Med Surg Endo/Repro Questions and Answers 2024| July
Update
1. In addition to promoting the transport of glucose from the blood into the cell, what does insulin do?
a. Enhances the breakdown of adipose tissue for energy
b. Stimulates hepatic glycogenolysis and gluconeogenesis
c. Prevents the transport of triglycerides into adipose tissue
d. Increases amino acid transport into cells and protein synthesis: d. Increases amino acid transport into cells and
protein synthesis
2. Which tissues require insulin to enable movement of glucose into the tissue cells (select all that apply)?
a. Liver
b. Brain
c. Adipose
d. Blood cells
e. Skeletal muscle: c, e
3. Cortisol, glucagon, epinephrine, and growth hormone are referred to as counterregulatory hormones
because they
a. Decrease glucose production
b. Stimulate glucose output by the liver
c. Increase glucose transport into the cells
d. Independently regulate glucose level in the blood: b. Stimulate glucose output by the liver
4. What characterizes type 2 diabetes (select all that apply)?
a. ²-cell exhaustion
b. Insulin resistance
c. Genetic predisposition
d. Altered production of adipokines
e. Inherited defect in insulin receptors
f. Inappropriate glucose production by the liver: a, b, c, d, e, f
5. Which laboratory results indicate the patient has prediabetes?
a. Glucose tolerance result of 132 mg/dL (7.3 mmol/L)
b. Glucose tolerance result of 240 mg/dL (13.3 mmol/L)
c. Fasting blood glucose result of 80 mg/dL (4.4 mmol/L)
d. Fasting blood glucose result of 120 mg/dL (6.7 mmol/L): d. Fasting blood glucose result of 120 mg/dL (6.7
mmol/L)
6. The nurse is teaching the patient with prediabetes ways to prevent or delay the development of type 2 diabetes.
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, Med Surg Endo/Repro Questions and Answers 2024| July
Update
What information should be included (select all that apply)?
a. Exercise regularly.
b. Maintain a healthy weight.
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, Med Surg Endo/Repro Questions and Answers 2024| July
Update
c. Have BP checked regularly.
d. Assess for visual changes on a monthly basis.
e. Monitor for polyuria, polyphagia, and polydipsia.: a, b, e
7. In type 1 diabetes, glucose has an osmotic effect when insulin deficiency prevents the use of glucose for energy.
Which classic symptom is caused by the osmotic effect of glucose?
a. Fatigue
b. Polydipsia
c. Polyphagia
d. Recurrent infections: b. Polydipsia
8. Which patient should the nurse plan to teach how to prevent or delay the development of diabetes?
a. An obese 40-year-old Hispanic woman
b. A 20-year-old man whose father has type 1 diabetes
c. A 34-year-old woman whose parents both have type 2 diabetes
d. A 12-year-old boy whose father has maturity-onset diabetes of the young (MODY): c. A 34-year-old woman
whose parents both have type 2 diabetes
9. When caring for a patient with metabolic syndrome, the nurse should give the highest priority to teaching the
patient about which treatment plan?
a. Achieving a normal weight
b. Performing daily aerobic exercise
c. Eliminating red meat from the diet
d. Monitoring the blood glucose periodically: a. Achieving a normal weight
10.During routine health screening, a patient is found to have fasting plasma glucose (FPG) of 132 mg/dL (7.33
mmol/L). At a follow-up visit, a diagnosis of diabetes would be made based on which laboratory results (select all
that apply)?
a. A1C of 7.5%
b. Glycosuria of 3+
c. FPG e127 mg/dL (7.0 mmol/L).
d. Random blood glucose of 126 mg/dL (7.0 mmol/L)
e. A 2-hour oral glucose tolerance test (OGTT) of 190 mg/dL (10.5 mmol/L): a, c
11.The nurse determines that a patient with a 2-hour OGTT of 152 mg/dL has
a. diabetes.
b. elevated A1C.
c. impaired fasting glucose.
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, Med Surg Endo/Repro Questions and Answers 2024| July
Update
d. impaired glucose tolerance.: d. impaired glucose tolerance.
