MCA1- EXAM 1 WITH ACTUAL
CORRECT QUESTIONS AND ANSWERS
ALREADY GRADED A+ GUARANTEED
PASS
3. A 28-year-old male patient with type 1 diabetes reports how he manages his exercise and glucose
control. Which behavior indicates that the nurse should implement additional teaching?
a.
The patient always carries hard candies when engaging in exercise.
b.
The patient goes for a vigorous walk when his glucose is 200 mg/dL.
c.
The patient has a peanut butter sandwich before going for a bicycle ride.
d.
The patient increases daily exercise when ketones are present in the urine.
d.
The patient increases daily exercise when ketones are present in the urine.
The nurse is assessing a 22-year-old patient experiencing the onset of symptoms of type 1 diabetes.
Which question is most appropriate for the nurse to ask?
a.
"Are you anorexic?"
b.
"Is your urine dark colored?"
c.
"Have you lost weight lately?"
d.
"Do you crave sugary drinks?"
c.
"Have you lost weight lately?"
A patient with type 2 diabetes is scheduled for a follow-up visit in the clinic several months from now.
Which test will the nurse schedule to evaluate the effectiveness of treatment for the patient?
a.
Urine dipstick for glucose
,b.
Oral glucose tolerance test
c.
Fasting blood glucose level
d.
Glycosylated hemoglobin level
d.
Glycosylated hemoglobin level
6. A 55-year-old female patient with type 2 diabetes has a nursing diagnosis of imbalanced nutrition:
more than body requirements. Which goal is most important for this patient?
a.
The patient will reach a glycosylated hemoglobin level of less than 7%.
b.
The patient will follow a diet and exercise plan that results in weight loss.
c.
The patient will choose a diet that distributes calories throughout the day.
d.
The patient will state the reasons for eliminating simple sugars in the diet.
a.
The patient will reach a glycosylated hemoglobin level of less than 7%.
A 38-year-old patient who has type 1 diabetes plans to swim laps daily at 1:00 PM. The clinic nurse will
plan to teach the patient to
a.
check glucose level before, during, and after swimming.
b.
delay eating the noon meal until after the swimming class.
c.
increase the morning dose of neutral protamine Hagedorn (NPH) insulin.
d.
time the morning insulin injection so that the peak occurs while swimming.
a.
check glucose level before, during, and after swimming.
The nurse determines a need for additional instruction when the patient with newly diagnosed type 1
diabetes says which of the following?
a.
"I can have an occasional alcoholic drink if I include it in my meal plan."
b.
"I will need a bedtime snack because I take an evening dose of NPH insulin."
c.
"I can choose any foods, as long as I use enough insulin to cover the calories."
,d.
"I will eat something at meal times to prevent hypoglycemia, even if I am not hungry."
c.
"I can choose any foods, as long as I use enough insulin to cover the calories."
In order to assist an older diabetic patient to engage in moderate daily exercise, which action is most
important for the nurse to take?
a.
Determine what type of activities the patient enjoys.
b.
Remind the patient that exercise will improve self-esteem.
c.
Teach the patient about the effects of exercise on glucose level.
d.
Give the patient a list of activities that are moderate in intensity.
a.
Determine what type of activities the patient enjoys.
Which statement by the patient indicates a need for additional instruction in administering insulin?
a.
"I need to rotate injection sites among my arms, legs, and abdomen each day."
b.
"I can buy the 0.5 mL syringes because the line markings will be easier to see."
c.
"I should draw up the regular insulin first after injecting air into the NPH bottle."
d.
"I do not need to aspirate the plunger to check for blood before injecting insulin."
a.
"I need to rotate injection sites among my arms, legs, and abdomen each day."
Which patient action indicates good understanding of the nurse's teaching about administration of
aspart (NovoLog) insulin?
a.
The patient avoids injecting the insulin into the upper abdominal area.
b.
The patient cleans the skin with soap and water before insulin administration.
c.
The patient stores the insulin in the freezer after administering the prescribed dose.
d.
The patient pushes the plunger down while removing the syringe from the injection site.
b.
The patient cleans the skin with soap and water before insulin administration.
, A patient receives aspart (NovoLog) insulin at 8:00 AM. Which time will it be most important for the
nurse to monitor for symptoms of hypoglycemia?
a.
10:00 AM
b.
12:00 AM
c.
2:00 PM
d.
4:00 PM
a.
10:00 AM
Which patient action indicates a good understanding of the nurse's teaching about the use of an insulin
pump?
a.
The patient programs the pump for an insulin bolus after eating.
b.
The patient changes the location of the insertion site every week.
c.
The patient takes the pump off at bedtime and starts it again each morning.
d.
The patient plans for a diet that is less flexible when using the insulin pump.
a.
The patient programs the pump for an insulin bolus after eating.
A 32-year-old patient with diabetes is starting on intensive insulin therapy. Which type of insulin will the
nurse discuss using for mealtime coverage?
a.
Lispro (Humalog)
b.
Glargine (Lantus)
c.
Detemir (Levemir)
d.
NPH (Humulin N)
a.
Lispro (Humalog)
Which information will the nurse include when teaching a 50-year-old patient who has type 2 diabetes
about glyburide (Micronase, DiaBeta, Glynase)?
a.
Glyburide decreases glucagon secretion from the pancreas.
b.
