2026 EXAM 2 NURS 346/NURS346 QUESTIONS AND
CORRECT DETAILED ANSWERS ALREADY GRADED
A+|LATEST 2026 VERSION!!
The nurse is teaching care guidelines to the parent of a child with
hypothyroidism. During the follow-up visit, the nurse suspects that
the child may be receiving ineffective treatment. Which action of the
parent supports the nurse's decision?
- The parent is giving the child fiber-rich food
- the parent gives the child a thyroid supplement after meals
- the mother gives the child a thyroid supplement each morning
- the mother encourages the child to increase activity and exercise
- Answer - the parent gives the child a thyroid supplement after meals
The nurse is assessing a patient for hyperthyroidism. What are the
manifestations of hyperthyroidism? SALA
- enlarged scaly tongue
- presence of bruits upon auscultation of the thyroid gland
- presence of dry, thick, inelastic and cold skin
- presence of goiter detected on palpation of the thyroid gland
- presence of clubbed and swollen fingers
- Answer - presence of bruits upon auscultation of the thyroid gland
- presence of goiter detected on palpation of the thyroid gland
- presence of clubbed and swollen fingers
A patient is diagnosed with diabetes mellitus. The nurse recognizes
that which coping strategies used by the patient indicate problem-
focused coping? SATA:
- Including exercise in the daily routine
- searching for information about diabetes
pg. 1
,- scheduling an appointment for a massage
- enrolling for a diabetes education program
- expressing concerns about diabetes with friends
- Answer - Including exercise in the daily routine
- searching for information about diabetes
- enrolling for a diabetes education program
While reviewing the lab reports of a patient with Type 2 Diabetes
mellitus, the nurse concludes that the patient has high risk for
macrovascular complications. Which finding supports the nurse's
conclusion?
- The patient has triglycerides of 137 mg/dL
- The patient has blood pressure of 130/80 mmHg
- The patient has HDL of 45 mg/dL
- The patient has LDL of 120 mg/Dl
- Answer - The patient has LDL of 120 mg/dL
A patient, admitted with Type 1 diabetes, asks the nurse what "type 1"
means. What is the nurse's best response?
- There is decreased insulin secretion, cellular resistance to insulin
that is produced, or both.
- An increased amount of adipose tissue has led to an insufficient
amount of insulin being produced.
- The body produce autoantibodies that destroy beta cells in the
pancreas
- The insulin being made is not used by the tissues properly, leading to
high blood sugar
- Answer - The body produces autoantibodies that destroy beta cells
in the pancreas
pg. 2
,A patient who had been diagnosed with pre-diabetes six months ago is
following up in the outpatient diabetes clinic. The nurse is reviewing
the assessment data and understands the nest reflection of good
management of this condition is what?
- A 20 pound weight loss
- Hemoglobin A1C of 5.5%
- Reduction of total cholesterol to 200 mg/dL
- Decrease in polyuria, polydipsia, and polyphagia
- Answer - Hemoglobin A1C of 5.5%
Which persons are the most suited for diabetes screening? SATA:
- A person with HTN
- A person who is physically inactive
- A person with polycystic ovarian syndrome
- A person who delivered a baby weighing 9 lbs
- A person whose BMI is 25 kg/m
- Answer - A person with HTN
- A person who is physically inactive
- A person with polycystic ovarian syndrome
To demonstrate an understanding of Somogyi effect, the nurse
correctly identifies which defining characteristics? SATA:
- Documented morning hyperglycemia
- Caused by not rotating injection sites
- May be avoided by consuming a bedtime snack
- Treatment is a lower dose of insulin in the evening
- Documented hypoglycemia between 2:00 AM and 4:00 AM
- Requires an adjustment of administration time of evening insulin
pg. 3
, - Answer - Documented morning hyperglycemia
- May be avoided by consuming a bedtime snack
- Treatment is a lower dose of insulin in the evening
- Documented hypoglycemia between 2:00 AM and 4:00 AM
Which statements best describe glargine? SATA:
- There is no pronounced peak action time
- It should be administered subcutaneously
- It should be administered orally with food and water each morning
- It should be diluted or mixed with other insulin or solutions in the
same syringe
- If it does not achieved glycemic goals, the administrator of a
mealtime insulin may be required
- Answer - There is no pronounced peak action time
- It should be administered subcutaneously
- If it does not achieved glycemic goals, the administrator of a
mealtime insulin may be required
The nurse is discussing a healthy eating plan for a patient with
diabetes. Which should the nurse include in the teaching about
diabetes and diet?
- avoid nonnutritive sweeteners
- consume a high protein diet for weight loss
- if ingesting alcohol, also consume carbs
- Include 50-60 g/day of dietary fiber
- Answer - if ingesting alcohol, also consume carbs
The nurse is preparing to administer levothyroxine to a patient newly
diagnosed with hypothyroidism. The patient's resting heart rate is 100.
