Diabetes Exam Practice Questions (Ch.
64) #3
Which statements about type 2 diabetes mellitus (DM) are most characteristic? SATA
A. Autoimmune process causes beta cell destruction
B. Cells have decreased ability to respond to insulin
C. Diagnosis is based on results of 100-g glucose tolerance test
D. Most patients diagnosed are obese adults
E. Usually has abrupt onset of thirst and weight loss
F. Most patients are not dependent on insulin - correct answer-B. Cells have decreased
ability to respond to insulin
D. Most patients diagnosed are obese adults
F. Most patients are not dependent on insulin
Which individual is at greatest risk for developing type 2 DM?
A. 25-year-old African American woman
B. 36-year-old African American man
C. 56-year-old Hispanic woman
D. 40-year-old Hispanic man - correct answer-C. 56-year-old Hispanic woman
Which complications of DM are considered emergencies? SATA
A. Diabetic ketoacidosis (DKA)
B. Hypoglycemia
C. Diabetic retinopathy
D. Hyperglycemic-hyperosmolar state (HHS)
E. Diabetic neuropathy
F. Diabetic nephropathy - correct answer-A. Diabetic ketoacidosis (DKA)
B. Hypoglycemia
D. Hyperglycemic-hyperosmolar state (HHS)
Which statements about type 2 DM are accurate? SATA
A. It peaks at about the age 50
B. Most people with type 2 DM are obese
C. It typically has an abrupt onset
D. People with type 2 DM have insulin resistance
E. It can be treated with oral anti-diabetic and insulin
F. Presence of metabolic syndrome increases the risk for type 2 DM - correct answer-A. It
peaks at about the age 50
B. Most people with type 2 DM are obese
D. People with type 2 DM have insulin resistance
E. It can be treated with oral anti-diabetic and insulin
F. Presence of metabolic syndrome increases the risk for type 2 DM
The nurse is teaching people in a community education class about modifiable risk factors
for type 2 DM. Which factors would the nurse discuss? SATA
, A. Age
B. Family history
C. Working in a low-stress environment
D. Maintaining ideal body weight
E. Maintaining adequate physical activity
F. Lack of exercise - correct answer-D. Maintaining ideal body weight
E. Maintaining adequate physical activity
F. Lack of exercise
A patient with diabetes is scheduled to have a blood glucose test the next morning. Which
instructions does the nurse give the patient?
A. Eat the usual diet but have nothing after midnight
B. Take the usual oral hypoglycemic tablet in the morning
C. Eat a clear liquid breakfast in the morning
D. Follow the usual diet and medication regimen - correct answer-A. Eat the usual diet but
have nothing after midnight
Which are considered the early signs of diabetic nephropathy? SATA
A. Positive urine red blood cells
B. Microalbuminuria
C. Positive urine glucose
D. Positive urine white blood cells
E. Elevated serum uric acid
F. Hypertension - correct answer-B. Microalbuminuria
E. Elevated serum uric acid
F. Hypertension
Which class of anti-diabetic medication should be taken with the first bite of a meal to be fully
effective?
A. Alpha-glucosidase inhibitors, which include miglitol
B. Biguanides, which include metformin
C. Meglitinides, which include nateglinide
D. Second-generation sulfonylureas, which include glipizide - correct answer-A.
Alpha-glucosidase inhibitors, which include miglitol
Which class of anti-diabetic medication must be held after using contrast media until
adequate kidney function is established?
A. Alpha-glucosidase inhibitors, which include miglitol
B. Biguanides, which include metformin
C. Meglitinides, which include nateglinide
D. Second-generation sulfonylureas, which include glipizide - correct answer-B. Biguanides,
which include metformin
Which class of anti-diabetic medication is most likely to cause hypoglycemia even when
hyperglycemia is not present?
