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AMS Exam 1 - Confidential


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Current Date and Time: Tue, Sep 24, 2019 @ 19:35:21
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Question #: 1

When the nurse inspects the feet of a diabetic, a tack is found sticking in the sole of one foot. The client denies
feeling anything unusual in the foot. Which is the best rationale for this finding?


A. In diabetes, the autonomic nerves are affected.
B. Motor neuropathy causes muscles to weaken and atrophy.
✓C. High blood sugar decreases blood circulation to nerves.
D. Nephropathy is a common complication of diabetes mellitus.

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Question #: 2

On initial nursing rounds, the diabetic client reports "not feeling well." Later, the nurse finds the client to be
diaphoretic and in a stuporous state. Which is the immediate action taken by the nurse?


A. Call the physician.
✓B. Obtain a glucometer reading.
C. Administer fruit juice.
D. Start an IV of dextrose.

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Question #: 3

A recently widowed diabetic comments that blood sugar levels are running higher than usual. Which is the best
response from the nurse?

, A. "People who eat alone tend to eat more."
B. "Cooking lower carbohydrate meals for one person is a challenge."
✓C. "This must be a stressful time for you."
D. "Quit checking your blood sugars for now."

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Question #: 4

The nurse understands that a client with diabetes mellitus is at greater risk for developing which of the following
complications?


A. High blood pressure
✓B. Urinary tract infections
C. Lifelong obesity
D. Elevated triglycerides

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Question #: 5

Which assessment finding is most important in determining nursing care for a client with diabetes mellitus?


A. Respirations of 12 breaths/minute
B. Cloudy urine
C. Blood sugar 170 mg/dL
✓D. Fruity breath

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Question #: 6

Which of the following would the nurse most likely assess in a client with diabetes who is experiencing autonomic
neuropathy?


A. Skeletal deformities
B. Paresthesias
✓C. Erectile dysfunction
D. Soft tissue ulceration

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Question #: 7

A client with diabetes comes to the clinic for a follow-up visit. The nurse reviews the client's glycosylated
hemoglobin test results. Which result would indicate to the nurse that the client's blood glucose level has been well
controlled?


✓A. 6.5%
B. 7.5%
C. 8.0%
D. 8.5%

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Question #: 8

The nurse is preparing a presentation for a group of adults at a local community center about diabetes. Which of the
following would the nurse include as associated with type 2 diabetes?


A. Onset most common during adolescence
✓B. Insufficient insulin production
C. Less common than type 1 diabetes
D. Little relation to prediabetes

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Question #: 9

A male client, aged 42 years, is diagnosed with diabetes mellitus. He visits the gym regularly and is a vegetarian.
Which of the following factors is important when assessing the client?


✓A. The client's consumption of carbohydrates
B. History of radiographic contrast studies that used iodine
C. The client's mental and emotional status
D. The client's exercise routine

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Question #: 10