Adults 3 Diabetes Exam Questions With Complete Solutions
54 yo patient admitted with type 2 diabetes, ask the nurse what
"type 2" means. Which of the following is the most appropriate
response by the nurse? Correct Answer "with type 2 diabetes,
insulin is secretion is decreased and insulin resistance is
increased."
a 54 YO patient w/ DM is scheduled for fasting blood glucose
level at 0800. Nurse instruct the patient to only drink water after
what time? Correct Answer - midnight before the test
*NPO for 8 hrs before fasting blood glucose level
A 72-year-older is diagnosed w/ hypothyroidism and
levothyroxine (synthroid) is prescribed. Which assessment is
most important for the nurse to make during initiation of thyroid
replacement? Correct Answer Apical pulse rate
A hospitalized diabetic patient who has received 34 U of NPH
insulin at 0700 is away from the nurse unit, awaiting diagnostic
testing when lunch trays are disturbed. To prevent
hypoglycemia, the best action by the nurse is to Correct
Answer Request the PT to be returned to the unit to eat lunch if
testing will not be completed promptly
A patient has been taking oral prednisone for the past several
weeks after having a severe reaction to poison ivy. The nurse
has explained the procedure for gradual reduction rather than
sudden cessation of the drug. What is the rationale for this
approach to drug administration? Correct Answer Prevention
of adrenal insufficiency
,A patient has sought care of a loss of 25 lbs over the past 6
months, during which the patient claims to have no significant
dietary changes. Nurse should assess the patient for potential
Correct Answer thyroid disorder
A patient is admitted with diabetes mellitus, has a glucose level
of 380 mg/dl, and a moderate level of ketones in the urine. As
the nurse assesses for signs of ketoacidosis, which of the
following respiratory patterns would the nurse expect to find?
Correct Answer Kussmaul respiration
A patient is admitted with diabetes mellitus, malnutrition, and
cellulitis. The patient's potassium level is 5.6 mEq/L. The nurse
considers that which of the following could be a contributing
factor for this lab result (select all that apply)? Correct Answer
- The level may be increased as a result of dehydration that
accompanies hyperglycemia.
- The level is consistent with renal insufficiency that can
develop with renal nephropathy.
- The level may be raised as a result of metabolic ketoacidosis
caused by hyperglycemia.
A patient is suspected of having a pituitary tumor causing
panhypopituitarism. During assessment of the patient, the nurse
would expect to find... Correct Answer Changes in secondary
sex characteristics
A patient w/ type 1 diabetes when uses glargine (lantus) and
lispro (Humalog) insulin develops a sore throat, cough and
fever. When the pt calls the clinic to report the symptoms and
, blood glucose level of 210 mg/dl, the nurse advses the patient
to.... Correct Answer Monitor BS Q4 hour and notify clinic if
it continues to rise
A PT receives aspart (novolog) insulin at 0800. Which time will
it be most important for the nurse to monitor for symptoms of
hypoglycemia? Correct Answer 0900
A PT w/ cushing syndrome who is admitted for adrenalectomy
has a nursing diagnosis disturbed body image r/t changes in
appearance caused by the effects of the disease. which
intervention by the nurse will be most helpful? Correct Answer
Teach the pt that most of physical changes caused by cushing
syndrome will resolve after surgery
A pt w/ primary hyperparathyroidism has serum calcium level of
14 mg/DL (3.5 mmol/L) and phosphorus of 1.7 mg/dL (.55
mmol/L). which nursing action should be included in the plan of
care? Correct Answer Encourage 3000 to 4000 ml of oral
fluids daily
A pt who has just been diagnoised w/ type 2 DM has a nursing
diagnosis of imbalanced: more than body requirements. Which
PT goal is most important for this patient? Correct Answer
Patient will have a glycosylated hemoglobin level of less than
7%
A pt with newly diagnoised type 2 DM asks the nurse what
"type 2" means in relation to diabetes. Which statement by the
nurse about type 2 DM is correct? Correct Answer Changes in
54 yo patient admitted with type 2 diabetes, ask the nurse what
"type 2" means. Which of the following is the most appropriate
response by the nurse? Correct Answer "with type 2 diabetes,
insulin is secretion is decreased and insulin resistance is
increased."
