Nur 257 Exam 3 Final Updated Actual Questions And Correct Answers

NUR 257 EXAM 3 FINAL UPDATED ACTUAL QUESTIONS
AND CORRECT ANSWERS

Question:
Insulin binding to its receptor on target cells results in
Answer:
increased facilitated cellular diffusion of glucose.

Question:
In the United States, more than ________ people have diabetes mellitus.
Answer:
34.2 million

Question:
Which are microvascular complications of diabetes mellitus? (Select all that apply.)
A. Cardiovascular disease
B. Nephropathy
C. Retinopathy
D. Stroke
E. Neuropathy
Answer:
BC

Question:
Diabetic neuropathy is thought to result from
Answer:
decreased myoinositol transport.

Question:
Which therapies would be appropriate for a patient with type 1 diabetes mellitus?
(Select all that apply.)
A. High-protein diet
B. Oral hypoglycemic agents
C. Carbohydrate counting
D. Insulin
E. Daily exercise
Answer:
CDE

Question:
A clinical finding consistent with a hypoglycemic reaction is
Answer:
tremors.

,Question:
________ is the most powerful predictor of developing type 2 diabetes mellitus.
Answer:
Obesity

Question:
The underlying pathogenic mechanism for type 1 diabetes is
Answer:
pancreatic β-cell destruction.

Question:
How is the principle of substituted judgement defined?
Answer:
A surrogate makes a decision based on what they believe the person would have made
if they were able to do so.

Question:
An older client with Type II Diabetes Mellitus tells a nurse: "I don't know how I am
going to continue with this blood sugar testing. I know it is important, but the strips are
so expensive." The nurse formulates a response based on the what knowledge?
Answer:
Diabetic testing supplies are covered by Medicare part B.

Question:
What indicator is most helpful in evaluating long-term blood glucose management in
patients with diabetes mellitus?
Answer:
Glycosylated hemoglobin levels (HbA1c)

Question:
The American Diabetes Association recommends a postprandial blood glucose level of
________ mg/dL for adults with diabetes.
Answer:
less than 180

Question:
In diabetic ketoacidosis, respiratory compensation may occur through a process of
Answer:
respiratory alkalosis.

Question:
A type of insulin that would be most appropriate for acute management of
hyperglycemia is
Answer:
regular.

,Question:
Type 2 diabetes mellitus is often associated with
Answer:
nonketotic hyperosmolality.

Question:
The breakdown of stored glycogen in the liver and muscles is called
Answer:
glycogenolysis.

Question:
When an older adult is considering long-term care insurance (LTCI), which is an
important consideration?
Answer:
Carefully scrutinize all exclusions before enrolling.

Question:
An older client is pronounced brain dead, and the attorney-in-fact or surrogate named
in her POA is opposed to organ donation; the law in the state allows a surrogate with a
POA to make end-of-life decisions. Although the client failed to document it, family
members state that the client wanted to be an organ donator. Given the law about a
POA, what does the nurse expect the surrogate to do?
Answer:
Provide consent.

Question:
The underlying pathogenic mechanism for type 2 diabetes is
Answer:
insulin resistance and β-- cell dysfunction.

Question:
Which are clinical findings usually associated with type 1 diabetes mellitus? (Select all
that apply.) Weight gain
A. Polyphagia
B. Polyuria
C. Obesity
D. Polydipsia
E. Weight gain
Answer:
ABD

Question:
Diabetes mellitus is the ________ leading cause of death and a major cause of disability in
the United States.
Answer:
seventh

, Question:
An older woman accompanies her husband to the geriatric clinic. The husband has
been diagnosed with Alzheimer's disease and needs maximum assistance with
activities of daily living (ADLs). The wife has made the decision to place her husband in
a long-term care facility as she is no longer able to care for him. The wife expresses
concern about the cost of the long-term care facility and the worry that all of their
funds will be used to pay for the facility leaving no funds for her own care. The nurse
formulates a response based on what understanding?
Answer:
Only one half of combined value of household goods is used to determine eligibility for
Medicaid.

Question:
The older adult who diagnosed with type 2 diabetes mellitus has a sensory impairment
and unstable blood sugar levels. Which of the following alterations in sensory function
does the nurse address in the plan of care for stabilizing the blood sugar?
Answer:
Has difficulty hearing conversations in crowded rooms

Question:
Hyperglycemia is harder to detect in older adults due to which of the following?
Answer:
There is a higher tolerance for elevated levels of circulating glucose in older adults.

Question:
Which of the following statements is true about diabetes mellitus?
Answer:
Diabetes is diagnosed after two fasting plasma glucose readings over 125 mg/dL.

Question:
An older adult who is a non-Hispanic Caucasian has a fasting blood sugar level above
130 mg/dL. Which client assessment does the nurse use to confirm a high risk for
diabetes mellitus in the client?
Answer:
68 years of age

Question:
Which factor is commonly associated with the development of cardiovascular
comorbidities for those diagnosed with type 2?
Answer:
Alcohol use