Question Collection: MS 1 Week 4
79 Questions
1.
A client with type 1 diabetes has told the nurse that his most recent urine test for ketones was
positive. What is the nurse's most plausible conclusion based on this assessment finding?
a. The client should withhold his next scheduled dose of insulin.
b. The client should promptly eat some protein and carbohydrates.;
c. The client's insulin levels are inadequate.
d. The client would benefit from a dose of metformin.
2.
A client presents to the clinic reporting symptoms that suggest diabetes. What criteria would support
checking blood levels for the diagnosis of diabetes?
a. Fasting plasma glucose greater than or equal to 126 mg/dL (7.0 mmol/L)
b. Random plasma glucose greater than 150 mg/dL (8.3 mmol/L)
c. Fasting plasma glucose greater than 116 mg/dL (6.4 mmol/L) on two separate occasions
d. Random plasma glucose greater than 126 mg/dL (7.0 mmol/L)
3.
A client newly diagnosed with type 2 diabetes is attending a nutrition class. What general guideline
should the nurse teach the clients at this class?
a. Low fat generally indicates low sugar.
b. Protein should constitute 30% to 40% of caloric intake.
c. Most calories should be derived from carbohydrates.
d. Animal fats should be eliminated from the diet.
4.
A nurse is providing health education to an adolescent newly diagnosed with type 1 diabetes mellitus
and her family. The nurse teaches the client and family that what nonpharmacologic measures will
decrease the body’s need for insulin?
a. Adequate sleep
b. Low stimulation
c. Exercise
, d. Low-fat diet
5.
A medical nurse is caring for a client with type 1 diabetes. The client's medication administration
record includes the administration of regular insulin three times daily. Knowing that the client's lunch
tray will arrive at 11:45 AM, when should the nurse administer the client's insulin?
a. 10:45 AM
b. 11:15 AM
c. 11:45 AM
d. 11:50 AM
6.
A client has just been diagnosed with type 2 diabetes. The health care provider has prescribed an oral
antidiabetic agent that will inhibit the production of glucose by the liver and thereby aid in the control
of blood glucose. What type of oral antidiabetic agent did the health care provider prescribe for this
client?
a. A sulfonylurea
b. A biguanide
c. A thiazolidinedione
d. An alpha-glucosidase inhibitor
7.
A diabetes nurse educator is teaching a group of clients with type 1 diabetes about “sick day rules.”
What guideline applies to periods of illness in a diabetic client?
a. Do not eliminate insulin when nauseated and vomiting.
b. Report elevated glucose levels greater than 150 mg/dL (8.3 mmol/L).
c. Eat three substantial meals a day, if possible.
d. Reduce food intake and insulin doses in times of illness.
8.
The nurse is discussing macrovascular complications of diabetes with a client. The nurse would
address what topic during this dialogue?
a. The need for frequent eye examinations for clients with diabetes
b. The fact that clients with diabetes have an elevated risk of myocardial infarction
c. The relationship between kidney function and blood glucose levels
, d. The need to monitor urine for the presence of albumin
9.
A school nurse is teaching a group of high school students about risk factors for diabetes. What action
has the greatest potential to reduce an individual’s risk for developing diabetes?
a. Have blood glucose levels checked annually
b. Stop using tobacco in any form
c. Undergo eye examinations regularly
d. Lose weight, if obese
10.
A 15-year-old child is brought to the emergency department with symptoms of hyperglycemia. Based
on the fact that the child’s pancreatic beta cells are being destroyed, the client would be diagnosed
with what type of diabetes?
a. Type 1 diabetes
b. Type 2 diabetes
c. Non–insulin-dependent diabetes
d. Prediabetes
11.
A newly admitted client with type 1 diabetes asks the nurse what caused her diabetes. When the
nurse is explaining to the client the etiology of type 1 diabetes, what process should the nurse
describe?
a. "The tissues in your body are resistant to the action of insulin, making the glucose levels in your
blood increase"
b. "Damage to your pancreas causes an increase in the amount of glucose that it releases, and
there is not enough insulin to control it."
c. "The amount of glucose that your body makes overwhelms your pancreas and decreases your
production of insulin."
d. "Destruction of special cells in the pancreas causes a decrease in insulin production. Glucose
levels rise because insulin normally breaks it down."
12.
An occupational health nurse is screening a group of workers for diabetes. What statement should the
nurse interpret as being suggestive of diabetes?
a. "I've always been a fan of sweet foods, but lately I'm turned off by them."
