Page | 1
NURS 629 EXAM 4 2026
QUESTIONS AND ANSWERS| ACE
YOUR GRADES.
Who gets screened for diabetes? - correct answer -symptomatic
child (polyuria, polydipsia, wt loss, fatigue, emesis, abd pain,
kussmaul breathing, lethargy, confusion)
asymptomatic but at risk (age 10 or onset of puberty, overweight,
family hx, high-risk ethnicity, signs of insulin resistance)
Screening for diabetes - correct answer -obtain random plasma
glucose
-if >= 200 mg/dl and has symptoms then diabetes
-if 140-199 mg/dl and fasting glucose is >= 126 then diabetes
-if <140 mg/dl likely other cause and if high risk start lifestyle
modifications
Is this Type 1 or Type 2?
RPG >200
+ketones
positive GAD antibodies
, Page | 2
Islet cell antigen (512) - correct answer -Type 1
Is this type 1 or type 2 diabetes?
RPG >200
+/- ketones
acanthosis nigricans
high triglycerides
family history - correct answer -type 2
Treatment for type 1 diabetes - correct answer -replacement of
insulin- coordinate with food intake
individualize therapy
teach "survival" education:
C- carb counting
H- hypoglycemia tx
U- urine ketones when glucose high
M- monitor blood glucose
S- shots
Treatment for Type 2 diabetes - correct answer -lifestyle changes
, Page | 3
wt control and exercise
if pharmacologic therapy: biguanides, insulin
Blood glucose goals - correct answer -Ages <= 6 yo keep to 100-
180 and may need to give insulin after meals; HBA1c 8.5%
Ages 7-12 tighten control to 90-180 before meals; HBA1c 8%
Adolescents tighten control to 70-150: HBA1c 7.5%
per PP and pg 1856 of AAP book
**other study guide states ideal glucose level for 4 yo is 90-130
What is congential hypothyroidism? - correct answer -may be
asymptomatic at birth
newborn screening in all 50 states
all abnormal newborn screenings should be confirmed with FT4
and TSH
refer to peds endocrine
What is commonly found on exam with hyperthyroidism? - correct
answer -Goiter
, Page | 4
What are inborn errors of metabolism? - correct answer -tested at
birth with metabolic screen
can present at birth through adulthood
wide range of disorders within this classification
-single enzyme or its cofactor
-autosomal recessive most common
History of inborn errors of metabolism - correct answer -failure to
thrive
frequent infections
symptoms seen with change in diet
unusual odor to sweat, urine, or cerumen
siblings with unexplained neonatal/infant deaths
Management of inborn errors of metabolism - correct answer -
extensive lab workup
varies on disease
dietary restrictions, changes, tube feedings
supplements
glucose monitoring
referral to endocrine and GI
NURS 629 EXAM 4 2026
QUESTIONS AND ANSWERS| ACE
YOUR GRADES.
Who gets screened for diabetes? - correct answer -symptomatic
child (polyuria, polydipsia, wt loss, fatigue, emesis, abd pain,
kussmaul breathing, lethargy, confusion)
asymptomatic but at risk (age 10 or onset of puberty, overweight,
family hx, high-risk ethnicity, signs of insulin resistance)
Screening for diabetes - correct answer -obtain random plasma
glucose
-if >= 200 mg/dl and has symptoms then diabetes
-if 140-199 mg/dl and fasting glucose is >= 126 then diabetes
-if <140 mg/dl likely other cause and if high risk start lifestyle
modifications
Is this Type 1 or Type 2?
RPG >200
+ketones
positive GAD antibodies
, Page | 2
Islet cell antigen (512) - correct answer -Type 1
Is this type 1 or type 2 diabetes?
RPG >200
+/- ketones
acanthosis nigricans
high triglycerides
family history - correct answer -type 2
Treatment for type 1 diabetes - correct answer -replacement of
insulin- coordinate with food intake
individualize therapy
teach "survival" education:
C- carb counting
H- hypoglycemia tx
U- urine ketones when glucose high
M- monitor blood glucose
S- shots
Treatment for Type 2 diabetes - correct answer -lifestyle changes
, Page | 3
wt control and exercise
if pharmacologic therapy: biguanides, insulin
Blood glucose goals - correct answer -Ages <= 6 yo keep to 100-
180 and may need to give insulin after meals; HBA1c 8.5%
Ages 7-12 tighten control to 90-180 before meals; HBA1c 8%
Adolescents tighten control to 70-150: HBA1c 7.5%
per PP and pg 1856 of AAP book
**other study guide states ideal glucose level for 4 yo is 90-130
What is congential hypothyroidism? - correct answer -may be
asymptomatic at birth
newborn screening in all 50 states
all abnormal newborn screenings should be confirmed with FT4
and TSH
refer to peds endocrine
What is commonly found on exam with hyperthyroidism? - correct
answer -Goiter
, Page | 4
What are inborn errors of metabolism? - correct answer -tested at
birth with metabolic screen
can present at birth through adulthood
wide range of disorders within this classification
-single enzyme or its cofactor
-autosomal recessive most common
History of inborn errors of metabolism - correct answer -failure to
thrive
frequent infections
symptoms seen with change in diet
unusual odor to sweat, urine, or cerumen
siblings with unexplained neonatal/infant deaths
Management of inborn errors of metabolism - correct answer -
extensive lab workup
varies on disease
dietary restrictions, changes, tube feedings
supplements
glucose monitoring
referral to endocrine and GI
