts to break down
protein and fat for energy. The patient is thirsty but does not
necessarily crave sugar-containing fluids. Increased appetite is
a classic symptom of type 1 diabetes. With the classic symptom
of polyuria, urine will be very dilute.
c. Glycosylated hemoglobin
- The glycosylated hemoglobin (A1C) test shows the overall
control of glucose over 90 to 120 days. A fasting blood level
indicates only the glucose level at one time. Urine glucose testing
is not an ac- curate reflection of blood glucose level and does not
reflect the glucose over a prolonged time. Oral glucose
tolerance testing is done to diagnose diabetes but is not used
for monitoring glucose con- trol after diabetes has been
diagnosed.
a. The patient will reach a glycosylated hemoglobin level of less
than 7%.
QUESTIONS WITH ALL CORRECT & VERIFIED ANSWERS
1. Which statement by a nurse to a patient newly ANS: C
diagnosed with type 2 diabetes is accurate? For some patients with
type 2 dia-
a. Insulin is not used to control blood glucose betes, changes in lifestyle
are suflcient
in patients with type 2 diabetes. his exercise
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 the patient is admitted with a
hyperglycemic coma.
2. 2. A patient screened for diabetes at
a clin- ic has a fasting plasma glucose
level of 120 mg/dL (6.7 mmol/L). The
nurse will plan to teach the patient
about
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.
3. 3. A 28-yr-old male patient with type
1 dia- betes reports how he manages
, NR - 325 CH. 48 DIABETES MELLITUS - PRACTICE
QUESTIONS WITH ALL CORRECT & VERIFIED ANSWERS
to achieve blood glucose control. Insulin is frequently used for prevent the development of type 2
type 2 diabetes, complications are equally severe as for type 1 diabetes. The patient with predi-
diabetes, and type 2 diabetes is usually diagnosed with routine abetes does not require insulin or
labora- tory testing or after a patient develops complications oral hypoglycemics for glucose
such as frequent yeast in- fections. control and does not need to self-
monitor blood glucose.
C - lifestyle changes to lower blood glu- cose.
d. The patient increases daily
The patient's impaired fasting glucose indicates prediabetes,
exercise when ketones are present
and the patient should be counseled about lifestyle changes to
in the urine.
and glucose control. Which behavior indicates - When the patient is
ketotic, exercise
that the nurse should implement may result in an increase in blood
additional teaching? glu- cose level. Patients with type 1
a. The patient always carries hard diabetes should be taught to avoid
candies when engaging in exercise. exercise when ketosis is present.
b. The patient goes for a vigorous walk The other statements are correct
when
, NR - 325 CH. 48 DIABETES MELLITUS - PRACTICE
QUESTIONS WITH ALL CORRECT & VERIFIED ANSWERS
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.
c. "Have you lost weight lately?"
4. 4. The nurse is assessing a 22-yr-old
patient
experiencing the onset of symptoms of type 1 - Weight loss occurs
because the body
diabetes. To which question would the
nurse anticipate a positive response? 6. 6. The nurse is
a. "Are you anorexic?" assessing a 55-yr-
b. "Is your urine dark colored?" old female patient
c. "Have you lost weight lately?" with type 2
d. "Do you crave sugary drinks?" diabetes who has a
body
5. 5. A patient with type 2 diabetes is
sched- uled for a follow-up visit in the
clinic sev- eral months from now.
Which test will the nurse schedule to
evaluate the effectiveness of
treatment for the patient?
a. Fasting blood glucose
b. Oral glucose tolerance
c. Glycosylated hemoglobin
d. Urine dipstick for glucose
, NR - 325 CH. 48 DIABETES MELLITUS - PRACTICE
QUESTIONS WITH ALL CORRECT & VERIFIED ANSWERS
is no longer able to absorb glucose and starts to break down
protein and fat for energy. The patient is thirsty but does not
necessarily crave sugar-containing fluids. Increased appetite is
a classic symptom of type 1 diabetes. With the classic symptom
of polyuria, urine will be very dilute.
c. Glycosylated hemoglobin
- The glycosylated hemoglobin (A1C) test shows the overall
control of glucose over 90 to 120 days. A fasting blood level
indicates only the glucose level at one time. Urine glucose testing
is not an ac- curate reflection of blood glucose level and does not
reflect the glucose over a prolonged time. Oral glucose
tolerance testing is done to diagnose diabetes but is not used
for monitoring glucose con- trol after diabetes has been
diagnosed.
a. The patient will reach a glycosylated hemoglobin level of less
than 7%.
