ATI MedSurg Test Bank, Diabetes Mellitus 100% Correct Answers, Download to Score A
1.Which diagnostic test for diabetes mellitus provides a measure of glucose levels for the previous
8 to 12 weeks?
a.Fasting blood sugar (FBS)
b.Oral glucose tolerance test (OGT)
c.Glycosylated hemoglobin (HbA1c)
d.Postprandial glucose test (PPBG) ANS: C
Glycosylated hemoglobin (HbA1c)This blood test measures the amount of glucose that has become incorporated into the hemoglobin within an erythrocyte. Because glycosylation occurs constantly during the 120-day life span of the erythrocyte, this test reveals the effectiveness of diabetes therapy for the preceding 8 to 12 weeks.
2.Which test will furnish immediate feedback for a newly diagnosed diabetic who is not yet under control?
a.Fasting blood sugar (FBS)
b.Glycosylated hemoglobin (HgbA1c)
c.Oral glucose tolerance test (OGTT)
d.Clinitest
ANS: A
Diabetics should do a fingerstick blood glucose level test before each meal and at bedtime each day until
their disease is under control. The HgbA1c serum test reveals the effectiveness of diabetes therapy for the preceding 8 to 12 weeks.
3.The patient is a 20-year-old college student who has type 1 diabetes and normally walks each evening as part of an exercise regimen. The patient plans to enroll in a swimming class. Which adjustment should be made based on this information? a.Time the morning insulin injection so that the peak action will occur during swimming class.
b.Delete normal walks on swimming class days.
c.Delay the meal before the swimming class until the session is over. d. Monitor glucose level before, during, and after swimming to determine the need for alterations in food or insulin. ANS: D
Exercise can reduce insulin resistance and increase glucose uptake for as long as 72 hours, as well as reducing blood pressure and lipid levels. However, exercise can carry some risks for patients with diabetes, including hypoglycemia.
4.What is a long-term complication of diabetes mellitus?
a.Diverticulitis
b.Renal failure
c.Hypothyroidism
d.Hyperglycemia
ANS: B
Long-term complications of diabetes include blindness, cardiovascular problems, and renal failure. 5.In diabetes insipidus, a deficiency of which hormone causes clinical manifestations? a.antidiuretic hormone (ADH)
b.follicle-stimulating hormone (FSH)
c.thyroid-stimulating hormone (TSH)
d.adrenocorticotropic hormone (ACTH) ANS: A
1.Which diagnostic test for diabetes mellitus provides a measure of glucose levels for the previous
8 to 12 weeks?
a.Fasting blood sugar (FBS)
b.Oral glucose tolerance test (OGT)
c.Glycosylated hemoglobin (HbA1c)
d.Postprandial glucose test (PPBG) ANS: C
Glycosylated hemoglobin (HbA1c)This blood test measures the amount of glucose that has become incorporated into the hemoglobin within an erythrocyte. Because glycosylation occurs constantly during the 120-day life span of the erythrocyte, this test reveals the effectiveness of diabetes therapy for the preceding 8 to 12 weeks.
2.Which test will furnish immediate feedback for a newly diagnosed diabetic who is not yet under control?
a.Fasting blood sugar (FBS)
b.Glycosylated hemoglobin (HgbA1c)
c.Oral glucose tolerance test (OGTT)
d.Clinitest
ANS: A
Diabetics should do a fingerstick blood glucose level test before each meal and at bedtime each day until
their disease is under control. The HgbA1c serum test reveals the effectiveness of diabetes therapy for the preceding 8 to 12 weeks.
3.The patient is a 20-year-old college student who has type 1 diabetes and normally walks each evening as part of an exercise regimen. The patient plans to enroll in a swimming class. Which adjustment should be made based on this information? a.Time the morning insulin injection so that the peak action will occur during swimming class.
b.Delete normal walks on swimming class days.
c.Delay the meal before the swimming class until the session is over. d. Monitor glucose level before, during, and after swimming to determine the need for alterations in food or insulin. ANS: D
Exercise can reduce insulin resistance and increase glucose uptake for as long as 72 hours, as well as reducing blood pressure and lipid levels. However, exercise can carry some risks for patients with diabetes, including hypoglycemia.
4.What is a long-term complication of diabetes mellitus?
a.Diverticulitis
b.Renal failure
c.Hypothyroidism
d.Hyperglycemia
ANS: B
Long-term complications of diabetes include blindness, cardiovascular problems, and renal failure. 5.In diabetes insipidus, a deficiency of which hormone causes clinical manifestations? a.antidiuretic hormone (ADH)
b.follicle-stimulating hormone (FSH)
c.thyroid-stimulating hormone (TSH)
d.adrenocorticotropic hormone (ACTH) ANS: A
