TESTBANK FOR LEWIS MEDICAL SURGICAL NURSING
11TH EDITION BY HARDING ( ALL CHAPTERS 1-68)
LATEST UPDATED EXAMINATION STUDYGUIDE
2023/2024
1. Which statement by a nurse to a patient newly diagnosed with type 2 diabetes is
accurate?
a. Insulin is not used to control blood glucose in patients with type 2 diabetes.
b. Complications of type 2 diabetes are less serious than those of type 1 diabetes.
c. Changes in diet and exercise may control blood glucose levels in type 2 diabetes.
d. Type 2 diabetes is usually diagnosed when a patient is admitted in hyper- glycemic
coma.:
Answer: C
For some patients with type 2 diabetes, changes in lifestyle are suflcient to achieve blood glucose control.
,Insulin is frequently used for type 2 diabetes, complications are equally severe as for type 1 diabetes, and
type 2 diabetes is usually diagnosed with routine laboratory testing or after a patient develops complications
such as frequent yeast infections.
DIF: Cognitive Level: Understand (comprehension)
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
2. A patient screened for diabetes at a clinic has a fasting plasma glucose level of 120
mg/dL
(6.7 mmol/L). What should the nurse plan to teach the patient?
a. Self-monitoring of blood glucose
b. Using low doses of regular insulin
c. Lifestyle changes to lower blood glucose
d. Effects of oral hypoglycemic medications
Answer: C
The patient's impaired fasting glucose indicates prediabetes, and the patient should be counseled about
lifestyle changes to prevent the development of type 2 diabetes. The patient with prediabetes does not
require insulin or oral hypoglycemics for glucose control and does not need to self-monitor blood glucose.
DIF: Cognitive Level: Apply (application) TOP: Nursing Process: Planning MSC:
NCLEX: Physiological Integrity
,3. A 28-yr-old male patient with type 1 diabetes reports how he manages his exercise
and
glucose control. Which behavior indicates that the nurse should implement
, additional teaching?
a. The patient always carries hard candies when engaging in exercise.
b. The patient goes for a vigorous walk when his glucose is 200 mg/dL.
c. The patient has a peanut butter sandwich before going for a bicycle ride.
d. The patient increases daily exercise when ketones are present in the urine.-
Answer: D
When the patient is ketotic, exercise may result in an increase in blood glucose level. Patients with type 1
diabetes should be taught to avoid exercise when ketosis is present. The other statements are correct.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
4. The nurse is assessing a 22-yr-old patient experiencing the onset of symp- toms of
type 1
diabetes. To which question would the nurse anticipate a positive response?
a. "Are you anorexic?"
b. "Is your urine dark colored?"
c. "Have you lost weight lately?"
d. "Do you crave sugary drinks?":
11TH EDITION BY HARDING ( ALL CHAPTERS 1-68)
LATEST UPDATED EXAMINATION STUDYGUIDE
2023/2024
1. Which statement by a nurse to a patient newly diagnosed with type 2 diabetes is
accurate?
a. Insulin is not used to control blood glucose in patients with type 2 diabetes.
b. Complications of type 2 diabetes are less serious than those of type 1 diabetes.
c. Changes in diet and exercise may control blood glucose levels in type 2 diabetes.
d. Type 2 diabetes is usually diagnosed when a patient is admitted in hyper- glycemic
coma.:
Answer: C
For some patients with type 2 diabetes, changes in lifestyle are suflcient to achieve blood glucose control.
,Insulin is frequently used for type 2 diabetes, complications are equally severe as for type 1 diabetes, and
type 2 diabetes is usually diagnosed with routine laboratory testing or after a patient develops complications
such as frequent yeast infections.
DIF: Cognitive Level: Understand (comprehension)
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological Integrity
2. A patient screened for diabetes at a clinic has a fasting plasma glucose level of 120
mg/dL
(6.7 mmol/L). What should the nurse plan to teach the patient?
a. Self-monitoring of blood glucose
b. Using low doses of regular insulin
c. Lifestyle changes to lower blood glucose
d. Effects of oral hypoglycemic medications
Answer: C
The patient's impaired fasting glucose indicates prediabetes, and the patient should be counseled about
lifestyle changes to prevent the development of type 2 diabetes. The patient with prediabetes does not
require insulin or oral hypoglycemics for glucose control and does not need to self-monitor blood glucose.
DIF: Cognitive Level: Apply (application) TOP: Nursing Process: Planning MSC:
NCLEX: Physiological Integrity
,3. A 28-yr-old male patient with type 1 diabetes reports how he manages his exercise
and
glucose control. Which behavior indicates that the nurse should implement
, additional teaching?
a. The patient always carries hard candies when engaging in exercise.
b. The patient goes for a vigorous walk when his glucose is 200 mg/dL.
c. The patient has a peanut butter sandwich before going for a bicycle ride.
d. The patient increases daily exercise when ketones are present in the urine.-
Answer: D
When the patient is ketotic, exercise may result in an increase in blood glucose level. Patients with type 1
diabetes should be taught to avoid exercise when ketosis is present. The other statements are correct.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
4. The nurse is assessing a 22-yr-old patient experiencing the onset of symp- toms of
type 1
diabetes. To which question would the nurse anticipate a positive response?
a. "Are you anorexic?"
b. "Is your urine dark colored?"
c. "Have you lost weight lately?"
d. "Do you crave sugary drinks?":
