NRSG..312..Test..3
1. Which..hormones..help..prevent..hypoglycemia?..Select..all..that..apply.
A. Aldosterone
B. Cortisol
C. Epinephrine
D. Growth.. hormone
E. Glucagon
F. Insulin
G. Norepinephrine
H. Proinsulin:..B...Cortisol
C...Epinephrine
E...Glucagon
G...Norepinephrine
2. Which..physiological..processes..directly..prevent..severe..hypoglycemia..in..a..he
althy..adult..without..diabetes..who..is..NPO..for..12..hours?..Select..all..that..apply.
A. Gluconeogenesis
B. Glycogenesis
C. Glycogenolysis
D. Ketogenesis
E. Lypogenesis
F. Lypolysis:. . A...Gluconeogenesis
C...Glycogenolysis
3. The.. nurse. . reviewing. . the. . preadmission. . testing. . laboratory. . values. . for. . a
62-year-
old..client..scheduled..for..a..total..knee..replacement..finds..an..A1C..value..of..6.2%...
How..will..the..nurse..interpret..this..finding?
A. The..client's..A1C..is..completely..normal
B. The..client..has..type..1..diabetes..mellitus
C. The..client..has..type..2..diabetes..mellitus
D. The. . client. . has. . prediabetes. . mellitus:. . D...The..client..has..prediabetes..mellitus
, NRSG..312..Test..3
4. Which..precaution..is..a..priority..for..the..nurse..to..teach..a..client..prescribed..s
emaglutide..to..prevent..harm?
A. Only..take..this.. drug..once.. weekly.
B. Report..any..vision..changes..immediately.
C. Do..not..mix..in..the..same..syringe..with..insulin.
D. This..drug..can..only..be..given..by..a..health..care..professional.:..A...Only..take..this..drug..on
ce..weekly.
5. How..will..the..nurse..modify..insulin..injection..technique..for..a..client..who..is..5..fe
et..10..inches..tall..and..weighs..106..lb..(48.1..kg)
A. Use..a..6..mm..needle..and..inject..at..a..90-degree..angle.
B. Use..a..6..mm..needle..and..inject..at..a..45-degree..angle.
C. Use..a..12..mm..needle..and..inject..at..a..90-degree..angle.
D. Use..a..12..mm..needle..and..inject..at..a..45-
degree..angle.:..B...Use..a..6..mm..needle..and..inject..at..a..45-degree..angle.
6. A. . client. . with. . diabetes. . who. . now. . has. . chronic. . albuminuria. . asks. . the. . nurse. . h
ow..this..change..will..affect..his..health...How..will..the..nurse..answer..this..question?
A. "You..will..need..to..limit..your..intake..of..dietary..albumin..and..other..proteins..to..re
duce..the..albuminuria."
B. "This..change..indicates..beginning..kidney..problems..and..requires..good..blood..glu
cose..control..to..prevent..more..damage."
C. "Your. . risk. . for. . developing. . urinary. . tract. . infections. . is. . greatly. . increased,. . requi
r-ing..the..need..to..take..daily..antibiotics..for..prevention."
D. "From..now..on..you..will..need..to..keep..your..fluid..intake..to..just..1..L..daily..and..compl
etely..avoid..caffeine..to..protect..your..kidneys.":..B..."This..change..indicates..beginning..kidney..pr
oblems..and..requires..good..blood..glucose..control..to..prevent..more..damage."
7. Which..precaution..is..a..priority..for..the..nurse..to..teach..a..client..prescribed..p
ramlintide..to..prevent..harm?
A. Only..take..this.. drug..once.. weekly.
, NRSG..312..Test..3
B. Do..not..drink..alcohol..when..taking..this..drug.
C. Do..not..mix..in..the..same..syringe..with..insulin.
D. Report..any..genital..itching..to..your..primary..health..care..provider.:..C...Do..not..mix..in..t
he..same..syringe..with..insulin.
