MSN 277 Exam 1 & 2 Questions and Correct Answers,
With Complete Solution.
Which statement by a nurse to a patient newly diagnosed with type 2 diabetes is
correct?
a. Insulin is not used to control blood glucose in patients with type 2 diabetes.
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 the patient is admitted with a
hyperglycemic coma.
c. Changes in diet and exercise may control blood glucose levels in type 2 diabetes.
A 48-year-old male patient screened for diabetes at a clinic has a fasting plasma
glucose level of 120 mg/dL (6.7 mmol/L). The nurse will plan to teach the patient
about
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.
c. lifestyle changes to lower blood glucose.
The patients 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.
The nurse is assessing a 22-year-old patient experiencing the onset of symptoms
of type 1 diabetes. Which question is most appropriate for the nurse to ask?
a. Are you anorexic?
b. Is your urine dark colored?
c. Have you lost weight lately?
d. Do you crave sugary drinks?
c. Have you lost weight lately?
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. Urine dipstick for glucose
b. Oral glucose tolerance test
c. Fasting blood glucose level
d. Glycosylated hemoglobin level
, d. Glycosylated hemoglobin level
A 55-year-old female patient with type 2 diabetes has a nursing diagnosis of
imbalanced nutrition: more than body requirements. Which goal is most
important for this patient?
a. The patient will reach a glycosylated hemoglobin level of less than 7%.
b. The patient will follow a diet and exercise plan that results in weight loss.
c. The patient will choose a diet that distributes calories throughout the day.
d. The patient will state the reasons for eliminating simple sugars in the diet.
a. The patient will reach a glycosylated hemoglobin level of less than 7%.
The complications of diabetes are related to elevated blood glucose, and the most
important patient outcome is the reduction of glucose to near-normal levels. The other
outcomes also are appropriate but are not as high in priority.
A 38-year-old patient who has type 1 diabetes plans to swim laps daily at 1:00 PM.
The clinic nurse will plan to teach the patient to
a. check glucose level before, during, and after swimming.
b. delay eating the noon meal until after the swimming class.
c. increase the morning dose of neutral protamine Hagedorn (NPH) insulin.
d. time the morning insulin injection so that the peak occurs while swimming.
a. check glucose level before, during, and after swimming.
The change in exercise will affect blood glucose, and the patient will need to monitor
glucose carefully to determine the need for changes in diet and insulin administration.
Because exercise tends to decrease blood glucose, patients are advised to eat before
exercising. Increasing the morning NPH or timing the insulin to peak during exercise
may lead to hypoglycemia, especially with the increased exercise.
The nurse determines a need for additional instruction when the patient with
newly diagnosed type 1 diabetes says which of the following?
a. I can have an occasional alcoholic drink if I include it in my meal plan.
b. I will need a bedtime snack because I take an evening dose of NPH insulin.
c. I can choose any foods, as long as I use enough insulin to cover the calories.
d. I will eat something at meal times to prevent hypoglycemia, even if I am not
hungry.
c. I can choose any foods, as long as I use enough insulin to cover the calories.
A 28-year-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.
With Complete Solution.
Which statement by a nurse to a patient newly diagnosed with type 2 diabetes is
correct?
a. Insulin is not used to control blood glucose in patients with type 2 diabetes.
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 the patient is admitted with a
hyperglycemic coma.
c. Changes in diet and exercise may control blood glucose levels in type 2 diabetes.
A 48-year-old male patient screened for diabetes at a clinic has a fasting plasma
glucose level of 120 mg/dL (6.7 mmol/L). The nurse will plan to teach the patient
about
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.
c. lifestyle changes to lower blood glucose.
The patients 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.
The nurse is assessing a 22-year-old patient experiencing the onset of symptoms
of type 1 diabetes. Which question is most appropriate for the nurse to ask?
a. Are you anorexic?
b. Is your urine dark colored?
c. Have you lost weight lately?
d. Do you crave sugary drinks?
c. Have you lost weight lately?
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. Urine dipstick for glucose
b. Oral glucose tolerance test
c. Fasting blood glucose level
d. Glycosylated hemoglobin level
, d. Glycosylated hemoglobin level
A 55-year-old female patient with type 2 diabetes has a nursing diagnosis of
imbalanced nutrition: more than body requirements. Which goal is most
important for this patient?
a. The patient will reach a glycosylated hemoglobin level of less than 7%.
b. The patient will follow a diet and exercise plan that results in weight loss.
c. The patient will choose a diet that distributes calories throughout the day.
d. The patient will state the reasons for eliminating simple sugars in the diet.
a. The patient will reach a glycosylated hemoglobin level of less than 7%.
The complications of diabetes are related to elevated blood glucose, and the most
important patient outcome is the reduction of glucose to near-normal levels. The other
outcomes also are appropriate but are not as high in priority.
A 38-year-old patient who has type 1 diabetes plans to swim laps daily at 1:00 PM.
The clinic nurse will plan to teach the patient to
a. check glucose level before, during, and after swimming.
b. delay eating the noon meal until after the swimming class.
c. increase the morning dose of neutral protamine Hagedorn (NPH) insulin.
d. time the morning insulin injection so that the peak occurs while swimming.
a. check glucose level before, during, and after swimming.
The change in exercise will affect blood glucose, and the patient will need to monitor
glucose carefully to determine the need for changes in diet and insulin administration.
Because exercise tends to decrease blood glucose, patients are advised to eat before
exercising. Increasing the morning NPH or timing the insulin to peak during exercise
may lead to hypoglycemia, especially with the increased exercise.
The nurse determines a need for additional instruction when the patient with
newly diagnosed type 1 diabetes says which of the following?
a. I can have an occasional alcoholic drink if I include it in my meal plan.
b. I will need a bedtime snack because I take an evening dose of NPH insulin.
c. I can choose any foods, as long as I use enough insulin to cover the calories.
d. I will eat something at meal times to prevent hypoglycemia, even if I am not
hungry.
c. I can choose any foods, as long as I use enough insulin to cover the calories.
A 28-year-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.
