NURS 346 EXAM 2 (LATES 2026 UPDATE) |QUESTIONS AND
CORRECT DETAILED ANSWERS ALREADY GRADED
A+|LATEST VERSION!!
A patient who was recently diagnosed with type 2 diabetes mellitus
completed a teaching session about disease management. Which
statement by the patient indicates understanding of type 2 diabetes
mellitus?
- I will always be able to manage my diabetes with pills
- As I get older I will be able to decrease my diabetes medicine
- If I become ill, I will need to check my blood sugar more frequently
- As long as I take my medication, I do not have to follow a diet
- Answer - If I become ill, I will need to check my blood sugar more
frequently
Which key factors could be linked with diabetes mellitus type 1?
SATA:
-endogenous insulin is not present in DM
- islet cell antibodies are absent in type 1 DM
- Type 1 DM is more common with people of young age
- resistance of ketosis is found except in conditions of infection or
stress
- Diabetes mellitus type 1 is diagnosed in 5-10% of the total diabetes
cases
- requirement of insulin is mandatory in all the cases of Type 1 DM
- Answer -endogenous insulin is not present in DM
- Type 1 DM is more common with people of young age
- Diabetes mellitus type 1 is diagnosed in 5-10% of the total diabetes
cases
- requirement of insulin is mandatory in all the cases of Type 1 DM
pg. 1
,What will be the drug of choice for a patient who has insulin
resistance?
- Acarbose
- Glimepiride
- Nateglinide
- Pioglitazone - Answer - Pioglitazone
The nurse is evaluating the outcome of patient teaching regarding
aspart insulin. The patient demonstrates an appropriate understanding
when stating:
- This insulin is used to treat the elevated sugar that occurs after meal
intake
- I cannot mix this insulin in the same syringe with any other type of
insulin
- I need to plan my meals well so I can inject in my insulin 30 minutes
before I begin to eat
- The best thing about this type of insulin is I take it at bedtime and it
works for 24 hours
- Answer - This insulin is used to treat the elevated sugar that occurs
after meal intake
Which class of drugs used to treat DM may be referred to as insulins
sensitizers?
- Sulfonylureas
- Thiazolidinediones
- alpha-glucosidase inhibitors
- DPP-4 inhibitors - Answer - Thiazolidinediones
A patient diagnosed with DM is suspected of having insulin
resistance. The nurse identifies that which medication would be most
beneficial for the patient?
pg. 2
,- Glipizide
- Acarbose
- Pioglitazone
- Repanglinide - Answer - Pioglitazone
A patient is prescribed lispro therapy. Related to meal times, when
would the nurse instruct the patient to administer the insulin?
- On an empty stomach, between meals
- Simultaneously with a meal
- within 15 minutes of mealtime
- 30 to 45 minutes before a meal - Answer - within 15 minutes of
mealtime
A patient with Type 2 DM takes oral hypoglycemias and is admitted
to the hospital with a UTI. The patient asks why insulin injections
have been prescribed. What explanation should the nurse provide?
- Insulin acts synergistically with the antibiotic that was prescribed
- Insulin should have been prescribed for the patient to take at home
- Oral hypoglycemic meds are contraindicated in patients with UTIs
- The infection increases the glucose level, resulting in a need for
more insulin
- Answer - The infection increases the glucose level, resulting in a
need for more insulin
The nurse is caring for a patient with central diabetes insipidus. What
does the nurse recognize is a priority focus of care?
- Pacing activities and minimizing fatigue
- Preventing treatment-related hypoglycemia
- Avoiding dehydration and fluid volume deficit
pg. 3
, - decreasing renal responsiveness to ADH - Answer - Avoiding
dehydration and fluid volume deficit
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
- scheduling an appointment for a massage
pg. 4
CORRECT DETAILED ANSWERS ALREADY GRADED
A+|LATEST VERSION!!
A patient who was recently diagnosed with type 2 diabetes mellitus
completed a teaching session about disease management. Which
statement by the patient indicates understanding of type 2 diabetes
mellitus?
- I will always be able to manage my diabetes with pills
- As I get older I will be able to decrease my diabetes medicine
- If I become ill, I will need to check my blood sugar more frequently
- As long as I take my medication, I do not have to follow a diet
- Answer - If I become ill, I will need to check my blood sugar more
frequently
Which key factors could be linked with diabetes mellitus type 1?
SATA:
-endogenous insulin is not present in DM
- islet cell antibodies are absent in type 1 DM
- Type 1 DM is more common with people of young age
- resistance of ketosis is found except in conditions of infection or
stress
- Diabetes mellitus type 1 is diagnosed in 5-10% of the total diabetes
cases
- requirement of insulin is mandatory in all the cases of Type 1 DM
- Answer -endogenous insulin is not present in DM
- Type 1 DM is more common with people of young age
- Diabetes mellitus type 1 is diagnosed in 5-10% of the total diabetes
cases
- requirement of insulin is mandatory in all the cases of Type 1 DM
pg. 1
,What will be the drug of choice for a patient who has insulin
resistance?
- Acarbose
- Glimepiride
- Nateglinide
- Pioglitazone - Answer - Pioglitazone
The nurse is evaluating the outcome of patient teaching regarding
aspart insulin. The patient demonstrates an appropriate understanding
when stating:
- This insulin is used to treat the elevated sugar that occurs after meal
intake
- I cannot mix this insulin in the same syringe with any other type of
insulin
- I need to plan my meals well so I can inject in my insulin 30 minutes
before I begin to eat
- The best thing about this type of insulin is I take it at bedtime and it
works for 24 hours
- Answer - This insulin is used to treat the elevated sugar that occurs
after meal intake
Which class of drugs used to treat DM may be referred to as insulins
sensitizers?
- Sulfonylureas
- Thiazolidinediones
- alpha-glucosidase inhibitors
- DPP-4 inhibitors - Answer - Thiazolidinediones
A patient diagnosed with DM is suspected of having insulin
resistance. The nurse identifies that which medication would be most
beneficial for the patient?
pg. 2
,- Glipizide
- Acarbose
- Pioglitazone
- Repanglinide - Answer - Pioglitazone
A patient is prescribed lispro therapy. Related to meal times, when
would the nurse instruct the patient to administer the insulin?
- On an empty stomach, between meals
- Simultaneously with a meal
- within 15 minutes of mealtime
- 30 to 45 minutes before a meal - Answer - within 15 minutes of
mealtime
A patient with Type 2 DM takes oral hypoglycemias and is admitted
to the hospital with a UTI. The patient asks why insulin injections
have been prescribed. What explanation should the nurse provide?
- Insulin acts synergistically with the antibiotic that was prescribed
- Insulin should have been prescribed for the patient to take at home
- Oral hypoglycemic meds are contraindicated in patients with UTIs
- The infection increases the glucose level, resulting in a need for
more insulin
- Answer - The infection increases the glucose level, resulting in a
need for more insulin
The nurse is caring for a patient with central diabetes insipidus. What
does the nurse recognize is a priority focus of care?
- Pacing activities and minimizing fatigue
- Preventing treatment-related hypoglycemia
- Avoiding dehydration and fluid volume deficit
pg. 3
, - decreasing renal responsiveness to ADH - Answer - Avoiding
dehydration and fluid volume deficit
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
- scheduling an appointment for a massage
pg. 4