79 Questions
1.
A client with type 1 diabetes has told the nurse that his most recent urine test for ketones was
positive. What is the nurse's most plausible conclusion based on this assessment finding?
a. The client should withhold his next scheduled dose of insulin.
b. The client should promptly eat some protein and carbohydrates.;
c. The client's insulin levels are inadequate.
d. The client would benefit from a dose of metformin.
2.
A client presents to the clinic reporting symptoms that suggest diabetes. What criteria would support
checking blood levels for the diagnosis of diabetes?
a. Fasting plasma glucose greater than or equal to 126 mg/dL (7.0 mmol/L)
b. Random plasma glucose greater than 150 mg/dL (8.3 mmol/L)
c. Fasting plasma glucose greater than 116 mg/dL (6.4 mmol/L) on two separate occasions
d. Random plasma glucose greater than 126 mg/dL (7.0 mmol/L)
3.
A client newly diagnosed with type 2 diabetes is attending a nutrition class. What general guideline
should the nurse teach the clients at this class?
a. Low fat generally indicates low sugar.
b. Protein should constitute 30% to 40% of caloric intake.
c. Most calories should be derived from carbohydrates.
d. Animal fats should be eliminated from the diet.
4.
A nurse is providing health education to an adolescent newly diagnosed with type 1 diabetes mellitus
and her family. The nurse teaches the client and family that what nonpharmacologic measures will
decrease the body’s need for insulin?
a. Adequate sleep
b. Low stimulation
c. Exercise
, d. Low-fat diet
5.
A medical nurse is caring for a client with type 1 diabetes. The client's medication administration
record includes the administration of regular insulin three times daily. Knowing that the client's lunch
tray will arrive at 11:45 AM, when should the nurse administer the client's insulin?
a. 10:45 AM
b. 11:15 AM
c. 11:45 AM
d. 11:50 AM
6.
A client has just been diagnosed with type 2 diabetes. The health care provider has prescribed an oral
antidiabetic agent that will inhibit the production of glucose by the liver and thereby aid in the control
of blood glucose. What type of oral antidiabetic agent did the health care provider prescribe for this
client?
a. A sulfonylurea
b. A biguanide
c. A thiazolidinedione
d. An alpha-glucosidase inhibitor
7.
A diabetes nurse educator is teaching a group of clients with type 1 diabetes about “sick day rules.”
What guideline applies to periods of illness in a diabetic client?
a. Do not eliminate insulin when nauseated and vomiting.
b. Report elevated glucose levels greater than 150 mg/dL (8.3 mmol/L).
c. Eat three substantial meals a day, if possible.
d. Reduce food intake and insulin doses in times of illness.
8.
The nurse is discussing macrovascular complications of diabetes with a client. The nurse would
address what topic during this dialogue?
a. The need for frequent eye examinations for clients with diabetes
b. The fact that clients with diabetes have an elevated risk of myocardial infarction
c. The relationship between kidney function and blood glucose levels
, d. The need to monitor urine for the presence of albumin
9.
A school nurse is teaching a group of high school students about risk factors for diabetes. What action
has the greatest potential to reduce an individual’s risk for developing diabetes?
a. Have blood glucose levels checked annually
b. Stop using tobacco in any form
c. Undergo eye examinations regularly
d. Lose weight, if obese
10.
A 15-year-old child is brought to the emergency department with symptoms of hyperglycemia. Based
on the fact that the child’s pancreatic beta cells are being destroyed, the client would be diagnosed
with what type of diabetes?
a. Type 1 diabetes
b. Type 2 diabetes
c. Non–insulin-dependent diabetes
d. Prediabetes
11.
A newly admitted client with type 1 diabetes asks the nurse what caused her diabetes. When the
nurse is explaining to the client the etiology of type 1 diabetes, what process should the nurse
describe?
a. "The tissues in your body are resistant to the action of insulin, making the glucose levels in your
blood increase"
b. "Damage to your pancreas causes an increase in the amount of glucose that it releases, and
there is not enough insulin to control it."
c. "The amount of glucose that your body makes overwhelms your pancreas and decreases your
production of insulin."
d. "Destruction of special cells in the pancreas causes a decrease in insulin production. Glucose
levels rise because insulin normally breaks it down."
12.
An occupational health nurse is screening a group of workers for diabetes. What statement should the
nurse interpret as being suggestive of diabetes?
a. "I've always been a fan of sweet foods, but lately I'm turned off by them."