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Update
1. In addition to promoting the transport of glucose from the blood into the cell, what does insulin do?
a. Enhances the breakdown of adipose tissue for energy
b. Stimulates hepatic glycogenolysis and gluconeogenesis
c. Prevents the transport of triglycerides into adipose tissue
d. Increases amino acid transport into cells and protein synthesis: d. Increases amino acid transport into cells and
protein synthesis
2. Which tissues require insulin to enable movement of glucose into the tissue cells (select all that apply)?
a. Liver
b. Brain
c. Adipose
d. Blood cells
e. Skeletal muscle: c, e
3. Cortisol, glucagon, epinephrine, and growth hormone are referred to as counterregulatory hormones
because they
a. Decrease glucose production
b. Stimulate glucose output by the liver
c. Increase glucose transport into the cells
d. Independently regulate glucose level in the blood: b. Stimulate glucose output by the liver
4. What characterizes type 2 diabetes (select all that apply)?
a. ²-cell exhaustion
b. Insulin resistance
c. Genetic predisposition
d. Altered production of adipokines
e. Inherited defect in insulin receptors
f. Inappropriate glucose production by the liver: a, b, c, d, e, f
5. Which laboratory results indicate the patient has prediabetes?
a. Glucose tolerance result of 132 mg/dL (7.3 mmol/L)
b. Glucose tolerance result of 240 mg/dL (13.3 mmol/L)
c. Fasting blood glucose result of 80 mg/dL (4.4 mmol/L)
d. Fasting blood glucose result of 120 mg/dL (6.7 mmol/L): d. Fasting blood glucose result of 120 mg/dL (6.7
mmol/L)
6. The nurse is teaching the patient with prediabetes ways to prevent or delay the development of type 2 diabetes.
For assistance with assignments contact
, Med Surg Endo/Repro Questions and Answers 2024| July
Update
What information should be included (select all that apply)?
a. Exercise regularly.
b. Maintain a healthy weight.
For assistance with assignments contact
, Med Surg Endo/Repro Questions and Answers 2024| July
Update
c. Have BP checked regularly.
d. Assess for visual changes on a monthly basis.
e. Monitor for polyuria, polyphagia, and polydipsia.: a, b, e
7. In type 1 diabetes, glucose has an osmotic effect when insulin deficiency prevents the use of glucose for energy.
Which classic symptom is caused by the osmotic effect of glucose?
a. Fatigue
b. Polydipsia
c. Polyphagia
d. Recurrent infections: b. Polydipsia
8. Which patient should the nurse plan to teach how to prevent or delay the development of diabetes?
a. An obese 40-year-old Hispanic woman
b. A 20-year-old man whose father has type 1 diabetes
c. A 34-year-old woman whose parents both have type 2 diabetes
d. A 12-year-old boy whose father has maturity-onset diabetes of the young (MODY): c. A 34-year-old woman
whose parents both have type 2 diabetes
9. When caring for a patient with metabolic syndrome, the nurse should give the highest priority to teaching the
patient about which treatment plan?
a. Achieving a normal weight
b. Performing daily aerobic exercise
c. Eliminating red meat from the diet
d. Monitoring the blood glucose periodically: a. Achieving a normal weight
10.During routine health screening, a patient is found to have fasting plasma glucose (FPG) of 132 mg/dL (7.33
mmol/L). At a follow-up visit, a diagnosis of diabetes would be made based on which laboratory results (select all
that apply)?
a. A1C of 7.5%
b. Glycosuria of 3+
c. FPG e127 mg/dL (7.0 mmol/L).
d. Random blood glucose of 126 mg/dL (7.0 mmol/L)
e. A 2-hour oral glucose tolerance test (OGTT) of 190 mg/dL (10.5 mmol/L): a, c
11.The nurse determines that a patient with a 2-hour OGTT of 152 mg/dL has
a. diabetes.
b. elevated A1C.
c. impaired fasting glucose.
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, Med Surg Endo/Repro Questions and Answers 2024| July
Update
d. impaired glucose tolerance.: d. impaired glucose tolerance.
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