ATI-DIABETES MELLITUS EXAM WITH
ALL NEEDED TO PASS
When hinstructing ha hpatient hregarding ha hurine hstudy hfor hfree hcortisol, hit his
hmost himportant hfor hthe hnurse hto htell hthe hpatient hto
A. hSave hthe hfirst hvoided hurine hin hthe ham. h
B. hMaintain ha hhigh-sodium hdiet h3 hdays hbefore hcollection.
C. hTry hto havoid hstressful hsituations hduring hthe hcollection hperiod. h
D. hComplete hat hleast h30 hminutes hof hstrenuous hexercise hbefore hcollecting hthe
hurine hsample. h- hcorrect hanswers h-C. hTry hto havoid hstressful hsituations hduring
hthe hcollection hperiod. h
A hurine hstudy hfor hfree hcortisol hrequires ha h24-hour hurine hcollection. hThe
hpatient hshould hbe hinstructed hto havoid hstressful hsituations hand hexcessive
hphysical hexercise hthat hcould hunduly hincrease hcortisol hlevels. hThe hpatient
,hshould halso hmaintain ha hlow-sodium hdiet hbefore hand hduring hthe hurine
hcollection hperiod.
Which hof hthe hfollowing hassessment hparameters his hof hhighest hpriority hwhen
hcaring hfor ha hpatient hundergoing ha hwater hdeprivation htest?
A. hSerum hglucose
B. hPatient hweight h
C. hArterial hblood hgases
D. hPatient htemperature h- hcorrect hanswers h-B. hPatient hweight h
A hpatient his hat hrisk hfor hsevere hdehydration hduring ha hwater hdeprivation htest.
hThe htest hshould hbe hdiscontinued hand hthe hpatient hrehydrated hif hthe hpatient's
hweight hdrops hmore hthan h2 hkg hat hany htime. hThe hother hassessment
hparameters hdo hnot hassess hfluid hbalance.
A hpatient hhas hsought hcare hbecause hof ha hloss hof h25 hlb hover hthe hpast h6
hmonths, hduring hwhich hthe hpatient hclaims hto hhave hmade hno hsignificant
hdietary hchanges. hThe hnurse hshould hassess hthe hpatient hfor hpotential
A. hThyroid hdisorders. h
B. hDiabetes hinsipidus.
C. hPituitary hdysfunction.
D. hParathyroid hdysfunction. h- hcorrect hanswers h-A. hThyroid hdisorders. h
Hyperthyroidism his hassociated hwith hweight hloss. hAlterations hin hpituitary
hfunction, hsuch has hdiabetes hinsipidus, hand hparathyroid hdysfunction hare hnot
hcommonly hassociated hwith hthis hphenomenon.
The hsurgeon hwas hunable hto hsave ha hpatient's hparathyroid hgland hduring ha
hradical hthyroidectomy. hThe hnurse hshould hconsequently hpay hparticular hattention
hto hwhich hof hthe hfollowing hcomponents hof hthe hpatient's hlaboratory hvalues?
A. hCalcium hlevels h
B. hPotassium hlevels
C. hBlood hglucose hlevels
D. hSodium hand hchloride hlevels h- hcorrect hanswers h-A. hCalcium hlevels h
The hparathyroid hgland hplays ha hkey hrole hin hmaintaining hcalcium hlevels.
hPotassium, hsodium, hglucose, hand hchloride hare hnot hdirectly hinfluenced hby hthe
hloss hof hthe hparathyroid hgland.
A hpatient's hrecent hmedical hhistory his hindicative hof hdiabetes hinsipidus. hThe
hnurse hwould hperform hpatient heducation hrelated hto hwhich hof hthe hfollowing
hdiagnostic htests?
A. hThyroid hscan
B. hFasting hglucose htest h
C. hOral hglucose htolerance
D. hWater hdeprivation htest h- hcorrect hanswers h-D. hWater hdeprivation htest h
, A hwater hdeprivation htest his hused hto hdiagnose hthe hpolyuria hthat haccompanies
hdiabetes hinsipidus. hGlucose htests hand hthyroid htests hare hnot hdirectly hrelated
hto hthe hdiagnosis hof hdiabetes hinsipidus.
A h54-year-old hpatient hadmitted hwith htype h2 hdiabetes, hasks hthe hnurse hwhat
h"type h2" hmeans. hWhich hof hthe hfollowing his hthe hmost happropriate hresponse
hby hthe hnurse?
A. h"With htype h2 hdiabetes, hthe hbody hof hthe hpancreas hbecomes hinflamed."
B. h"With htype h2 hdiabetes, hinsulin hsecretion his hdecreased hand hinsulin
hresistance his hincreased." h
C. h"With htype h2 hdiabetes, hthe hpatient his htotally hdependent hon han houtside
hsource hof hinsulin."
