Revision Examination Tests
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Management of Patients with Diabetes
A client with type 1 diabetes has told the nurse that the client's most recent urine test
for ketones was positive. What is the nurse's most plausible conclusion based on this
assessment finding?
A. The client should withhold the next scheduled dose of insulin.
B. The client should promptly eat some protein and carbohydrates.
C. The client's insulin levels are inadequate.
D. The client would benefit from a dose of metformin.
Ans>>C
A client presents to the clinic reporting 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 (7.0 mmol/L)
B. Random plasma glucose greater than 150 mg/dL (8.3 mmol/L)
C. Fasting plasma glucose greater than 116 mg/dL (6.4 mmol/L) on two separate
occasions
D. Random plasma glucose greater than 126 mg/dL (7.0 mmol/L)
Ans>>A
A client newly diagnosed with type 2 diabetes is attending a nutrition class. What
general guideline should the nurse teach the clients 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
A nurse is providing health education to a teenage client newly diagnosed with type
1 diabetes mellitus, as well as the client's family. The nurse teaches the client and
family nonpharmacologic measures that will decrease the body's need for insulin.
What measure provides the greatest impact on glucose reduction?
A. Adequate sleep
B. Low stimulation
C. Exercise
D. Low-fat diet
Ans>>C
A nurse is caring for a client with type 1 diabetes. The client's medication
administration record includes the administration of regular insulin three times daily.
Knowing that the client's lunch tray will arrive at 11:45 AM, when should the nurse
administer the client's insulin?
A. 10:45 AM
B. 11:30 AM
C. 11:45 AM
D. 11:50 AM
Ans>>B
A client has just been diagnosed with type 2 diabetes. The health care provider 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 health care provider prescribe for this client?
A. A sulfonylurea
B. A biguanide
C. A thiazolidinedione
D. An alpha-glucosidase inhibitor