Question 1

A benefit to using the carbohydrate counting method of education over exchange lists is:

Accepted Answer

A) it is easier to learn. 
B) the portion sizes are larger in the carbohydrate counting method. 
C) a person doesn't have to restrict their fat intake with the carbohydrate counting method. 
D) exchange lists only allow a limited number of foods. 
A) it is easier to learn. 
B) the portion sizes are larger in the carbohydrate counting method. 
C) a person doesn't have to restrict their fat intake with the carbohydrate counting method. 
D) exchange lists only allow a limited number of foods.

Question 2

The frutosamine test is used to determine:

Accepted Answer

A) average blood glucose over the preceding 120 days. 
B) glycemic control for the preceding two weeks. 
C) the level of fructose in the blood. 
D) the presence of ketones in the blood. 
A) average blood glucose over the preceding 120 days. 
B) glycemic control for the preceding two weeks. 
C) the level of fructose in the blood. 
D) the presence of ketones in the blood.

Question 3

The primary defect in type 2 diabetes is autoimmune destruction of the beta cells in the pancreas.

Accepted Answer

A) True 
 B)False

Question 4

Which insulin has the quickest onset of action?

Accepted Answer

A) lispro 
B) regular 
C) lente 
D) ultralente 
A) lispro 
B) regular 
C) lente 
D) ultralente

Question 5

Which food would have the least effect on blood glucose levels?

Accepted Answer

A) fruit juice 
B) whole-grain cereal 
C) biscuit 
D) vanilla wafer 
A) fruit juice 
B) whole-grain cereal 
C) biscuit 
D) vanilla wafer

Question 6

Obesity alone can cause some degree of insulin resistance.

Accepted Answer

A) True 
 B)False

Question 7

Those taking _____ should avoid excessive alcohol intake because it may interact with these drugs to cause lactic acidosis.

Accepted Answer

A) alpha-glucosidase inhibitors 
B) sulfonylureas 
C) thiazolidinediones 
D) biguanides 
A) alpha-glucosidase inhibitors 
B) sulfonylureas 
C) thiazolidinediones 
D) biguanides

Question 8

A disadvantage of intensive therapy for type 1 diabetes is:

Accepted Answer

A) a greater risk of severe hypoglycemia. 
B) greater expense due to lack of insurance reimbursement. 
C) fewer incidences of severe hypoglycemia. 
D) more rapid progression of chronic complications. 
A) a greater risk of severe hypoglycemia. 
B) greater expense due to lack of insurance reimbursement. 
C) fewer incidences of severe hypoglycemia. 
D) more rapid progression of chronic complications.

Question 9

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

Accepted Answer

The answer of What is the "honeymoon period" associated with...

Question 10

Which of the following may help to reduce Mr.Hummel's blood glucose?

Accepted Answer

A) daily physical activity 
B) eating the same amount of carbohydrate daily 
C) lower kcalorie intake 
D) all of the above 
A) daily physical activity 
B) eating the same amount of carbohydrate daily 
C) lower kcalorie intake 
D) all of the above

Question 11

In severe cases of diabetic ketoacidosis, blood glucose levels can exceed 1000 mg/dL.

Accepted Answer

A) True 
 B)False

Question 12

Describe the different methods of insulin delivery.

Accepted Answer

The answer of Describe the different methods of insulin delivery....

Question 13

Close monitoring of glucose levels is especially important for the pregnant woman with diabetes.

Accepted Answer

A) True 
 B)False

Question 14

The nutrient that has the greatest influence on blood glucose levels is:

Accepted Answer

A) protein. 
B) fat. 
C) carbohydrate. 
D) calcium. 
A) protein. 
B) fat. 
C) carbohydrate. 
D) calcium.

Question 15

Which macronutrient distribution is appropriate for Mr.Hummel's daily diet?

Accepted Answer

A) 20-35% kcalories from total fat 
B) 20-35% kcalories from saturated fat 
C) 0% kcalories from refined carbohydrate 
D) 25% kcalories from protein, 7% kcalories from total fat 
A) 20-35% kcalories from total fat 
B) 20-35% kcalories from saturated fat 
C) 0% kcalories from refined carbohydrate 
D) 25% kcalories from protein, 7% kcalories from total fat

Question 16

Consistent carbohydrate intake:

Accepted Answer

A) can be varied as the client desires. 
B) is important for glycemic control. 
C) is only important if a client is overweight. 
D) is only important in the treatment of type 1 diabetes. 
A) can be varied as the client desires. 
B) is important for glycemic control. 
C) is only important if a client is overweight. 
D) is only important in the treatment of type 1 diabetes.

Question 17

Patients diagnosed with diabetes need education in all of the following areas except:

Accepted Answer

A) meal planning. 
B) blood glucose monitoring. 
C) physical activity. 
D) dialysis. 
A) meal planning. 
B) blood glucose monitoring. 
C) physical activity. 
D) dialysis.

Question 18

The diet for diabetes should provide less than _____ milligrams of cholesterol per day.

Accepted Answer

A) 100 
B) 200 
C) 300 
D) 500 
A) 100 
B) 200 
C) 300 
D) 500

Question 19

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. 
A) start by walking 30 minutes a day. 
B) join a gym. 
C) hire a personal trainer. 
D) seek a medical evaluation.

Question 20

A patient with type 1 diabetes calls her physician's office complaining of nausea, vomiting, and diarrhea.The nurse should advise the patient to:

Accepted Answer

A) cease her insulin injections until she can tolerate food. 
B) continue her insulin injections and eat tolerated foods that provide the prescribed amount of carbohydrate. 
C) avoid consuming carbohydrates, but continue her insulin injections. 
D) cease her insulin injections and eat tolerated foods that provide the prescribed amount of carbohydrate. 
A) cease her insulin injections until she can tolerate food. 
B) continue her insulin injections and eat tolerated foods that provide the prescribed amount of carbohydrate. 
C) avoid consuming carbohydrates, but continue her insulin injections. 
D) cease her insulin injections and eat tolerated foods that provide the prescribed amount of carbohydrate.

Exam 20: Nutrition and Diabetes Mellitus

A benefit to using the carbohydrate counting method of education over exchange lists is:

The frutosamine test is used to determine:

The primary defect in type 2 diabetes is autoimmune destruction of the beta cells in the pancreas.

Which insulin has the quickest onset of action?

Which food would have the least effect on blood glucose levels?

Obesity alone can cause some degree of insulin resistance.

Those taking _____ should avoid excessive alcohol intake because it may interact with these drugs to cause lactic acidosis.

A disadvantage of intensive therapy for type 1 diabetes is:

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

Which of the following may help to reduce Mr.Hummel's blood glucose?

In severe cases of diabetic ketoacidosis, blood glucose levels can exceed 1000 mg/dL.

Describe the different methods of insulin delivery.

Close monitoring of glucose levels is especially important for the pregnant woman with diabetes.

The nutrient that has the greatest influence on blood glucose levels is:

Which macronutrient distribution is appropriate for Mr.Hummel's daily diet?

Consistent carbohydrate intake:

Patients diagnosed with diabetes need education in all of the following areas except:

The diet for diabetes should provide less than _____ milligrams of cholesterol per day.

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

A patient with type 1 diabetes calls her physician's office complaining of nausea, vomiting, and diarrhea.The nurse should advise the patient to:

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 Infancy

Nutrition Through the Life Span: 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 Disorders of the Heart and Blood Vessels

Nutrition and Renal Diseases

Nutrition, Cancer, and Hiv Infection

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