Question 1

The nurse is aware that diabetics are prone to infection,which can be attributed to:

Accepted Answer

A) high glucose levels. 
B) atherosclerotic vascular changes. 
C) deficient protein reserve. 
D) inadequacy of blood cell production. 
A) high glucose levels. 
B) atherosclerotic vascular changes. 
C) deficient protein reserve. 
D) inadequacy of blood cell production. B

Question 2

Matching
The nurse associates the type of diabetes with the characteristics that may be seen with the specific disease.Match the type of diabetes with the symptoms that are associated with it.(The options may be used once, more than once, or not at all.)

-Weight loss and exercise can delay onset of diabetes

Accepted Answer

A) Type 1 
B) Type 2 
C) Gestational 
D) Prediabetes 
A) Type 1 
B) Type 2 
C) Gestational 
D) Prediabetes D

Question 3

Matching
The nurse associates the type of diabetes with the characteristics that may be seen with the specific disease.Match the type of diabetes with the symptoms that are associated with it.(The options may be used once, more than once, or not at all.)

-Adult onset

Accepted Answer

A) Type 1 
B) Type 2 
C) Gestational 
D) Prediabetes 
A) Type 1 
B) Type 2 
C) Gestational 
D) Prediabetes B

Question 4

A patient asks the nurse if stress can be a potential cause of type 2 diabetes.What should be included in the response provided by the nurse?

Accepted Answer

A) Stress decreases the number of alpha cells in the pancreas, thus increasing the workload on the beta cells. 
B) Periods of stress cause increases in glycogen production by the adrenal cortex. 
C) Stress is directly associated with decreased insulin tolerance. 
D) The inhibition of beta cells to glucose is increased in periods of stress. 
A) Stress decreases the number of alpha cells in the pancreas, thus increasing the workload on the beta cells. 
B) Periods of stress cause increases in glycogen production by the adrenal cortex. 
C) Stress is directly associated with decreased insulin tolerance. 
D) The inhibition of beta cells to glucose is increased in periods of stress.

Question 5

The nurse is observing a patient administer insulin.Which observation indicates the need for further instruction? (Select all that apply.)

Accepted Answer

A) The patient uses a 90-degree angle to administer the injection. 
B) The patient cleans the injection site with alcohol before the injection. 
C) The patient rubs the injection site after administration of the insulin injection. 
D) The patient draws up the cloudy insulin and then the clear insulin. 
E) The patient shakes the insulin bottle before administration. 
A) The patient uses a 90-degree angle to administer the injection. 
B) The patient cleans the injection site with alcohol before the injection. 
C) The patient rubs the injection site after administration of the insulin injection. 
D) The patient draws up the cloudy insulin and then the clear insulin. 
E) The patient shakes the insulin bottle before administration.

Question 6

Matching
The nurse associates the type of diabetes with the characteristics that may be seen with the specific disease.Match the type of diabetes with the symptoms that are associated with it.(The options may be used once, more than once, or not at all.)

-Little or no endogenous insulin

Accepted Answer

A) Type 1 
B) Type 2 
C) Gestational 
D) Prediabetes 
A) Type 1 
B) Type 2 
C) Gestational 
D) Prediabetes

Question 7

Matching
The nurse associates the type of diabetes with the characteristics that may be seen with the specific disease.Match the type of diabetes with the symptoms that are associated with it.(The options may be used once, more than once, or not at all.)

-Occurs during pregnancy

Accepted Answer

A) Type 1 
B) Type 2 
C) Gestational 
D) Prediabetes 
A) Type 1 
B) Type 2 
C) Gestational 
D) Prediabetes

Question 8

When discussing exercise programs with the diabetic,the nurse should stress that the patient should: (Select all that apply.)

Accepted Answer

A) delay the exercise program until glucose is under control. 
B) check glucose after exercise. 
C) have a quick source of glucose available while exercising. 
D) begin slowly and build up to 30 to 45 minutes. 
E) use abdomen only for injection site for insulin. 
A) delay the exercise program until glucose is under control. 
B) check glucose after exercise. 
C) have a quick source of glucose available while exercising. 
D) begin slowly and build up to 30 to 45 minutes. 
E) use abdomen only for injection site for insulin.

Question 9

The patient takes his NovoLog 70-30 at 7:00 AM.The nurse suggests the best time to schedule exercise would be at:

Accepted Answer

A) 7:30 AM before peak action of insulin. 
B) 10:00 AM at peak action of insulin. 
C) 1:00 PM after peak action of insulin. 
D) any time after injection. 
A) 7:30 AM before peak action of insulin. 
B) 10:00 AM at peak action of insulin. 
C) 1:00 PM after peak action of insulin. 
D) any time after injection.

Question 10

The nurse uses a visual aid to demonstrate that among diabetics,type 2 diabetics comprise up to _____% of all known cases.