D. h"With htype h2 hdiabetes, hthe hbody hproduces hautoantibodies hthat hdestroy hb-
cells hin hthe hpancreas." h- hcorrect hanswers h-B. h"With htype h2 hdiabetes, hinsulin
hsecretion his hdecreased hand hinsulin hresistance his hincreased." h
In htype h2 hdiabetes hmellitus, hthe hsecretion hof hinsulin hby hthe hpancreas his
hreduced hand/or hthe hcells hof hthe hbody hbecome hresistant hto hinsulin.
The hnurse hcaring hfor ha h54-year-old hpatient hhospitalized hwith hdiabetes hmellitus
hwould hlook hfor hwhich hof hthe hfollowing hlaboratory htest hresults hto hobtain
hinformation hon hthe hpatient's hpast hglucose hcontrol?
A. hPrealbumin hlevel
B. hUrine hketone hlevel h
C. hFasting hglucose hlevel
D. hGlycosylated hhemoglobin hlevel h- hcorrect hanswers h-D. hGlycosylated
hhemoglobin hlevel h
A hglycosylated hhemoglobin hlevel hdetects hthe hamount hof hglucose hthat his
hbound hto hred hblood hcells h(RBCs). hWhen hcirculating hglucose hlevels hare hhigh,
hglucose hattaches hto hthe hRBCs hand hremains hthere hfor hthe hlife hof hthe hblood
hcell, hwhich his happroximately h120 hdays. hThus hthe htest hcan hgive han
hindication hof hglycemic hcontrol hover happroximately h2 hto h3 hmonths.
The hnurse hhas hbeen hteaching ha hpatient hwith hdiabetes hhow hto hperform hself-
monitoring hof hblood hglucose. hDuring hevaluation hof hthe hpatient's htechnique, hthe
hnurse hidentifies ha hneed hfor hadditional hteaching hwhen hthe hpatient hdoes hwhich
hof hthe hfollowing?
A. hChooses ha hpuncture hsite hin hthe hcenter hof hthe hfinger hpad h
B. hWashes hhands hwith hsoap hand hwater hto hcleanse hthe hsite hto hbe hused
C. hWarms hthe hfinger hbefore hpuncturing hto hobtain ha hdrop hof hblood h
D. hTells hthe hnurse hthat hthe hresult hof h120 hmg/dl hindicates hgood hcontrol hof
hdiabetes h- hcorrect hanswers h-A. hChooses ha hpuncture hsite hin hthe hcenter hof
hthe hfinger hpad h
ALL NEEDED TO PASS
When hinstructing ha hpatient hregarding ha hurine hstudy hfor hfree hcortisol, hit his
hmost himportant hfor hthe hnurse hto htell hthe hpatient hto
A. hSave hthe hfirst hvoided hurine hin hthe ham. h
B. hMaintain ha hhigh-sodium hdiet h3 hdays hbefore hcollection.
C. hTry hto havoid hstressful hsituations hduring hthe hcollection hperiod. h
D. hComplete hat hleast h30 hminutes hof hstrenuous hexercise hbefore hcollecting hthe
hurine hsample. h- hcorrect hanswers h-C. hTry hto havoid hstressful hsituations hduring
hthe hcollection hperiod. h
A hurine hstudy hfor hfree hcortisol hrequires ha h24-hour hurine hcollection. hThe
hpatient hshould hbe hinstructed hto havoid hstressful hsituations hand hexcessive
hphysical hexercise hthat hcould hunduly hincrease hcortisol hlevels. hThe hpatient
,hshould halso hmaintain ha hlow-sodium hdiet hbefore hand hduring hthe hurine
hcollection hperiod.
Which hof hthe hfollowing hassessment hparameters his hof hhighest hpriority hwhen
hcaring hfor ha hpatient hundergoing ha hwater hdeprivation htest?
A. hSerum hglucose
B. hPatient hweight h
C. hArterial hblood hgases
D. hPatient htemperature h- hcorrect hanswers h-B. hPatient hweight h
A hpatient his hat hrisk hfor hsevere hdehydration hduring ha hwater hdeprivation htest.
hThe htest hshould hbe hdiscontinued hand hthe hpatient hrehydrated hif hthe hpatient's
hweight hdrops hmore hthan h2 hkg hat hany htime. hThe hother hassessment
hparameters hdo hnot hassess hfluid hbalance.
A hpatient hhas hsought hcare hbecause hof ha hloss hof h25 hlb hover hthe hpast h6
hmonths, hduring hwhich hthe hpatient hclaims hto hhave hmade hno hsignificant
hdietary hchanges. hThe hnurse hshould hassess hthe hpatient hfor hpotential
A. hThyroid hdisorders. h
B. hDiabetes hinsipidus.
C. hPituitary hdysfunction.
D. hParathyroid hdysfunction. h- hcorrect hanswers h-A. hThyroid hdisorders. h
Hyperthyroidism his hassociated hwith hweight hloss. hAlterations hin hpituitary
hfunction, hsuch has hdiabetes hinsipidus, hand hparathyroid hdysfunction hare hnot
hcommonly hassociated hwith hthis hphenomenon.
