EXAM 2025 WITH MULTIPLE CHOICE
QUESTIONS AND CORRECT
ANSWERS FULLY SOLVED,EXPERT
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Describe Type 2 diabetes - THE CORRECT ANSWER-Type 2 diabetes
usually has a gradual onset. It is most common among middle-
aged and older adults who are obese or overweight. Heredity
does play a role as offspring have a 15% greater chance of
developing the disease - it is a dominant inheritance. The age of
onset peaks in the 50s, and 60-80% are obese.
- Insulin continues to be produced in the body, but the insulin
receptors become desensitized and eventually do not respond to
the insulin even though the body may be pumping out great
amounts of insulin. OR there may be decreased insulin
secretion as well. With a type 2 diabetic, it can go either way.
What are the signs and symptoms of type 2 diabetes? - THE
CORRECT ANSWER-fatigue, polyuria, polydipsia, vaginal infections &
UTIs, blurry vision since high glucose levels will cause this, skin
wounds that heal poorly; HOWEVER a lot of times there are
NO symptoms at all and the person does not even know they
have diabetes until they go in to the doctor for an unrelated
problem such as a vascular or neural complication.
,What should initial treatment be for a type 2 diabetic? - THE
CORRECT ANSWER-Initial treatment should be DIET AND
EXERCISE!
Treatment in addition to diet and exercise should include...? -
THE CORRECT ANSWER-sulfonlurea therapy is effective for most
patients - these are oral diabetic drugs specific for type 2
diabetics. Insulin is also required for 20-30% of type 2s
Can type 2 diabetes be prevented? - THE CORRECT ANSWER-YES! it
can be prevented or delayed by weight loss and increased
physical activity
What ethnicities are more at risk for getting type 2 diabetes? -
THE CORRECT ANSWER-African Americans, Mexican Americans,
American Indians, Asian Americans, Pacific Islanders
What are other major risk factors for type 2 diabetes? - THE
CORRECT ANSWER-Age over 40 years with a BMI greater than 25
Inactive lifestyle
Heredity link
If you delivered a baby over 9 lbs
Hypertensive with a BP over 140/90
Have any history of vascular disease
Have metabolic syndrome X
,What is "metabolic syndrome"? What factors must be present? -
THE CORRECT ANSWER-1) abdominal obesity: male must have a waist
of over 40 inches, a female with a waist over 35 inches
2) hyperglycemiaa present with an elevated glucose over 100
mg/dl
3) Hypertensive with a BP over 130/85
4) Dyslipidema with a triglyceride level over 150 mg/dl
If you have metabolic syndrome, what other diseases are you
more at risk for? - THE CORRECT ANSWER-Arthrosclerosis
CVA - stroke
CAD - coronary artery disease
Early death
How do you "test positive" for diabetes? - THE CORRECT ANSWER-1)
Fasting plasma glucose test: must have a blood glucose level of
greater than 126 mg/dl or more on 2 occasions. Fasting means
that you did not eat for 8 hours prior.
2) Random plasma glucose: tested at any time even after eating;
had a level of greater than 200 on more than one occasion
3) 2-hr plasma glucose test: using a 75 gram glucose load, the
patient is tested at hour intervals - a normal person's blood
sugar would go up initially, and then go down. A diabetic's
would go up and stay up. to test positive, you must have greater
than 200 after 2 hours on more than one occasion
Oral Glucose tolerance test, when is this test used to diagnose
for diabetes? - THE CORRECT ANSWER-Used when person is pregnant
to diagnose gestational diabetes, however not the test of choice
, because it is costly and inconvenient compared with fasting
blood glucose measures.
What is the preferred test to diagnose for diabetes? - THE CORRECT
ANSWER-the fasting blood glucose test
How would someone classify as pre-diabetic? - THE CORRECT
ANSWER-fasting glucose: 100-125
oral glucose tolerance: 140-200
What does the nurse need to teach about exercise to the
diabetic? - THE CORRECT ANSWER-Exercise is very important to do
for a diabetic, but there are risks - teach the patient to check
their blood glucose before, during and after exercise and if their
blood sugar is greater than 250, they need to check their urine
for ketones. This indicate that their insulin levels are not
adequate
Exercise puts the diabetic at risk for hypoglycemia and they
need to be taught to not exercise within one hour of taking
insulin injections or to exercise during the peak time of the
insulin's action.
However, exercising is very important and the diabetic should
be taught that they should start off slowly to improve their
hypertension, promote cardio fitness, assist with weight loss
and improve blood lipids
Monitoring glucose: if on insulin must check blood sugar how
many times a day? - THE CORRECT ANSWER-4 times a day, before
meals and at bedtime