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NUR 210, 242 MedSurg Exam 2 – Diabetes, Fluid & Electrolytes, Acid-Base Balance, and Urinary System – Complete Exam Questions and Answers

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This document contains 50 multiple-choice questions with answer keys covering diabetes mellitus, fluid and electrolyte balance, acid-base disorders, and the urinary system. Topics include insulin and glucagon, hypoglycemia and diabetic ketoacidosis, diabetes diagnosis and management, potassium and calcium imbalances, fluid volume changes, IV potassium administration, ABG interpretation, UTIs, pyelonephritis, renal calculi, BPH, TURP care, nephrosclerosis, and urinary incontinence.

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NUR 210, 242 Medsurg exam 2
Diabetes, Fluid & Electrolytes, Acid-Base Balance, and Urinary
System
1. Which hormone is secreted from the liver to prevent hypoglycemia and is known as the
"hormone of starvation"?
A) Insulin
B) Glucagon
C) Aldosterone
D) Cortisol
Correct Answer: B

2. Which hormone prevents hyperglycemia by moving glucose into cells and is referred to as the
"hormone of plenty"?
A) Glucagon
B) Thyroxine
C) Insulin
D) Epinephrine
Correct Answer: C

3. Hyperglycemia is clinically defined in the sources as a blood glucose level greater than:
A) 100 mg/dL
B) 106 mg/dL
C) 126 mg/dL
D) 140 mg/dL
Correct Answer: B

4. Hypoglycemia is defined as a blood glucose level less than:
A) 60 mg/dL
B) 70 mg/dL
C) 74 mg/dL
D) 80 mg/dL
Correct Answer: C

5. When treating moderate hypoglycemia (glucose less than 40 mg/dL), how many grams of
rapid carbohydrates should be administered?
A) 15 g
B) 30 g
C) 45 g
D) 60 g
Correct Answer: B

6. If a patient with severe hypoglycemia is unconscious and cannot swallow, which medication
should be given IM or SubQ?

, A) Insulin
B) Metformin
C) Glucagon
D) Dextrose
Correct Answer: C

7. How often should a diabetic patient monitor their sugar levels on "sick days"?
A) Every hour
B) Every 4 hours
C) Twice a day
D) Only if they feel symptoms
Correct Answer: B

8. Which acute complication of diabetes is characterized by a total lack of insulin and an excess
of ketoacids?
A) Hyperglycemic Hyperosmolar State
B) Diabetic Ketoacidosis (DKA)
C) Hypoglycemia
D) Metabolic Alkalosis
Correct Answer: B

9. What is the typical age of onset for Type 1 Diabetes?
A) Older than 50
B) Younger than 30
C) At birth only
D) Between 40 and 50
Correct Answer: B

10. Which type of diabetes is characterized by pancreatic beta cell destruction and is often
idiopathic or autoimmune?
A) Type 2
B) Gestational
C) Type 1
D) Secondary diabetes
Correct Answer: C

11. Type 2 Diabetes onset typically occurs after which age?
A) 25
B) 30
C) 40
D) 50
Correct Answer: D

12. Which BMI level is considered an indicator for possible diabetes?
A) Greater than 18 kg
B) Greater than 20 kg
C) Greater than 25 kg

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