Question 1

What describes the basic principles of carbohydrate counting to plan a diabetic diet?

Accepted Answer

A)  The patient follows a set schedule of when to eat. 
B)  The patient can have most carbohydrates but must avoid artificial sweeteners. 
C)  The patient can eat when he wants but must only eat certain foods. 
D)  The patient has freedom to choose foods based on preference. 
E)  The patient must count carbohydrates but typically has few limits on fat and protein intake. 
A)  The patient follows a set schedule of when to eat. 
B)  The patient can have most carbohydrates but must avoid artificial sweeteners. 
C)  The patient can eat when he wants but must only eat certain foods. 
D)  The patient has freedom to choose foods based on preference. 
E)  The patient must count carbohydrates but typically has few limits on fat and protein intake. D

Question 2

Nursing Exam Review Multiple Choice A patient with diabetes asks the nurse for ice cream. The nurse is aware that this will count as a carbohydrate portion, and the amount that equals one portion is:

Accepted Answer

A)   1  /4 cup. 
B)   1  /3 cup. 
C)   1  /2 cup. 
D)  1 cup. 
E)  2 cups. 
A)   1  /4 cup. 
B)   1  /3 cup. 
C)   1  /2 cup. 
D)  1 cup. 
E)  2 cups. C

Question 3

Nursing Exam Review Multiple Choice A patient's blood glucose log shows several episodes of hyperglycemia upon rising in the morning. The nurse explains that this is:

Accepted Answer

A)  due to taking too much insulin 
B)  caused by eating too much protein. 
C)  called the dawn phenomenon. 
D)  known as the evening effect. 
E)  normal and needs no treatment. 
A)  due to taking too much insulin 
B)  caused by eating too much protein. 
C)  called the dawn phenomenon. 
D)  known as the evening effect. 
E)  normal and needs no treatment. C

Question 4

Nursing Exam Review Multiple Choice An obese patient with type 2 diabetes wants to begin an exercise program. The nurse recommends that the patient:

Accepted Answer

A)  start by walking 30 minutes a day. 
B)  join a gym. 
C)  hire a personal trainer. 
D)  seek a medical evaluation. 
E)  set a goal, such as training for a marathon. 
A)  start by walking 30 minutes a day. 
B)  join a gym. 
C)  hire a personal trainer. 
D)  seek a medical evaluation. 
E)  set a goal, such as training for a marathon.

Question 5

Nursing Exam Review Multiple Choice The nurse is counseling a young athlete with type 1 diabetes. The nurse knows that the athlete understands the instructions when he verbalizes:

Accepted Answer

A)  "If my blood sugar is below 100 before practice, I should consume some carbohydrate before beginning." 
B)  "I should drink plenty of Gatorade during practice." 
C)  "I don't need to check my blood sugar during practice." 
D)  "I should not eat during practice." 
E)  "I won't eat before, but I should definitely eat after practice." 
A)  "If my blood sugar is below 100 before practice, I should consume some carbohydrate before beginning." 
B)  "I should drink plenty of Gatorade during practice." 
C)  "I don't need to check my blood sugar during practice." 
D)  "I should not eat during practice." 
E)  "I won't eat before, but I should definitely eat after practice."

Question 6

Both the blood and the urine can be checked for the presence of ketones.

Accepted Answer

A) True 
 B)False

Question 7

Jared Joiner is a 56-year-old African American insurance agent. He is single, eats most meals at restaurants, and leads a sedentary lifestyle. He is 5'9" tall and weighs 204 pounds. Mr. Joiner has been feeling particularly fatigued lately and decided to make an appointment with his physician for a check-up. The results of his laboratory tests include a fasting blood glucose level of 121 mg/dL.
How many of his risk factors for type 2 diabetes can Mr. Joiner control?

Accepted Answer

A)  0 
B)  1 
C)  2 
D)  3 
E)  4 
A)  0 
B)  1 
C)  2 
D)  3 
E)  4

Question 8

Development of type 2 diabetes is closely associated with overweight and obesity.

