Question 1

The prenatal care for women who develop gestational diabetes can include

Accepted Answer

A) insulin therapy. 
B) a high protein intake. 
C) a reduced carbohydrate intake. 
D) a and b 
E) a and c 
A) insulin therapy. 
B) a high protein intake. 
C) a reduced carbohydrate intake. 
D) a and b 
E) a and c

Question 2

Although the precise cause of metabolic syndrome is not known, the close relationship between _____ and _____ suggests that obesity is at least partly responsible.

Accepted Answer

A) type 2 diabetes, heart disease 
B) abdominal obesity, insulin resistance 
C) type 2 diabetes, insulin resistance 
D) abdominal obesity, stroke 
A) type 2 diabetes, heart disease 
B) abdominal obesity, insulin resistance 
C) type 2 diabetes, insulin resistance 
D) abdominal obesity, stroke

Question 3

Short-acting insulin begins to act _____ after it is injected.

Accepted Answer

A) 15 minutes 
B) 30 minutes 
C) 1 to 3 hours 
D) 2 to 4 hours 
A) 15 minutes 
B) 30 minutes 
C) 1 to 3 hours 
D) 2 to 4 hours

Question 4

While you are making rounds at the beginning of the evening shift at 4 p.m., Mrs.Davis complains of feeling dizzy.When taking her pulse, you note that her hand trembles slightly and feels cool and moist.It is most likely that Mrs.Davis is experiencing

Accepted Answer

A) a relapse into ketoacidosis. 
B) hypoglycemia. 
C) respiratory alkalosis from hyperventilation. 
D) hyperglycemia. 
A) a relapse into ketoacidosis. 
B) hypoglycemia. 
C) respiratory alkalosis from hyperventilation. 
D) hyperglycemia.

Question 5

Approximately _____ of women who do not have diabetes prior to pregnancy develop gestational diabetes.

Accepted Answer

A) 3% 
B) 7% 
C) 10% 
D) 13% 
A) 3% 
B) 7% 
C) 10% 
D) 13%

Question 6

If using multiple daily injections to manage type 1 diabetes, ideally _____ insulin is injected to meet basal needs and ____ insulin is used before meals.

Accepted Answer

A) rapid-acting, long-acting 
B) rapid-acting or short-acting, intermediate-acting or long-acting 
C) intermediate-acting or long-acting, rapid-acting or short-acting 
D) long-acting, intermediate-acting 
A) rapid-acting, long-acting 
B) rapid-acting or short-acting, intermediate-acting or long-acting 
C) intermediate-acting or long-acting, rapid-acting or short-acting 
D) long-acting, intermediate-acting

Question 7

The goal of diabetes treatment is an HbA1c value under _____ percent.

Accepted Answer

A) 5 
B) 7 
C) 9 
D) 10 
A) 5 
B) 7 
C) 9 
D) 10

Question 8

Ruth Ann Glebowski is an active 68 year old. She has a past medical history of gestational diabetes, high cholesterol, hypothyroidism, and depression. She is 5 feet 4 inches tall and weighs 170 pounds. She has an appointment with her physician for her annual check-up.
-Fifteen years pass and Ruth Ann is experiencing some visual impairments.Her eye doctor explains that it could be:

Accepted Answer

A) diabetic nephropathy. 
B) diabetic hypoglycemia. 
C) diabetic retinopathy. 
D) diabetic gastroparesis. 
A) diabetic nephropathy. 
B) diabetic hypoglycemia. 
C) diabetic retinopathy. 
D) diabetic gastroparesis.

Question 9

Glycosuria usually occurs when blood glucose exceeds

Accepted Answer

A) 140 mg/dL. 
B) 160 mg/dL. 
C) 180 mg/dL. 
D) 200 mg/dL. 
A) 140 mg/dL. 
B) 160 mg/dL. 
C) 180 mg/dL. 
D) 200 mg/dL.

Question 10

The actions of oral antidiabetic agents include all of the following except:

Accepted Answer

A) decreased insulin resistance. 
B) decreased insulin secretion. 
C) improved use of glucose by the liver. 
D) delayed carbohydrate absorption. 
A) decreased insulin resistance. 
B) decreased insulin secretion. 
C) improved use of glucose by the liver. 
D) delayed carbohydrate absorption.

Question 11

Which of the following best describes clients with type 2 diabetes?

Accepted Answer

A) Usually lean 
B) Rapid onset of symptoms 
C) Weight loss needed 
D) Ketosis prone 
A) Usually lean 
B) Rapid onset of symptoms 
C) Weight loss needed 
D) Ketosis prone

Question 12

Which one of the following characteristics is not associated with metabolic syndrome?

Accepted Answer

A) Insulin resistance 
B) Hypertension 
C) Elevated HDL 
D) Elevated triglycerides 
A) Insulin resistance 
B) Hypertension 
C) Elevated HDL 
D) Elevated triglycerides

Question 13

Malia has diabetes and is also ill with a cold.She is having difficulty controlling her blood sugar.Which of the following may be increasing her blood glucose levels?

Accepted Answer

A) Decongestants 
B) Sugar-free cough medicine 
C) Insulin 
D) Vitamin C 
A) Decongestants 
B) Sugar-free cough medicine 
C) Insulin 
D) Vitamin C

Question 14

For a diabetic, overdoses of insulin, strenuous physical activity, skipped meals, and inadequate intake of food can all result in

Accepted Answer

A) hyperglycemia. 
B) hypoglycemia. 
C) dawn phenomenon. 
D) rebound hyperglycemia. 
A) hyperglycemia. 
B) hypoglycemia. 
C) dawn phenomenon. 
D) rebound hyperglycemia.

