ATI-DIABETES MELLITUS TEST WITH
VERIFIED SOLUTIONS
When einstructing ea epatient eregarding ea eurine estudy efor efree ecortisol, eit eis
emost eimportant efor ethe enurse eto etell ethe epatient eto
A. eSave ethe efirst evoided eurine ein ethe eam. e
B. eMaintain ea ehigh-sodium ediet e3 edays ebefore ecollection.
C. eTry eto eavoid estressful esituations eduring ethe ecollection eperiod. e
D. eComplete eat eleast e30 eminutes eof estrenuous eexercise ebefore ecollecting ethe
eurine esample. e- ecorrect eanswers e-C. eTry eto eavoid estressful esituations eduring
ethe ecollection eperiod. e
A eurine estudy efor efree ecortisol erequires ea e24-hour eurine ecollection. eThe
epatient eshould ebe einstructed eto eavoid estressful esituations eand eexcessive
ephysical eexercise ethat ecould eunduly eincrease ecortisol elevels. eThe epatient
,eshould ealso emaintain ea elow-sodium ediet ebefore eand eduring ethe eurine
ecollection eperiod.
Which eof ethe efollowing eassessment eparameters eis eof ehighest epriority ewhen
ecaring efor ea epatient eundergoing ea ewater edeprivation etest?
A. eSerum eglucose
B. ePatient eweight e
C. eArterial eblood egases
D. ePatient etemperature e- ecorrect eanswers e-B. ePatient eweight e
A epatient eis eat erisk efor esevere edehydration eduring ea ewater edeprivation etest.
eThe etest eshould ebe ediscontinued eand ethe epatient erehydrated eif ethe epatient's
eweight edrops emore ethan e2 ekg eat eany etime. eThe eother eassessment
eparameters edo enot eassess efluid ebalance.
A epatient ehas esought ecare ebecause eof ea eloss eof e25 elb eover ethe epast e6
emonths, eduring ewhich ethe epatient eclaims eto ehave emade eno esignificant
edietary echanges. eThe enurse eshould eassess ethe epatient efor epotential
A. eThyroid edisorders. e
B. eDiabetes einsipidus.
C. ePituitary edysfunction.
D. eParathyroid edysfunction. e- ecorrect eanswers e-A. eThyroid edisorders. e
Hyperthyroidism eis eassociated ewith eweight eloss. eAlterations ein epituitary
efunction, esuch eas ediabetes einsipidus, eand eparathyroid edysfunction eare enot
ecommonly eassociated ewith ethis ephenomenon.
The esurgeon ewas eunable eto esave ea epatient's eparathyroid egland eduring ea
eradical ethyroidectomy. eThe enurse eshould econsequently epay eparticular eattention
eto ewhich eof ethe efollowing ecomponents eof ethe epatient's elaboratory evalues?
A. eCalcium elevels e
B. ePotassium elevels
C. eBlood eglucose elevels
D. eSodium eand echloride elevels e- ecorrect eanswers e-A. eCalcium elevels e
The eparathyroid egland eplays ea ekey erole ein emaintaining ecalcium elevels.
ePotassium, esodium, eglucose, eand echloride eare enot edirectly einfluenced eby ethe
eloss eof ethe eparathyroid egland.
A epatient's erecent emedical ehistory eis eindicative eof ediabetes einsipidus. eThe
enurse ewould eperform epatient eeducation erelated eto ewhich eof ethe efollowing
ediagnostic etests?
A. eThyroid escan
B. eFasting eglucose etest e
C. eOral eglucose etolerance
D. eWater edeprivation etest e- ecorrect eanswers e-D. eWater edeprivation etest e
, A ewater edeprivation etest eis eused eto ediagnose ethe epolyuria ethat eaccompanies
ediabetes einsipidus. eGlucose etests eand ethyroid etests eare enot edirectly erelated
eto ethe ediagnosis eof ediabetes einsipidus.
A e54-year-old epatient eadmitted ewith etype e2 ediabetes, easks ethe enurse ewhat
e"type e2" emeans. eWhich eof ethe efollowing eis ethe emost eappropriate eresponse
eby ethe enurse?
A. e"With etype e2 ediabetes, ethe ebody eof ethe epancreas ebecomes einflamed."
B. e"With etype e2 ediabetes, einsulin esecretion eis edecreased eand einsulin
eresistance eis eincreased." e
C. e"With etype e2 ediabetes, ethe epatient eis etotally edependent eon ean eoutside
esource eof einsulin."
