NUR 170 Concepts of Medical-Surgical Nursing
EXAM 3 || Latest Update 2026 || Complete Exam
Set with Verified Questions and Correct Answers
(Galen College of Nursing)
1. A client recently admitted with new-onset type 2 diabetes will be discharged with a meter for
self-monitoring of blood glucose (SMBG) levels. When is the best time for the nurse to explain
to the client the proper use of the glucose monitor?
Correct Answer: Before discharge, when the client is ready to learn. ✓
2. An intensive care client with diabetic ketoacidosis (DKA) is receiving an insulin infusion.
When the cardiac monitor shows ventricular ectopy, which assessment will the nurse make?
Correct Answer: Potassium level. ✓
3. A client with type 2 diabetes who is taking metformin (Glucophage) is seen in the diabetic
clinic. The fasting blood glucose is 108 mg/dL (6.0 mmol/L), and the glycosylated hemoglobin
(HbA1C) is 8.2%. Which action will the nurse take next?
Correct Answer: Ask the client about current dietary intake and medication use. ✓
4. The nurse is providing discharge teaching to a client with type 2 diabetes and peripheral
neuropathy. Which statement by the client indicates a need for further teaching about injury
prevention?
Correct Answer: "I can break in my shoes by wearing them all day." ✓
5. A client with type 1 diabetes arrives in the emergency department breathing deeply and
stating, "I can't catch my breath." The client's vital signs are: T 98.4°F (36.9°C), P 112 beats/min,
R 38 breaths/min, BP 91/54 mm Hg, and O2 saturation 99% on room air. Which action will the
nurse take first?
Correct Answer: Check the blood glucose. ✓
pg. 1
,6. The clinic nurse is providing teaching to a client with newly diagnosed diabetes. Which
statement by the client indicates a correct understanding about the need to wear a MedicAlert
bracelet?
Correct Answer: "If I become hypoglycemic, I could become unconscious." ✓
7. The nurse in the endocrine clinic is reviewing type 1 and type 2 diabetes with a group of
nursing students. Which explanation by the students indicates their understanding of the types of
diabetes?
Correct Answer: Those with type 2 diabetes make insulin, but in inadequate amounts. ✓
8. Which nursing action will the home health nurse delegate to a home health aide who is making
daily visits to a client with newly diagnosed type 2 diabetes?
Correct Answer: Assist the client with washing the feet and applying moisturizing lotion. ✓
9. The nurse has just taken change-of-shift report on a group of clients on the medical-surgical
unit. Which client does the nurse assess first?
Correct Answer: Client taking glyburide (Diabeta) who is dizzy and sweaty. ✓
10. Which is the best referral that the community health nurse can suggest to a client who has
been newly diagnosed with diabetes?
Correct Answer: American Diabetes Association (ADA). ✓
11. A client expresses fear and anxiety over the life changes associated with diabetes, stating, "I
am scared I can't do it all and I will get sick and be a burden on my family." What is the nurse's
best response?
Correct Answer: "Let's tackle it piece by piece. What is most scary to you?" ✓
12. A client with type 2 diabetes controlled with metformin is recovering from surgery. The
primary health care provider has placed the client on insulin in addition to the metformin. What
is the nurse's best response about why the client needs to take insulin?
Correct Answer: "Stress, such as surgery, increases blood glucose levels. You'll need insulin to
control your blood glucose temporarily." ✓
pg. 2
, 13. A client newly diagnosed with diabetes is not ready to learn diabetes control during the
hospital stay. Which information is the priority for the nurse to teach the client and the client's
family?
Correct Answer: Causes and treatment of hypoglycemia. ✓
14. The nurse is teaching a client with newly diagnosed type 2 diabetes about the importance of
weight control. Which comment by the client indicates a need for further teaching?
Correct Answer: "I will begin exercising for at least an hour a day." ✓
15. Which of these clients with diabetes will the endocrine unit charge nurse assign to an RN
who has floated from the labor/delivery unit?
Correct Answer: A client who needs blood glucose monitoring and insulin before each meal. ✓
16. The nurse working on a medical surgical endocrine unit has just received change-of-shift
report. Which client will the nurse see first?
Correct Answer: Client with type 1 diabetes whose insulin pump is beeping "occlusion." ✓
17. The nurse is teaching a client about the manifestations and emergency management of
hypoglycemia. Which response by the client indicates a correct understanding of what to do if
the client feels hungry and shaky?
Correct Answer: "I will eat three graham crackers." ✓
18. The nurse caring for four clients with diabetes has these activities to perform. Which activity
is appropriate to delegate to unlicensed assistive personnel (UAP)?
Correct Answer: Perform a blood glucose check on a client who requires insulin. ✓
19. A client with typically well controlled diabetes has a glycosylated hemoglobin (HbA1C)
level of 9.4%. Which response by the nurse is most appropriate?
