TMC LATEST EXAM WITH 300 REAL EXAM
QUESTIONS AND CORRECT ANSWERS/ TMC EXAM
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ANSWERS(BRAND NEW!)
Which statement by a nurse to a patient newly diagnosed
with type 2 diabetes is accurate?
a. Insulin is not used to control blood glucose in patients
with type 2 diabetes.
b. Complications of type 2 diabetes are less serious than
those of type 1 diabetes.
c. Changes in diet and exercise may control blood glucose
levels in type 2 diabetes.
d. Type 2 diabetes is usually diagnosed when a patient is
admitted in hyperglycemic
coma. - ..ANSWER...✓✓ ANS: C
For some patients with type 2 diabetes, changes in
lifestyle are sufficient to achieve blood
glucose control. Insulin is frequently used for type 2
diabetes, complications are equally
severe as for type 1 diabetes, and type 2 diabetes is
usually diagnosed with routine laboratory
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testing or after a patient develops complications such as
frequent yeast infections.
DIF: Cognitive Level: Understand (comprehension)
TOP: Nursing Process: Implementation MSC: NCLEX:
Physiological Integrity
A patient screened for diabetes at a clinic has a fasting
plasma glucose level of 120 mg/dL
(6.7 mmol/L). What should the nurse plan to teach the
patient?
a. Self-monitoring of blood glucose
b. Using low doses of regular insulin
c. Lifestyle changes to lower blood glucose
d. Effects of oral hypoglycemic medications -
..ANSWER...✓✓ ANS: C
The patient's impaired fasting glucose indicates
prediabetes, and the patient should be
counseled about lifestyle changes to prevent the
development of type 2 diabetes. The patient
with prediabetes does not require insulin or oral
hypoglycemics for glucose control and does
not need to self-monitor blood glucose.
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DIF: Cognitive Level: Apply (application) TOP: Nursing
Process: Planning
MSC: NCLEX: Physiological Integrity
A 28-yr-old male patient with type 1 diabetes reports how
he manages his exercise and
glucose control. Which behavior indicates that the nurse
should implement additional
teaching?
a. The patient always carries hard candies when engaging
in exercise.
b. The patient goes for a vigorous walk when his glucose
is 200 mg/dL.
c. The patient has a peanut butter sandwich before going
for a bicycle ride.
d. The patient increases daily exercise when ketones are
present in the urine. - ..ANSWER...✓✓ ANS: D
When the patient is ketotic, exercise may result in an
increase in blood glucose level. Patients
with type 1 diabetes should be taught to avoid exercise
when ketosis is present. The other
statements are correct.
DIF: Cognitive Level: Apply (application)
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TOP: Nursing Process: Assessment MSC: NCLEX:
Physiological Integrity
The nurse is assessing a 22-yr-old patient experiencing
the onset of symptoms of type 1
diabetes. To which question would the nurse anticipate a
positive response?
a. "Are you anorexic?"
b. "Is your urine dark colored?"
c. "Have you lost weight lately?"
d. "Do you crave sugary drinks?" - ..ANSWER...✓✓ ANS:
C
Weight loss occurs because the body is no longer able to
absorb glucose and starts to break
down protein and fat for energy. The patient is thirsty but
does not necessarily crave
sugar-containing fluids. Increased appetite is a classic
symptom of type 1 diabetes. With the
classic symptom of polyuria, urine will be very dilute.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Assessment MSC: NCLEX:
Physiological Integrity