NURS 334 EXAM 3 QUESTIONS WITH
CORRECT ANSWERS
1. |After |a |thorough |evaluation, |a |nurse |concludes |that |the |efforts |of |a |client |with |type |2
|diabetes |mellitus |(DM) |to |control |blood |glucose |levels |have |been |highly |effective |over |the |last
|3 |months. |Which |finding |supports |the |nurse's |conclusion?
a. |Hemoglobin |A1C |level |of |5%
b. |No |incidence |of |diabetic |ketoacidosis |(DKA)
c. |No |ketones |in |the |urine
d. |Negative |oral |glucose |tolerance |test |(OGTT) |- |CORRECT |ANSWER✔✔-A.
1. |A |clinic |nurse |is |evaluating |a |client |with |type |1 |diabetes |who |intends |to |enroll |in |a |tennis
|class. |Which |statement |made |by |the |client |indicates |that |the |client |understands |the |effects |of
|exercise |on |insulin |demand?
a. |"I |will |carry |a |high-fat, |high-calorie |food, |such |as |a |cookie."
b. |"I |will |administer |1 |unit |of |lispro |insulin |prior |to |playing |tennis."
c. |"I |will |eat |a |15-gram |carbohydrate |snack |before |playing |tennis."
d. |"I |will |decrease |the |meal |prior |to |the |class |by |15-grams |of |carbohydrates." |- |CORRECT
ANSWER✔✔-C.
|
1. |A |nurse |administers |15 |units |of |glargine |(Lantus) |insulin |at |2100 |hours |to |a |Hispanic |client
|when |the |client's |fingerstick |blood |glucose |reading |was |110mg/dL. |At |2300 |hours, |a |nursing
|assistant |reports |to |the |nurse |that |an |evening |snack |was |not |given |because |the |client |was
|sleeping. |Which |instruction |by |the |nurse |is |most |appropriate?
a. |"You |will |need |to |wake |he |client |to |check |he |blood |glucose |and |then |give |a |snack. |All
|diabetics |get |a |snack |at |bedtime."
b. |"It |is |not |necessary |for |this |client |to |have |a |snack |because |glargine |is |absorbed |very |slowly
|over |24 |hours |and |doesn't |have |a |peak."
c. |"The |next |time |the |client |wakes |up, |check |a |blood |glucose |level |and |then |give |a |snack."
,d. |"I |will |need |to |notify |the |physician |because |a |snack |at |this |time |will |affect |the |client's |blood
glucose |level |and |he |next |dose |of |glargine |insulin." |- |CORRECT |ANSWER✔✔-B.
|
1. |A |nurse |is |teaching |a |client |who |has |been |newly |diagnosed |with |type |2 |diabetes |mellitus
|(DM). |Which |teaching |point |should |the |nurse |emphasize?
a. |Use |the |arm |when |self-administering |NPH |insulin
b. |Exercise |for |30 |minutes |daily, |preferably |after |a |meal
c. |Consume |30% |of |the |daily |calorie |intake |from |protein |foods
d. |Eat |a |30-gram |carbohydrate |snack |prior |to |strenuous |activity |- |CORRECT |ANSWER✔✔-B.
1. |A |home-health |nurse |is |planning |the |first |home |visit |for |a |60-year-old |client |newly
|diagnosed |with |type |2 |diabetes |mellitus. |The |client |has |been |instructed |to |take |70/30
|combination |insulin |in |the |morning |and |at |suppertime. |Which |interventions |should |be
|included |in |the |client's |plan |of |care |for |diabetics? |SELECT |ALL |THAT |APPLY. |CREDIT |GIVEN
|ONLY |FOR |ALL |CORRECT |ANSWERS.
a. |Instruct |the |client |to |inspect |the |feet |daily
b. |Ensure |that |the |client |eats |a |bedtime |snack
c. |Assess |the |clients |ability |to |read |small |print
d. |Teach |the |client |to |perform |a |hemoglobin |A1c |test |daily |- |CORRECT |ANSWER✔✔-A, |B, |C
1. |A |client |is |scheduled |for |a |preprandial |blood |sugar |check. |The |blood |sugar |is |224 |mg/dl.
|According |to |the |sliding |scale |insulin |schedule, |the |client |is |to |receive |4 |units |of |Regular
|insulin |for |a |blood |sugar |from |201-250 |mg/dl. |You, |the |nurse |prepare |the |insulin |as |ordered.
|Upon |taking |the |insulin |into |the |client's |room, |the |client |is |vomiting |and |refuses |to |eat |lunch.
