NU 272 Metabolism Study Guide & Practice Questions with answers Chamberlain College
of Nursing (2025)
A |nursing |instructor |is |preparing |a |class |about |age-related |changes |in |the |cardiovascular |system |that |
occur |in |the |older |adult. |Which |of |the |following |would |the |instructor |most |likely |include?
Thinning |of |the |heart |valves
Increased |blood |pressure
Atophy |of |the |heart |muscle
Decreased |arterial |resistance |- |answersIncreased |blood |pressure
Age-related |changes |in |the |cardiovascular |system |include |thickening |of |the |heart |valves, |increased |
blood |pressure, |hypertrophy |of |the |heart |muscle, |and |increased |arterial |resistance.
A |client |with |type |1 |diabetes |has |a |highly |elevated |glycosylated |hemoglobin |(Hb) |test |result. |In |
discussing |the |result |with |the |client, |the |nurse |is |most |accurate |in |stating
"The |test |must |be |repeated |following |a |12-hour |fast."
"It |looks |like |you |aren't |following |the |ordered |diabetic |diet."
"It |tells |us |about |your |sugar |control |for |the |last |3 |months."
"Your |insulin |regimen |must |be |altered |significantly." |- |answers"It |tells |us |about |your |sugar |control |for
|the |last |3 |months."
The |nurse |is |providing |accurate |information |to |the |client |when |they |state |that |the |glycosylated |Hb |
test |provides |an |objective |measure |of |glycemic |control |over |a |3-month |period. |The |test |helps |identify
|trends |or |practices |that |impair |glycemic |control, |and |it |doesn't |require |a |fasting |period |before |blood |
is |drawn. |The |nurse |can't |conclude |that |the |result |occurs |from |poor |dietary |management |or |
inadequate |insulin |coverage.
The |health |care |provider |reviews |the |waist-hip |ratio |of |a |male |client. |The |ratio |is |1.0. |What |
interpretation |is |most |accurate |for |this |result?
Upper |body |obesity
, Gluteal-femoral |obesity
Lower |body |obesity
Peripheral |obesity |- |answersUpper |body |obesity
A |waist-hip |ratio |greater |than |1.0 |in |men |and |0.8 |in |women |indicates |upper |body |obesity. |Research |
suggests |that |fat |distribution |may |be |a |more |important |factor |for |morbidity |and |mortality |than |
overweight |or |obesity. |The |other |options |are |lower |body |obesity |types.
The |nurse |is |caring |for |a |client |with |type |2 |diabetes |who |take |metformin |to |manage |glucose |levels. |
The |nurse |recognizes |the |client |may |be |most |at |risk |for |which |vitamin |deficiency?
B12
C
A
Folate |- |answersB12
The |medication |metformin |(Glucophage) |increases |the |client's |risk |for |developing |B12 |deficiency |
because |the |medication |inhibits |the |absorption |of |B12.
The |client |who |is |newly |diagnosed |with |diabetes |mellitus |type |2 |is |concerned |about |eating |products |
with |sugar |in |them. |What |information |does |the |nurse |explain |to |the |client |regarding |the |use |of |
sugar?
Excess |sugar |increases |demand |on |the |pancreas.
Healthy |amounts |of |sugar |are |usually |consumed.
Sugar |increases |natural |bacterial |flora |in |the |GI |tract.
Sugar |assists |with |cellular |absorption |of |nutrients. |- |answersExcess |sugar |increases |demand |on |the |
pancreas.
Excess |sugar |increases |demand |on |the |pancreas; |therefore, |less |sugar |should |be |consumed. |The |client
|who |has |diabetes |mellitus |type |2 |may |have |a |compromised |pancreas. |Further |stress |to |the |pancreas |
can |cause |further |injury |to |the |organ.
