NURSING CARE OF PATIENTS WITH DISORDERS OF THE ENDOCRINE
PANCREAS EXAM Q & A WITH REFERENCES
Nursing Care of Patients With Disorders of the Endocrine Pancreas
1) The nurse is providing information to a patient recently diagnosed with type 1 diabetes
mellitus (DM). The patient expresses a desire to understand the disease. Which
information provided by the nurse is accurate?
1. Insulin is released into the gastrointestinal tract to aid in the digestion process.
2. Glucose is carried into cells when glucose transporters are activated in the
membrane.
3. Diabetes is most frequently caused by the inability of the pancreas to release
insulin.
4. Type 1 and type 2 DM are reversible with dietary, weight loss, and
exercise programs.
ANS: 2
Chapter: Chapter 40. Nursing Care of Patients With Disorders of the Endocrine Pancreas
Objective: Describe causes, signs and symptoms, and treatment of high and low blood
glucose levels.
Page: 817
Heading: Pathophysiology and Etiology
Integrated Process: Teaching/Learning
Client Need: Physiological Integrity/Physiological Adaptation
Cognitive Level: Application (Applying)
Concept: Metabolism
Difficulty: Moderate
Feedback
Insulin is destroyed by gastric juices, which is the reason why insulin is not
1 taken orally. The pancreas does release other hormones such as lipase and
amylase to aid in digestion.
When blood glucose (BG) touches a cell membrane, glucose transporters are
,NURSING CARE OF PATIENTS WITH DISORDERS OF THE ENDOCRINE
PANCREAS EXAM Q & A WITH REFERENCES
2 activated and move the glucose into the cell for energy.
The inability of the pancreas to produce insulin is type 1 DM; type 2 DM is the
3 most common. In type 2 DM, the pancreas is able to produce insulin.
Type 2 DM can be reversed with dietary, weight loss, and exercise programs.
4 Type 1 DM is irreversible.
PTS: 1 CON: Metabolism
2) The nurse is evaluating the knowledge of a patient recently diagnosed with type 1 DM.
Which statement by the patient indicates a need for additional information?
1. “My pancreas may have started to attack itself after a childhood viral infection”
2. “I may be genetically prone since diabetes goes back for several generations.”
3. “I will learn to carefully check my BG since I am prone to ketoacidosis.”
4. “I know that I am obese and can reduce my need for insulin with weight loss.”
ANS: 4
,NURSING CARE OF PATIENTS WITH DISORDERS OF THE ENDOCRINE
PANCREAS EXAM Q & A WITH REFERENCES
Chapter: Chapter 40. Nursing Care of Patients With Disorders of the Endocrine Pancreas
Objective: Explain the pathophysiologies of type 1 and type 2 diabetes mellitus.
Page: 817
Heading: Type 1 Diabetes
Integrated Process: Teaching/Learning
Client Need: Pathological Integrity—Reduction of Risk Potential
Cognitive Level: Analysis (Analyzing)
Concept: Metabolism
Difficulty: Moderate
Feedback
When the patient understands that type 1 DM may have been caused by a viral
1 infection, additional teaching is not necessary.
It is a true statement that patients with type 1 DM may be genetically prone to
2 the disease; no additional teaching is necessary.
Patients with type 1 DM are prone to developing ketoacidosis; the patient’s
3 statement is correct and does not require additional teaching.
Type 2 DM can be caused by obesity and may respond positively to weight
4 loss. However, the pancreas of a patient with type 1 DM cannot trigger insulin
production with weight loss.
PTS: 1 CON: Metabolism
3) The nurse is assisting with nutrition teaching for a patient who voices concern over coping
with a diabetic diet. Which response by the nurse about medical nutrition therapy is
correct?
1. “Your diet will be a well-balanced, individualized meal plan that is healthy
for your whole family.”
2. “Sugars and fats need to be avoided, but the dietitian will help you find
acceptable alternatives.”
3. “You will require special foods, but stores now stock a variety of choices
, NURSING CARE OF PATIENTS WITH DISORDERS OF THE ENDOCRINE
PANCREAS EXAM Q & A WITH REFERENCES
for people with diabetes.”
4. “The diet stresses high-protein and low-carbohydrate intake, but people adapt
to the restrictions.”
ANS: 1
Chapter: Chapter 40. Nursing Care of Patients With Disorders of the Endocrine Pancreas
Objective: Identify therapeutic measures to help patients with diabetes mellitus control
blood glucose levels.
