ASSESSMENT AND MANAGEMENT OF PATIENTS WITH DIABETES CHAPT;51 EXAM
QUESTIONS AND ACCURATE ANSWERS GRADED A+
A patient with type 1 diabetes has told the nurse that his most recent urine test for ketones was
positive. What is the nurses 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 patients insulin levels are inadequate.
D) The patient would benefit from a dose of metformin (Glucophage) - answer-C) The patients insulin
levels are inadequate.
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 - answer-A) Fasting plasma glucose greater than or
equal to 126 mg/dL
A patient newly diagnosed with type 2 diabetes is attending a nutrition class. What general guideline
would be important to teach 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. - answer-C) Most calories should be derived from
carbohydrates.
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 bodys need for insulin?
A) Adequate sleep
B) Low stimulation
C) Exercise
, D) Low-fat diet - answer-C) Exercise
A medical nurse is caring for a patient with type 1 diabetes. The patients medication administration
record includes the administration of regular insulin three times daily. Knowing that the patients lunch
tray will arrive at 11:45, when should the nurse administer the patients insulin? A) 10:45
B) 11:15
C) 11:45
D) 11:50 - answer-B) 11:15
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 - answer-B) A biguanide
A diabetes nurse educator is teaching a group of patients with type 1 diabetes about sick day rules.
What guideline applies to periods of illness in a diabetic patient? A) Do not eliminate insulin when
nauseated and vomiting.
B) Report elevated glucose levels greater than 150 mg/dL.
C) Eat three substantial meals a day, if possible.
D) Reduce food intake and insulin doses in times of illness. - answer-A) Do not eliminate insulin when
nauseated and vomiting.
The nurse is discussing macrovascular complications of diabetes with a patient. The nurse would address
what topic during this dialogue?
A) The need for frequent eye examinations for patients with diabetes
B) The fact that patients with diabetes have an elevated risk of myocardial infarction
C) The relationship between kidney function and blood glucose levels
D) The need to monitor urine for the presence of albumin - answer-B) The fact that patients with
diabetes have an elevated risk of myocardial infarction
QUESTIONS AND ACCURATE ANSWERS GRADED A+
A patient with type 1 diabetes has told the nurse that his most recent urine test for ketones was
positive. What is the nurses 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 patients insulin levels are inadequate.
D) The patient would benefit from a dose of metformin (Glucophage) - answer-C) The patients insulin
levels are inadequate.
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 - answer-A) Fasting plasma glucose greater than or
equal to 126 mg/dL
A patient newly diagnosed with type 2 diabetes is attending a nutrition class. What general guideline
would be important to teach 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. - answer-C) Most calories should be derived from
carbohydrates.
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 bodys need for insulin?
A) Adequate sleep
B) Low stimulation
C) Exercise
, D) Low-fat diet - answer-C) Exercise
A medical nurse is caring for a patient with type 1 diabetes. The patients medication administration
record includes the administration of regular insulin three times daily. Knowing that the patients lunch
tray will arrive at 11:45, when should the nurse administer the patients insulin? A) 10:45
B) 11:15
C) 11:45
D) 11:50 - answer-B) 11:15
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 - answer-B) A biguanide
A diabetes nurse educator is teaching a group of patients with type 1 diabetes about sick day rules.
What guideline applies to periods of illness in a diabetic patient? A) Do not eliminate insulin when
nauseated and vomiting.
B) Report elevated glucose levels greater than 150 mg/dL.
C) Eat three substantial meals a day, if possible.
D) Reduce food intake and insulin doses in times of illness. - answer-A) Do not eliminate insulin when
nauseated and vomiting.
The nurse is discussing macrovascular complications of diabetes with a patient. The nurse would address
what topic during this dialogue?
A) The need for frequent eye examinations for patients with diabetes
B) The fact that patients with diabetes have an elevated risk of myocardial infarction
C) The relationship between kidney function and blood glucose levels
D) The need to monitor urine for the presence of albumin - answer-B) The fact that patients with
diabetes have an elevated risk of myocardial infarction