D. e"With etype e2 ediabetes, ethe ebody eproduces eautoantibodies ethat edestroy eb-
cells ein ethe epancreas." e- ecorrect eanswers e-B. e"With etype e2 ediabetes, einsulin
esecretion eis edecreased eand einsulin eresistance eis eincreased." e
In etype e2 ediabetes emellitus, ethe esecretion eof einsulin eby ethe epancreas eis
ereduced eand/or ethe ecells eof ethe ebody ebecome eresistant eto einsulin.
The enurse ecaring efor ea e54-year-old epatient ehospitalized ewith ediabetes emellitus
ewould elook efor ewhich eof ethe efollowing elaboratory etest eresults eto eobtain
einformation eon ethe epatient's epast eglucose econtrol?
A. ePrealbumin elevel
B. eUrine eketone elevel e
C. eFasting eglucose elevel
D. eGlycosylated ehemoglobin elevel e- ecorrect eanswers e-D. eGlycosylated
ehemoglobin elevel e
A eglycosylated ehemoglobin elevel edetects ethe eamount eof eglucose ethat eis
ebound eto ered eblood ecells e(RBCs). eWhen ecirculating eglucose elevels eare ehigh,
eglucose eattaches eto ethe eRBCs eand eremains ethere efor ethe elife eof ethe eblood
ecell, ewhich eis eapproximately e120 edays. eThus ethe etest ecan egive ean
eindication eof eglycemic econtrol eover eapproximately e2 eto e3 emonths.
The enurse ehas ebeen eteaching ea epatient ewith ediabetes ehow eto eperform eself-
monitoring eof eblood eglucose. eDuring eevaluation eof ethe epatient's etechnique, ethe
enurse eidentifies ea eneed efor eadditional eteaching ewhen ethe epatient edoes ewhich
eof ethe efollowing?
A. eChooses ea epuncture esite ein ethe ecenter eof ethe efinger epad e
B. eWashes ehands ewith esoap eand ewater eto ecleanse ethe esite eto ebe eused
C. eWarms ethe efinger ebefore epuncturing eto eobtain ea edrop eof eblood e
D. eTells ethe enurse ethat ethe eresult eof e120 emg/dl eindicates egood econtrol eof
ediabetes e- ecorrect eanswers e-A. eChooses ea epuncture esite ein ethe ecenter eof
ethe efinger epad e
VERIFIED SOLUTIONS
When einstructing ea epatient eregarding ea eurine estudy efor efree ecortisol, eit eis
emost eimportant efor ethe enurse eto etell ethe epatient eto
A. eSave ethe efirst evoided eurine ein ethe eam. e
B. eMaintain ea ehigh-sodium ediet e3 edays ebefore ecollection.
C. eTry eto eavoid estressful esituations eduring ethe ecollection eperiod. e
D. eComplete eat eleast e30 eminutes eof estrenuous eexercise ebefore ecollecting ethe
eurine esample. e- ecorrect eanswers e-C. eTry eto eavoid estressful esituations eduring
ethe ecollection eperiod. e
A eurine estudy efor efree ecortisol erequires ea e24-hour eurine ecollection. eThe
epatient eshould ebe einstructed eto eavoid estressful esituations eand eexcessive
ephysical eexercise ethat ecould eunduly eincrease ecortisol elevels. eThe epatient
,eshould ealso emaintain ea elow-sodium ediet ebefore eand eduring ethe eurine
ecollection eperiod.
Which eof ethe efollowing eassessment eparameters eis eof ehighest epriority ewhen
ecaring efor ea epatient eundergoing ea ewater edeprivation etest?
A. eSerum eglucose
B. ePatient eweight e
C. eArterial eblood egases
D. ePatient etemperature e- ecorrect eanswers e-B. ePatient eweight e
A epatient eis eat erisk efor esevere edehydration eduring ea ewater edeprivation etest.
eThe etest eshould ebe ediscontinued eand ethe epatient erehydrated eif ethe epatient's
eweight edrops emore ethan e2 ekg eat eany etime. eThe eother eassessment
eparameters edo enot eassess efluid ebalance.
A epatient ehas esought ecare ebecause eof ea eloss eof e25 elb eover ethe epast e6
emonths, eduring ewhich ethe epatient eclaims eto ehave emade eno esignificant
edietary echanges. eThe enurse eshould eassess ethe epatient efor epotential
A. eThyroid edisorders. e
B. eDiabetes einsipidus.
C. ePituitary edysfunction.
D. eParathyroid edysfunction. e- ecorrect eanswers e-A. eThyroid edisorders. e
Hyperthyroidism eis eassociated ewith eweight eloss. eAlterations ein epituitary
efunction, esuch eas ediabetes einsipidus, eand eparathyroid edysfunction eare enot
ecommonly eassociated ewith ethis ephenomenon.