The hsurgeon hwas hunable hto hsave ha hpatient's hparathyroid hgland hduring ha
hradical hthyroidectomy. hThe hnurse hshould hconsequently hpay hparticular hattention
hto hwhich hof hthe hfollowing hcomponents hof hthe hpatient's hlaboratory hvalues?
A. hCalcium hlevels h
B. hPotassium hlevels
C. hBlood hglucose hlevels
D. hSodium hand hchloride hlevels h- hcorrect hanswers h-A. hCalcium hlevels h
The hparathyroid hgland hplays ha hkey hrole hin hmaintaining hcalcium hlevels.
hPotassium, hsodium, hglucose, hand hchloride hare hnot hdirectly hinfluenced hby hthe
hloss hof hthe hparathyroid hgland.
A hpatient's hrecent hmedical hhistory his hindicative hof hdiabetes hinsipidus. hThe
hnurse hwould hperform hpatient heducation hrelated hto hwhich hof hthe hfollowing
hdiagnostic htests?
A. hThyroid hscan
B. hFasting hglucose htest h
C. hOral hglucose htolerance
D. hWater hdeprivation htest h- hcorrect hanswers h-D. hWater hdeprivation htest h
, A hwater hdeprivation htest his hused hto hdiagnose hthe hpolyuria hthat haccompanies
hdiabetes hinsipidus. hGlucose htests hand hthyroid htests hare hnot hdirectly hrelated
hto hthe hdiagnosis hof hdiabetes hinsipidus.
A h54-year-old hpatient hadmitted hwith htype h2 hdiabetes, hasks hthe hnurse hwhat
h"type h2" hmeans. hWhich hof hthe hfollowing his hthe hmost happropriate hresponse
hby hthe hnurse?
A. h"With htype h2 hdiabetes, hthe hbody hof hthe hpancreas hbecomes hinflamed."
B. h"With htype h2 hdiabetes, hinsulin hsecretion his hdecreased hand hinsulin
hresistance his hincreased." h
C. h"With htype h2 hdiabetes, hthe hpatient his htotally hdependent hon han houtside
hsource hof hinsulin."
D. h"With htype h2 hdiabetes, hthe hbody hproduces hautoantibodies hthat hdestroy hb-
cells hin hthe hpancreas." h- hcorrect hanswers h-B. h"With htype h2 hdiabetes, hinsulin
hsecretion his hdecreased hand hinsulin hresistance his hincreased." h
In htype h2 hdiabetes hmellitus, hthe hsecretion hof hinsulin hby hthe hpancreas his
hreduced hand/or hthe hcells hof hthe hbody hbecome hresistant hto hinsulin.
The hnurse hcaring hfor ha h54-year-old hpatient hhospitalized hwith hdiabetes hmellitus
hwould hlook hfor hwhich hof hthe hfollowing hlaboratory htest hresults hto hobtain
hinformation hon hthe hpatient's hpast hglucose hcontrol?
A. hPrealbumin hlevel
B. hUrine hketone hlevel h
C. hFasting hglucose hlevel
D. hGlycosylated hhemoglobin hlevel h- hcorrect hanswers h-D. hGlycosylated
hhemoglobin hlevel h
A hglycosylated hhemoglobin hlevel hdetects hthe hamount hof hglucose hthat his
hbound hto hred hblood hcells h(RBCs). hWhen hcirculating hglucose hlevels hare hhigh,
hglucose hattaches hto hthe hRBCs hand hremains hthere hfor hthe hlife hof hthe hblood
hcell, hwhich his happroximately h120 hdays. hThus hthe htest hcan hgive han
hindication hof hglycemic hcontrol hover happroximately h2 hto h3 hmonths.
The hnurse hhas hbeen hteaching ha hpatient hwith hdiabetes hhow hto hperform hself-
monitoring hof hblood hglucose. hDuring hevaluation hof hthe hpatient's htechnique, hthe
hnurse hidentifies ha hneed hfor hadditional hteaching hwhen hthe hpatient hdoes hwhich
hof hthe hfollowing?
A. hChooses ha hpuncture hsite hin hthe hcenter hof hthe hfinger hpad h
B. hWashes hhands hwith hsoap hand hwater hto hcleanse hthe hsite hto hbe hused
C. hWarms hthe hfinger hbefore hpuncturing hto hobtain ha hdrop hof hblood h
D. hTells hthe hnurse hthat hthe hresult hof h120 hmg/dl hindicates hgood hcontrol hof
hdiabetes h- hcorrect hanswers h-A. hChooses ha hpuncture hsite hin hthe hcenter hof
hthe hfinger hpad h
