LEWIS CERTIFICATION EVALUATION SET 2026
PRACTICE SOLUTION EXPERT CHECKED
◉ 2. 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. Answer: ANS: 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.
◉ 3. 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. Answer: ANS: 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.
◉ 4. 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?" Answer: ANS: 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.
◉ 5. 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 Answer: ANS: 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.
◉ 6. 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.
d. The patient will state the reasons for eliminating simple sugars in
the diet. Answer: ANS: A
The complications of diabetes are related to elevated blood glucose,
and the most important patient outcome is the reduction of glucose
PRACTICE SOLUTION EXPERT CHECKED
◉ 2. 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. Answer: ANS: 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.
◉ 3. 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. Answer: ANS: 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.
◉ 4. 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?" Answer: ANS: 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.
◉ 5. 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 Answer: ANS: 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.
◉ 6. 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.
d. The patient will state the reasons for eliminating simple sugars in
the diet. Answer: ANS: A
The complications of diabetes are related to elevated blood glucose,
and the most important patient outcome is the reduction of glucose
