Question 1

Diet plans for patients with diabetes should provide _____ carbohydrate sources.

Accepted Answer

A) low- 
B) high- 
C) consistent 
D) fluctuating 
A) low- 
B) high- 
C) consistent 
D) fluctuating

Question 2

Mrs.Barclay's physician has prescribed regular insulin and NPH for control of her diabetes.Mrs.Barclay is 5'3", weighs 112 lbs., and is an active woman who plays handball three times per week.While preparing her for discharge, the nurse should tell Mrs.Barclay that

Accepted Answer

A) she does not need to eat extra food for exercise as her diet is designed to cover strenuous activity. 
B) she should eat three meals only to cover the action of her insulin. 
C) she could miss one injection if she gets too busy. 
D) if she drinks alcoholic beverages, she is at risk of hypoglycemia. 
A) she does not need to eat extra food for exercise as her diet is designed to cover strenuous activity. 
B) she should eat three meals only to cover the action of her insulin. 
C) she could miss one injection if she gets too busy. 
D) if she drinks alcoholic beverages, she is at risk of hypoglycemia.

Question 3

Acetone breath is a symptom of diabetes due to

Accepted Answer

A) insulin resistance. 
B) ketosis. 
C) hyperglycemia. 
D) gangrene. 
A) insulin resistance. 
B) ketosis. 
C) hyperglycemia. 
D) gangrene.

Question 4

Which of the following statements is true regarding carbohydrate counting?

Accepted Answer

A) You do not need to worry about portion size 
B) Breakfast meats are counted as a carbohydrate 
C) Works well with those patients using intensive insulin therapy 
D) You can eat as much as you want and not gain weight 
A) You do not need to worry about portion size 
B) Breakfast meats are counted as a carbohydrate 
C) Works well with those patients using intensive insulin therapy 
D) You can eat as much as you want and not gain weight

Question 5

Michael Fern is a 21-year-old college student majoring in electrical engineering. His past medical history is unremarkable. He comes back to his family doctor for the second time this month due to symptoms of lethargy, fatigue, weight loss, and frequent thirst and urination.
-The registered dietitian visits with Michael to instruct him on his diabetic diet.She informs him that alcohol _____ his blood glucose.

Accepted Answer

A) may increase 
B) may decrease 
C) has no effect on 
D) a and b 
E) none of the above 
A) may increase 
B) may decrease 
C) has no effect on 
D) a and b 
E) none of the above

Question 6

Which of the following is not a major risk factor for type 2 diabetes?

Accepted Answer

A) Obesity 
B) Older age 
C) Native American ancestry 
D) Physical activity 
A) Obesity 
B) Older age 
C) Native American ancestry 
D) Physical activity

Question 7

The primary defect for type 2 diabetes is

Accepted Answer

A) insulin deficiency. 
B) insulin resistance. 
C) absence of receptor sites for insulin. 
D) beta-cell exhaustion. 
A) insulin deficiency. 
B) insulin resistance. 
C) absence of receptor sites for insulin. 
D) beta-cell exhaustion.

Question 8

Abstention from alcohol is recommended for which of the following?

Accepted Answer

A) All people with diabetes 
B) People with abnormally high triglyceride levels 
C) People with absence of neuropathy 
D) People with abnormally low triglyceride levels 
E) All of the above 
A) All people with diabetes 
B) People with abnormally high triglyceride levels 
C) People with absence of neuropathy 
D) People with abnormally low triglyceride levels 
E) All of the above

Question 9

Type 2 diabetes is not typically associated with _____.

Accepted Answer

A) ketoacidosis 
B) insulin resistance 
C) hyperinsulinemia 
D) hyperosmolar hyperglycemia 
A) ketoacidosis 
B) insulin resistance 
C) hyperinsulinemia 
D) hyperosmolar hyperglycemia

Question 10

People with type 1 diabetes need insulin because they

Accepted Answer

A) have become insulin resistant. 
B) have developed hyperinsulinemia. 
C) no longer synthesize sufficient insulin. 
D) digest insulin with GI enzymes. 
A) have become insulin resistant. 
B) have developed hyperinsulinemia. 
C) no longer synthesize sufficient insulin. 
D) digest insulin with GI enzymes.

Question 11

Type 1 diabetes accounts for _____ of diabetes cases in the United States.

Accepted Answer

A) 5-10% 
B) 10-25% 
C) 50-75% 
D) 90-95% 
A) 5-10% 
B) 10-25% 
C) 50-75% 
D) 90-95%

Question 12

The red blood cell component most commonly used for screening and monitoring diabetes is

Accepted Answer

A) hemoglobin A1c. 
B) heme iron. 
C) heme protein. 
D) none of the above 
A) hemoglobin A1c. 
B) heme iron. 
C) heme protein. 
D) none of the above

Question 13

Diabetic ketoacidosis can develop when blood glucose is greater than

Accepted Answer

A) 250 mg/dL. 
B) 450 mg/dL. 
C) 650 mg/dL. 
D) 700 mg/dL. 
A) 250 mg/dL. 
B) 450 mg/dL. 
C) 650 mg/dL. 
D) 700 mg/dL.

Question 14

Which of the following statements is true?

Accepted Answer

A) Pregnancy increases insulin resistance. 
B) Uncontrolled diabetes in the early stages of pregnancy increases the risk of miscarriage. 
C) Women with gestational diabetes are at high risk of hypotension. 
D) a and b 
E) a, b, and c 
A) Pregnancy increases insulin resistance. 
B) Uncontrolled diabetes in the early stages of pregnancy increases the risk of miscarriage. 
C) Women with gestational diabetes are at high risk of hypotension. 
D) a and b 
E) a, b, and c

Question 15

Martha has a triglycerides level of 350 mg/dL, a waist circumference of 45 inches, a fasting plasma glucose of 100 mg/dL, and an HDL cholesterol level of 35 mg/dL.What is her diagnosis likely to be? (Choose the best answer.)

Accepted Answer

A) Hypertriglyceridemia 
B) Heart disease 
C) Metabolic syndrome 
D) Borderline diabetes 
A) Hypertriglyceridemia 
B) Heart disease 
C) Metabolic syndrome 
D) Borderline diabetes

Exam 26: Diabetes Mellitus

Diet plans for patients with diabetes should provide _____ carbohydrate sources.

Mrs.Barclay's physician has prescribed regular insulin and NPH for control of her diabetes.Mrs.Barclay is 5'3", weighs 112 lbs., and is an active woman who plays handball three times per week.While preparing her for discharge, the nurse should tell Mrs.Barclay that

Acetone breath is a symptom of diabetes due to

Which of the following statements is true regarding carbohydrate counting?

Which of the following is not a major risk factor for type 2 diabetes?

The primary defect for type 2 diabetes is

Abstention from alcohol is recommended for which of the following?

Type 2 diabetes is not typically associated with _____.

People with type 1 diabetes need insulin because they

Type 1 diabetes accounts for _____ of diabetes cases in the United States.

The red blood cell component most commonly used for screening and monitoring diabetes is

Diabetic ketoacidosis can develop when blood glucose is greater than

Which of the following statements is true?

Martha has a triglycerides level of 350 mg/dL, a waist circumference of 45 inches, a fasting plasma glucose of 100 mg/dL, and an HDL cholesterol level of 35 mg/dL.What is her diagnosis likely to be? (Choose the best answer.)

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

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