Accepted Answer

A) True 
 B)False

Question 9

Women with gestational diabetes who are overweight or obese should be encouraged to:

Accepted Answer

A)  engage in vigorous exercise. 
B)  adjust carbohydrate intake to less than 45 percent of daily kcalories. 
C)  increase fluid intake to offset additional kcalories. 
D)  limit protein intake to 5 percent of daily kcalories. 
E)  lose weight through kcalorie reduction. 
A)  engage in vigorous exercise. 
B)  adjust carbohydrate intake to less than 45 percent of daily kcalories. 
C)  increase fluid intake to offset additional kcalories. 
D)  limit protein intake to 5 percent of daily kcalories. 
E)  lose weight through kcalorie reduction.

Question 10

Routine checks for microalbuminuria help to determine whether diabetes is affecting the eyes.

Accepted Answer

A) True 
 B)False

Question 11

The progression of metabolic syndrome is worsened by:

Accepted Answer

A)  a sedentary lifestyle. 
B)  a low-carbohydrate diet. 
C)  low blood lipids. 
D)  drug therapy. 
E)  caffeine intake. 
A)  a sedentary lifestyle. 
B)  a low-carbohydrate diet. 
C)  low blood lipids. 
D)  drug therapy. 
E)  caffeine intake.

Question 12

Describe the nutrition therapy for an overweight woman with gestational diabetes.

Accepted Answer

Even mild hyperglycemia in a woman with

Question 13

A patient with diabetes is allowed 60 grams of carbohydrate for lunch. This equals _____ portions of carbohydrate foods.

Accepted Answer

A)  2 
B)  3 
C)  4 
D)  5 
E)  6 
A)  2 
B)  3 
C)  4 
D)  5 
E)  6

Question 14

Nursing Exam Review Multiple Choice Sam is an African-American male who is obese and has a family history of diabetes. The nurse recognizes that Sam has _____ of the major risk factors for type 2 diabetes.

Accepted Answer

A)  0 
B)  1 
C)  2 
D)  3 
E)  4 
A)  0 
B)  1 
C)  2 
D)  3 
E)  4

Question 15

If a person does not produce sufficient insulin, he is more likely to develop:

Accepted Answer

A)  hyperglycemia. 
B)  poor appetite. 
C)  low albumin levels. 
D)  hypoglycemia. 
E)  ketoacidosis. 
A)  hyperglycemia. 
B)  poor appetite. 
C)  low albumin levels. 
D)  hypoglycemia. 
E)  ketoacidosis.

Question 16

Nursing Exam Review Multiple Choice The nurse teaches a newly diagnosed diabetic patient to treat an episode of hypoglycemia by:

Accepted Answer

A)  3 pieces hard candy . 
B)  drinking a 12-oz. soda. 
C)  eating an apple. 
D)  sucking slowly on a hard candy. 
E)  drinking an energy drink. 
A)  3 pieces hard candy . 
B)  drinking a 12-oz. soda. 
C)  eating an apple. 
D)  sucking slowly on a hard candy. 
E)  drinking an energy drink.

Question 17

Nursing Exam Review Multiple Choice An Hispanic pregnant woman is visiting the community clinic for her first prenatal visit. She has a family history of diabetes, she is obese, and her last baby weighed 9 pounds, 8 ounces. The nurse realizes that she is at risk for:

Accepted Answer

A)  poor weight gain. 
B)  gestational diabetes. 
C)  anemia. 
D)  malnutrition. 
E)  preeclampsia. 
A)  poor weight gain. 
B)  gestational diabetes. 
C)  anemia. 
D)  malnutrition. 
E)  preeclampsia.

