NUR 221 Exam 3
The nurse is providing patient education about glucocorticoid therapy to a patient preparing to be
discharged home. Which statement made by the patient best demonstrates understanding of
glucocorticoid therapy?
a. "I will take the entire dose early with breakfast."
b. "I will divide the dose in half and take half in the morning and half in the afternoon."
c. "I may take two-thirds of the dose in the morning and one-third in the evening."
d. "I will take a dose with each meal." ANS: c
The primary problem in Type 2 diabetes involves:
a. destruction of pancreatic alpha cells
b. insulin resistance by cells of the target organs
c. excessive glucagon in the liver
d. hypoglycemia ANS: b
A patient who has been newly diagnosed with adrenal hormone deficiency will begin taking
hydrocortisone. The nurse provides teaching for this patient. Which statement by the patient indicates
understanding of the teaching?
a. "I will need to take this medication until my symptoms completely clear, and then I may stop."
b. "When I am sick, I should take three times the normal dose for 3 days in a row."
c. "I may take all of my daily dose in the morning or divide it in half and take it twice daily."
d. "Side effects are common with hydrocortisone, even with therapeutic doses." ANS: b
Type 2 diabetes can be managed by lifestyle modification, particularly diet. Limiting which nutrient
group is most effective in improving Type 2 diabetes
a. minerals
b. fats
,c. carbohydrates
d. protein ANS: c
The primary cause of Type 1 diabetes is:
a. failure of insulin sensitivity in peripheral cells
b. destruction of pancreatic beta cells
c. absence of glucagon in the liver
d. destruction of alpha cells in the pancreas ANS: b
Which of the following symptoms would alert you to the possibility your patient is suffering from Benign
Prostatic Hypertrophy (BPH)?
a. inability to completely empty bladder
b. blood in urine
c. sexual dysfunction
d. pain on urination ANS: a
Which of the following conditions can contribute to the development of sexual dysfunction?
a. smoking
b. hypertension
c. diabetes
d. depression
e. all of the above ANS: e
Your patient is taking sildenafil. You would instruct him to seek immediate medical attention if he
develops
a. dark or bloody stools
,b. virilization
c. priapism
d. gynecomastia ANS: c
Which of the following laboratory tests should be monitored for a patient taking Anabolic Steroids?
a. potassium
b. hemoglobin
c. liver function studies
d. kidney function studies ANS: c
Which of the following side effects is most commonly associated with daily testosterone therapy?
a. edema
b. incontinence
c. dry mouth
d. confusion ANS: a
Which pancreatic cells secrete glucagon?
a. alpha
b. beta
c. gamma
d. delta ANS: a
Which pancreatic cells secrete insulin?
a. alpha
b. beta
, c. gamma
d. delta ANS: b
What is the effect of glucagon? (select all that apply)
a. break down of glycogen into glucose
b. storage of glucose as glycogen
c. hyperglycemic effect
d. production of glucose from lactate and amino acids
e. hypoglycemic effect ANS: a,c,d
What is the effect of insulin? (select all that apply)
a. hyperglycemic effect
b. production of glucose from lactate and amino acids
c. promotes the entry of glucose into the cells
d. promotes the storage of glucose as glycogen
e. hypoglycemic effect ANS: c,d,e
What is the difference between type 1 and type 2 diabetes mellitus?
a. type 1 is caused by decreased sensitivity of insulin receptors in the tissues, whereas type 2 is caused
by a metabolic disease where there is decreased insulin secretion
b. type 1 is caused by obesity, while type 2 is an autoimmune disorder
c. type 2 is caused by decreased sensitivity of insulin receptors in the tissues, whereas type 1 is caused
by a metabolic disease where there is decreased insulin secretion
d. type 2 is caused by obesity, while type 1 is an autoimmune disorder ANS: c
Which of the following are risk factors for developing type 2 diabetes mellitus? (select all that apply)
The nurse is providing patient education about glucocorticoid therapy to a patient preparing to be
discharged home. Which statement made by the patient best demonstrates understanding of
glucocorticoid therapy?
a. "I will take the entire dose early with breakfast."
b. "I will divide the dose in half and take half in the morning and half in the afternoon."
c. "I may take two-thirds of the dose in the morning and one-third in the evening."
d. "I will take a dose with each meal." ANS: c
The primary problem in Type 2 diabetes involves:
a. destruction of pancreatic alpha cells
b. insulin resistance by cells of the target organs
c. excessive glucagon in the liver
d. hypoglycemia ANS: b
A patient who has been newly diagnosed with adrenal hormone deficiency will begin taking
hydrocortisone. The nurse provides teaching for this patient. Which statement by the patient indicates
understanding of the teaching?
a. "I will need to take this medication until my symptoms completely clear, and then I may stop."
b. "When I am sick, I should take three times the normal dose for 3 days in a row."
c. "I may take all of my daily dose in the morning or divide it in half and take it twice daily."
d. "Side effects are common with hydrocortisone, even with therapeutic doses." ANS: b
Type 2 diabetes can be managed by lifestyle modification, particularly diet. Limiting which nutrient
group is most effective in improving Type 2 diabetes
a. minerals
b. fats
,c. carbohydrates
d. protein ANS: c
The primary cause of Type 1 diabetes is:
a. failure of insulin sensitivity in peripheral cells
b. destruction of pancreatic beta cells
c. absence of glucagon in the liver
d. destruction of alpha cells in the pancreas ANS: b
Which of the following symptoms would alert you to the possibility your patient is suffering from Benign
Prostatic Hypertrophy (BPH)?
a. inability to completely empty bladder
b. blood in urine
c. sexual dysfunction
d. pain on urination ANS: a
Which of the following conditions can contribute to the development of sexual dysfunction?
a. smoking
b. hypertension
c. diabetes
d. depression
e. all of the above ANS: e
Your patient is taking sildenafil. You would instruct him to seek immediate medical attention if he
develops
a. dark or bloody stools
,b. virilization
c. priapism
d. gynecomastia ANS: c
Which of the following laboratory tests should be monitored for a patient taking Anabolic Steroids?
a. potassium
b. hemoglobin
c. liver function studies
d. kidney function studies ANS: c
Which of the following side effects is most commonly associated with daily testosterone therapy?
a. edema
b. incontinence
c. dry mouth
d. confusion ANS: a
Which pancreatic cells secrete glucagon?
a. alpha
b. beta
c. gamma
d. delta ANS: a
Which pancreatic cells secrete insulin?
a. alpha
b. beta
, c. gamma
d. delta ANS: b
What is the effect of glucagon? (select all that apply)
a. break down of glycogen into glucose
b. storage of glucose as glycogen
c. hyperglycemic effect
d. production of glucose from lactate and amino acids
e. hypoglycemic effect ANS: a,c,d
What is the effect of insulin? (select all that apply)
a. hyperglycemic effect
b. production of glucose from lactate and amino acids
c. promotes the entry of glucose into the cells
d. promotes the storage of glucose as glycogen
e. hypoglycemic effect ANS: c,d,e
What is the difference between type 1 and type 2 diabetes mellitus?
a. type 1 is caused by decreased sensitivity of insulin receptors in the tissues, whereas type 2 is caused
by a metabolic disease where there is decreased insulin secretion
b. type 1 is caused by obesity, while type 2 is an autoimmune disorder
c. type 2 is caused by decreased sensitivity of insulin receptors in the tissues, whereas type 1 is caused
by a metabolic disease where there is decreased insulin secretion
d. type 2 is caused by obesity, while type 1 is an autoimmune disorder ANS: c
Which of the following are risk factors for developing type 2 diabetes mellitus? (select all that apply)
