NRSG 1424 EXAMINATION TEST 2026
QUESTIONS WITH ANSWERS GRADED A+
◉ C - The patient's impaired fasting glucose indicates prediabetes, and
the patient should be counseled about lifestyle changes to prevent the
development of type 2 diabetes. The patient with prediabetes does not
require insulin or oral hypoglycemics for glucose control and does not
need to self-monitor blood glucose. Answer: A 48-year-old male patient
screened for diabetes at a clinic has a fasting plasma glucose level of 120
mg/dL (6.7 mmol/L). The nurse will plan to teach the patient about
A. Self-monitoring of blood glucose.
B. Using low doses of regular insulin.
C. Lifestyle changes to lower blood glucose.
D. Effects of oral hypoglycemic medications.
◉ D - When the patient is ketotic, exercise may result in an increase in
blood glucose level. Type 1 diabetic patients should be taught to avoid
exercise when ketosis is present. The other statements are correct.
Answer: A 28-year-old male patient with type 1 diabetes reports how he
manages his exercise and glucose control. Which behavior indicates that
the nurse should implement additional teaching?
,A. The patient always carries hard candies when engaging in exercise.
B. The patient goes for a vigorous walk when his glucose is 200 mg/dL.
C. The patient has a peanut butter sandwich before going for a bicycle
ride.
D. The patient increases daily exercise when ketones are present in the
urine.
◉ C - Weight loss occurs because the body is no longer able to absorb
glucose and starts to break down protein and fat for energy. The patient
is thirsty but does not necessarily crave sugar-containing fluids.
Increased appetite is a classic symptom of type 1 diabetes. With the
classic symptom of polyuria, urine will be very dilute. Answer: The
nurse is assessing a 22-year-old patient experiencing the onset of
symptoms of type 1 diabetes. Which question is most appropriate for the
nurse to ask?
A. "Are you anorexic?"
B. "Is your urine dark colored?"
C. "Have you lost weight lately?"
D. "Do you crave sugary drinks?"
◉ D - The glycosylated hemoglobin (A1C or HbA1C) test shows the
overall control of glucose over 90 to 120 days. A fasting blood level
indicates only the glucose level at one time. Urine glucose testing is not
, an accurate reflection of blood glucose level and does not reflect the
glucose over a prolonged time. Oral glucose tolerance testing is done to
diagnose diabetes, but is not used for monitoring glucose control once
diabetes has been diagnosed. Answer: A patient with type 2 diabetes is
scheduled for a follow-up visit in the clinic several months from now.
Which test will the nurse schedule to evaluate the effectiveness of
treatment for the patient?
A. Urine dipstick for glucose
B. Oral glucose tolerance test
C. Fasting blood glucose level
D. Glycosylated hemoglobin level
◉ A - The complications of diabetes are related to elevated blood
glucose, and the most important patient outcome is the reduction of
glucose to near-normal levels. The other outcomes also are appropriate
but are not as high in priority. Answer: A 55-year-old female patient with
type 2 diabetes has a nursing diagnosis of imbalanced nutrition: more
than body requirements. Which goal is most important for this patient?
A. The patient will reach a glycosylated hemoglobin level of less than
7%.
B. The patient will follow a diet and exercise plan that results in weight
loss.
C. The patient will choose a diet that distributes calories throughout the
day.
QUESTIONS WITH ANSWERS GRADED A+
◉ C - The patient's impaired fasting glucose indicates prediabetes, and
the patient should be counseled about lifestyle changes to prevent the
development of type 2 diabetes. The patient with prediabetes does not
require insulin or oral hypoglycemics for glucose control and does not
need to self-monitor blood glucose. Answer: A 48-year-old male patient
screened for diabetes at a clinic has a fasting plasma glucose level of 120
mg/dL (6.7 mmol/L). The nurse will plan to teach the patient about
A. Self-monitoring of blood glucose.
B. Using low doses of regular insulin.
C. Lifestyle changes to lower blood glucose.
D. Effects of oral hypoglycemic medications.
◉ D - When the patient is ketotic, exercise may result in an increase in
blood glucose level. Type 1 diabetic patients should be taught to avoid
exercise when ketosis is present. The other statements are correct.
Answer: A 28-year-old male patient with type 1 diabetes reports how he
manages his exercise and glucose control. Which behavior indicates that
the nurse should implement additional teaching?
,A. The patient always carries hard candies when engaging in exercise.
B. The patient goes for a vigorous walk when his glucose is 200 mg/dL.
C. The patient has a peanut butter sandwich before going for a bicycle
ride.
D. The patient increases daily exercise when ketones are present in the
urine.
◉ C - Weight loss occurs because the body is no longer able to absorb
glucose and starts to break down protein and fat for energy. The patient
is thirsty but does not necessarily crave sugar-containing fluids.
Increased appetite is a classic symptom of type 1 diabetes. With the
classic symptom of polyuria, urine will be very dilute. Answer: The
nurse is assessing a 22-year-old patient experiencing the onset of
symptoms of type 1 diabetes. Which question is most appropriate for the
nurse to ask?
A. "Are you anorexic?"
B. "Is your urine dark colored?"
C. "Have you lost weight lately?"
D. "Do you crave sugary drinks?"
◉ D - The glycosylated hemoglobin (A1C or HbA1C) test shows the
overall control of glucose over 90 to 120 days. A fasting blood level
indicates only the glucose level at one time. Urine glucose testing is not
, an accurate reflection of blood glucose level and does not reflect the
glucose over a prolonged time. Oral glucose tolerance testing is done to
diagnose diabetes, but is not used for monitoring glucose control once
diabetes has been diagnosed. Answer: A patient with type 2 diabetes is
scheduled for a follow-up visit in the clinic several months from now.
Which test will the nurse schedule to evaluate the effectiveness of
treatment for the patient?
A. Urine dipstick for glucose
B. Oral glucose tolerance test
C. Fasting blood glucose level
D. Glycosylated hemoglobin level
◉ A - The complications of diabetes are related to elevated blood
glucose, and the most important patient outcome is the reduction of
glucose to near-normal levels. The other outcomes also are appropriate
but are not as high in priority. Answer: A 55-year-old female patient with
type 2 diabetes has a nursing diagnosis of imbalanced nutrition: more
than body requirements. Which goal is most important for this patient?
A. The patient will reach a glycosylated hemoglobin level of less than
7%.
B. The patient will follow a diet and exercise plan that results in weight
loss.
C. The patient will choose a diet that distributes calories throughout the
day.
