Question 1

If a patient with type 1 diabetes has a fever and increased blood glucose levels.he or she should

Accepted Answer

A)  drink only water until blood glucose levels drop. 
B)  adjust the insulin dose to normalize blood glucose levels. 
C)  maintain normal insulin doses and food intake. 
D)  seek medical advice immediately. 
A)  drink only water until blood glucose levels drop. 
B)  adjust the insulin dose to normalize blood glucose levels. 
C)  maintain normal insulin doses and food intake. 
D)  seek medical advice immediately. B

Question 2

A good source of fiber-rich food is

Accepted Answer

A)  steel cut oats. 
B)  a grilled chicken breast. 
C)  cinnamon applesauce. 
D)  an English muffin. 
A)  steel cut oats. 
B)  a grilled chicken breast. 
C)  cinnamon applesauce. 
D)  an English muffin. A

Question 3

A fasting blood glucose level of 85 mg/dL would be considered consistent with

Accepted Answer

A)  an impaired glucose tolerance. 
B)  diabetes. 
C)  normal health. 
D)  a diabetic coma. 
A)  an impaired glucose tolerance. 
B)  diabetes. 
C)  normal health. 
D)  a diabetic coma. C

Question 4

Ketones are a by-product of the metabolism of

Accepted Answer

A)  carbohydrates. 
B)  proteins. 
C)  fats. 
D)  alcohol. 
A)  carbohydrates. 
B)  proteins. 
C)  fats. 
D)  alcohol.

Question 5

The largest portion of islet cells in the pancreas are the cells that synthesize

Accepted Answer

A)  glucagon. 
B)  insulin. 
C)  somatostatin. 
D)  growth hormone. 
A)  glucagon. 
B)  insulin. 
C)  somatostatin. 
D)  growth hormone.

Question 6

For a patient receiving a 2000 kcal diet.the recommended range of calories that should come from carbohydrate is

Accepted Answer

A)  500 to 750 kcal. 
B)  750 to 900 kcal. 
C)  900 to 1300 kcal. 
D)  1350 to 1650 kcal. 
A)  500 to 750 kcal. 
B)  750 to 900 kcal. 
C)  900 to 1300 kcal. 
D)  1350 to 1650 kcal.

Question 7

Type 2 diabetes is most common in

Accepted Answer

A)  infants. 
B)  children. 
C)  adolescents. 
D)  older adults. 
A)  infants. 
B)  children. 
C)  adolescents. 
D)  older adults.

Question 8

A 62-year-old patient with a history of blood sugars slightly above normal and recurrent skin infections may need to be further assessed for

Accepted Answer

A)  type 2 diabetes. 
B)  gestational diabetes. 
C)  chronic kidney disease. 
D)  hepatitis. 
A)  type 2 diabetes. 
B)  gestational diabetes. 
C)  chronic kidney disease. 
D)  hepatitis.

Question 9

The form of insulin that has its peak action after about 8 hours is

Accepted Answer

A)  rapid-acting insulin. 
B)  intermediate-acting insulin. 
C)  long-acting insulin. 
D)  oral hypoglycemic insulin. 
A)  rapid-acting insulin. 
B)  intermediate-acting insulin. 
C)  long-acting insulin. 
D)  oral hypoglycemic insulin.

Question 10

An example of a food that would be part of the carbohydrate exchange group would be

Accepted Answer

A)  whole-wheat bread. 
B)  vanilla ice cream. 
C)  white tuna. 
D)  skim milk. 
A)  whole-wheat bread. 
B)  vanilla ice cream. 
C)  white tuna. 
D)  skim milk.

Question 11

The number of kilocalories from protein for an adult receiving a 2200 kcal diet should be between

Accepted Answer

A)  100 and 330 kcal. 
B)  220 and 770 kcal. 
C)  250 and 800 kcal 
D)  350 and 1200 kcal. 
A)  100 and 330 kcal. 
B)  220 and 770 kcal. 
C)  250 and 800 kcal 
D)  350 and 1200 kcal.

Question 12

The hormone considered to act in a manner opposite to insulin is

Accepted Answer

A)  glucagon. 
B)  somatostatin. 
C)  growth hormone. 
D)  adrenaline. 
A)  glucagon. 
B)  somatostatin. 
C)  growth hormone. 
D)  adrenaline.