8. Which. . health. . promotion. . activity(ies). . will. . the. . nurse. . recommend. . to. . pre
vent..harm..in..a..client..with..type..2..diabetes?..Select..all..that..apply.
A. "Avoid. . all. . dietary. . carbohydrate. . and. . fat."
B. "Have..your..eyes..and..vision..assessed..by..an..ophthalmologist..every..year."
C. "Reduce..your..intake..of..animal..fat..and..increase..your..intake..of..plant..sterols."
D. "Be..sure..to..take..your..antidiabetes..drug..right..before..you..engage..in..any..type..
of..exercise."
E. "Keep..your..feet..warm..in..cold..weather..by..using..either..a..hot..water..bottle..or..a..
heating..pad."
F. "Avoid..foot..damage..from..shoe-rubbing..by..going..barefoot..or..wearing
"flip-
flops"..when..you..are..at..home.":..B..."Have..your..eyes..and..vision..assessed..by..an..ophthalmologist..every..y
ear."
C..."Reduce..your..intake..of..animal..fat..and..increase..your..intake..of..plant..sterols."
9. When..preparing..to..administer..a..prescribed..subcutaneous..dose..of..NPH..in
sulin..from..an..open..vial..taken..from..a..medication..drawer..to..a..client..with. . diab
etes,..the..nurse..notes..the..solution..is..cloudy...What..action..will..the..nurse..perfo
rm..to..ensure..client..safety?
A. Warm..the..vial..in..a..bowl..of..warm..water..until..it..reaches..normal..body..te
mperature.
B. Return..the..vial..to..the..pharmacy..and..open..a..fresh..vial..of..NPH..insulin.
C. Roll..the.. vial.. between..the.. hands..until..the..insulin.. is.. clear.
D. Check..the..expiration..date..and..draw..up..the..insulin..dose.:. . D...Check..the..expiration..date..a
nd..draw..up..the..insulin..dose.
10. While..making..rounds..the..nurse..finds..a..client..with..type..1..diabetes..mellitus..p
ale,..sweaty,..slightly..confused,..and..can..still..swallow...The..client's..blood..glu-
1. Which..hormones..help..prevent..hypoglycemia?..Select..all..that..apply.
A. Aldosterone
B. Cortisol
C. Epinephrine
D. Growth.. hormone
E. Glucagon
F. Insulin
G. Norepinephrine
H. Proinsulin:..B...Cortisol
C...Epinephrine
E...Glucagon
G...Norepinephrine
2. Which..physiological..processes..directly..prevent..severe..hypoglycemia..in..a..he
althy..adult..without..diabetes..who..is..NPO..for..12..hours?..Select..all..that..apply.
A. Gluconeogenesis
B. Glycogenesis
C. Glycogenolysis
D. Ketogenesis
E. Lypogenesis
F. Lypolysis:. . A...Gluconeogenesis
C...Glycogenolysis
3. The.. nurse. . reviewing. . the. . preadmission. . testing. . laboratory. . values. . for. . a
62-year-
old..client..scheduled..for..a..total..knee..replacement..finds..an..A1C..value..of..6.2%...
How..will..the..nurse..interpret..this..finding?
A. The..client's..A1C..is..completely..normal
B. The..client..has..type..1..diabetes..mellitus
C. The..client..has..type..2..diabetes..mellitus
D. The. . client. . has. . prediabetes. . mellitus:. . D...The..client..has..prediabetes..mellitus
, NRSG..312..Test..3
4. Which..precaution..is..a..priority..for..the..nurse..to..teach..a..client..prescribed..s
emaglutide..to..prevent..harm?
A. Only..take..this.. drug..once.. weekly.
B. Report..any..vision..changes..immediately.
C. Do..not..mix..in..the..same..syringe..with..insulin.
D. This..drug..can..only..be..given..by..a..health..care..professional.:..A...Only..take..this..drug..on
ce..weekly.