Correct Answer: "Have you been doing something differently?" ✓
20. The nurse is performing an admission assessment on a 52-year-old client admitted with type
2 diabetes. After completing the assessment (right great toe mottled and cold to touch), which
pg. 3
EXAM 3 || Latest Update 2026 || Complete Exam
Set with Verified Questions and Correct Answers
(Galen College of Nursing)
1. A client recently admitted with new-onset type 2 diabetes will be discharged with a meter for
self-monitoring of blood glucose (SMBG) levels. When is the best time for the nurse to explain
to the client the proper use of the glucose monitor?
Correct Answer: Before discharge, when the client is ready to learn. ✓
2. An intensive care client with diabetic ketoacidosis (DKA) is receiving an insulin infusion.
When the cardiac monitor shows ventricular ectopy, which assessment will the nurse make?
Correct Answer: Potassium level. ✓
3. A client with type 2 diabetes who is taking metformin (Glucophage) is seen in the diabetic
clinic. The fasting blood glucose is 108 mg/dL (6.0 mmol/L), and the glycosylated hemoglobin
(HbA1C) is 8.2%. Which action will the nurse take next?
Correct Answer: Ask the client about current dietary intake and medication use. ✓
4. The nurse is providing discharge teaching to a client with type 2 diabetes and peripheral
neuropathy. Which statement by the client indicates a need for further teaching about injury
prevention?
Correct Answer: "I can break in my shoes by wearing them all day." ✓
5. A client with type 1 diabetes arrives in the emergency department breathing deeply and
stating, "I can't catch my breath." The client's vital signs are: T 98.4°F (36.9°C), P 112 beats/min,
R 38 breaths/min, BP 91/54 mm Hg, and O2 saturation 99% on room air. Which action will the
nurse take first?
Correct Answer: Check the blood glucose. ✓
pg. 1
,6. The clinic nurse is providing teaching to a client with newly diagnosed diabetes. Which
statement by the client indicates a correct understanding about the need to wear a MedicAlert
bracelet?
Correct Answer: "If I become hypoglycemic, I could become unconscious." ✓
7. The nurse in the endocrine clinic is reviewing type 1 and type 2 diabetes with a group of
nursing students. Which explanation by the students indicates their understanding of the types of
diabetes?
Correct Answer: Those with type 2 diabetes make insulin, but in inadequate amounts. ✓
8. Which nursing action will the home health nurse delegate to a home health aide who is making
daily visits to a client with newly diagnosed type 2 diabetes?
Correct Answer: Assist the client with washing the feet and applying moisturizing lotion. ✓
9. The nurse has just taken change-of-shift report on a group of clients on the medical-surgical
unit. Which client does the nurse assess first?
Correct Answer: Client taking glyburide (Diabeta) who is dizzy and sweaty. ✓
10. Which is the best referral that the community health nurse can suggest to a client who has
been newly diagnosed with diabetes?
Correct Answer: American Diabetes Association (ADA). ✓
11. A client expresses fear and anxiety over the life changes associated with diabetes, stating, "I
am scared I can't do it all and I will get sick and be a burden on my family." What is the nurse's
best response?
Correct Answer: "Let's tackle it piece by piece. What is most scary to you?" ✓
12. A client with type 2 diabetes controlled with metformin is recovering from surgery. The
primary health care provider has placed the client on insulin in addition to the metformin. What
is the nurse's best response about why the client needs to take insulin?
Correct Answer: "Stress, such as surgery, increases blood glucose levels. You'll need insulin to
control your blood glucose temporarily." ✓
pg. 2
, 13. A client newly diagnosed with diabetes is not ready to learn diabetes control during the
hospital stay. Which information is the priority for the nurse to teach the client and the client's
family?
Correct Answer: Causes and treatment of hypoglycemia. ✓
14. The nurse is teaching a client with newly diagnosed type 2 diabetes about the importance of
weight control. Which comment by the client indicates a need for further teaching?
Correct Answer: "I will begin exercising for at least an hour a day." ✓
15. Which of these clients with diabetes will the endocrine unit charge nurse assign to an RN
who has floated from the labor/delivery unit?
Correct Answer: A client who needs blood glucose monitoring and insulin before each meal. ✓
16. The nurse working on a medical surgical endocrine unit has just received change-of-shift
report. Which client will the nurse see first?
Correct Answer: Client with type 1 diabetes whose insulin pump is beeping "occlusion." ✓
17. The nurse is teaching a client about the manifestations and emergency management of
hypoglycemia. Which response by the client indicates a correct understanding of what to do if
the client feels hungry and shaky?
Correct Answer: "I will eat three graham crackers." ✓
18. The nurse caring for four clients with diabetes has these activities to perform. Which activity
is appropriate to delegate to unlicensed assistive personnel (UAP)?
Correct Answer: Perform a blood glucose check on a client who requires insulin. ✓
19. A client with typically well controlled diabetes has a glycosylated hemoglobin (HbA1C)
level of 9.4%. Which response by the nurse is most appropriate?
Correct Answer: "Have you been doing something differently?" ✓
20. The nurse is performing an admission assessment on a 52-year-old client admitted with type
2 diabetes. After completing the assessment (right great toe mottled and cold to touch), which
pg. 3
