Question 1

Hypoglycemia is not caused by:

Accepted Answer

A)  Overconsumption of food 
B)  Taking too much insulin 
C)  Greater than usual amounts of exercise 
D)  Delay in eating a meal. 
A)  Overconsumption of food 
B)  Taking too much insulin 
C)  Greater than usual amounts of exercise 
D)  Delay in eating a meal. A

Question 2

Which of the following laboratory tests will reflect blood sugar levels over a 3- to 4-month period?

Accepted Answer

A)  Fasting blood sugar 
B)  Glucose tolerance test 
C)  Glycosylated hemoglobin 
D)  Urinary glucose 
A)  Fasting blood sugar 
B)  Glucose tolerance test 
C)  Glycosylated hemoglobin 
D)  Urinary glucose C

Question 3

Sick Day Guidelines include all except the following:

Accepted Answer

A)  Discontinuing all medications 
B)  Testing blood glucose levels frequently 
C)  Drinking liquids containing carbohydrates and electrolytes if vomiting 
D)  Increasing fluid intake 
A)  Discontinuing all medications 
B)  Testing blood glucose levels frequently 
C)  Drinking liquids containing carbohydrates and electrolytes if vomiting 
D)  Increasing fluid intake A

Question 4

A client with uncontrolled type 1 diabetes mellitus is at high risk for acidosis because of which of the following?

Accepted Answer

A)  An elevated serum glucose level contributes to the osmotic retention of water. 
B)  The body cannot quickly metabolize the body fat that is broken down for energy. 
C)  The kidneys cannot excrete the excess glucose effectively. 
D)  The liver continues to break down glycogen to glucose. 
A)  An elevated serum glucose level contributes to the osmotic retention of water. 
B)  The body cannot quickly metabolize the body fat that is broken down for energy. 
C)  The kidneys cannot excrete the excess glucose effectively. 
D)  The liver continues to break down glycogen to glucose.

Question 5

To prevent the development of ketosis, which nutrient should the nurse encourage?

Accepted Answer

A)  Carbohydrates 
B)  Vitamins 
C)  Minerals 
D)  Fiber 
A)  Carbohydrates 
B)  Vitamins 
C)  Minerals 
D)  Fiber

Question 6

What should the health educator tell a client with diabetes to carry to treat hypoglycemia?

Accepted Answer

A)  Dietetic candy 
B)  Small box of raisins 
C)  King-size bar of chocolate candy 
D)  Glucose tablets 
A)  Dietetic candy 
B)  Small box of raisins 
C)  King-size bar of chocolate candy 
D)  Glucose tablets

Question 7

Which of the following interventions has been shown to delay the onset and slow the progression of diabetic retinopathy, nephropathy, and neuropathy?

Accepted Answer

A)  Weekly visits to the clinic or physician's office 
B)  Intermittent adherence to the American Diabetic Association diet 
C)  Intensive control of blood glucose levels 
D)  Self-monitoring of blood glucose 
A)  Weekly visits to the clinic or physician's office 
B)  Intermittent adherence to the American Diabetic Association diet 
C)  Intensive control of blood glucose levels 
D)  Self-monitoring of blood glucose

Question 8

The following is true about the medication glipizide (Glucotrol):

Accepted Answer

A)  It should be taken on an empty stomach. 
B)  It is usually given in three doses per day. 
C)  It reduces insulin resistance. 
D)  It increases liver glucose production. 
A)  It should be taken on an empty stomach. 
B)  It is usually given in three doses per day. 
C)  It reduces insulin resistance. 
D)  It increases liver glucose production.

Question 9

Which of the following values for a fasting blood sugar (FBS) is a normal range?

Accepted Answer

A)  55 to 70 mg/dL 
B)  70 to 110 mg/dL 
C)  110 to 140 mg/dL 
D)  140 to 160 mg/dL 
A)  55 to 70 mg/dL 
B)  70 to 110 mg/dL 
C)  110 to 140 mg/dL 
D)  140 to 160 mg/dL

Question 10

Hyperglycemia may be caused by:

Accepted Answer

A)  Too much insulin 
B)  Infection 
C)  Eating less food than usual 
D)  More exercise than usual 
A)  Too much insulin 
B)  Infection 
C)  Eating less food than usual 
D)  More exercise than usual

Question 11

Which of the following is a vegetable exchange?

Accepted Answer

A)  1/2 cup of chopped, cooked broccoli 
B)  1/2 cup of cream-style corn 
C)  1 cup of lettuce 
D)  One medium white potato 
A)  1/2 cup of chopped, cooked broccoli 
B)  1/2 cup of cream-style corn 
C)  1 cup of lettuce 
D)  One medium white potato

Question 12

Which one of the following statements about type 2 diabetes is true?

Accepted Answer

A)  It is an inconvenience but is never life threatening. 
B)  It is associated with an increased risk of heart disease. 
C)  It never requires an insulin prescription. 
D)  It is usually diagnosed in young people. 
A)  It is an inconvenience but is never life threatening. 
B)  It is associated with an increased risk of heart disease. 
C)  It never requires an insulin prescription. 
D)  It is usually diagnosed in young people.