Question 18

Jared Joiner is a 56-year-old African American insurance agent. He is single, eats most meals at restaurants, and leads a sedentary lifestyle. He is 5'9" tall and weighs 204 pounds. Mr. Joiner has been feeling particularly fatigued lately and decided to make an appointment with his physician for a check-up. The results of his laboratory tests include a fasting blood glucose level of 121 mg/dL.
Four months after his initial exam, Mr. Joiner returns to his physician for a follow-up appointment. He has lost 10 pounds, but his fasting blood glucose level is now 131 mg/dL. Mr. Joiner's prediabetes has progressed to:

Accepted Answer

A)  type 1 diabetes. 
B)  type 2 diabetes. 
C)  gestational diabetes. 
D)  hyperosmolar hyperglycemic syndrome. 
E)  impaired glucose tolerance. 
A)  type 1 diabetes. 
B)  type 2 diabetes. 
C)  gestational diabetes. 
D)  hyperosmolar hyperglycemic syndrome. 
E)  impaired glucose tolerance.

Question 19

Excessive urine production is known as:

Accepted Answer

A)  polydipsia. 
B)  polyuria. 
C)  ketonuria. 
D)  glycosuria. 
E)  polyphagia. 
A)  polydipsia. 
B)  polyuria. 
C)  ketonuria. 
D)  glycosuria. 
E)  polyphagia.

Question 20

What is the "honeymoon period" associated with diabetes treatment?

Accepted Answer

After insulin therapy is initiated, pers

Exam 20: Nutrition and Diabetes Mellitus

What describes the basic principles of carbohydrate counting to plan a diabetic diet?

Nursing Exam Review Multiple Choice A patient with diabetes asks the nurse for ice cream. The nurse is aware that this will count as a carbohydrate portion, and the amount that equals one portion is:

Nursing Exam Review Multiple Choice A patient's blood glucose log shows several episodes of hyperglycemia upon rising in the morning. The nurse explains that this is:

Nursing Exam Review Multiple Choice An obese patient with type 2 diabetes wants to begin an exercise program. The nurse recommends that the patient:

Nursing Exam Review Multiple Choice The nurse is counseling a young athlete with type 1 diabetes. The nurse knows that the athlete understands the instructions when he verbalizes:

Both the blood and the urine can be checked for the presence of ketones.

Development of type 2 diabetes is closely associated with overweight and obesity.

Women with gestational diabetes who are overweight or obese should be encouraged to:

Routine checks for microalbuminuria help to determine whether diabetes is affecting the eyes.

The progression of metabolic syndrome is worsened by:

Describe the nutrition therapy for an overweight woman with gestational diabetes.

A patient with diabetes is allowed 60 grams of carbohydrate for lunch. This equals _____ portions of carbohydrate foods.

Nursing Exam Review Multiple Choice Sam is an African-American male who is obese and has a family history of diabetes. The nurse recognizes that Sam has _____ of the major risk factors for type 2 diabetes.

If a person does not produce sufficient insulin, he is more likely to develop:

Nursing Exam Review Multiple Choice The nurse teaches a newly diagnosed diabetic patient to treat an episode of hypoglycemia by:

Nursing Exam Review Multiple Choice An Hispanic pregnant woman is visiting the community clinic for her first prenatal visit. She has a family history of diabetes, she is obese, and her last baby weighed 9 pounds, 8 ounces. The nurse realizes that she is at risk for:

Excessive urine production is known as:

What is the "honeymoon period" associated with diabetes treatment?

Overview of Nutrition and Health

Digestion and Absorption

Carbohydrates

Lipids

Protein

Energy Balance and Body Composition

Weight Management

The Vitamins

Water and the Minerals

Nutrition Through the Life Span: Pregnancy and Lactation

Nutrition Through the Life Span: Infancy, Childhood, and Adolescence

Nutrition Through the Life Span: Later Adulthood

Nutrition Care and Assessment

Nutrition Intervention and Diet-Drug Interactions

Enteral and Parenteral Nutrition Support

Nutrition in Metabolic and Respiratory Stress

Nutrition and Upper Gastrointestinal Disorders

Nutrition and Lower Gastrointestinal Disorders

Nutrition and Liver Diseases

Nutrition and Cardiovascular Diseases

Nutrition and Renal Diseases

Nutrition, Cancer, and Hiv Infection

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