|What |would |be |an |appropriate |nursing |action?
a. |Give |the |4 |units |of |Regular |insulin |and |recheck |the |blood |sugar |in |30 |minutes
b. |Give |only |2 |units |of |the |Regular |insulin |because |the |client |is |vomiting
c. |Hold |the |4 |units |of |Regular |insulin |and |notify |the |physician |of |client |vomiting
,d. |Hold |the |4 |units |of |Regular |insulin |and |wait |until |the |client |is |able |to |eat |and |drink |and
then |give |the |insulin |- |CORRECT |ANSWER✔✔-C.
|
1. |A |client |is |having |their |blood |sugar |checked |in |the |clinic |where |you |work. |The |client |states
|their |fasting |blood |sugar |is |118 |mg/dl. |The |client |wants |to |know |why |the |physician |instructed
|them |to |watch |their |diet |and |exercise |to |prevent |diabetes. |Your |explanation |to |the |client |is
|based |on |the |knowledge |that |prediabetes:
a. |will |always |lead |to |a |diagnosis |of |diabetes.
b. |can |be |prevented |or |delayed |with |proper |diet |and |exercise.
c. |have |fasting |blood |sugar |levels |between |130 |and |150
d. |have |less |incidence |of |developing |complications |of |diabetes |- |CORRECT |ANSWER✔✔-B.
1. |A |client |is |scheduled |for |surgery |the |following |morning |and |calls |you, |the |nurse, |who |works
|for |the |client's |primary |care |physician. |The |client |wonders |if |he |should |take |his |scheduled
|insulin |dosage |before |surgery |the |next |morning. |Your |response |is:
a. |"Yes, |you |may |take |your |scheduled |dose |of |insulin |before |surgery |and |we |will |check |your
|blood |sugar |when |you |arrive |at |the |ambulatory |care |center."
b. |"No, |do |not |take |any |insulin |before |surgery |because |you |will |not |eat |or |drink |anything |after
|midnight |to |prepare |you |for |surgery."
c. |"I |will |check |with |your |physician |about |if |or |how |much |insulin |he/she |would |like |you |to |take
|before |surgery."
d. |"Check |your |blood |sugar |tomorrow |morning |before |surgery |and |if |it |is |>120mg/dl, |take |one
half |of |the |prescribed |dose |of |your |insulin." |- |CORRECT |ANSWER✔✔-C.
|
1. |The |home |care |nurse |is |visiting |a |child |newly |diagnosed |with |DM. |The |nurse |is |instructing
|the |child |and |parents |regarding |actions |to |take |if |hypoglycemic |reactions |occur. |The |nurse
|tells |the |child |to:
A. |Drink |8 |ounces |of |diet |cola |at |the |first |sign |of |weakness
B. |Report |to |the |ER |if |the |blood |glucose |is |60mg/dL
C. |Carry |hard |candies |whenever |leaving |home |in |case |of |hypoglycemic |reaction |occurs
, D. |Administer |glucagon |immediately |if |shakiness |is |felt |- |CORRECT |ANSWER✔✔-C.
1. |A |diabetic |client |who |is |taking |insulin |lispro |(Humalog) |injections |would |be |advised |to |eat:
A. |Within |30 |minutes |after |the |injection
B. |1 |hour |after |the |injection
C. |At |anytime, |because |timing |of |meals |with |lispro |injections |is |unnecessary
D. |2 |hours |before |the |injection |- |CORRECT |ANSWER✔✔-A.
Match |the |following |characteristics |as |they |relate |to |complications |of |diabetes |(answers |may
|be |used |more |than |once)
1. |Microvascular |
2. |Macrovascular |
3. |Autonomic |Neuropathy |
4. |Sensory |Neuropathy |
_____a. |Urinary |retention |
_____b. |Damage |to |small |vessels |that |supply |the |renal |glomeruli |
___ |_ |c. |Related |to |altered |lipid |metabolism |of |diabetes |
____d. |Microaneurysms |and |destruction |of |retinal |capillaries |
_____e. |Atrophy |of |small |muscles |of |the |hands |and |feet
_____f. |Capillary |and |arteriole |membrane |thickening |specific |to |diabetes
____ |g. |Pain |and |paresthesia |of |the |legs
_____ |h. |Ulceration |and |amputation |of |the |lower |extremities
___4__i. |Foot |ulcers |without |patient |feeling |pain
_____j. |Nausea |and |or |vomiting
_____k. |Ischemic |heart |disease
CORRECT ANSWERS
1. |After |a |thorough |evaluation, |a |nurse |concludes |that |the |efforts |of |a |client |with |type |2
|diabetes |mellitus |(DM) |to |control |blood |glucose |levels |have |been |highly |effective |over |the |last
|3 |months. |Which |finding |supports |the |nurse's |conclusion?
a. |Hemoglobin |A1C |level |of |5%
b. |No |incidence |of |diabetic |ketoacidosis |(DKA)
c. |No |ketones |in |the |urine
d. |Negative |oral |glucose |tolerance |test |(OGTT) |- |CORRECT |ANSWER✔✔-A.