a 54 YO patient w/ DM is scheduled for fasting blood glucose
level at 0800. Nurse instruct the patient to only drink water after
what time? Correct Answer - midnight before the test
*NPO for 8 hrs before fasting blood glucose level
A 72-year-older is diagnosed w/ hypothyroidism and
levothyroxine (synthroid) is prescribed. Which assessment is
most important for the nurse to make during initiation of thyroid
replacement? Correct Answer Apical pulse rate
A hospitalized diabetic patient who has received 34 U of NPH
insulin at 0700 is away from the nurse unit, awaiting diagnostic
testing when lunch trays are disturbed. To prevent
hypoglycemia, the best action by the nurse is to Correct
Answer Request the PT to be returned to the unit to eat lunch if
testing will not be completed promptly
A patient has been taking oral prednisone for the past several
weeks after having a severe reaction to poison ivy. The nurse
has explained the procedure for gradual reduction rather than
sudden cessation of the drug. What is the rationale for this
approach to drug administration? Correct Answer Prevention
of adrenal insufficiency
,A patient has sought care of a loss of 25 lbs over the past 6
months, during which the patient claims to have no significant
dietary changes. Nurse should assess the patient for potential
Correct Answer thyroid disorder
A patient is admitted with diabetes mellitus, has a glucose level
of 380 mg/dl, and a moderate level of ketones in the urine. As
the nurse assesses for signs of ketoacidosis, which of the
following respiratory patterns would the nurse expect to find?
Correct Answer Kussmaul respiration
A patient is admitted with diabetes mellitus, malnutrition, and
cellulitis. The patient's potassium level is 5.6 mEq/L. The nurse
considers that which of the following could be a contributing
factor for this lab result (select all that apply)? Correct Answer
- The level may be increased as a result of dehydration that
accompanies hyperglycemia.
- The level is consistent with renal insufficiency that can
develop with renal nephropathy.
- The level may be raised as a result of metabolic ketoacidosis
caused by hyperglycemia.
A patient is suspected of having a pituitary tumor causing
panhypopituitarism. During assessment of the patient, the nurse
would expect to find... Correct Answer Changes in secondary
sex characteristics
A patient w/ type 1 diabetes when uses glargine (lantus) and
lispro (Humalog) insulin develops a sore throat, cough and
fever. When the pt calls the clinic to report the symptoms and
, blood glucose level of 210 mg/dl, the nurse advses the patient
to.... Correct Answer Monitor BS Q4 hour and notify clinic if
it continues to rise
A PT receives aspart (novolog) insulin at 0800. Which time will
it be most important for the nurse to monitor for symptoms of
hypoglycemia? Correct Answer 0900
A PT w/ cushing syndrome who is admitted for adrenalectomy
has a nursing diagnosis disturbed body image r/t changes in
appearance caused by the effects of the disease. which
intervention by the nurse will be most helpful? Correct Answer
Teach the pt that most of physical changes caused by cushing
syndrome will resolve after surgery
A pt w/ primary hyperparathyroidism has serum calcium level of
14 mg/DL (3.5 mmol/L) and phosphorus of 1.7 mg/dL (.55
mmol/L). which nursing action should be included in the plan of
care? Correct Answer Encourage 3000 to 4000 ml of oral
fluids daily
A pt who has just been diagnoised w/ type 2 DM has a nursing
diagnosis of imbalanced: more than body requirements. Which
PT goal is most important for this patient? Correct Answer
Patient will have a glycosylated hemoglobin level of less than
7%
A pt with newly diagnoised type 2 DM asks the nurse what
"type 2" means in relation to diabetes. Which statement by the
nurse about type 2 DM is correct? Correct Answer Changes in