Accepted Answer

A) 70 
B) 75 
C) 80 
D) 95 
A) 70 
B) 75 
C) 80 
D) 95

Question 11

The nurse reinforces the American Diabetes Association's recommendation that all people over age 45,especially if overweight,monitor themselves for diabetes by:

Accepted Answer

A) having regularly scheduled fasting blood glucose level testing. 
B) adhering to weight reduction diets. 
C) exercising regularly. 
D) using stress reduction techniques. 
A) having regularly scheduled fasting blood glucose level testing. 
B) adhering to weight reduction diets. 
C) exercising regularly. 
D) using stress reduction techniques.

Question 12

The nurse is caring for a patient who was hospitalized with ketosis.The nurse recognizes that the patient correctly understands the phenomenon when she reports what about the condition?

Accepted Answer

A) "I had taken too much insulin to decrease my body's levels of glucose." 
B) "The condition resulted when my body tried to break down and use my stores of fats." 
C) "When my blood glucose goes over 150 mg/dL, I am at risk for this condition." 
D) "I was exercising too much and had too sharp reductions in my blood glucose level." 
A) "I had taken too much insulin to decrease my body's levels of glucose." 
B) "The condition resulted when my body tried to break down and use my stores of fats." 
C) "When my blood glucose goes over 150 mg/dL, I am at risk for this condition." 
D) "I was exercising too much and had too sharp reductions in my blood glucose level."

Question 13

The nurse recognizes a need for further information when a young woman with gestational diabetes says:

Accepted Answer

A) "Gestational diabetes results from the hormonal changes of pregnancy." 
B) "I will need to exercise regularly and lose weight to reduce my risk of becoming a diabetic." 
C) "I'll be free of diabetes when this baby is born." 
D) "The baby will have to be monitored for hypoglycemia during my pregnancy." 
A) "Gestational diabetes results from the hormonal changes of pregnancy." 
B) "I will need to exercise regularly and lose weight to reduce my risk of becoming a diabetic." 
C) "I'll be free of diabetes when this baby is born." 
D) "The baby will have to be monitored for hypoglycemia during my pregnancy."

Question 14

The nurse would anticipate laboratory values from a patient in ketoacidosis to reveal:

Accepted Answer

A) increased blood urea nitrogen (BUN). 
B) normal or decreased CO2. 
C) increased arterial pH. 
D) decreased glucose. 
A) increased blood urea nitrogen (BUN). 
B) normal or decreased CO2. 
C) increased arterial pH. 
D) decreased glucose.

Question 15

The nurse explains to a newly diagnosed type 1 diabetic that the beta cells can no longer produce adequate insulin because:

Accepted Answer

A) they are inhibited by pituitary disorder. 
B) an allergic response has altered their response to hyperglycemia. 
C) alpha cells have proliferated in the islets of Langerhans. 
D) the body's immune system has destroyed them. 
A) they are inhibited by pituitary disorder. 
B) an allergic response has altered their response to hyperglycemia. 
C) alpha cells have proliferated in the islets of Langerhans. 
D) the body's immune system has destroyed them.

Question 16

The nurse is aware that among the microbiologic factor(s)that may cause diabetes mellitus are: (Select all that apply.)

Accepted Answer

A) hepatitis B. 
B) coxsackievirus. 
C) influenza virus. 
D) chickenpox. 
E) mumps. 
A) hepatitis B. 
B) coxsackievirus. 
C) influenza virus. 
D) chickenpox. 
E) mumps.

Question 17

The patient comes to the emergency room with dry hot skin,fruity breath,and deep respirations and is complaining of abdominal pain.The nurse interprets these signs and symptoms as:

Accepted Answer

A) an insulin reaction. 
B) ketoacidosis. 
C) rebound hyperglycemia. 
D) hypoglycemia. 
A) an insulin reaction. 
B) ketoacidosis. 
C) rebound hyperglycemia. 
D) hypoglycemia.

Question 18

The diet of the diabetic is geared toward adequate nutrition and:

Accepted Answer

A) control of weight. 
B) exclusion of all sweets. 
C) increase in fats for energy. 
D) avoidance of all fast foods. 
A) control of weight. 
B) exclusion of all sweets. 
C) increase in fats for energy. 
D) avoidance of all fast foods.

Question 19

The nurse is reviewing the patient's prescribed insulin regimen.The nurse notes that the physician has ordered a long-lasting insulin.Which medication will best meet this criteria?

Accepted Answer

A) Lantus 
B) NovoLog 
C) Humalog 
D) Regular 
A) Lantus 
B) NovoLog 
C) Humalog 
D) Regular

Question 20

The nurse cautions that the technique of "tight control" of hyperglycemia is not recommended for the older adult because the older adult:

Accepted Answer

A) may not be able to test and administer sliding-scale insulin. 
B) is at a lower risk for hyperglycemia. 
C) is prone to cardiovascular problems resultant from hypoglycemia. 
D) has an unstable metabolic rate. 
A) may not be able to test and administer sliding-scale insulin. 
B) is at a lower risk for hyperglycemia. 
C) is prone to cardiovascular problems resultant from hypoglycemia. 
D) has an unstable metabolic rate.