1. |A |clinic |nurse |is |evaluating |a |client |with |type |1 |diabetes |who |intends |to |enroll |in |a |tennis
|class. |Which |statement |made |by |the |client |indicates |that |the |client |understands |the |effects |of
|exercise |on |insulin |demand?
a. |"I |will |carry |a |high-fat, |high-calorie |food, |such |as |a |cookie."
b. |"I |will |administer |1 |unit |of |lispro |insulin |prior |to |playing |tennis."
c. |"I |will |eat |a |15-gram |carbohydrate |snack |before |playing |tennis."
d. |"I |will |decrease |the |meal |prior |to |the |class |by |15-grams |of |carbohydrates." |- |CORRECT
ANSWER✔✔-C.
|
1. |A |nurse |administers |15 |units |of |glargine |(Lantus) |insulin |at |2100 |hours |to |a |Hispanic |client
|when |the |client's |fingerstick |blood |glucose |reading |was |110mg/dL. |At |2300 |hours, |a |nursing
|assistant |reports |to |the |nurse |that |an |evening |snack |was |not |given |because |the |client |was
|sleeping. |Which |instruction |by |the |nurse |is |most |appropriate?
a. |"You |will |need |to |wake |he |client |to |check |he |blood |glucose |and |then |give |a |snack. |All
|diabetics |get |a |snack |at |bedtime."
b. |"It |is |not |necessary |for |this |client |to |have |a |snack |because |glargine |is |absorbed |very |slowly
|over |24 |hours |and |doesn't |have |a |peak."
c. |"The |next |time |the |client |wakes |up, |check |a |blood |glucose |level |and |then |give |a |snack."
,d. |"I |will |need |to |notify |the |physician |because |a |snack |at |this |time |will |affect |the |client's |blood
glucose |level |and |he |next |dose |of |glargine |insulin." |- |CORRECT |ANSWER✔✔-B.
|
1. |A |nurse |is |teaching |a |client |who |has |been |newly |diagnosed |with |type |2 |diabetes |mellitus
|(DM). |Which |teaching |point |should |the |nurse |emphasize?
a. |Use |the |arm |when |self-administering |NPH |insulin
b. |Exercise |for |30 |minutes |daily, |preferably |after |a |meal
c. |Consume |30% |of |the |daily |calorie |intake |from |protein |foods
d. |Eat |a |30-gram |carbohydrate |snack |prior |to |strenuous |activity |- |CORRECT |ANSWER✔✔-B.
1. |A |home-health |nurse |is |planning |the |first |home |visit |for |a |60-year-old |client |newly
|diagnosed |with |type |2 |diabetes |mellitus. |The |client |has |been |instructed |to |take |70/30
|combination |insulin |in |the |morning |and |at |suppertime. |Which |interventions |should |be
|included |in |the |client's |plan |of |care |for |diabetics? |SELECT |ALL |THAT |APPLY. |CREDIT |GIVEN
|ONLY |FOR |ALL |CORRECT |ANSWERS.
a. |Instruct |the |client |to |inspect |the |feet |daily
b. |Ensure |that |the |client |eats |a |bedtime |snack
c. |Assess |the |clients |ability |to |read |small |print
d. |Teach |the |client |to |perform |a |hemoglobin |A1c |test |daily |- |CORRECT |ANSWER✔✔-A, |B, |C
1. |A |client |is |scheduled |for |a |preprandial |blood |sugar |check. |The |blood |sugar |is |224 |mg/dl.
|According |to |the |sliding |scale |insulin |schedule, |the |client |is |to |receive |4 |units |of |Regular
|insulin |for |a |blood |sugar |from |201-250 |mg/dl. |You, |the |nurse |prepare |the |insulin |as |ordered.
|Upon |taking |the |insulin |into |the |client's |room, |the |client |is |vomiting |and |refuses |to |eat |lunch.