A. Alpha-glucosidase inhibitors, which include miglitol
B. Biguanides, which include metformin
C. Meglitinides, which include nateglinide
64) #3
Which statements about type 2 diabetes mellitus (DM) are most characteristic? SATA
A. Autoimmune process causes beta cell destruction
B. Cells have decreased ability to respond to insulin
C. Diagnosis is based on results of 100-g glucose tolerance test
D. Most patients diagnosed are obese adults
E. Usually has abrupt onset of thirst and weight loss
F. Most patients are not dependent on insulin - correct answer-B. Cells have decreased
ability to respond to insulin
D. Most patients diagnosed are obese adults
F. Most patients are not dependent on insulin
Which individual is at greatest risk for developing type 2 DM?
A. 25-year-old African American woman
B. 36-year-old African American man
C. 56-year-old Hispanic woman
D. 40-year-old Hispanic man - correct answer-C. 56-year-old Hispanic woman
Which complications of DM are considered emergencies? SATA
A. Diabetic ketoacidosis (DKA)
B. Hypoglycemia
C. Diabetic retinopathy
D. Hyperglycemic-hyperosmolar state (HHS)
E. Diabetic neuropathy
F. Diabetic nephropathy - correct answer-A. Diabetic ketoacidosis (DKA)
B. Hypoglycemia
D. Hyperglycemic-hyperosmolar state (HHS)
Which statements about type 2 DM are accurate? SATA
A. It peaks at about the age 50
B. Most people with type 2 DM are obese
C. It typically has an abrupt onset
D. People with type 2 DM have insulin resistance
E. It can be treated with oral anti-diabetic and insulin
F. Presence of metabolic syndrome increases the risk for type 2 DM - correct answer-A. It
peaks at about the age 50
B. Most people with type 2 DM are obese
D. People with type 2 DM have insulin resistance
E. It can be treated with oral anti-diabetic and insulin
F. Presence of metabolic syndrome increases the risk for type 2 DM
The nurse is teaching people in a community education class about modifiable risk factors
for type 2 DM. Which factors would the nurse discuss? SATA
, A. Age
B. Family history
C. Working in a low-stress environment
D. Maintaining ideal body weight
E. Maintaining adequate physical activity
F. Lack of exercise - correct answer-D. Maintaining ideal body weight
E. Maintaining adequate physical activity
F. Lack of exercise
A patient with diabetes is scheduled to have a blood glucose test the next morning. Which
instructions does the nurse give the patient?
A. Eat the usual diet but have nothing after midnight
B. Take the usual oral hypoglycemic tablet in the morning
C. Eat a clear liquid breakfast in the morning
D. Follow the usual diet and medication regimen - correct answer-A. Eat the usual diet but
have nothing after midnight
Which are considered the early signs of diabetic nephropathy? SATA
A. Positive urine red blood cells
B. Microalbuminuria
C. Positive urine glucose
D. Positive urine white blood cells
E. Elevated serum uric acid
F. Hypertension - correct answer-B. Microalbuminuria
E. Elevated serum uric acid
F. Hypertension
Which class of anti-diabetic medication should be taken with the first bite of a meal to be fully
effective?
A. Alpha-glucosidase inhibitors, which include miglitol
B. Biguanides, which include metformin
C. Meglitinides, which include nateglinide
D. Second-generation sulfonylureas, which include glipizide - correct answer-A.
Alpha-glucosidase inhibitors, which include miglitol
Which class of anti-diabetic medication must be held after using contrast media until
adequate kidney function is established?
A. Alpha-glucosidase inhibitors, which include miglitol
B. Biguanides, which include metformin
C. Meglitinides, which include nateglinide
D. Second-generation sulfonylureas, which include glipizide - correct answer-B. Biguanides,
which include metformin
Which class of anti-diabetic medication is most likely to cause hypoglycemia even when
hyperglycemia is not present?
A. Alpha-glucosidase inhibitors, which include miglitol
B. Biguanides, which include metformin
C. Meglitinides, which include nateglinide