Page: 821
Heading: Nutrition Therapy
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: Physiological Integrity—Reduction of Risk Potential
Cognitive Level: Application (Applying)
Concept: Metabolism
Difficulty: Moderate
Feedback
PANCREAS EXAM Q & A WITH REFERENCES
Nursing Care of Patients With Disorders of the Endocrine Pancreas
1) The nurse is providing information to a patient recently diagnosed with type 1 diabetes
mellitus (DM). The patient expresses a desire to understand the disease. Which
information provided by the nurse is accurate?
1. Insulin is released into the gastrointestinal tract to aid in the digestion process.
2. Glucose is carried into cells when glucose transporters are activated in the
membrane.
3. Diabetes is most frequently caused by the inability of the pancreas to release
insulin.
4. Type 1 and type 2 DM are reversible with dietary, weight loss, and
exercise programs.
ANS: 2
Chapter: Chapter 40. Nursing Care of Patients With Disorders of the Endocrine Pancreas
Objective: Describe causes, signs and symptoms, and treatment of high and low blood
glucose levels.
Page: 817
Heading: Pathophysiology and Etiology
Integrated Process: Teaching/Learning
Client Need: Physiological Integrity/Physiological Adaptation
Cognitive Level: Application (Applying)
Concept: Metabolism
Difficulty: Moderate
Feedback
Insulin is destroyed by gastric juices, which is the reason why insulin is not
1 taken orally. The pancreas does release other hormones such as lipase and
amylase to aid in digestion.
When blood glucose (BG) touches a cell membrane, glucose transporters are
,NURSING CARE OF PATIENTS WITH DISORDERS OF THE ENDOCRINE
PANCREAS EXAM Q & A WITH REFERENCES
2 activated and move the glucose into the cell for energy.
The inability of the pancreas to produce insulin is type 1 DM; type 2 DM is the
3 most common. In type 2 DM, the pancreas is able to produce insulin.
Type 2 DM can be reversed with dietary, weight loss, and exercise programs.
4 Type 1 DM is irreversible.
PTS: 1 CON: Metabolism
2) The nurse is evaluating the knowledge of a patient recently diagnosed with type 1 DM.
Which statement by the patient indicates a need for additional information?
1. “My pancreas may have started to attack itself after a childhood viral infection”
2. “I may be genetically prone since diabetes goes back for several generations.”
3. “I will learn to carefully check my BG since I am prone to ketoacidosis.”
4. “I know that I am obese and can reduce my need for insulin with weight loss.”
ANS: 4
,NURSING CARE OF PATIENTS WITH DISORDERS OF THE ENDOCRINE
PANCREAS EXAM Q & A WITH REFERENCES
Chapter: Chapter 40. Nursing Care of Patients With Disorders of the Endocrine Pancreas
Objective: Explain the pathophysiologies of type 1 and type 2 diabetes mellitus.
Page: 817
Heading: Type 1 Diabetes
Integrated Process: Teaching/Learning
Client Need: Pathological Integrity—Reduction of Risk Potential
Cognitive Level: Analysis (Analyzing)
Concept: Metabolism
Difficulty: Moderate
Feedback
When the patient understands that type 1 DM may have been caused by a viral
1 infection, additional teaching is not necessary.
It is a true statement that patients with type 1 DM may be genetically prone to
2 the disease; no additional teaching is necessary.
Patients with type 1 DM are prone to developing ketoacidosis; the patient’s
3 statement is correct and does not require additional teaching.
Type 2 DM can be caused by obesity and may respond positively to weight
4 loss. However, the pancreas of a patient with type 1 DM cannot trigger insulin
production with weight loss.
PTS: 1 CON: Metabolism
3) The nurse is assisting with nutrition teaching for a patient who voices concern over coping
with a diabetic diet. Which response by the nurse about medical nutrition therapy is
correct?
1. “Your diet will be a well-balanced, individualized meal plan that is healthy
for your whole family.”
2. “Sugars and fats need to be avoided, but the dietitian will help you find
acceptable alternatives.”
3. “You will require special foods, but stores now stock a variety of choices
, NURSING CARE OF PATIENTS WITH DISORDERS OF THE ENDOCRINE
PANCREAS EXAM Q & A WITH REFERENCES
for people with diabetes.”
4. “The diet stresses high-protein and low-carbohydrate intake, but people adapt
to the restrictions.”
ANS: 1
Chapter: Chapter 40. Nursing Care of Patients With Disorders of the Endocrine Pancreas
Objective: Identify therapeutic measures to help patients with diabetes mellitus control
blood glucose levels.
Page: 821
Heading: Nutrition Therapy
Integrated Process: Clinical Problem-Solving Process (Nursing Process)
Client Need: Physiological Integrity—Reduction of Risk Potential
Cognitive Level: Application (Applying)
Concept: Metabolism
Difficulty: Moderate
Feedback
