Lewis Medical Surgical Chapter 53 Diabetes
Exam Newest 2026 Questions and Correct
Detailed Answers Already Graded A+
A patient who has type 1 diabetes plans to swim laps for an hour daily at 1:00 PM.
Which
advice would the clinic nurse plan to give the patient?
a. Increase the morning dose of NPH insulin (Novolin N).
b. Check glucose level before, during, and after swimming.
c. Time the morning insulin injection to peak while swimming.
d. Delay eating the noon meal until after finishing the swimming. - CORRECT
ANSWER-ANS: B
The exercise will affect glucose, and the patient will need to monitor glucose
carefully to
determine the need for changes in diet and insulin administration. Because
exercise tends to
decrease glucose, patients are advised to eat before exercising. Increasing the
morning NPH or
timing the insulin to peak during exercise may lead to hypoglycemia, especially
with the
increased exercise.
,Which statement by the person who has newly diagnosed type 1 diabetes
indicates a need for additional instruction from the nurse?
a. ―I will need a bedtime snack because I take an evening dose of NPH insulin.‖
b. ―I can choose any foods, as long as I use enough insulin to cover the calories.‖
c. ―I can have an occasional beverage with alcohol if I include it in my meal plan.‖
d. ―I will eat something at meal times to prevent hypoglycemia, even if I am not
hungry.‖ - CORRECT ANSWER-ANS: B
Planning to use additional insulin to ―balance out‖ unhealthy diet choices is not
effective for
glucose control or overall health. Patients who are using insulin therapy have
considerable
flexibility in diet choices and can plan occasional alcohol beverages in their diet.
Planning
snacks and meal intake to coordinate with insulin doses indicates good
understanding of the
diet instruction.
Which information provided by a nurse to a patient newly diagnosed with type 2
diabetes is
Accurate?
,a. Insulin is not used to control 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 glucose levels with type 2 diabetes.
d. Type 2 diabetes is usually diagnosed when a patient is admitted in
hyperglycemic
coma. - CORRECT ANSWER-ANS: C
For some patients with type 2 diabetes, changes in lifestyle are sufficient to
achieve glucose
control. Insulin is frequently used for type 2 diabetes, complications are equally
serious 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 infections.
A patient screened for diabetes at a clinic has a fasting plasma glucose level of
120 mg/dL
(6.7 mmol/L). Which information will the nurse plan to teach the patient?
a. Self-monitoring of glucose
b. Using small doses of regular insulin
c. Lifestyle changes to lower the glucose
, d. Effects of oral hypoglycemic medications - CORRECT ANSWER-ANS: C
The patient's impaired fasting glucose indicates prediabetes, and the patient
would 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 glucose.
A 28-yr-old male patient with type 1 diabetes reports how he manages his
exercise and
glucose control. Which behavior indicates a need for the nurse to 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. -
CORRECT ANSWER-ANS: D
When the patient is ketotic, exercise increase the glucose level; persons with type
1 diabetes
Exam Newest 2026 Questions and Correct
Detailed Answers Already Graded A+
A patient who has type 1 diabetes plans to swim laps for an hour daily at 1:00 PM.
Which
advice would the clinic nurse plan to give the patient?
a. Increase the morning dose of NPH insulin (Novolin N).
b. Check glucose level before, during, and after swimming.
c. Time the morning insulin injection to peak while swimming.
d. Delay eating the noon meal until after finishing the swimming. - CORRECT
ANSWER-ANS: B
The exercise will affect glucose, and the patient will need to monitor glucose
carefully to
determine the need for changes in diet and insulin administration. Because
exercise tends to
decrease glucose, patients are advised to eat before exercising. Increasing the
morning NPH or
timing the insulin to peak during exercise may lead to hypoglycemia, especially
with the
increased exercise.
,Which statement by the person who has newly diagnosed type 1 diabetes
indicates a need for additional instruction from the nurse?
a. ―I will need a bedtime snack because I take an evening dose of NPH insulin.‖
b. ―I can choose any foods, as long as I use enough insulin to cover the calories.‖
c. ―I can have an occasional beverage with alcohol if I include it in my meal plan.‖
d. ―I will eat something at meal times to prevent hypoglycemia, even if I am not
hungry.‖ - CORRECT ANSWER-ANS: B
Planning to use additional insulin to ―balance out‖ unhealthy diet choices is not
effective for
glucose control or overall health. Patients who are using insulin therapy have
considerable
flexibility in diet choices and can plan occasional alcohol beverages in their diet.
Planning
snacks and meal intake to coordinate with insulin doses indicates good
understanding of the
diet instruction.
Which information provided by a nurse to a patient newly diagnosed with type 2
diabetes is
Accurate?
,a. Insulin is not used to control 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 glucose levels with type 2 diabetes.
d. Type 2 diabetes is usually diagnosed when a patient is admitted in
hyperglycemic
coma. - CORRECT ANSWER-ANS: C
For some patients with type 2 diabetes, changes in lifestyle are sufficient to
achieve glucose
control. Insulin is frequently used for type 2 diabetes, complications are equally
serious 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 infections.
A patient screened for diabetes at a clinic has a fasting plasma glucose level of
120 mg/dL
(6.7 mmol/L). Which information will the nurse plan to teach the patient?
a. Self-monitoring of glucose
b. Using small doses of regular insulin
c. Lifestyle changes to lower the glucose
, d. Effects of oral hypoglycemic medications - CORRECT ANSWER-ANS: C
The patient's impaired fasting glucose indicates prediabetes, and the patient
would 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 glucose.
A 28-yr-old male patient with type 1 diabetes reports how he manages his
exercise and
glucose control. Which behavior indicates a need for the nurse to 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. -
CORRECT ANSWER-ANS: D
When the patient is ketotic, exercise increase the glucose level; persons with type
1 diabetes
