Question 1

patient with diabetes is admitted to the hospital with symptoms of headache, sweating, shakiness, confusion, and slurred speech.The nurse recognizes these as symptoms of:

Accepted Answer

A) hypoglycemia. 
B) hyperglycemia. 
C) alcohol intoxication. 
D) ketosis.

Question 2

risk of developing type 2 diabetes is increased by all of the following except:

Accepted Answer

A) abdominal obesity. 
B) aging. 
C) sedentary lifestyle. 
D) hypertension.

Question 3

People with type 2 diabetes are prone to:

Accepted Answer

A) ketosis. 
B) weight loss. 
C) acidosis. 
D) hyperosmolar hyperglycemic syndrome.

Question 4

Describe how glycated hemoglobin is used to evaluate long-term glycemic control.

Accepted Answer

The answer of Describe how glycated hemoglobin is used to...

Question 5

It is appropriate for clients diagnosed with type 2 diabetes to take oral antidiabetic agents and ignore their prescribed diet.

Accepted Answer

A) True 
 B)False

Question 6

major cause of disability among people with diabetes is:

Accepted Answer

A) foot amputation. 
B) hypertension. 
C) hypoglycemia. 
D) foot ulcers.

Question 7

Four months later 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 disease has progressed to:

Accepted Answer

A) type 1 diabetes. 
B) type 2 diabetes. 
C) gestational diabetes. 
D) hyperosmolar hyperglycemic syndrome.

Question 8

mode of action of sulfonylureas is to:

Accepted Answer

A) stimulate insulin secretion by the pancreas. 
B) decrease insulin resistance. 
C) improve glucose utilization. 
D) delay carbohydrate digestion and absorption.

Question 9

12-year-old girl is diagnosed with type 1 diabetes and is placed on insulin.Her mother expresses concern about the ability of her daughter to administer the injections.The nurse reassures the mother that:

Accepted Answer

A) she can't do it wrong. 
B) most children can be taught to administer the insulin they require. 
C) most children aren't afraid of needles. 
D) too much insulin can't hurt her.

Question 10

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.

Question 11

nurse teaches a newly diagnosed diabetic patient to treat an episode of hypoglycemia by:

Accepted Answer

A) eating 15 jelly beans. 
B) drinking a 12-oz.Coke. 
C) eating a candy bar. 
D) sucking slowly on a hard candy.

Question 12

Four months later 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.
-simplest and most flexible approach to teaching Mr.Joiner the principles of the diet for optimal management of his blood glucose level is:

Accepted Answer

A) carbohydrate counting. 
B) exchange lists. 
C) MyPyramid. 
D) a high-protein diet.

Question 13

Which insulin has the quickest onset of action?

Accepted Answer

A) lispro 
B) regular 
C) NPH 
D) glargine

Question 14

diabetic client is placed on a 2500-kcalorie diet with the following distribution of kcalories: 55% carbohydrate, 15% protein, and 30% fat.The nurse recognizes that these percentages translate into:

Accepted Answer

A) 250 grams CHO; 100 grams protein; 75 grams fat. 
B) 343 grams CHO; 94 grams protein; 83 grams fat. 
C) 360 grams CHO; 86 grams protein; 89 grams fat. 
D) 374 grams CHO; 92 grams protein; 81 grams fat.

Question 15

Case Study 
HR Manager with Stroke: Steve Daniels is a 53-year-old male who works as a human resource manager.He is obese (BMI of 34), has a history of hypertension, and has smoked a pack of cigarettes a day for the past 32 years.He recently had an episode in which he experienced weakness on one side, double vision, and slurred speech for approximately 20 minutes.His wife called 911 and he was taken to the emergency room.Examination by emergency room personnel determined his blood pressure to be 172/105.A serum lipid profile was performed and the results were as follows: Triglycerides 250 mg/dL; Total cholesterol 265 mg/dL; LDL 217 mg/dL; HDL 29 mg/dL.The physician diagnosed Mr.Daniels as having had a stroke.
-Prediabetes is diagnosed when a person has a fasting blood glucose level that falls between 100 and 125 mg/dL.

Accepted Answer

A) True 
 B)False

Question 16

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.

Question 17

Which of the following glycated hemoglobin values is normal?

Accepted Answer

A) 6% 
C) >7% 
D) >8%

Question 18

Physical activity has not been shown to aid blood glucose control in people with type 1 diabetes.

Accepted Answer

A) True 
 B)False

Question 19

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

Accepted Answer

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

Question 20

Case Study Questions
Use the following case study to answer questions 
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.
-Joiner's blood glucose level meets the criteria for a diagnosis of:

Accepted Answer

A) type 1 diabetes. 
B) type 2 diabetes. 
C) prediabetes. 
D) ketoacidosis.

Exam 21: Carbohydrate-Controlled Diets for Diabetes Mellitus

patient with diabetes is admitted to the hospital with symptoms of headache, sweating, shakiness, confusion, and slurred speech.The nurse recognizes these as symptoms of:

risk of developing type 2 diabetes is increased by all of the following except:

People with type 2 diabetes are prone to:

Describe how glycated hemoglobin is used to evaluate long-term glycemic control.

It is appropriate for clients diagnosed with type 2 diabetes to take oral antidiabetic agents and ignore their prescribed diet.

major cause of disability among people with diabetes is:

Four months later 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 disease has progressed to:

mode of action of sulfonylureas is to:

12-year-old girl is diagnosed with type 1 diabetes and is placed on insulin.Her mother expresses concern about the ability of her daughter to administer the injections.The nurse reassures the mother that:

Consistent carbohydrate intake:

nurse teaches a newly diagnosed diabetic patient to treat an episode of hypoglycemia by:

Four months later 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. -simplest and most flexible approach to teaching Mr.Joiner the principles of the diet for optimal management of his blood glucose level is:

Which insulin has the quickest onset of action?

diabetic client is placed on a 2500-kcalorie diet with the following distribution of kcalories: 55% carbohydrate, 15% protein, and 30% fat.The nurse recognizes that these percentages translate into:

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:

Which of the following glycated hemoglobin values is normal?

Physical activity has not been shown to aid blood glucose control in people with type 1 diabetes.

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