5. How..will..the..nurse..modify..insulin..injection..technique..for..a..client..who..is..5..fe
et..10..inches..tall..and..weighs..106..lb..(48.1..kg)
A. Use..a..6..mm..needle..and..inject..at..a..90-degree..angle.
B. Use..a..6..mm..needle..and..inject..at..a..45-degree..angle.
C. Use..a..12..mm..needle..and..inject..at..a..90-degree..angle.
D. Use..a..12..mm..needle..and..inject..at..a..45-
degree..angle.:..B...Use..a..6..mm..needle..and..inject..at..a..45-degree..angle.
6. A. . client. . with. . diabetes. . who. . now. . has. . chronic. . albuminuria. . asks. . the. . nurse. . h
ow..this..change..will..affect..his..health...How..will..the..nurse..answer..this..question?
A. "You..will..need..to..limit..your..intake..of..dietary..albumin..and..other..proteins..to..re
duce..the..albuminuria."
B. "This..change..indicates..beginning..kidney..problems..and..requires..good..blood..glu
cose..control..to..prevent..more..damage."
C. "Your. . risk. . for. . developing. . urinary. . tract. . infections. . is. . greatly. . increased,. . requi
r-ing..the..need..to..take..daily..antibiotics..for..prevention."
D. "From..now..on..you..will..need..to..keep..your..fluid..intake..to..just..1..L..daily..and..compl
etely..avoid..caffeine..to..protect..your..kidneys.":..B..."This..change..indicates..beginning..kidney..pr
oblems..and..requires..good..blood..glucose..control..to..prevent..more..damage."
7. Which..precaution..is..a..priority..for..the..nurse..to..teach..a..client..prescribed..p
ramlintide..to..prevent..harm?
A. Only..take..this.. drug..once.. weekly.
, NRSG..312..Test..3
B. Do..not..drink..alcohol..when..taking..this..drug.
C. Do..not..mix..in..the..same..syringe..with..insulin.
D. Report..any..genital..itching..to..your..primary..health..care..provider.:..C...Do..not..mix..in..t
he..same..syringe..with..insulin.
8. Which. . health. . promotion. . activity(ies). . will. . the. . nurse. . recommend. . to. . pre
vent..harm..in..a..client..with..type..2..diabetes?..Select..all..that..apply.
A. "Avoid. . all. . dietary. . carbohydrate. . and. . fat."
B. "Have..your..eyes..and..vision..assessed..by..an..ophthalmologist..every..year."
C. "Reduce..your..intake..of..animal..fat..and..increase..your..intake..of..plant..sterols."
D. "Be..sure..to..take..your..antidiabetes..drug..right..before..you..engage..in..any..type..
of..exercise."
E. "Keep..your..feet..warm..in..cold..weather..by..using..either..a..hot..water..bottle..or..a..
heating..pad."
F. "Avoid..foot..damage..from..shoe-rubbing..by..going..barefoot..or..wearing
"flip-
flops"..when..you..are..at..home.":..B..."Have..your..eyes..and..vision..assessed..by..an..ophthalmologist..every..y
ear."
C..."Reduce..your..intake..of..animal..fat..and..increase..your..intake..of..plant..sterols."
9. When..preparing..to..administer..a..prescribed..subcutaneous..dose..of..NPH..in
sulin..from..an..open..vial..taken..from..a..medication..drawer..to..a..client..with. . diab
etes,..the..nurse..notes..the..solution..is..cloudy...What..action..will..the..nurse..perfo
rm..to..ensure..client..safety?
A. Warm..the..vial..in..a..bowl..of..warm..water..until..it..reaches..normal..body..te
mperature.
B. Return..the..vial..to..the..pharmacy..and..open..a..fresh..vial..of..NPH..insulin.
C. Roll..the.. vial.. between..the.. hands..until..the..insulin.. is.. clear.
D. Check..the..expiration..date..and..draw..up..the..insulin..dose.:. . D...Check..the..expiration..date..a
nd..draw..up..the..insulin..dose.
10. While..making..rounds..the..nurse..finds..a..client..with..type..1..diabetes..mellitus..p
ale,..sweaty,..slightly..confused,..and..can..still..swallow...The..client's..blood..glu-
