NURS 7950 ATI DM MC Questions 2022.

NURS 7950 ATI DM MC Questions 2022. A nurse is caring for an adolescent client who has a long history of diabetes mellitus and is being admitted to the emergency department confused, flushed, and with an acetone odor on the breath. Diabetic ketoacidosis is suspected. The nurse should anticipate using which of the following types of insulin to treat this client? A. NPH insulin B. Insulin glargine C. Insulin detemir D. Regular insulin 2. A nurse is providing teaching for a client who is newly diagnosed with type 2 diabetes mellitus and has a prescription for glipizide. Which of the following statements by the nurse best describes the action of glipizide? A. "Glipizide absorbs the excess carbohydrates in your system." B. "Glipizide stimulates your pancreas to release insulin." C. "Glipizide replaces insulin that is not being produced by your pancreas." D. "Glipizide prevents your liver from destroying your insulin." 3. A nurse is providing teaching to a client who has a new diagnosis of type 2 diabetes mellitus. The nurse should recognize that the client understands the teaching when he identifies which of the following as manifestations of hypoglycemia? (Select all that apply.) A. Polyuria B. Blurred vision C. Polydipsia D. Tachycardia F. Moist, clammy skin Created on:04/02/2020 Page 1 Diabetes 4-2-20 4. A nurse is caring for a client with diabetes mellitus who is prescribed regular insulin via a sliding scale. After administering the correct dose at 0715, the nurse should ensure the client receives breakfast at which of the following times? A. 0720 B. 0730 C. 0745 D. 0815 5. A nurse is providing dietary teaching to a client who has nephropathy secondary to diabetes mellitus and plans to make dietary adjustments. Which of the following instructions should the nurse include? A. Consume less than 45% of total calories from carbohydrates per day. B. Eat no more than 300 mg of cholesterol per day. C. Consume less than 0.8 g/kg of body weight of protein per day. D. Eat at least 45 g of fiber per day. 6. A nurse is providing dietary teaching for a client who has just learned that she has type 2 diabetes mellitus. The nurse should explain that which of the following sweeteners will add calories to the client’s carbohydrate count? A. Sorbitol B. Sucralose C. Aspartame D. Acesulfame potassium 7. A nurse working for a home health agency is teaching a client who has diabetes mellitus about disease management. Which of the following glycosylated hemoglobin (HbA1c) values should the nurse include in the teaching as an indicator that the client is appropriately controlling his glucose levels? A. 6.3% B. 7.8% C. 8.5% D. 10% Created on:04/02/2020 Page 2 Diabetes 4-2-20 8. A nurse is caring for a client with type 1 diabetes mellitus who reports feeling shaky and having palpitations. When the nurse finds the client’s blood glucose to be 48 mg/dL on the glucometer, he should give the client which of the following? A. Graham crackers B. 1 tsp sugar C. 4 oz diet soda D. 4 oz skim milk 9. A nurse is planning a community diabetes mellitus management program. Which of the following goals should the nurse include for the program? A. Proper foot care will be demonstrated to clients during the program. B. Clients will have a decreased incidence of foot amputations. C. A facility will be reserved for the program. D. Handouts and teaching materials will be distributed at the program. 10.A nurse is assessing a client who has diabetes mellitus and reports foot pain. The nurse should evaluate the client for which of the following alterations as indications that the client has an infection? (Select all that apply.) A. Bradycardia B. An increase in neutrophils C. An increase in RBCs D. An increase in platelets E. Localized edema 11.A nurse is caring for a client who has a new diagnosis of type 1 diabetes mellitus. To focus on effective learning with this client, which of the following interventions should the nurse use? A. Ask the client to perform a return demonstration of insulin injection. B. Review the action of insulin therapy. C. Explore the client's feelings about dietary modifications. D. Have the client practice blood-glucose monitoring using a glucometer. Created on:04/02/2020 Page 3 Diabetes 4-2-20 12.A nurse is caring for a client who has type 1 diabetes mellitus. Which of the following recommendations should the nurse make to the client for a sweetener? A. Corn syrup B. Natural honey C. Nonnutritive sugar substitute D. Guava nectar 13.A nurse is teaching a client who has diabetes about which dietary source should provide the greatest percentage of calories. Which of the following statements indicates the client understands the teaching? A. “Most of my calories each day should be from fats.” B. “I should eat more calories from complex carbohydrates than anything else.” C. “Simple sugars are needed more than other calorie sources.” D. “Protein should be my main source of calories.” 14.A nurse is teaching a client who has diabetes mellitus and receives 25 units of NPH insulin every morning if her blood glucose level is above 200 mg/dL. Which of the following information should the nurse include? A. Discard the NPH solution if it appears cloudy. B. Shake the insulin vigorously before loading the syringe. C. Expect the NPH insulin to peak in 6 to 14 hr. D. Freeze unopened insulin vials.