Which initial action should the nurse take?
pg. 4
CORRECT DETAILED ANSWERS ALREADY GRADED
A+|LATEST 2026 VERSION!!
The nurse is teaching care guidelines to the parent of a child with
hypothyroidism. During the follow-up visit, the nurse suspects that
the child may be receiving ineffective treatment. Which action of the
parent supports the nurse's decision?
- The parent is giving the child fiber-rich food
- the parent gives the child a thyroid supplement after meals
- the mother gives the child a thyroid supplement each morning
- the mother encourages the child to increase activity and exercise
- Answer - the parent gives the child a thyroid supplement after meals
The nurse is assessing a patient for hyperthyroidism. What are the
manifestations of hyperthyroidism? SALA
- enlarged scaly tongue
- presence of bruits upon auscultation of the thyroid gland
- presence of dry, thick, inelastic and cold skin
- presence of goiter detected on palpation of the thyroid gland
- presence of clubbed and swollen fingers
- Answer - presence of bruits upon auscultation of the thyroid gland
- presence of goiter detected on palpation of the thyroid gland
- presence of clubbed and swollen fingers
A patient is diagnosed with diabetes mellitus. The nurse recognizes
that which coping strategies used by the patient indicate problem-
focused coping? SATA:
- Including exercise in the daily routine
- searching for information about diabetes
pg. 1
,- scheduling an appointment for a massage
- enrolling for a diabetes education program
- expressing concerns about diabetes with friends
- Answer - Including exercise in the daily routine
- searching for information about diabetes
- enrolling for a diabetes education program
While reviewing the lab reports of a patient with Type 2 Diabetes
mellitus, the nurse concludes that the patient has high risk for
macrovascular complications. Which finding supports the nurse's
conclusion?
- The patient has triglycerides of 137 mg/dL
- The patient has blood pressure of 130/80 mmHg
- The patient has HDL of 45 mg/dL
- The patient has LDL of 120 mg/Dl
- Answer - The patient has LDL of 120 mg/dL
A patient, admitted with Type 1 diabetes, asks the nurse what "type 1"
means. What is the nurse's best response?
- There is decreased insulin secretion, cellular resistance to insulin
that is produced, or both.
- An increased amount of adipose tissue has led to an insufficient
amount of insulin being produced.
- The body produce autoantibodies that destroy beta cells in the
pancreas
- The insulin being made is not used by the tissues properly, leading to
high blood sugar
- Answer - The body produces autoantibodies that destroy beta cells
in the pancreas
pg. 2
,A patient who had been diagnosed with pre-diabetes six months ago is
following up in the outpatient diabetes clinic. The nurse is reviewing
the assessment data and understands the nest reflection of good
management of this condition is what?
- A 20 pound weight loss
- Hemoglobin A1C of 5.5%
- Reduction of total cholesterol to 200 mg/dL
- Decrease in polyuria, polydipsia, and polyphagia
- Answer - Hemoglobin A1C of 5.5%
Which persons are the most suited for diabetes screening? SATA:
- A person with HTN
- A person who is physically inactive
- A person with polycystic ovarian syndrome
- A person who delivered a baby weighing 9 lbs
- A person whose BMI is 25 kg/m
- Answer - A person with HTN
- A person who is physically inactive
- A person with polycystic ovarian syndrome
To demonstrate an understanding of Somogyi effect, the nurse
correctly identifies which defining characteristics? SATA:
- Documented morning hyperglycemia
- Caused by not rotating injection sites
- May be avoided by consuming a bedtime snack
- Treatment is a lower dose of insulin in the evening
- Documented hypoglycemia between 2:00 AM and 4:00 AM
- Requires an adjustment of administration time of evening insulin
pg. 3
, - Answer - Documented morning hyperglycemia
- May be avoided by consuming a bedtime snack
- Treatment is a lower dose of insulin in the evening
- Documented hypoglycemia between 2:00 AM and 4:00 AM
Which statements best describe glargine? SATA:
- There is no pronounced peak action time
- It should be administered subcutaneously
- It should be administered orally with food and water each morning
- It should be diluted or mixed with other insulin or solutions in the
same syringe
- If it does not achieved glycemic goals, the administrator of a
mealtime insulin may be required
- Answer - There is no pronounced peak action time
- It should be administered subcutaneously
- If it does not achieved glycemic goals, the administrator of a
mealtime insulin may be required
The nurse is discussing a healthy eating plan for a patient with
diabetes. Which should the nurse include in the teaching about
diabetes and diet?
- avoid nonnutritive sweeteners
- consume a high protein diet for weight loss
- if ingesting alcohol, also consume carbs
- Include 50-60 g/day of dietary fiber
- Answer - if ingesting alcohol, also consume carbs
The nurse is preparing to administer levothyroxine to a patient newly
diagnosed with hypothyroidism. The patient's resting heart rate is 100.
Which initial action should the nurse take?
pg. 4