CORRECT QUESTIONS AND ANSWERS
ALREADY GRADED A+ GUARANTEED
PASS
3. A 28-year-old male patient with type 1 diabetes reports how he manages his exercise and glucose
control. Which behavior indicates that the nurse should implement additional teaching?
a.
The patient always carries hard candies when engaging in exercise.
b.
The patient goes for a vigorous walk when his glucose is 200 mg/dL.
c.
The patient has a peanut butter sandwich before going for a bicycle ride.
d.
The patient increases daily exercise when ketones are present in the urine.
d.
The patient increases daily exercise when ketones are present in the urine.
The nurse is assessing a 22-year-old patient experiencing the onset of symptoms of type 1 diabetes.
Which question is most appropriate for the nurse to ask?
a.
"Are you anorexic?"
b.
"Is your urine dark colored?"
c.
"Have you lost weight lately?"
d.
"Do you crave sugary drinks?"
c.
"Have you lost weight lately?"
A patient with type 2 diabetes is scheduled for a follow-up visit in the clinic several months from now.
Which test will the nurse schedule to evaluate the effectiveness of treatment for the patient?
a.
Urine dipstick for glucose
,b.
Oral glucose tolerance test
c.
Fasting blood glucose level
d.
Glycosylated hemoglobin level
d.
Glycosylated hemoglobin level
6. A 55-year-old female patient with type 2 diabetes has a nursing diagnosis of imbalanced nutrition:
more than body requirements. Which goal is most important for this patient?
a.
The patient will reach a glycosylated hemoglobin level of less than 7%.
b.
The patient will follow a diet and exercise plan that results in weight loss.
c.
The patient will choose a diet that distributes calories throughout the day.
d.
The patient will state the reasons for eliminating simple sugars in the diet.
a.
The patient will reach a glycosylated hemoglobin level of less than 7%.
A 38-year-old patient who has type 1 diabetes plans to swim laps daily at 1:00 PM. The clinic nurse will
plan to teach the patient to
a.
check glucose level before, during, and after swimming.
b.
delay eating the noon meal until after the swimming class.
c.
increase the morning dose of neutral protamine Hagedorn (NPH) insulin.
d.
time the morning insulin injection so that the peak occurs while swimming.
a.
check glucose level before, during, and after swimming.
The nurse determines a need for additional instruction when the patient with newly diagnosed type 1
diabetes says which of the following?
a.
"I can have an occasional alcoholic drink if I include it in my meal plan."
b.
"I will need a bedtime snack because I take an evening dose of NPH insulin."
c.
"I can choose any foods, as long as I use enough insulin to cover the calories."
,d.
"I will eat something at meal times to prevent hypoglycemia, even if I am not hungry."
c.
"I can choose any foods, as long as I use enough insulin to cover the calories."
In order to assist an older diabetic patient to engage in moderate daily exercise, which action is most
important for the nurse to take?
a.
Determine what type of activities the patient enjoys.
b.
Remind the patient that exercise will improve self-esteem.
c.
Teach the patient about the effects of exercise on glucose level.
d.
Give the patient a list of activities that are moderate in intensity.
a.
Determine what type of activities the patient enjoys.
Which statement by the patient indicates a need for additional instruction in administering insulin?
a.
"I need to rotate injection sites among my arms, legs, and abdomen each day."
b.
"I can buy the 0.5 mL syringes because the line markings will be easier to see."
c.
"I should draw up the regular insulin first after injecting air into the NPH bottle."
d.
"I do not need to aspirate the plunger to check for blood before injecting insulin."
a.
"I need to rotate injection sites among my arms, legs, and abdomen each day."
Which patient action indicates good understanding of the nurse's teaching about administration of
aspart (NovoLog) insulin?
a.
The patient avoids injecting the insulin into the upper abdominal area.
b.
The patient cleans the skin with soap and water before insulin administration.
c.
The patient stores the insulin in the freezer after administering the prescribed dose.
d.
The patient pushes the plunger down while removing the syringe from the injection site.
b.
The patient cleans the skin with soap and water before insulin administration.
, A patient receives aspart (NovoLog) insulin at 8:00 AM. Which time will it be most important for the
nurse to monitor for symptoms of hypoglycemia?
a.
10:00 AM
b.
12:00 AM
c.
2:00 PM
d.
4:00 PM
a.
10:00 AM
Which patient action indicates a good understanding of the nurse's teaching about the use of an insulin
pump?
a.
The patient programs the pump for an insulin bolus after eating.
b.
The patient changes the location of the insertion site every week.
c.
The patient takes the pump off at bedtime and starts it again each morning.
d.
The patient plans for a diet that is less flexible when using the insulin pump.
a.
The patient programs the pump for an insulin bolus after eating.
A 32-year-old patient with diabetes is starting on intensive insulin therapy. Which type of insulin will the
nurse discuss using for mealtime coverage?
a.
Lispro (Humalog)
b.
Glargine (Lantus)
c.
Detemir (Levemir)
d.
NPH (Humulin N)
a.
Lispro (Humalog)
Which information will the nurse include when teaching a 50-year-old patient who has type 2 diabetes
about glyburide (Micronase, DiaBeta, Glynase)?
a.
Glyburide decreases glucagon secretion from the pancreas.
b.
