NUR 257 Exam 3 Practice Questions Newest 2026 Exam
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Insulin binding to its receptor on target cells results in
increased facilitated cellular diffusion of glucose.
In the United States, more than ________ people have diabetes mellitus.
34.2 million
Which are microvascular complications of diabetes mellitus? (Select all that
apply.)
A. Cardiovascular disease
B. Nephropathy
C. Retinopathy
D. Stroke
E. Neuropathy
BC
Diabetic neuropathy is thought to result from
decreased myoinositol transport.
Which therapies would be appropriate for a patient with type 1 diabetes
mellitus? (Select all that apply.)
A. High-protein diet
B. Oral hypoglycemic agents
C. Carbohydrate counting
D. Insulin
E. Daily exercise
CDE
A clinical finding consistent with a hypoglycemic reaction is
tremors.
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________ is the most powerful predictor of developing type 2 diabetes
mellitus.
Obesity
The underlying pathogenic mechanism for type 1 diabetes is
pancreatic β-cell destruction.
How is the principle of substituted judgement defined?
A surrogate makes a decision based on what they believe the person would have
made if they were able to do so.
An older client with Type II Diabetes Mellitus tells a nurse: "I don't know how I
am going to continue with this blood sugar testing. I know it is important, but
the strips are so expensive." The nurse formulates a response based on the
what knowledge?
Diabetic testing supplies are covered by Medicare part B.
What indicator is most helpful in evaluating long-term blood glucose
management in patients with diabetes mellitus?
Glycosylated hemoglobin levels (HbA1c)
The American Diabetes Association recommends a postprandial blood
glucose level of ________ mg/dL for adults with diabetes.
less than 180
In diabetic ketoacidosis, respiratory compensation may occur through a
process of
respiratory alkalosis.
A type of insulin that would be most appropriate for acute management of
hyperglycemia is
regular.
Type 2 diabetes mellitus is often associated with
nonketotic hyperosmolality.
The breakdown of stored glycogen in the liver and muscles is called
glycogenolysis.
When an older adult is considering long-term care insurance (LTCI), which is
an important consideration?
Carefully scrutinize all exclusions before enrolling.
An older client is pronounced brain dead, and the attorney-in-fact or surrogate
named in her POA is opposed to organ donation; the law in the state allows a
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surrogate with a POA to make end-of-life decisions. Although the client failed
to document it, family members state that the client wanted to be an organ
donator. Given the law about a POA, what does the nurse expect the surrogate
to do?
Provide consent.
The underlying pathogenic mechanism for type 2 diabetes is
insulin resistance and β-cell dysfunction.
Which are clinical findings usually associated with type 1 diabetes mellitus?
(Select all that apply.)
Weight gain
A. Polyphagia
B. Polyuria
C. Obesity
D. Polydipsia
E. Weight gain
ABD
Diabetes mellitus is the ________ leading cause of death and a major cause of
disability in the United States.
seventh
An older woman accompanies her husband to the geriatric clinic. The husband
has been diagnosed with Alzheimer's disease and needs maximum assistance
with activities of daily living (ADLs). The wife has made the decision to place
her husband in a long-term care facility as she is no longer able to care for
him. The wife expresses concern about the cost of the long-term care facility
and the worry that all of their funds will be used to pay for the facility leaving
no funds for her own care. The nurse formulates a response based on what
understanding?
Only one half of combined value of household goods is used to determine eligibility
for Medicaid.
The older adult who diagnosed with type 2 diabetes mellitus has a sensory
impairment and unstable blood sugar levels. Which of the following alterations
in sensory function does the nurse address in the plan of care for stabilizing
the blood sugar?
Has difficulty hearing conversations in crowded rooms