Question 13

In reviewing the plan of care for a patient with type 2 diabetes who is overweight and likes to eat sweets.an initial goal might be to

Accepted Answer

A)  start 10 units of regular insulin 30 minutes before each meal. 
B)  replace a snack of five filled chocolate cookies with three graham crackers. 
C)  check blood sugar after eating cookies and initiate sliding scale insulin. 
D)  remove all carbohydrate foods and encourage only high-protein foods. 
A)  start 10 units of regular insulin 30 minutes before each meal. 
B)  replace a snack of five filled chocolate cookies with three graham crackers. 
C)  check blood sugar after eating cookies and initiate sliding scale insulin. 
D)  remove all carbohydrate foods and encourage only high-protein foods.

Question 14

Which of the following functions is not associated with the hormone insulin?

Accepted Answer

A)  Insulin moves glucose into the cell. 
B)  Insulin inhibits fat breakdown. 
C)  Insulin converts glucose into glycogen. 
D)  Insulin mobilizes liver glycogen to yield glucose. 
A)  Insulin moves glucose into the cell. 
B)  Insulin inhibits fat breakdown. 
C)  Insulin converts glucose into glycogen. 
D)  Insulin mobilizes liver glycogen to yield glucose.

Question 15

The three common.long-term complications of diabetes affect the cells of the

Accepted Answer

A)  pancreas, liver, and spleen. 
B)  kidney, eye, and nerve tissue. 
C)  kidney, liver, and spleen. 
D)  heart, liver, and brain. 
A)  pancreas, liver, and spleen. 
B)  kidney, eye, and nerve tissue. 
C)  kidney, liver, and spleen. 
D)  heart, liver, and brain.

Question 16

Mr.Jones is 20 lb above his desirable weight and has type 2 diabetes.A recommendation to Mr.Jones would be to

Accepted Answer

A)  increase kilocalorie intake. 
B)  include between-meal snacks. 
C)  take extra food during exercise. 
D)  decrease kilocalorie intake. 
A)  increase kilocalorie intake. 
B)  include between-meal snacks. 
C)  take extra food during exercise. 
D)  decrease kilocalorie intake.

Question 17

For individuals with type 2 diabetes.exercise

Accepted Answer

A)  decreases insulin efficiency. 
B)  stimulates the release of insulin. 
C)  decreases risk of cardiovascular disease. 
D)  raises blood glucose levels. 
A)  decreases insulin efficiency. 
B)  stimulates the release of insulin. 
C)  decreases risk of cardiovascular disease. 
D)  raises blood glucose levels.

Question 18

For a patient with diabetes.a good nonnutritive choice to sweeten tea would be

Accepted Answer

A)  cane sugar. 
B)  aspartame. 
C)  honey. 
D)  fructose. 
A)  cane sugar. 
B)  aspartame. 
C)  honey. 
D)  fructose.

Question 19

The accumulation of glucose in the blood is called

Accepted Answer

A)  glycosuria. 
B)  polydipsia. 
C)  hyperglycemia. 
D)  hypoglycemia. 
A)  glycosuria. 
B)  polydipsia. 
C)  hyperglycemia. 
D)  hypoglycemia.

Question 20

The primary organ involved in the disease process of type 1 diabetes mellitus is the

Accepted Answer

A)  adrenal gland. 
B)  pancreas. 
C)  kidney. 
D)  liver. 
A)  adrenal gland. 
B)  pancreas. 
C)  kidney. 
D)  liver.

Exam 20: Diabetes Mellitus

If a patient with type 1 diabetes has a fever and increased blood glucose levels.he or she should

A good source of fiber-rich food is

A fasting blood glucose level of 85 mg/dL would be considered consistent with

Ketones are a by-product of the metabolism of

The largest portion of islet cells in the pancreas are the cells that synthesize

For a patient receiving a 2000 kcal diet.the recommended range of calories that should come from carbohydrate is

Type 2 diabetes is most common in

A 62-year-old patient with a history of blood sugars slightly above normal and recurrent skin infections may need to be further assessed for

The form of insulin that has its peak action after about 8 hours is

An example of a food that would be part of the carbohydrate exchange group would be

The number of kilocalories from protein for an adult receiving a 2200 kcal diet should be between

The hormone considered to act in a manner opposite to insulin is

In reviewing the plan of care for a patient with type 2 diabetes who is overweight and likes to eat sweets.an initial goal might be to

Which of the following functions is not associated with the hormone insulin?

The three common.long-term complications of diabetes affect the cells of the

Mr.Jones is 20 lb above his desirable weight and has type 2 diabetes.A recommendation to Mr.Jones would be to

For individuals with type 2 diabetes.exercise

For a patient with diabetes.a good nonnutritive choice to sweeten tea would be

The accumulation of glucose in the blood is called

The primary organ involved in the disease process of type 1 diabetes mellitus is the

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Nutrition for Adults: The Early Middle and Later Years

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Food Habits and Cultural Patterns

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Nutrition Care

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