Question 13

An exercise program helps in the control of blood glucose levels by:

Accepted Answer

A)  Increasing glycogen stores 
B)  Increasing insulin requirements 
C)  Increasing the number of insulin receptors on muscle fibers 
D)  Stimulating the pancreas to produce more insulin 
A)  Increasing glycogen stores 
B)  Increasing insulin requirements 
C)  Increasing the number of insulin receptors on muscle fibers 
D)  Stimulating the pancreas to produce more insulin

Question 14

Which of the following is classified as a starch exchange as opposed to a vegetable exchange?

Accepted Answer

A)  Celery 
B)  Corn 
C)  Tomatoes 
D)  Summer squash 
A)  Celery 
B)  Corn 
C)  Tomatoes 
D)  Summer squash

Question 15

The classic triad of symptoms of diabetes includes all except:

Accepted Answer

A)  Polycythemia 
B)  Polydipsia 
C)  Polyphagia 
D)  Polyuria 
A)  Polycythemia 
B)  Polydipsia 
C)  Polyphagia 
D)  Polyuria

Question 16

Which of the following situations might lead a health-care provider to consider testing for diabetes?

Accepted Answer

A)  Recent weight gain related to binging and purging 
B)  Alcohol abuse 
C)  Frequent infections that are slow to respond to treatment 
D)  Sudden onset of dizziness, nausea, vomiting, and diarrhea 
A)  Recent weight gain related to binging and purging 
B)  Alcohol abuse 
C)  Frequent infections that are slow to respond to treatment 
D)  Sudden onset of dizziness, nausea, vomiting, and diarrhea

Question 17

Women with gestational diabetes often give birth to larger-than-average infants. Which of the following explanations is most accurate?

Accepted Answer

A)  The woman's tissues become insulin resistant, and her insulin crosses the placenta. 
B)  The fetus produces sufficient insulin to convert the glucose from the placenta to adipose tissue. 
C)  The fetus selectively absorbs the glucose but not the insulin from the mother. 
D)  Fetal insulin is stronger than maternal insulin. 
A)  The woman's tissues become insulin resistant, and her insulin crosses the placenta. 
B)  The fetus produces sufficient insulin to convert the glucose from the placenta to adipose tissue. 
C)  The fetus selectively absorbs the glucose but not the insulin from the mother. 
D)  Fetal insulin is stronger than maternal insulin.

Question 18

A client with type 1 diabetes has to burn fats for energy, with a resulting buildup of which of the following in the blood?

Accepted Answer

A)  Fatty acids 
B)  Glycerol 
C)  Glucose 
D)  Ketones 
A)  Fatty acids 
B)  Glycerol 
C)  Glucose 
D)  Ketones

Question 19

Which of the following hormones acts to lower blood sugar?

Accepted Answer

A)  Epinephrine 
B)  Glucagon 
C)  Growth hormone 
D)  Insulin 
A)  Epinephrine 
B)  Glucagon 
C)  Growth hormone 
D)  Insulin

Question 20

The renal threshold refers to the:

Accepted Answer

A)  Amount of glucose in the urine in a positive glucose tolerance test 
B)  Point at which the kidney returns glucose to the bloodstream 
C)  Ratio of blood glucose to glucose measured in the urine 
D)  Level of glucose in the blood that triggers glycosuria 
A)  Amount of glucose in the urine in a positive glucose tolerance test 
B)  Point at which the kidney returns glucose to the bloodstream 
C)  Ratio of blood glucose to glucose measured in the urine 
D)  Level of glucose in the blood that triggers glycosuria

Exam 17: Diet in Diabetes Mellitus and Hypoglycemia

Hypoglycemia is not caused by:

Which of the following laboratory tests will reflect blood sugar levels over a 3- to 4-month period?

Sick Day Guidelines include all except the following:

A client with uncontrolled type 1 diabetes mellitus is at high risk for acidosis because of which of the following?

To prevent the development of ketosis, which nutrient should the nurse encourage?

What should the health educator tell a client with diabetes to carry to treat hypoglycemia?

Which of the following interventions has been shown to delay the onset and slow the progression of diabetic retinopathy, nephropathy, and neuropathy?

The following is true about the medication glipizide (Glucotrol):

Which of the following values for a fasting blood sugar (FBS) is a normal range?

Hyperglycemia may be caused by:

Which of the following is a vegetable exchange?

Which one of the following statements about type 2 diabetes is true?

An exercise program helps in the control of blood glucose levels by:

Which of the following is classified as a starch exchange as opposed to a vegetable exchange?

The classic triad of symptoms of diabetes includes all except:

Which of the following situations might lead a health-care provider to consider testing for diabetes?

Women with gestational diabetes often give birth to larger-than-average infants. Which of the following explanations is most accurate?

A client with type 1 diabetes has to burn fats for energy, with a resulting buildup of which of the following in the blood?

Which of the following hormones acts to lower blood sugar?

The renal threshold refers to the:

Nutrition in Human Health

Carbohydrates

Fats

Protein

Energy Balance

Vitamins

Minerals

Water

Digestion, Absorption, Metabolism, and Excretion

Life Cycle Nutrition: Pregnancy and Lactation

Life Cycle Nutrition: Infancy, Childhood, and Adolescence

Life Cycle Nutrition: the Mature Adult

Food Management

Nutrient Delivery

Interactions: Food and Nutrients Versus Medications and Supplements

Weight Management

Diet in Cardiovascular Disease

Diet in Renal Disease

Diet in Digestive Disease

Diet and Cancer

Nutrition in Critical Care

Diet in Hiv and Aids

Nutritional Care of the Terminally Ill

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