Page 1 of 182
Medical-Surgical Nursing and Adult Health Exam Brunner
& Suddarth's Textbook
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HIGH YIELDS QUESTIONS
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ANSWERS VERIFIED 100 %
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Highly Detailed Multi-System
, Page 2 of 182
1. 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?
A) The patient should withhold his next scheduled dose of insulin.
B) The patient should promptly eat some protein and carbohydrates.
C) The patients insulin levels are inadequate.
D) The patient would benefit from a dose of metformin (Glucophage).
Ans: C
Feedback:
Ketones in the urine signal that there is a deficiency of insulin and that control of type
1 diabetes is
deteriorating. Withholding insulin or eating food would exacerbate the patients
ketonuria. Metformin
will not cause short-term resolution of hyperglycemia.
2. A patient presents to the clinic complaining of symptoms that suggest
diabetes. What criteria would
support checking blood levels for the diagnosis of diabetes?
A) Fasting plasma glucose greater than or equal to 126 mg/dL
B) Random plasma glucose greater than 150 mg/dL
C) Fasting plasma glucose greater than 116 mg/dL on 2 separate occasions
D) Random plasma glucose greater than 126 mg/dL
Ans: A
Feedback:
Criteria for the diagnosis of diabetes include symptoms of diabetes plus random
plasma glucose greater
than or equal to 200 mg/dL, or a fasting plasma glucose greater than or equal to 126
mg/dL.
3. 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?
A) Low fat generally indicates low sugar.
Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e
(Hinkle 2017) 960
, Page 3 of 182
B) Protein should constitute 30% to 40% of caloric intake.
C) Most calories should be derived from carbohydrates.
D) Animal fats should be eliminated from the diet.
Ans: C
Feedback:
Currently, the ADA and the Academy of Nutrition and Dietetics (formerly the
American Dietetic
Association) recommend that for all levels of caloric intake, 50% to 60% of calories
should be derived
from carbohydrates, 20% to 30% from fat, and the remaining 10% to 20% from
protein.Low fat does not
automatically mean low sugar. Dietary animal fat does not need to be eliminated
from the diet.
4. 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?
A) Adequate sleep
B) Low stimulation
C) Exercise
D) Low-fat diet
Ans: C
Feedback:
Exercise lowers blood glucose, increases levels of HDLs, and decreases total
cholesterol and triglyceride
levels. Low fat intake and low levels of stimulation do not reduce a patients need for
insulin. Adequate
sleep is beneficial in reducing stress, but does not have an effect that is pronounced
as that of exercise.
5. 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
, Page 4 of 182
tray will arrive at 11:45, when should the nurse administer the patients insulin?
A) 10:45
B) 11:15
C) 11:45
Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e
(Hinkle 2017) 961
D) 11:50
Ans: B
Feedback:
Regular insulin is usually administered 2030 min before a meal. Earlier
administration creates a risk for
hypoglycemia; later administration creates a risk for hyperglycemia.
6. 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?
A) A sulfonylurea
B) A biguanide
C) A thiazolidinedione
D) An alpha glucosidase inhibitor
Ans: B
Feedback:
Sulfonylureas exert their primary action by directly stimulating the pancreas to
secrete insulin and
therefore require a functioning pancreas to be effective. Biguanides inhibit the
production of glucose by
the liver and are in used in type 2 diabetes to control blood glucose levels.
Thiazolidinediones enhance
insulin action at the receptor site without increasing insulin secretion from the beta
cells of the pancreas. Alpha glucosidase inhibitors work by delaying the absorption of
Medical-Surgical Nursing and Adult Health Exam Brunner
& Suddarth's Textbook
Download Now
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 %
📚 Learn. Practice. Excel.
Unlock your potential with exams designed to help you succeed. Enjoy a smooth
experience, challenging questions, and valuable learning opportunities that prepare you
for real-world success.
Join thousands of learners who are building confidence one exam at a time. Take your
exam today!
TIME : HOUR
Highly Detailed Multi-System
, Page 2 of 182
1. 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?
A) The patient should withhold his next scheduled dose of insulin.
B) The patient should promptly eat some protein and carbohydrates.
C) The patients insulin levels are inadequate.
D) The patient would benefit from a dose of metformin (Glucophage).
Ans: C
Feedback:
Ketones in the urine signal that there is a deficiency of insulin and that control of type
1 diabetes is
deteriorating. Withholding insulin or eating food would exacerbate the patients
ketonuria. Metformin
will not cause short-term resolution of hyperglycemia.
2. A patient presents to the clinic complaining of symptoms that suggest
diabetes. What criteria would
support checking blood levels for the diagnosis of diabetes?
A) Fasting plasma glucose greater than or equal to 126 mg/dL
B) Random plasma glucose greater than 150 mg/dL
C) Fasting plasma glucose greater than 116 mg/dL on 2 separate occasions
D) Random plasma glucose greater than 126 mg/dL
Ans: A
Feedback:
Criteria for the diagnosis of diabetes include symptoms of diabetes plus random
plasma glucose greater
than or equal to 200 mg/dL, or a fasting plasma glucose greater than or equal to 126
mg/dL.
3. 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?
A) Low fat generally indicates low sugar.
Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e
(Hinkle 2017) 960
, Page 3 of 182
B) Protein should constitute 30% to 40% of caloric intake.
C) Most calories should be derived from carbohydrates.
D) Animal fats should be eliminated from the diet.
Ans: C
Feedback:
Currently, the ADA and the Academy of Nutrition and Dietetics (formerly the
American Dietetic
Association) recommend that for all levels of caloric intake, 50% to 60% of calories
should be derived
from carbohydrates, 20% to 30% from fat, and the remaining 10% to 20% from
protein.Low fat does not
automatically mean low sugar. Dietary animal fat does not need to be eliminated
from the diet.
4. 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?
A) Adequate sleep
B) Low stimulation
C) Exercise
D) Low-fat diet
Ans: C
Feedback:
Exercise lowers blood glucose, increases levels of HDLs, and decreases total
cholesterol and triglyceride
levels. Low fat intake and low levels of stimulation do not reduce a patients need for
insulin. Adequate
sleep is beneficial in reducing stress, but does not have an effect that is pronounced
as that of exercise.
5. 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
, Page 4 of 182
tray will arrive at 11:45, when should the nurse administer the patients insulin?
A) 10:45
B) 11:15
C) 11:45
Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 14e
(Hinkle 2017) 961
D) 11:50
Ans: B
Feedback:
Regular insulin is usually administered 2030 min before a meal. Earlier
administration creates a risk for
hypoglycemia; later administration creates a risk for hyperglycemia.
6. 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?
A) A sulfonylurea
B) A biguanide
C) A thiazolidinedione
D) An alpha glucosidase inhibitor
Ans: B
Feedback:
Sulfonylureas exert their primary action by directly stimulating the pancreas to
secrete insulin and
therefore require a functioning pancreas to be effective. Biguanides inhibit the
production of glucose by
the liver and are in used in type 2 diabetes to control blood glucose levels.
Thiazolidinediones enhance
insulin action at the receptor site without increasing insulin secretion from the beta
cells of the pancreas. Alpha glucosidase inhibitors work by delaying the absorption of
