NR 462 EXAM 4 MED SURG QUESTIONS AND ANSWERS | NR
462 EXAM 4 STUDY GUIDE & PRACTICE TEST 2026/2027
A1C measures ________ - ANS ✔✔Amount of glycosylated hemoglobin as % of total hemoglobin (>6.5%
= diabetes)
Do all patients with Type 2 diabetes need insulin? - ANS ✔✔Not necessarily- diet, exercise, and weight
loss may be sufficient
Do all patients with Type 1 diabetes need insulin? - ANS ✔✔Yes
Insulin absorption is fastest from _____ - ANS ✔✔the abdomen, followed by the arm, thigh and buttock
Basal-bolus regimen - ANS ✔✔-Best option
-Rapid or short-acting (bolus) insulin
-Intermediate- or long-acting (basal) background insulin once or twice a day
Combination therapy (for insulin) - ANS ✔✔-Can mix short or rapid acting insulin with intermediate
acting insulin in same syringe
-Provides mealtime and basal coverage in one injection
Diabetes oral drug therapy works on what three defects of type 2 diabetes - ANS ✔✔-Insulin resistance
-Decreased insulin production
-Increased hepatic glucose production
Glycemic index - ANS ✔✔A system that ranks foods on a scale from 1-100 on blood-sugar levels
What is the nutritional goal for Type 1 diabetics according to the ADA? - ANS ✔✔-Meal plan is based on
individual's usual food intake and balanced with insulin and exercise patterns
-Insulin regimen managed day to day
What is the nutritional goal for Type 2 diabetics according to the ADA? - ANS ✔✔-Emphasis on achieving
glucose, lipid and BP goals
-Calorie reduction
How does exercise affect diabetes? - ANS ✔✔-Increases insulin receptor sites (and thus glucose ability to
enter the cell)
-Lowers blood glucose levels
-Contributes to weight loss
-Increases fluid intake
Sick Day Management - ANS ✔✔*S*ugar-check blood glucose as necesary
*I*nsulin
*C*arbs-Drink lots of fluids. If sugars are low drink carb-containing drinks
462 EXAM 4 STUDY GUIDE & PRACTICE TEST 2026/2027
A1C measures ________ - ANS ✔✔Amount of glycosylated hemoglobin as % of total hemoglobin (>6.5%
= diabetes)
Do all patients with Type 2 diabetes need insulin? - ANS ✔✔Not necessarily- diet, exercise, and weight
loss may be sufficient
Do all patients with Type 1 diabetes need insulin? - ANS ✔✔Yes
Insulin absorption is fastest from _____ - ANS ✔✔the abdomen, followed by the arm, thigh and buttock
Basal-bolus regimen - ANS ✔✔-Best option
-Rapid or short-acting (bolus) insulin
-Intermediate- or long-acting (basal) background insulin once or twice a day
Combination therapy (for insulin) - ANS ✔✔-Can mix short or rapid acting insulin with intermediate
acting insulin in same syringe
-Provides mealtime and basal coverage in one injection
Diabetes oral drug therapy works on what three defects of type 2 diabetes - ANS ✔✔-Insulin resistance
-Decreased insulin production
-Increased hepatic glucose production
Glycemic index - ANS ✔✔A system that ranks foods on a scale from 1-100 on blood-sugar levels
What is the nutritional goal for Type 1 diabetics according to the ADA? - ANS ✔✔-Meal plan is based on
individual's usual food intake and balanced with insulin and exercise patterns
-Insulin regimen managed day to day
What is the nutritional goal for Type 2 diabetics according to the ADA? - ANS ✔✔-Emphasis on achieving
glucose, lipid and BP goals
-Calorie reduction
How does exercise affect diabetes? - ANS ✔✔-Increases insulin receptor sites (and thus glucose ability to
enter the cell)
-Lowers blood glucose levels
-Contributes to weight loss
-Increases fluid intake
Sick Day Management - ANS ✔✔*S*ugar-check blood glucose as necesary
*I*nsulin
*C*arbs-Drink lots of fluids. If sugars are low drink carb-containing drinks
