NUR 1002 Chapter 51 QUESTIONS&ANSWERS
TESTED AND VERIFIED 100% CORRECT
SATISFACTORY ELABORATIONS GRADED A+
1.A patient with type 1 diabetes has told the nurse that his most recent urine
test for ketones was positive. What is the nurse's most plausible conclusion
based on this assessment finding?
A) The patient should withhold his next scheduled dose of insulin.
B) The patient should promptly eat some protein and carbohydrates.
C) The patient's insulin levels are inadequate.
D) The patient would benefit from a dose of metformin
(Glucophage). Ans: C
Feedback:
Ketones in the urine signal that there is a deficiency of insulin and that
control of type 1 diabetes is deteriorating. Withholding insulin or eating
food would exacerbate the patient's ketonuria.
Metformin will not cause short-term resolution of hyperglycemia.
2.A patient presents to the clinic complaining of symptoms that suggest
diabetes. What criteria would support checking blood levels for the
diagnosis of diabetes?
A) Fasting plasma glucose greater than or equal to 126 mg/dL
B) Random plasma glucose greater than 150 mg/dL
C) Fasting plasma glucose greater than 116 mg/dL on 2 separate occasions
D) Random plasma glucose greater than 126 mg/dL
Ans: A
Feedback:
Criteria for the diagnosis of diabetes include symptoms of diabetes plus
random plasma glucose greater than or equal to 200 mg/dL, or a fasting
plasma glucose greater than or equal to 126 mg/dL.
3.A patient newly diagnosed with type 2 diabetes is attending a
nutrition class. What general guideline would be important to teach
NUR 1002 Chapter 51 QUESTIONS&ANSWERS
TESTED AND VERIFIED 100% CORRECT
SATISFACTORY ELABORATIONS GRADED A+
,NUR 1002 Chapter 51 QUESTIONS&ANSWERS
TESTED AND VERIFIED 100% CORRECT
SATISFACTORY ELABORATIONS GRADED A+
the patients at this class?
A) Low fat generally indicates low sugar.
B) Protein should constitute 30% to 40% of caloric intake.
C) Most calories should be derived from carbohydrates.
D) Animal fats should be eliminated from the diet.
Ans: C
Feedback:
Currently, the ADA and the Academy of Nutrition and Dietetics (formerly
the American Dietetic Association) recommend that for all levels of caloric
intake, 50% to 60% of calories should be derived from carbohydrates, 20%
to 30% from fat, and the remaining 10% to 20% from protein.Low fat does
not automatically mean low sugar. Dietary animal fat does not need to be
eliminated from the diet.
4.A nurse is providing health education to an adolescent newly diagnosed
with type 1 diabetes mellitus and her family. The nurse teaches the
patient and family that which of the following nonpharmacologic
measures will decrease the body's need for insulin?
A) Adequate sleep
B) Low stimulation
C) Exercise
D) Low-fat diet
Ans: C
Feedback:
Exercise lowers blood glucose, increases levels of HDLs, and decreases
total cholesterol and triglyceride levels. Low fat intake and low levels of
stimulation do not reduce a patient's need for insulin. Adequate sleep is
beneficial in reducing stress, but does not have an effect that is pronounced
as that of exercise.
NUR 1002 Chapter 51 QUESTIONS&ANSWERS
TESTED AND VERIFIED 100% CORRECT
SATISFACTORY ELABORATIONS GRADED A+
, NUR 1002 Chapter 51 QUESTIONS&ANSWERS
TESTED AND VERIFIED 100% CORRECT
SATISFACTORY ELABORATIONS GRADED A+
5.A medical nurse is caring for a patient with type 1 diabetes. The patient's
medication administration record includes the administration of regular
insulin three times daily. Knowing that the patient's lunch tray will arrive at
11:45, when should the nurse administer the patient's insulin?
A) 10:45
B) 11:15
C) 11:45
D) 11:50
Ans: B
Feedback:
Regular insulin is usually administered 20–30 min before a meal. Earlier
administration creates a risk for hypoglycemia; later administration creates a
risk for hyperglycemia.
6.A patient has just been diagnosed with type 2 diabetes. The physician has
prescribed an oral antidiabetic agent that will inhibit the production of
glucose by the liver and thereby aid in the control of blood glucose. What
type of oral antidiabetic agent did the physician prescribe for this patient?
A) A sulfonylurea
B) A biguanide
C) A thiazolidinedione
D) An alpha glucosidase inhibitor
Ans: B
Feedback:
Sulfonylureas exert their primary action by directly stimulating the
pancreas to secrete insulin and therefore require a functioning pancreas to
be effective. Biguanides inhibit the production of glucose by the liver and
are in used in type 2 diabetes to control blood glucose levels.
Thiazolidinediones enhance insulin action at the receptor site without
increasing insulin secretion from the beta cells of the pancreas. Alpha
glucosidase inhibitors work by delaying the absorption of glucose in the
NUR 1002 Chapter 51 QUESTIONS&ANSWERS
TESTED AND VERIFIED 100% CORRECT
SATISFACTORY ELABORATIONS GRADED A+
TESTED AND VERIFIED 100% CORRECT
SATISFACTORY ELABORATIONS GRADED A+
1.A patient with type 1 diabetes has told the nurse that his most recent urine
test for ketones was positive. What is the nurse's most plausible conclusion
based on this assessment finding?
