Lewis's Medical Surgical Nursing 11th Edition Harding Test
Bank
1. Which statement by a nurse to a patient newly diagnosed with
type 2 diabetes is accurate?
a. Insulin is not used to control blood glucose in patients with type 2
dia- betes.
b. Complications of type 2 diabetes are less serious than those of type 1
diabetes.
c. Changes in diet and exercise may control blood glucose levels in type
2 diabetes.
d. Type 2 diabetes is usually diagnosed when a patient is admitted in
hyper- glycemic
coma.: ANS: C
For some patients with type 2 diabetes, changes in lifestyle are
sufficient to achieve blood
glucose control. Insulin is frequently used for type 2 diabetes,
complications are equally
severe 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
yeast infections. DIF: Cognitive Level: Understand (comprehension)
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological
Integrity
2. A patient screened for diabetes at a clinic has a fasting plasma
glucose level of 120 mg/dL
(6.7 mmol/L). What should the nurse plan to teach the patient?
a. Self-monitoring of blood glucose
b. Using low doses of regular insulin
c. Lifestyle changes to lower blood glucose
d. Effects of oral hypoglycemic medications: ANS: C
The patient's impaired fasting glucose indicates prediabetes, and
the patient should 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 blood glucose.
,DIF: Cognitive Level: Apply (application) TOP: Nursing Process:
Planning MSC: NCLEX: Physiological Integrity
3. A 28-yr-old male patient with type 1 diabetes reports how he manages
his exercise and
,glucose control. Which behavior indicates that the nurse should 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.: ANS: D
When the patient is ketotic, exercise may result in an increase in
blood glucose level. Patients
with type 1 diabetes should be taught to avoid exercise when ketosis is
present.
The other
statements are correct.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
4. The nurse is assessing a 22-yr-old patient experiencing the onset
of symptoms of type 1
diabetes. To which question would the nurse anticipate a positive
response?
a. "Are you anorexic?"
b. "Is your urine dark colored?"
c. "Have you lost weight lately?"
d. "Do you crave sugary drinks?": ANS: C
Weight loss occurs because the body is no longer able to absorb
glucose and starts to break
down protein and fat for energy. The patient is thirsty but does not
necessarily crave sugar-containing fluids. Increased appetite is a
classic symptom of type 1 diabetes.
With the
classic symptom of polyuria, urine will be
very dilute. DIF: Cognitive Level: Apply
(application)
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
5. A patient with type 2 diabetes is scheduled for a follow-up visit in the
clinic several months
from now. Which test will the nurse schedule to evaluate the effectiveness
of treatment for the
patient?
, a. Fasting blood glucose
b. Glycosylated hemoglobin
c. Oral glucose tolerance test
d. Urine dipstick for glucose and ketones: ANS: B
Bank
1. Which statement by a nurse to a patient newly diagnosed with
type 2 diabetes is accurate?
a. Insulin is not used to control blood glucose in patients with type 2
dia- betes.
b. Complications of type 2 diabetes are less serious than those of type 1
diabetes.
c. Changes in diet and exercise may control blood glucose levels in type
2 diabetes.
d. Type 2 diabetes is usually diagnosed when a patient is admitted in
hyper- glycemic
coma.: ANS: C
For some patients with type 2 diabetes, changes in lifestyle are
sufficient to achieve blood
glucose control. Insulin is frequently used for type 2 diabetes,
complications are equally
severe 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
yeast infections. DIF: Cognitive Level: Understand (comprehension)
TOP: Nursing Process: Implementation MSC: NCLEX: Physiological
Integrity
2. A patient screened for diabetes at a clinic has a fasting plasma
glucose level of 120 mg/dL
(6.7 mmol/L). What should the nurse plan to teach the patient?
a. Self-monitoring of blood glucose
b. Using low doses of regular insulin
c. Lifestyle changes to lower blood glucose
d. Effects of oral hypoglycemic medications: ANS: C
The patient's impaired fasting glucose indicates prediabetes, and
the patient should 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 blood glucose.
,DIF: Cognitive Level: Apply (application) TOP: Nursing Process:
Planning MSC: NCLEX: Physiological Integrity
3. A 28-yr-old male patient with type 1 diabetes reports how he manages
his exercise and
,glucose control. Which behavior indicates that the nurse should 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.: ANS: D
When the patient is ketotic, exercise may result in an increase in
blood glucose level. Patients
with type 1 diabetes should be taught to avoid exercise when ketosis is
present.
The other
statements are correct.
DIF: Cognitive Level: Apply (application)
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
4. The nurse is assessing a 22-yr-old patient experiencing the onset
of symptoms of type 1
diabetes. To which question would the nurse anticipate a positive
response?
a. "Are you anorexic?"
b. "Is your urine dark colored?"
c. "Have you lost weight lately?"
d. "Do you crave sugary drinks?": ANS: C
Weight loss occurs because the body is no longer able to absorb
glucose and starts to break
down protein and fat for energy. The patient is thirsty but does not
necessarily crave sugar-containing fluids. Increased appetite is a
classic symptom of type 1 diabetes.
With the
classic symptom of polyuria, urine will be
very dilute. DIF: Cognitive Level: Apply
(application)
TOP: Nursing Process: Assessment MSC: NCLEX: Physiological Integrity
5. A patient with type 2 diabetes is scheduled for a follow-up visit in the
clinic several months
from now. Which test will the nurse schedule to evaluate the effectiveness
of treatment for the
patient?
, a. Fasting blood glucose
b. Glycosylated hemoglobin
c. Oral glucose tolerance test
d. Urine dipstick for glucose and ketones: ANS: B
