NR 325 ADULT HEALTH II EXAM 1 CONCEPTS
QUESTIONS ANSWERS.100% ACCURATE
1. A patient is exhibiting s/s of hypothyroidism. What dx test will
the nurse expect to be performed first?: - Thyroid stimulating Hormone
(TSH)
2. Why is TSH the first Dx done in order to assess for hypothyroidism?: -
b/c it is the most sensitive of the T3/T4/ TSH
-TSH is most sensitive in discovering hypothyroidism
3. A patient with Type 1 Diabetes (T1D) calls the clinic w/ complaints of
nausea, vomiting , and diarrhea. What is most important to advise your
patient to do?: - Check blood glucose levels every 2-4 hours
4. Why should T1D's check blood glucose levels every 2-3 hours whe
stressed?-
: - B/c Stressors (sickness, trauma, stress, etc) cause an INCREASE in blood glucose levels
5. A patient screened for diabetes at a clinic has a fasting plasma BG
level of 120 mg/dL (6.7 mmol/L). Which statement is best?: - You are at an
increased risk for developing diabetes
6. How long should a patient fast for prior to a fasting blood
glucose/2-hour plasma glucose test is taken?: - 8-12 hours
7. What is the normal value of a fasting blood glucose level?: 74-106
8. What result of a fasting blood glucose level indicates at risk for
developing diabetes?: - 100-120
9. What are some reasons for non-normal range of fasting blood
glucose lev- els?: - Not fasting for 8-12 hours before
-some medications
10. What is the reasoning for performing a fasting blood glucose
test/ 2 hours plasma glucose test?: - Aids in the diagnosis of diabetes
11. What is the normal range for a 2 hours plasma glucose test for
patients ages 0-50?: - < 140 mg/dL OR 7.4 mmol/L
12. What is the normal range for a 2 hours plasma glucose test for
patients ages 50-60?: - < 150 mg./dL
13. What is the normal range for a 2 hours plasma glucose test for
patients ages
>60?: - < 160 mg/dL
, NR 325 ADULT HEALTH II EXAM 1 CONCEPTS
QUESTIONS ANSWERS.100% ACCURATE
14. How many grams of carbohydrates should a patient taking a 2
hour plasma test consume prior to the exam starting?: - 75 grams
, NR 325 ADULT HEALTH II EXAM 1 CONCEPTS
QUESTIONS ANSWERS.100% ACCURATE
15. What are some requirements that a patient must comply
with during the 2-hour plasma test?: - no exercising during the exam
-must fast after initial 75g of carbs are consumed
16. What are some factors in developing Type 2 diabetes (T2D)?:
Overweight
-Obesity
-Advanced age
-Family history
-Certain ethnical groups
17. A nurse plans a class for patients who are newly diagnosed with
T2D. Which goal is most appropriate?: - enable the patient to become active participants
in the management of their disease
18. What are some s/s of thyroid storm?: - Elevated Temperature
-s/s of heart failure
-s/s of Hyperthyroidism
19. What electrolyte imbalances are associated with diabetic
ketoacidosis (DKA)?: - Hyponatremia
-Hypokalemia
-Hypophosphatemia
-Hypochloremia
-Hypomagnesemia
20. What are some s/s of diabetic ketoacidosis (DKA)?: - Nausea
-Vomiting
-Fluid deficits
-Electrolyte imbalances
21. What sensations are s/s of DKA?: - Thirst
22. What respiratory s/s are r/t DKA?: - Kussmaul respirations
23. What type of fluid deficit s/s are r/t DKA?: - Dehydration
24. What urinary s/s are r/t DKA?: - Ketonuria
25. What breath odors s/s are r/t DKA?: - Sweet, fruity breath odor
26. What type of diabetes is associated with autoimmune /
genetic predisposi- tion?: - Type one diabetes (T1D)
, NR 325 ADULT HEALTH II EXAM 1 CONCEPTS
QUESTIONS ANSWERS.100% ACCURATE
27. What is the stereotypical age associated with dx of T1D?: - < 40