The esurgeon ewas eunable eto esave ea epatient's eparathyroid egland eduring ea
eradical ethyroidectomy. eThe enurse eshould econsequently epay eparticular eattention
eto ewhich eof ethe efollowing ecomponents eof ethe epatient's elaboratory evalues?
A. eCalcium elevels e
B. ePotassium elevels
C. eBlood eglucose elevels
D. eSodium eand echloride elevels e- ecorrect eanswers e-A. eCalcium elevels e
The eparathyroid egland eplays ea ekey erole ein emaintaining ecalcium elevels.
ePotassium, esodium, eglucose, eand echloride eare enot edirectly einfluenced eby ethe
eloss eof ethe eparathyroid egland.
A epatient's erecent emedical ehistory eis eindicative eof ediabetes einsipidus. eThe
enurse ewould eperform epatient eeducation erelated eto ewhich eof ethe efollowing
ediagnostic etests?
A. eThyroid escan
B. eFasting eglucose etest e
C. eOral eglucose etolerance
D. eWater edeprivation etest e- ecorrect eanswers e-D. eWater edeprivation etest e
, A ewater edeprivation etest eis eused eto ediagnose ethe epolyuria ethat eaccompanies
ediabetes einsipidus. eGlucose etests eand ethyroid etests eare enot edirectly erelated
eto ethe ediagnosis eof ediabetes einsipidus.
A e54-year-old epatient eadmitted ewith etype e2 ediabetes, easks ethe enurse ewhat
e"type e2" emeans. eWhich eof ethe efollowing eis ethe emost eappropriate eresponse
eby ethe enurse?
A. e"With etype e2 ediabetes, ethe ebody eof ethe epancreas ebecomes einflamed."
B. e"With etype e2 ediabetes, einsulin esecretion eis edecreased eand einsulin
eresistance eis eincreased." e
C. e"With etype e2 ediabetes, ethe epatient eis etotally edependent eon ean eoutside
esource eof einsulin."
D. e"With etype e2 ediabetes, ethe ebody eproduces eautoantibodies ethat edestroy eb-
cells ein ethe epancreas." e- ecorrect eanswers e-B. e"With etype e2 ediabetes, einsulin
esecretion eis edecreased eand einsulin eresistance eis eincreased." e
In etype e2 ediabetes emellitus, ethe esecretion eof einsulin eby ethe epancreas eis
ereduced eand/or ethe ecells eof ethe ebody ebecome eresistant eto einsulin.
The enurse ecaring efor ea e54-year-old epatient ehospitalized ewith ediabetes emellitus
ewould elook efor ewhich eof ethe efollowing elaboratory etest eresults eto eobtain
einformation eon ethe epatient's epast eglucose econtrol?
A. ePrealbumin elevel
B. eUrine eketone elevel e
C. eFasting eglucose elevel
D. eGlycosylated ehemoglobin elevel e- ecorrect eanswers e-D. eGlycosylated
ehemoglobin elevel e
A eglycosylated ehemoglobin elevel edetects ethe eamount eof eglucose ethat eis
ebound eto ered eblood ecells e(RBCs). eWhen ecirculating eglucose elevels eare ehigh,
eglucose eattaches eto ethe eRBCs eand eremains ethere efor ethe elife eof ethe eblood
ecell, ewhich eis eapproximately e120 edays. eThus ethe etest ecan egive ean
eindication eof eglycemic econtrol eover eapproximately e2 eto e3 emonths.
The enurse ehas ebeen eteaching ea epatient ewith ediabetes ehow eto eperform eself-
monitoring eof eblood eglucose. eDuring eevaluation eof ethe epatient's etechnique, ethe
enurse eidentifies ea eneed efor eadditional eteaching ewhen ethe epatient edoes ewhich
eof ethe efollowing?
A. eChooses ea epuncture esite ein ethe ecenter eof ethe efinger epad e
B. eWashes ehands ewith esoap eand ewater eto ecleanse ethe esite eto ebe eused
C. eWarms ethe efinger ebefore epuncturing eto eobtain ea edrop eof eblood e
D. eTells ethe enurse ethat ethe eresult eof e120 emg/dl eindicates egood econtrol eof
ediabetes e- ecorrect eanswers e-A. eChooses ea epuncture esite ein ethe ecenter eof
ethe efinger epad e
