NUR 257 Exam 3
UPDATED ACTUAL Exam Questions and CORRECT Answers
Question 1.
What does A1C measure?
Correct Answer: Average blood glucose over 3 months.
Question 2.
If your elderly client has an acute illness with inability to take oral medications for their
diabetes mellitus what should you as the nurse do?
Correct Answer: Contact PCP
Question 3.
Why should the nurse take caution when giving metformin (used to treat diabetes type
2) to the elderly
Correct Answer: Because of the declining kidney function in the elderly
resulting in further decline in kidney function
Question 4.
What are some education points for the elderly who have diabetes mellitus
Correct Answer: Limiting saturated fats and encouraging low sodium diet as
well as foot care ensuring they attend podiatrist appointments, checking feet
daily encouraging the use of a mirror to look at plantar surface.
Question 5.
What are some education points for the elderly who have diabetes mellitus about
hypoglycemia
Correct Answer: Let them know that the brain needs constant glucose supply
and to provide intake of milk and glucagon if the patient passes out or is
unable to take sugar by mouth. It can be injected as needed at the first sign of
hypoglycemia. They should have glucagon on them at all times.
Question 6.
Neuropathy education
Correct Answer: Feelings of pins/needles in feet usually indicated increased
blood glucose levels.
, Question 7.
Education on glucosuria
Correct Answer: May cause incontinence, limit saturated fats and carbs eat
low sodium
Question 8.
S/S of hypoglycemia
Correct Answer: irritable, confusion, tremors, blurred vision, skin cool clammy,
tachycardia
Question 9.
What are the 3 P's of diabetes
Correct Answer: Polyuria Polydipsia Polyhagia
‣ Rapid-acting insulin -✓✓Lispro (Humalog) Aspart (Novolog) Glulisine (Apidra)
It's taken just before meals
Question 10.
Short-acting insulin
Correct Answer: Regular (Humulin R, Novolin R) Taken 30-60 minutes before
meals
Question 11.
Intermediate-acting insulin
Correct Answer: NPH (Humulin N, Novolin N) Usually taken once or twice a day
often at bedtime
Question 12.
Long-acting insulin
Correct Answer: glargine (Lantus) detemir (Levemir) Taken once a day
typically in the morning
Question 13.
Basal Bolus Regimen with *NPH & Regular* education
Correct Answer: This is a combination of a long acting "basal" insulin to cover
background needs throughout the day and a short-acting "bolus" insulin to
manage blood sugar spikes after meals.
UPDATED ACTUAL Exam Questions and CORRECT Answers
Question 1.
What does A1C measure?
Correct Answer: Average blood glucose over 3 months.
Question 2.
If your elderly client has an acute illness with inability to take oral medications for their
diabetes mellitus what should you as the nurse do?
Correct Answer: Contact PCP
Question 3.
Why should the nurse take caution when giving metformin (used to treat diabetes type
2) to the elderly
Correct Answer: Because of the declining kidney function in the elderly
resulting in further decline in kidney function
Question 4.
What are some education points for the elderly who have diabetes mellitus
Correct Answer: Limiting saturated fats and encouraging low sodium diet as
well as foot care ensuring they attend podiatrist appointments, checking feet
daily encouraging the use of a mirror to look at plantar surface.
Question 5.
What are some education points for the elderly who have diabetes mellitus about
hypoglycemia
Correct Answer: Let them know that the brain needs constant glucose supply
and to provide intake of milk and glucagon if the patient passes out or is
unable to take sugar by mouth. It can be injected as needed at the first sign of
hypoglycemia. They should have glucagon on them at all times.
Question 6.
Neuropathy education
Correct Answer: Feelings of pins/needles in feet usually indicated increased
blood glucose levels.
, Question 7.
Education on glucosuria
Correct Answer: May cause incontinence, limit saturated fats and carbs eat
low sodium
Question 8.
S/S of hypoglycemia
Correct Answer: irritable, confusion, tremors, blurred vision, skin cool clammy,
tachycardia
Question 9.
What are the 3 P's of diabetes
Correct Answer: Polyuria Polydipsia Polyhagia
‣ Rapid-acting insulin -✓✓Lispro (Humalog) Aspart (Novolog) Glulisine (Apidra)
It's taken just before meals
Question 10.
Short-acting insulin
Correct Answer: Regular (Humulin R, Novolin R) Taken 30-60 minutes before
meals
Question 11.
Intermediate-acting insulin
Correct Answer: NPH (Humulin N, Novolin N) Usually taken once or twice a day
often at bedtime
Question 12.
Long-acting insulin
Correct Answer: glargine (Lantus) detemir (Levemir) Taken once a day
typically in the morning
Question 13.
Basal Bolus Regimen with *NPH & Regular* education
Correct Answer: This is a combination of a long acting "basal" insulin to cover
background needs throughout the day and a short-acting "bolus" insulin to
manage blood sugar spikes after meals.
