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BSN 246 - Sherpath 7 (Glucose Regulation) Exam Questions & Answers (Grade A+).docx

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BSN 246 - Sherpath 7 (Glucose Regulation) Exam Questions & Answers (Grade A+).docx

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BSN 246 - Sherpath 7 (Glucose
Regulation) Exam Questions & Answers
(Grade A+)
A patient is diagnosed with type 1 diabetes. Which statement
correctly describes the pathophysiology of this condition?
Cells cannot process insulin already present in the body.
Antibodies to potassium receptors cause gradual hyperglycemia.
Recurrent inflammation of the pancreas causes insulin resistance.
The body develops an immune reaction against cells in the
pancreas. -
correct answer ✅The body develops an immune reaction against
cells in the pancreas.
Type 1 diabetes often results from an autoimmune response
causing the destruction of beta cells, which are responsible for
producing insulin in the pancreas.


A nurse is evaluating a group of patients who are at risk for type 2
diabetes. Which factors concern the nurse in regard to type 2
diabetes risk?
Select all that apply.


Obesity
Smoking

,BSN 246 - Sherpath 7 (Glucose
Regulation) Exam Questions & Answers
(Grade A+)
Older age
Family history
Caucasian race -
correct answer ✅Obesity
Obesity is strongly associated with the development of type 2
diabetes. An imbalance between caloric intake and physical activity
can lead to obesity, which causes insulin resistance and is common
in people with type 2 diabetes.


Smoking
Smoking increases the risk for type 2 diabetes. Smokers are 30% to
40% more likely to develop type 2 diabetes than nonsmokers.
Tobacco use can increase blood sugar levels and lead to insulin
resistance.


Older age
Type 2 diabetes usually develops in adults older than 45 years.


Family history

,BSN 246 - Sherpath 7 (Glucose
Regulation) Exam Questions & Answers
(Grade A+)
The risk for type 2 diabetes is high if another family member has
diabetes. An individual can inherit a predisposition to the condition,
and the lifestyle and practices in the family environment may
trigger the disease.


Rationale for Incorrect:
Native Americans, Hispanics, African-Americans, and Asian-
Americans, not Caucasians, are at increased risk for type 2 diabetes.


A patient recently diagnosed with type 1 diabetes asks the nurse
what insulin does in the body. Which description from the nurse is
accurate?
Insulin allows for the uptake of glucose into cells.
Insulin distributes glucose to end organs and tissues.
Insulin converts glucose into glycogen in the kidneys.
Insulin breaks down glucose in the gastrointestinal tract. -
correct answer ✅Insulin allows for the uptake of glucose into cells.
Insulin is a hormone produced by the beta cells of the pancreas.
The ability of cells, and subsequently tissues and organs, to take up
glucose for energy is specifically dependent on insulin.

, BSN 246 - Sherpath 7 (Glucose
Regulation) Exam Questions & Answers
(Grade A+)
A patient diagnosed with type 2 diabetes would most likely present
with which initial complaint?
Excessive thirst
Abdominal pain
Nonhealing lesion
Significant weight loss -
correct answer ✅Nonhealing lesion
Chronic hyperglycemia in type 2 diabetes can cause long-term
complications that are manifested late in the disease. One such
complication is microvascular disease, which can cause delayed
wound healing.


Rationale for Incorrect:
Excessive thirst is commonly seen in type 1 diabetes at the time of
diagnosis as a result of profound water loss related to osmotic
diuresis.
Abdominal pain is not related to either type 1 or type 2 diabetes.
Significant weight loss is seen in patients with undiagnosed type 1
diabetes because a lack of endogenous insulin prevents glucose
uptake resulting in starvation of cells.

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