VSIM CASE 5 SKYLAR HANSEN QUESTIONS ANS ANSWERS
2025-2026 VERIFIED
The \nurse \understands \that \the \pathophys \of \type \1 \DM \is \characterized \by \which \of \the \following? \- \
ANS-destruction \of \pancreatic \beta \cells \
these \cells \are \responsible \for \secretion \of \insulin. \Type \2 \DM \is \the \result \of \impaired \insulin \
production \or \insulin \resistance \which \may \be \r/t \necrosis \of \the \pancreatic \alpha \cells
The \nurse \would \expect \that \a \pt \experiencing \moderate \hypoglycemia \would \exhibit \which \of \the \
following \sets \of \s/s? \- \ANS-HA, \light \headedness, \slurred \speech
s/s \grouped \into \2 \categories: \adrenergic \sx \and \CNS \sx. \In \moderate \hypoglycemia, \the \drop \in \blood \
glucose \affects \brain, \resulting \in \HA, \lightheadedness, \and \slurred \speech, \as \well \as \other \sx \that \
may \include \loss \of \consciousness, \hunger, \tachycardia, \and \sweating
The \nurse \knows \that \which \of \the \following \is \a \normal \fasting \serum \glucose \level \for \a \pt \of \18 \y/o?
\- \ANS-90 \mg/dL \
normal \fasting \serum \glucose \range \for \ages \2-18 \is \60-100 \mg/dL
glycosylated \hemoglobin \(HgbA1c) \represents \average \blood \glucose \levels \over \a \period \of \
approximately \2-3 \mos. \Which \of \the \following \would \the \nurse \know \to \be \a \normal \level \range \
indicating \good \maintenance \of \blood \glucose \over \time? \- \ANS-4-6% \(indicates \consistently \near-
normal \blood \glucose \concentrations)
For \an \unconscious \pt \who \is \experiencing \hypoglycemia \in \a \health \care \facility, \the \nurse \would \
make \what \emergency \management \intervention? \- \ANS-25 \to \50 \mL \of \dextrose \50% \in \water
In \hospitals \and \EDs, \for \pts \who \are \unconscious \or \cannot \swallow, \25-50 \mL \of \D50W \may \be \
administered \IV
2025-2026 VERIFIED
The \nurse \understands \that \the \pathophys \of \type \1 \DM \is \characterized \by \which \of \the \following? \- \
ANS-destruction \of \pancreatic \beta \cells \
these \cells \are \responsible \for \secretion \of \insulin. \Type \2 \DM \is \the \result \of \impaired \insulin \
production \or \insulin \resistance \which \may \be \r/t \necrosis \of \the \pancreatic \alpha \cells
The \nurse \would \expect \that \a \pt \experiencing \moderate \hypoglycemia \would \exhibit \which \of \the \
following \sets \of \s/s? \- \ANS-HA, \light \headedness, \slurred \speech
s/s \grouped \into \2 \categories: \adrenergic \sx \and \CNS \sx. \In \moderate \hypoglycemia, \the \drop \in \blood \
glucose \affects \brain, \resulting \in \HA, \lightheadedness, \and \slurred \speech, \as \well \as \other \sx \that \
may \include \loss \of \consciousness, \hunger, \tachycardia, \and \sweating
The \nurse \knows \that \which \of \the \following \is \a \normal \fasting \serum \glucose \level \for \a \pt \of \18 \y/o?
\- \ANS-90 \mg/dL \
normal \fasting \serum \glucose \range \for \ages \2-18 \is \60-100 \mg/dL
glycosylated \hemoglobin \(HgbA1c) \represents \average \blood \glucose \levels \over \a \period \of \
approximately \2-3 \mos. \Which \of \the \following \would \the \nurse \know \to \be \a \normal \level \range \
indicating \good \maintenance \of \blood \glucose \over \time? \- \ANS-4-6% \(indicates \consistently \near-
normal \blood \glucose \concentrations)
For \an \unconscious \pt \who \is \experiencing \hypoglycemia \in \a \health \care \facility, \the \nurse \would \
make \what \emergency \management \intervention? \- \ANS-25 \to \50 \mL \of \dextrose \50% \in \water
In \hospitals \and \EDs, \for \pts \who \are \unconscious \or \cannot \swallow, \25-50 \mL \of \D50W \may \be \
administered \IV