|What |would |be |an |appropriate |nursing |action?
a. |Give |the |4 |units |of |Regular |insulin |and |recheck |the |blood |sugar |in |30 |minutes
b. |Give |only |2 |units |of |the |Regular |insulin |because |the |client |is |vomiting
c. |Hold |the |4 |units |of |Regular |insulin |and |notify |the |physician |of |client |vomiting
,d. |Hold |the |4 |units |of |Regular |insulin |and |wait |until |the |client |is |able |to |eat |and |drink |and
then |give |the |insulin |- |CORRECT |ANSWER✔✔-C.
|
1. |A |client |is |having |their |blood |sugar |checked |in |the |clinic |where |you |work. |The |client |states
|their |fasting |blood |sugar |is |118 |mg/dl. |The |client |wants |to |know |why |the |physician |instructed
|them |to |watch |their |diet |and |exercise |to |prevent |diabetes. |Your |explanation |to |the |client |is
|based |on |the |knowledge |that |prediabetes:
a. |will |always |lead |to |a |diagnosis |of |diabetes.
b. |can |be |prevented |or |delayed |with |proper |diet |and |exercise.
c. |have |fasting |blood |sugar |levels |between |130 |and |150
d. |have |less |incidence |of |developing |complications |of |diabetes |- |CORRECT |ANSWER✔✔-B.
1. |A |client |is |scheduled |for |surgery |the |following |morning |and |calls |you, |the |nurse, |who |works
|for |the |client's |primary |care |physician. |The |client |wonders |if |he |should |take |his |scheduled
|insulin |dosage |before |surgery |the |next |morning. |Your |response |is:
a. |"Yes, |you |may |take |your |scheduled |dose |of |insulin |before |surgery |and |we |will |check |your
|blood |sugar |when |you |arrive |at |the |ambulatory |care |center."
b. |"No, |do |not |take |any |insulin |before |surgery |because |you |will |not |eat |or |drink |anything |after
|midnight |to |prepare |you |for |surgery."
c. |"I |will |check |with |your |physician |about |if |or |how |much |insulin |he/she |would |like |you |to |take
|before |surgery."
d. |"Check |your |blood |sugar |tomorrow |morning |before |surgery |and |if |it |is |>120mg/dl, |take |one
half |of |the |prescribed |dose |of |your |insulin." |- |CORRECT |ANSWER✔✔-C.
|
1. |The |home |care |nurse |is |visiting |a |child |newly |diagnosed |with |DM. |The |nurse |is |instructing
|the |child |and |parents |regarding |actions |to |take |if |hypoglycemic |reactions |occur. |The |nurse
|tells |the |child |to:
A. |Drink |8 |ounces |of |diet |cola |at |the |first |sign |of |weakness
B. |Report |to |the |ER |if |the |blood |glucose |is |60mg/dL
C. |Carry |hard |candies |whenever |leaving |home |in |case |of |hypoglycemic |reaction |occurs
, D. |Administer |glucagon |immediately |if |shakiness |is |felt |- |CORRECT |ANSWER✔✔-C.
1. |A |diabetic |client |who |is |taking |insulin |lispro |(Humalog) |injections |would |be |advised |to |eat:
A. |Within |30 |minutes |after |the |injection
B. |1 |hour |after |the |injection
C. |At |anytime, |because |timing |of |meals |with |lispro |injections |is |unnecessary
D. |2 |hours |before |the |injection |- |CORRECT |ANSWER✔✔-A.
Match |the |following |characteristics |as |they |relate |to |complications |of |diabetes |(answers |may
|be |used |more |than |once)
1. |Microvascular |
2. |Macrovascular |
3. |Autonomic |Neuropathy |
4. |Sensory |Neuropathy |
_____a. |Urinary |retention |
_____b. |Damage |to |small |vessels |that |supply |the |renal |glomeruli |
___ |_ |c. |Related |to |altered |lipid |metabolism |of |diabetes |
____d. |Microaneurysms |and |destruction |of |retinal |capillaries |
_____e. |Atrophy |of |small |muscles |of |the |hands |and |feet
_____f. |Capillary |and |arteriole |membrane |thickening |specific |to |diabetes
____ |g. |Pain |and |paresthesia |of |the |legs
_____ |h. |Ulceration |and |amputation |of |the |lower |extremities
___4__i. |Foot |ulcers |without |patient |feeling |pain
_____j. |Nausea |and |or |vomiting
_____k. |Ischemic |heart |disease
