MCA 1 EXAM 1– Questions With Appropriate
Solutions
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Terms in this set (137)
Which statement by a nurse to a b. Changes in diet and exercise may control blood
patient newly diagnosed with type 2 glucose levels in type 2 diabetes.
diabetes is correct?
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 the patient is admitted with a
hyperglycemic coma.
,A 48-year-old male patient screened c.
for diabetes at a clinic has a fasting lifestyle changes to lower blood glucose.
plasma glucose level of 120 mg/dL (6.7
mmol/L). The nurse will plan to teach
the patient about
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.
3. A 28-year-old male patient with d.
type 1 diabetes reports how he The patient increases daily exercise when ketones
manages his exercise and glucose are present in the urine.
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.
,The nurse is assessing a 22-year-old c.
patient experiencing the onset of "Have you lost weight lately?"
symptoms of type 1 diabetes. Which
question is most appropriate for the
nurse to ask?
a.
"Are you anorexic?"
b.
"Is your urine dark colored?"
c.
"Have you lost weight lately?"
d.
"Do you crave sugary drinks?"
A patient with type 2 diabetes is d.
scheduled for a follow-up visit in the Glycosylated hemoglobin level
clinic several months from now. Which
test will the nurse schedule to
evaluate the effectiveness of
treatment for the patient?
a.
Urine dipstick for glucose
b.
Oral glucose tolerance test
c.
Fasting blood glucose level
d.
Glycosylated hemoglobin level
, 6. A 55-year-old female patient with a.
type 2 diabetes has a nursing The patient will reach a glycosylated hemoglobin
diagnosis of imbalanced nutrition: level of less than 7%.
more than body requirements. Which
goal is most important for this patient?
a.
The patient will reach a glycosylated
hemoglobin level of less than 7%.
b.
The patient will follow a diet and
exercise plan that results in weight
loss.
c.
The patient will choose a diet that
distributes calories throughout the
day.
d.
The patient will state the reasons for
eliminating simple sugars in the diet.
A 38-year-old patient who has type 1 a.
diabetes plans to swim laps daily at check glucose level before, during, and after
1:00 PM. The clinic nurse will plan to swimming.
teach the patient to
a.
check glucose level before, during,
and after swimming.
b.
delay eating the noon meal until after
the swimming class.
c.
increase the morning dose of neutral
protamine Hagedorn (NPH) insulin.
d.
time the morning insulin injection so
that the peak occurs while swimming.
Solutions
Save
Terms in this set (137)
Which statement by a nurse to a b. Changes in diet and exercise may control blood
patient newly diagnosed with type 2 glucose levels in type 2 diabetes.
diabetes is correct?
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 the patient is admitted with a
hyperglycemic coma.
,A 48-year-old male patient screened c.
for diabetes at a clinic has a fasting lifestyle changes to lower blood glucose.
plasma glucose level of 120 mg/dL (6.7
mmol/L). The nurse will plan to teach
the patient about
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.
3. A 28-year-old male patient with d.
type 1 diabetes reports how he The patient increases daily exercise when ketones
manages his exercise and glucose are present in the urine.
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.
,The nurse is assessing a 22-year-old c.
patient experiencing the onset of "Have you lost weight lately?"
symptoms of type 1 diabetes. Which
question is most appropriate for the
nurse to ask?
a.
"Are you anorexic?"
b.
"Is your urine dark colored?"
c.
"Have you lost weight lately?"
d.
"Do you crave sugary drinks?"
A patient with type 2 diabetes is d.
scheduled for a follow-up visit in the Glycosylated hemoglobin level
clinic several months from now. Which
test will the nurse schedule to
evaluate the effectiveness of
treatment for the patient?
a.
Urine dipstick for glucose
b.
Oral glucose tolerance test
c.
Fasting blood glucose level
d.
Glycosylated hemoglobin level
, 6. A 55-year-old female patient with a.
type 2 diabetes has a nursing The patient will reach a glycosylated hemoglobin
diagnosis of imbalanced nutrition: level of less than 7%.
more than body requirements. Which
goal is most important for this patient?
a.
The patient will reach a glycosylated
hemoglobin level of less than 7%.
b.
The patient will follow a diet and
exercise plan that results in weight
loss.
c.
The patient will choose a diet that
distributes calories throughout the
day.
d.
The patient will state the reasons for
eliminating simple sugars in the diet.
A 38-year-old patient who has type 1 a.
diabetes plans to swim laps daily at check glucose level before, during, and after
1:00 PM. The clinic nurse will plan to swimming.
teach the patient to
a.
check glucose level before, during,
and after swimming.
b.
delay eating the noon meal until after
the swimming class.
c.
increase the morning dose of neutral
protamine Hagedorn (NPH) insulin.
d.
time the morning insulin injection so
that the peak occurs while swimming.