Exam 38: Care of Patients With Diabetes and Hypoglycemia

The nurse is aware that diabetics are prone to infection,which can be attributed to:

Matching The nurse associates the type of diabetes with the characteristics that may be seen with the specific disease.Match the type of diabetes with the symptoms that are associated with it.(The options may be used once, more than once, or not at all.) -Adult onset

A patient asks the nurse if stress can be a potential cause of type 2 diabetes.What should be included in the response provided by the nurse?

The nurse is observing a patient administer insulin.Which observation indicates the need for further instruction? (Select all that apply.)

Matching The nurse associates the type of diabetes with the characteristics that may be seen with the specific disease.Match the type of diabetes with the symptoms that are associated with it.(The options may be used once, more than once, or not at all.) -Little or no endogenous insulin

Matching The nurse associates the type of diabetes with the characteristics that may be seen with the specific disease.Match the type of diabetes with the symptoms that are associated with it.(The options may be used once, more than once, or not at all.) -Occurs during pregnancy

When discussing exercise programs with the diabetic,the nurse should stress that the patient should: (Select all that apply.)

The patient takes his NovoLog 70-30 at 7:00 AM.The nurse suggests the best time to schedule exercise would be at:

The nurse uses a visual aid to demonstrate that among diabetics,type 2 diabetics comprise up to _____% of all known cases.

The nurse reinforces the American Diabetes Association's recommendation that all people over age 45,especially if overweight,monitor themselves for diabetes by:

The nurse is caring for a patient who was hospitalized with ketosis.The nurse recognizes that the patient correctly understands the phenomenon when she reports what about the condition?

The nurse recognizes a need for further information when a young woman with gestational diabetes says:

The nurse would anticipate laboratory values from a patient in ketoacidosis to reveal:

The nurse explains to a newly diagnosed type 1 diabetic that the beta cells can no longer produce adequate insulin because:

The nurse is aware that among the microbiologic factor(s)that may cause diabetes mellitus are: (Select all that apply.)

The patient comes to the emergency room with dry hot skin,fruity breath,and deep respirations and is complaining of abdominal pain.The nurse interprets these signs and symptoms as:

The diet of the diabetic is geared toward adequate nutrition and:

The nurse is reviewing the patient's prescribed insulin regimen.The nurse notes that the physician has ordered a long-lasting insulin.Which medication will best meet this criteria?

The nurse cautions that the technique of "tight control" of hyperglycemia is not recommended for the older adult because the older adult:

Caring for Medical surgical Patients

Critical Thinking and Nursing Process

Fluid, electrolytes, acid-base Balance, and Intravenous Therapy

Care of Preoperative and Intraoperative Surgical Patients

Care of Postoperative Surgical Patients

Infection Prevention and Control

Care of Patients With Pain

Care of Patients With Cancer

Chronic Illness and Rehabilitation

the Immune and Lymphatic Systems

Care of Patient With Hiv/aids

Care of Patients With Immune and Lymphatic Disorders

the Respiratory System

Care of Patients With Disorders of the Upper Respiratory System

Care of Patients With Disorders of the Lower Respiratory System

the Hematologic System

Care of Patients With Hematologic Disorders

the Cardiovascular System

Care of Patients With Hypertension and Peripheral Vascular Disease

Care of Patients With Cardiac Disorders

Care of Patients With Coronary Artery Disease and Cardiac Surgery

the Neurologic System

Care of Patients With Head and Spinal Cord Injuries

Care of Patients With Disorders of the Brain

Care of Patients With Peripheral Nerve and Degenerative Neurologic Disorders

the Sensory System: Eye and Ear

Care of Patients With Disorders of the Eyes and Ears

the Gastrointestinal System

Care of Patients With Disorders of the Upper Gastrointestinal System

Care of Patients With Disorders of the Lower Gastrointestinal System

Care of Patients With Disorders of the Gallbladder,liver,and Pancreas

the Musculoskeletal System

Care of Patients With Musculoskeletal and Connective Tissue Disorders

the Urinary System

Care of Patients With Disorders of the Urinary System

the Endocrine System

Care of Patients With Pituitary, thyroid, parathyroid, and Adrenal Disorders

Care of Women With Reproductive Disorders

Care of Men With Reproductive Disorders

Care of Patients With Sexually Transmitted Infections

the Integumentary System

Care of Patients With Integumentary Disorders and Burns

Care of Patients in Disasters or Bioterrorism Attack

Care of Patients With Trauma or Shock

Care of Patients With Anxiety, mood, and Eating Disorders

Care of Patients With Substance Abuse Disorders

Care of Patients With Cognitive Disorders

Care of Patients With Thought and Personality Disorders

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