RNSG 1413 Exam 1
1. A patient admitted with type 2 dia- C
betes asks the nurse what "type 2"
means. What is the most appropri-
ate response by the nurse?
A. "With type 2 diabetes, the body of
the pancreas becomes inflamed."
B. "With type 2 diabetes, the patient
is totally dependent on an outside
source of insulin."
C. With type 2 diabetes, insulin se-
cretion is decreased, and insulin re-
sistance is increased."
D. "With type 2 diabetes, the body
produces autoantibodies that de-
stroy β-cells in the pancreas."
2. The nurse caring for a patient hospi- d
talized with diabetes mellitus would
look for which laboratory test re-
sult to obtain information on the pa-
tient's past glucose control?
a. Prealbumin level
b. Urine ketone level
c. Fasting glucose level
d. Glycosylated hemoglobin level
3. A __________________ level detects the glycosylated hemoglobin
amount of glucose that is bound
to red blood cells (RBCs). When
circulating glucose levels are high,
glucose attaches to the RBCs and
remains there for the life of the
, RNSG 1413 Exam 1
blood cell, which is approximately
120 days. Thus, the test can give an
indication of glycemic control over
approximately 2 to 3 months.
4. The nurse has been teaching a pa- a
tient with diabetes mellitus how to
perform self-monitoring of blood
glucose (SMBG). During evaluation
of the patient's technique, the nurse
identifies a need for additional
teaching when the patient does
what?
a. Chooses a puncture site in the
center of the finger pad
b. Washes hands with soap and wa-
ter to cleanse the site to be used
c. Warms the finger before punctur-
ing the finger to obtain a drop of
blood
d. Tells the nurse that the result of
110 mg/dL indicates good control of
diabetes
5. The nurse is assigned to the care a
of a patient diagnosed with type 2
diabetes. In formulating a teaching
plan that encourages the patient to
actively participate in management
of the diabetes, what should be the
nurse's initial intervention?
a. Assess patient's perception of
, RNSG 1413 Exam 1
what it means to have diabetes.
b. Ask the patient to write down cur-
rent knowledge about diabetes.
c. Set goals for the patient to active-
ly participate in managing his dia-
betes.
d. Assume responsibility for all of
the patient's care to decrease stress
level.
6. The nurse is teaching a patient who b
has diabetes about vascular compli-
cations of diabetes. What informa-
tion is appropriate for the nurse to
include?
a. Macroangiopathy does not occur
in type 1 diabetes but rather in type
2 diabetics who have severe dis-
ease.
b. Microangiopathy is specific to
diabetes and most commonly af-
fects the capillary membranes of
the eyes, kidneys, and skin.
c. Renal damage resulting from
changes in large- and medium-sized
blood vessels can be prevented by
careful glucose control.
d. Macroangiopathy causes slowed
gastric emptying and the sexual im-
potency experienced by a majority
of patients with diabetes.
1. A patient admitted with type 2 dia- C
betes asks the nurse what "type 2"
means. What is the most appropri-
ate response by the nurse?
A. "With type 2 diabetes, the body of
the pancreas becomes inflamed."
B. "With type 2 diabetes, the patient
is totally dependent on an outside
source of insulin."
C. With type 2 diabetes, insulin se-
cretion is decreased, and insulin re-
sistance is increased."
D. "With type 2 diabetes, the body
produces autoantibodies that de-
stroy β-cells in the pancreas."
2. The nurse caring for a patient hospi- d
talized with diabetes mellitus would
look for which laboratory test re-
sult to obtain information on the pa-
tient's past glucose control?
a. Prealbumin level
b. Urine ketone level
c. Fasting glucose level
d. Glycosylated hemoglobin level
3. A __________________ level detects the glycosylated hemoglobin
amount of glucose that is bound
to red blood cells (RBCs). When
circulating glucose levels are high,
glucose attaches to the RBCs and
remains there for the life of the
, RNSG 1413 Exam 1
blood cell, which is approximately
120 days. Thus, the test can give an
indication of glycemic control over
approximately 2 to 3 months.
4. The nurse has been teaching a pa- a
tient with diabetes mellitus how to
perform self-monitoring of blood
glucose (SMBG). During evaluation
of the patient's technique, the nurse
identifies a need for additional
teaching when the patient does
what?
a. Chooses a puncture site in the
center of the finger pad
b. Washes hands with soap and wa-
ter to cleanse the site to be used
c. Warms the finger before punctur-
ing the finger to obtain a drop of
blood
d. Tells the nurse that the result of
110 mg/dL indicates good control of
diabetes
5. The nurse is assigned to the care a
of a patient diagnosed with type 2
diabetes. In formulating a teaching
plan that encourages the patient to
actively participate in management
of the diabetes, what should be the
nurse's initial intervention?
a. Assess patient's perception of
, RNSG 1413 Exam 1
what it means to have diabetes.
b. Ask the patient to write down cur-
rent knowledge about diabetes.
c. Set goals for the patient to active-
ly participate in managing his dia-
betes.
d. Assume responsibility for all of
the patient's care to decrease stress
level.
6. The nurse is teaching a patient who b
has diabetes about vascular compli-
cations of diabetes. What informa-
tion is appropriate for the nurse to
include?
a. Macroangiopathy does not occur
in type 1 diabetes but rather in type
2 diabetics who have severe dis-
ease.
b. Microangiopathy is specific to
diabetes and most commonly af-
fects the capillary membranes of
the eyes, kidneys, and skin.
c. Renal damage resulting from
changes in large- and medium-sized
blood vessels can be prevented by
careful glucose control.
d. Macroangiopathy causes slowed
gastric emptying and the sexual im-
potency experienced by a majority
of patients with diabetes.