Question 15

All of the following are factors that interfere with glucose, insulin sensitivity, or pancreatic function except:

Accepted Answer

A) pancreatitis. 
B) cystic fibrosis. 
C) drug or chemical toxicity. 
D) certain infections. 
E) inflammatory bowel disease. 
A) pancreatitis. 
B) cystic fibrosis. 
C) drug or chemical toxicity. 
D) certain infections. 
E) inflammatory bowel disease.

Question 16

_____ is/are the loss of small quantities of urinary protein during the early stages of diabetic nephropathy.

Accepted Answer

A) Polyuria 
B) Glycosuria 
C) Microalbuminuria 
D) Advanced glycation end-products 
A) Polyuria 
B) Glycosuria 
C) Microalbuminuria 
D) Advanced glycation end-products

Question 17

All of the following are associated with diabetic ketosis except

Accepted Answer

A) dehydration. 
B) blood glucose level less than 65 mg/dL. 
C) electrolyte depletion. 
D) deep breathing. 
A) dehydration. 
B) blood glucose level less than 65 mg/dL. 
C) electrolyte depletion. 
D) deep breathing.

Question 18

Alcoholic beverages should be consumed with food when people with diabetes are taking which of the following types of medications?

Accepted Answer

A) Insulin 
B) Medications that stimulate insulin secretion 
C) Aspirin 
D) a and b 
E) a, b and c 
A) Insulin 
B) Medications that stimulate insulin secretion 
C) Aspirin 
D) a and b 
E) a, b and c

Question 19

Glycosylated hemoglobin (AIc) can best be described as a(n)

Accepted Answer

A) by-product of fat metabolism. 
B) reflection of mean blood glucose concentration over two to three months. 
C) end-product of protein metabolism formed in the liver. 
D) summary of hemoglobin rates for type 1 diabetes. 
A) by-product of fat metabolism. 
B) reflection of mean blood glucose concentration over two to three months. 
C) end-product of protein metabolism formed in the liver. 
D) summary of hemoglobin rates for type 1 diabetes.

Question 20

Type 2 diabetes generally develops in children and teens who

Accepted Answer

A) are of Native American descent. 
B) have a family history of diabetes. 
C) are overweight or obese. 
D) all of the above 
A) are of Native American descent. 
B) have a family history of diabetes. 
C) are overweight or obese. 
D) all of the above

Exam 26: Diabetes Mellitus

The prenatal care for women who develop gestational diabetes can include

Although the precise cause of metabolic syndrome is not known, the close relationship between _____ and _____ suggests that obesity is at least partly responsible.

Short-acting insulin begins to act _____ after it is injected.

While you are making rounds at the beginning of the evening shift at 4 p.m., Mrs.Davis complains of feeling dizzy.When taking her pulse, you note that her hand trembles slightly and feels cool and moist.It is most likely that Mrs.Davis is experiencing

Approximately _____ of women who do not have diabetes prior to pregnancy develop gestational diabetes.

If using multiple daily injections to manage type 1 diabetes, ideally _____ insulin is injected to meet basal needs and ____ insulin is used before meals.

The goal of diabetes treatment is an HbA1c value under _____ percent.

Glycosuria usually occurs when blood glucose exceeds

The actions of oral antidiabetic agents include all of the following except:

Which of the following best describes clients with type 2 diabetes?

Which one of the following characteristics is not associated with metabolic syndrome?

Malia has diabetes and is also ill with a cold.She is having difficulty controlling her blood sugar.Which of the following may be increasing her blood glucose levels?

For a diabetic, overdoses of insulin, strenuous physical activity, skipped meals, and inadequate intake of food can all result in

All of the following are factors that interfere with glucose, insulin sensitivity, or pancreatic function except:

_____ is/are the loss of small quantities of urinary protein during the early stages of diabetic nephropathy.

All of the following are associated with diabetic ketosis except

Alcoholic beverages should be consumed with food when people with diabetes are taking which of the following types of medications?

Glycosylated hemoglobin (AIc) can best be described as a(n)

Type 2 diabetes generally develops in children and teens who

An Overview of Nutrition

Planning a Healthy Diet

Digestion, Absorption, and Transport

The Carbohydrates: Sugars, Starches and Fibers

The Lipids: Triglycerides, Phospholipids, and Sterols

Protein: Amino Acids

Metabolism: Transformations and Interactions

Energy Balance and Body Composition

Weight Management: Overweight, Obesity, and Underweight

The Water-Soluble Vitamins: B Vitamins and Vitamin C

The Fat-Soluble Vitamins: A, D, E, and K

Water and the Major Minerals

The Trace Minerals

Life Cycle Nutrition: Pregnancy and Lactation

Life Cycle Nutrition: Infancy, Childhood, and Adolescence

Life Cycle Nutrition: Adulthood and the Later Years

Nutrition Care and Assessment

Nutrition Intervention

Medications, Diet-Drug Interactions, and Herbal Products

Enteral Nutrition Support

Parenteral Nutrition Support

Metabolic and Respiratory Stress

Upper Gastrointestinal Disorders

Lower Gastrointestinal Disorders

Liver Disease and Gallstones

Cardiovascular Diseases

Kidney Diseases

Cancer and Hiv Infection

Filters

Although the precise cause of metabolic syndrome is not known, the close relationship between _ and _ suggests that obesity is at least partly responsible.

If using multiple daily injections to manage type 1 diabetes, ideally _ insulin is injected to meet basal needs and insulin is used before meals.

The goal of diabetes treatment is an HbA_1c value under _____ percent.

Glycosylated hemoglobin (A_Ic) can best be described as a(n)