NURS 365 Exam 3 Questions with Correct Answers Latest Version 2025 Graded A+
What is the appropriate exercise goal of a client with Type 1 Diabetes?
a. 50 minutes a day, 5 days a week
b. 30 minutes a day, 7 days a week
c. 30 minutes a day, 5 days a week
d. 10 minutes a day, 4 days a week - Answers c. 30 minutes a day, 5 days a week
A nurse is preparing to administer a rapid acting insulin. Which medication would the nurse most likely
administer?
a. Glargine
b. Lantus
c. Insulin lispro
d. Humulin - Answers c. Insulin lispro
What distinguishing characteristic is associated with type 1 diabetes?
a. blood glucose is controlled by the diet.
b. exogenous insulin is required for life
c. oral agents can control blood sugar
d. the disease starts in childhood - Answers b. exogenous insulin is required for life
A patient with diabetic ketoacidosis has a blood glucose level over 600. The physician orders the patient
to receive an initial dose of 25 units of insulin intravenously. What type of insulin will be administered?
a. NPH insulin
b. lente insulin
c. ultralente insulin
d. regular insulin - Answers d. regular insulin
What are foods that might be on a diabetic's food tray in the hospital?
a. peanut butter crackers and milk
b. sugar free jello and diet soda
,c. meatloaf and potatoes
d. turkey sandwich and salad - Answers b. sugar free jello and diet soda
The patient's routine lab work shows a hemoglobin A1C of 7.1 and a fasting plasma glucose of 154. What
do these values show?
a. the patient has been able to regulate their diabetes with the usage of insulin.
b. the patient has been poorly managing their diabetes.
c. the patient has been compliant with their medications
d. the patient is not at risk for further complications - Answers b. the patient has been poorly managing
their diabetes.
A diabetic patient is scheduled to have a procedure. They regularly take Metformin to control their
blood sugar. What action should the nurse take, while being aware of the medication Metformin?
a. Administer intravenous fluids to dilute and increase the excretion of dye.
b. Keep the patient NPO for at least 6 hours prior to the examination.
c. Check the patient's bedside blood glucose and administer prescribed insulin.
d. Contact the provider and recommend discontinuing the metformin. - Answers d. Contact the provider
and recommend discontinuing the metformin.
Metformin cannot be used with contrast dye - causes contraindications
A patient with diabetes is on NPH (humulin N) and takes it daily at 0700. What are signs the nurse
should monitor the patient for in the late afternoon?
a. thirst and polyuria
b. sweating
c. shakiness and cool, clammy skin
d. dry mucous membranes - Answers c. shakiness and cool, clammy skin
signs of hypoglycemia
What would be included in the treatment of a diabetic patient who experiences the somogyi effect?
, a. administer oral GLA in the AM
b. increase evening insulin
c. give less insulin in the evening dose
d. increase evening carbohydrates - Answers c. give less insulin in the evening dose
treating dawn phenomenon: increase evening insulin and increase carbohydrates
Upon assessment, the nurse notices the diabetic client has very dry skin, is rapidly breathing but
lethargic and has a sweet, fruity breath. What should the nurse plan to do next?
a. intravenous fluids
b. NPH insulin
c. Potassium
d. Sodium - Answers a. intravenous fluids
rehydrate!!!
A pregnant patient has a history of Grave's Disease and is presenting with a high fever, tachycardia and
an altered neurological state. To prevent seizure or a coma, what might the nurse administer to this
patient?
a. Methimazole
b. Synthroid
c. Iodine
d.Radioactive Iodine - Answers a. Methimazole
**or propylthiouracil can be used in pregnant patients
What patient teaching needs to be corrected for a patient on Levothyroxine?
a. Once you feel ready to exercise, you may stop taking this.
b. They should take this medication first thing in the morning, separate from other medications
c. Monitor your pulse after taking this and report any chest pain, weight loss, nervousness.
What is the appropriate exercise goal of a client with Type 1 Diabetes?
a. 50 minutes a day, 5 days a week
b. 30 minutes a day, 7 days a week
c. 30 minutes a day, 5 days a week
d. 10 minutes a day, 4 days a week - Answers c. 30 minutes a day, 5 days a week
A nurse is preparing to administer a rapid acting insulin. Which medication would the nurse most likely
administer?
a. Glargine
b. Lantus
c. Insulin lispro
d. Humulin - Answers c. Insulin lispro
What distinguishing characteristic is associated with type 1 diabetes?
a. blood glucose is controlled by the diet.
b. exogenous insulin is required for life
c. oral agents can control blood sugar
d. the disease starts in childhood - Answers b. exogenous insulin is required for life
A patient with diabetic ketoacidosis has a blood glucose level over 600. The physician orders the patient
to receive an initial dose of 25 units of insulin intravenously. What type of insulin will be administered?
a. NPH insulin
b. lente insulin
c. ultralente insulin
d. regular insulin - Answers d. regular insulin
What are foods that might be on a diabetic's food tray in the hospital?
a. peanut butter crackers and milk
b. sugar free jello and diet soda
,c. meatloaf and potatoes
d. turkey sandwich and salad - Answers b. sugar free jello and diet soda
The patient's routine lab work shows a hemoglobin A1C of 7.1 and a fasting plasma glucose of 154. What
do these values show?
a. the patient has been able to regulate their diabetes with the usage of insulin.
b. the patient has been poorly managing their diabetes.
c. the patient has been compliant with their medications
d. the patient is not at risk for further complications - Answers b. the patient has been poorly managing
their diabetes.
A diabetic patient is scheduled to have a procedure. They regularly take Metformin to control their
blood sugar. What action should the nurse take, while being aware of the medication Metformin?
a. Administer intravenous fluids to dilute and increase the excretion of dye.
b. Keep the patient NPO for at least 6 hours prior to the examination.
c. Check the patient's bedside blood glucose and administer prescribed insulin.
d. Contact the provider and recommend discontinuing the metformin. - Answers d. Contact the provider
and recommend discontinuing the metformin.
Metformin cannot be used with contrast dye - causes contraindications
A patient with diabetes is on NPH (humulin N) and takes it daily at 0700. What are signs the nurse
should monitor the patient for in the late afternoon?
a. thirst and polyuria
b. sweating
c. shakiness and cool, clammy skin
d. dry mucous membranes - Answers c. shakiness and cool, clammy skin
signs of hypoglycemia
What would be included in the treatment of a diabetic patient who experiences the somogyi effect?
, a. administer oral GLA in the AM
b. increase evening insulin
c. give less insulin in the evening dose
d. increase evening carbohydrates - Answers c. give less insulin in the evening dose
treating dawn phenomenon: increase evening insulin and increase carbohydrates
Upon assessment, the nurse notices the diabetic client has very dry skin, is rapidly breathing but
lethargic and has a sweet, fruity breath. What should the nurse plan to do next?
a. intravenous fluids
b. NPH insulin
c. Potassium
d. Sodium - Answers a. intravenous fluids
rehydrate!!!
A pregnant patient has a history of Grave's Disease and is presenting with a high fever, tachycardia and
an altered neurological state. To prevent seizure or a coma, what might the nurse administer to this
patient?
a. Methimazole
b. Synthroid
c. Iodine
d.Radioactive Iodine - Answers a. Methimazole
**or propylthiouracil can be used in pregnant patients
What patient teaching needs to be corrected for a patient on Levothyroxine?
a. Once you feel ready to exercise, you may stop taking this.
b. They should take this medication first thing in the morning, separate from other medications
c. Monitor your pulse after taking this and report any chest pain, weight loss, nervousness.