A) The patient should withhold his next scheduled dose of insulin.
B) The patient should promptly eat some protein and carbohydrates.
C) The patient's insulin levels are inadequate.
D) The patient would benefit from a dose of metformin
(Glucophage). Ans: C
Feedback:
Ketones in the urine signal that there is a deficiency of insulin and that
control of type 1 diabetes is deteriorating. Withholding insulin or eating
food would exacerbate the patient's ketonuria.
Metformin will not cause short-term resolution of hyperglycemia.
2.A patient presents to the clinic complaining of symptoms that suggest
diabetes. What criteria would support checking blood levels for the
diagnosis of diabetes?
A) Fasting plasma glucose greater than or equal to 126 mg/dL
B) Random plasma glucose greater than 150 mg/dL
C) Fasting plasma glucose greater than 116 mg/dL on 2 separate occasions
D) Random plasma glucose greater than 126 mg/dL
Ans: A
Feedback:
Criteria for the diagnosis of diabetes include symptoms of diabetes plus
random plasma glucose greater than or equal to 200 mg/dL, or a fasting
plasma glucose greater than or equal to 126 mg/dL.
3.A patient newly diagnosed with type 2 diabetes is attending a
nutrition class. What general guideline would be important to teach
NUR 1002 Chapter 51 QUESTIONS&ANSWERS
TESTED AND VERIFIED 100% CORRECT
SATISFACTORY ELABORATIONS GRADED A+
,NUR 1002 Chapter 51 QUESTIONS&ANSWERS
TESTED AND VERIFIED 100% CORRECT
SATISFACTORY ELABORATIONS GRADED A+
the patients at this class?
A) Low fat generally indicates low sugar.
B) Protein should constitute 30% to 40% of caloric intake.
C) Most calories should be derived from carbohydrates.
D) Animal fats should be eliminated from the diet.
Ans: C
Feedback:
Currently, the ADA and the Academy of Nutrition and Dietetics (formerly
the American Dietetic Association) recommend that for all levels of caloric
intake, 50% to 60% of calories should be derived from carbohydrates, 20%
to 30% from fat, and the remaining 10% to 20% from protein.Low fat does
not automatically mean low sugar. Dietary animal fat does not need to be
eliminated from the diet.
4.A nurse is providing health education to an adolescent newly diagnosed
with type 1 diabetes mellitus and her family. The nurse teaches the
patient and family that which of the following nonpharmacologic
measures will decrease the body's need for insulin?
A) Adequate sleep
B) Low stimulation
C) Exercise
D) Low-fat diet
Ans: C
Feedback:
Exercise lowers blood glucose, increases levels of HDLs, and decreases
total cholesterol and triglyceride levels. Low fat intake and low levels of
stimulation do not reduce a patient's need for insulin. Adequate sleep is
beneficial in reducing stress, but does not have an effect that is pronounced
as that of exercise.
NUR 1002 Chapter 51 QUESTIONS&ANSWERS
TESTED AND VERIFIED 100% CORRECT
SATISFACTORY ELABORATIONS GRADED A+
, NUR 1002 Chapter 51 QUESTIONS&ANSWERS
TESTED AND VERIFIED 100% CORRECT
SATISFACTORY ELABORATIONS GRADED A+
5.A medical nurse is caring for a patient with type 1 diabetes. The patient's
medication administration record includes the administration of regular
insulin three times daily. Knowing that the patient's lunch tray will arrive at
11:45, when should the nurse administer the patient's insulin?
A) 10:45
B) 11:15
C) 11:45
D) 11:50
Ans: B
Feedback:
Regular insulin is usually administered 20–30 min before a meal. Earlier
administration creates a risk for hypoglycemia; later administration creates a
risk for hyperglycemia.
6.A patient has just been diagnosed with type 2 diabetes. The physician has
prescribed an oral antidiabetic agent that will inhibit the production of
glucose by the liver and thereby aid in the control of blood glucose. What
type of oral antidiabetic agent did the physician prescribe for this patient?
A) A sulfonylurea
B) A biguanide
C) A thiazolidinedione
D) An alpha glucosidase inhibitor
Ans: B
Feedback:
Sulfonylureas exert their primary action by directly stimulating the
pancreas to secrete insulin and therefore require a functioning pancreas to
be effective. Biguanides inhibit the production of glucose by the liver and
are in used in type 2 diabetes to control blood glucose levels.
Thiazolidinediones enhance insulin action at the receptor site without
increasing insulin secretion from the beta cells of the pancreas. Alpha
glucosidase inhibitors work by delaying the absorption of glucose in the
NUR 1002 Chapter 51 QUESTIONS&ANSWERS
TESTED AND VERIFIED 100% CORRECT
SATISFACTORY ELABORATIONS GRADED A+