years old
QUESTIONS ANSWERS.100% ACCURATE
1. A patient is exhibiting s/s of hypothyroidism. What dx test will
the nurse expect to be performed first?: - Thyroid stimulating Hormone
(TSH)
2. Why is TSH the first Dx done in order to assess for hypothyroidism?: -
b/c it is the most sensitive of the T3/T4/ TSH
-TSH is most sensitive in discovering hypothyroidism
3. A patient with Type 1 Diabetes (T1D) calls the clinic w/ complaints of
nausea, vomiting , and diarrhea. What is most important to advise your
patient to do?: - Check blood glucose levels every 2-4 hours
4. Why should T1D's check blood glucose levels every 2-3 hours whe
stressed?-
: - B/c Stressors (sickness, trauma, stress, etc) cause an INCREASE in blood glucose levels
5. A patient screened for diabetes at a clinic has a fasting plasma BG
level of 120 mg/dL (6.7 mmol/L). Which statement is best?: - You are at an
increased risk for developing diabetes
6. How long should a patient fast for prior to a fasting blood
glucose/2-hour plasma glucose test is taken?: - 8-12 hours
7. What is the normal value of a fasting blood glucose level?: 74-106
8. What result of a fasting blood glucose level indicates at risk for
developing diabetes?: - 100-120
9. What are some reasons for non-normal range of fasting blood
glucose lev- els?: - Not fasting for 8-12 hours before
-some medications
10. What is the reasoning for performing a fasting blood glucose
test/ 2 hours plasma glucose test?: - Aids in the diagnosis of diabetes
11. What is the normal range for a 2 hours plasma glucose test for
patients ages 0-50?: - < 140 mg/dL OR 7.4 mmol/L
12. What is the normal range for a 2 hours plasma glucose test for
patients ages 50-60?: - < 150 mg./dL
13. What is the normal range for a 2 hours plasma glucose test for
patients ages
>60?: - < 160 mg/dL
, NR 325 ADULT HEALTH II EXAM 1 CONCEPTS
QUESTIONS ANSWERS.100% ACCURATE
14. How many grams of carbohydrates should a patient taking a 2
hour plasma test consume prior to the exam starting?: - 75 grams
, NR 325 ADULT HEALTH II EXAM 1 CONCEPTS
QUESTIONS ANSWERS.100% ACCURATE
15. What are some requirements that a patient must comply
with during the 2-hour plasma test?: - no exercising during the exam
-must fast after initial 75g of carbs are consumed
16. What are some factors in developing Type 2 diabetes (T2D)?:
Overweight
-Obesity
-Advanced age
-Family history
-Certain ethnical groups
17. A nurse plans a class for patients who are newly diagnosed with
T2D. Which goal is most appropriate?: - enable the patient to become active participants
in the management of their disease
18. What are some s/s of thyroid storm?: - Elevated Temperature
-s/s of heart failure
-s/s of Hyperthyroidism
19. What electrolyte imbalances are associated with diabetic
ketoacidosis (DKA)?: - Hyponatremia
-Hypokalemia
-Hypophosphatemia
-Hypochloremia
-Hypomagnesemia
20. What are some s/s of diabetic ketoacidosis (DKA)?: - Nausea
-Vomiting
-Fluid deficits
-Electrolyte imbalances
21. What sensations are s/s of DKA?: - Thirst
22. What respiratory s/s are r/t DKA?: - Kussmaul respirations
23. What type of fluid deficit s/s are r/t DKA?: - Dehydration
24. What urinary s/s are r/t DKA?: - Ketonuria
25. What breath odors s/s are r/t DKA?: - Sweet, fruity breath odor
26. What type of diabetes is associated with autoimmune /
genetic predisposi- tion?: - Type one diabetes (T1D)
, NR 325 ADULT HEALTH II EXAM 1 CONCEPTS
QUESTIONS ANSWERS.100% ACCURATE
27. What is the stereotypical age associated with dx of T1D?: - < 40
years old