A |child |is |born |with |dwarfism |to |normal-sized |parents. |The |physician |is |explaining |how |growth |
hormone |(GH) |plays |a |central |role |in |the |increase |in |stature |that |characterizes |childhood |and |
adolescence. |What |is |the |first |step |in |the |growth |hormone |chain |of |events?
of Nursing (2025)
A |nursing |instructor |is |preparing |a |class |about |age-related |changes |in |the |cardiovascular |system |that |
occur |in |the |older |adult. |Which |of |the |following |would |the |instructor |most |likely |include?
Thinning |of |the |heart |valves
Increased |blood |pressure
Atophy |of |the |heart |muscle
Decreased |arterial |resistance |- |answersIncreased |blood |pressure
Age-related |changes |in |the |cardiovascular |system |include |thickening |of |the |heart |valves, |increased |
blood |pressure, |hypertrophy |of |the |heart |muscle, |and |increased |arterial |resistance.
A |client |with |type |1 |diabetes |has |a |highly |elevated |glycosylated |hemoglobin |(Hb) |test |result. |In |
discussing |the |result |with |the |client, |the |nurse |is |most |accurate |in |stating
"The |test |must |be |repeated |following |a |12-hour |fast."
"It |looks |like |you |aren't |following |the |ordered |diabetic |diet."
"It |tells |us |about |your |sugar |control |for |the |last |3 |months."
"Your |insulin |regimen |must |be |altered |significantly." |- |answers"It |tells |us |about |your |sugar |control |for
|the |last |3 |months."
The |nurse |is |providing |accurate |information |to |the |client |when |they |state |that |the |glycosylated |Hb |
test |provides |an |objective |measure |of |glycemic |control |over |a |3-month |period. |The |test |helps |identify
|trends |or |practices |that |impair |glycemic |control, |and |it |doesn't |require |a |fasting |period |before |blood |
is |drawn. |The |nurse |can't |conclude |that |the |result |occurs |from |poor |dietary |management |or |
inadequate |insulin |coverage.
The |health |care |provider |reviews |the |waist-hip |ratio |of |a |male |client. |The |ratio |is |1.0. |What |
interpretation |is |most |accurate |for |this |result?
Upper |body |obesity
, Gluteal-femoral |obesity
Lower |body |obesity
Peripheral |obesity |- |answersUpper |body |obesity
A |waist-hip |ratio |greater |than |1.0 |in |men |and |0.8 |in |women |indicates |upper |body |obesity. |Research |
suggests |that |fat |distribution |may |be |a |more |important |factor |for |morbidity |and |mortality |than |
overweight |or |obesity. |The |other |options |are |lower |body |obesity |types.
The |nurse |is |caring |for |a |client |with |type |2 |diabetes |who |take |metformin |to |manage |glucose |levels. |
The |nurse |recognizes |the |client |may |be |most |at |risk |for |which |vitamin |deficiency?
B12
C
A
Folate |- |answersB12
The |medication |metformin |(Glucophage) |increases |the |client's |risk |for |developing |B12 |deficiency |
because |the |medication |inhibits |the |absorption |of |B12.
The |client |who |is |newly |diagnosed |with |diabetes |mellitus |type |2 |is |concerned |about |eating |products |
with |sugar |in |them. |What |information |does |the |nurse |explain |to |the |client |regarding |the |use |of |
sugar?
Excess |sugar |increases |demand |on |the |pancreas.
Healthy |amounts |of |sugar |are |usually |consumed.
Sugar |increases |natural |bacterial |flora |in |the |GI |tract.
Sugar |assists |with |cellular |absorption |of |nutrients. |- |answersExcess |sugar |increases |demand |on |the |
pancreas.
Excess |sugar |increases |demand |on |the |pancreas; |therefore, |less |sugar |should |be |consumed. |The |client
|who |has |diabetes |mellitus |type |2 |may |have |a |compromised |pancreas. |Further |stress |to |the |pancreas |
can |cause |further |injury |to |the |organ.
A |child |is |born |with |dwarfism |to |normal-sized |parents. |The |physician |is |explaining |how |growth |
hormone |(GH) |plays |a |central |role |in |the |increase |in |stature |that |characterizes |childhood |and |
adolescence. |What |is |the |first |step |in |the |growth |hormone |chain |of |events?
