NURS 327 Exam 1 Latest / NURS 327
Exam 1 Preparation /NURS 327 Exam
1 Practice Exam With Complete
Questions And Correct Answers|
Brand New Version!
insulin glargine
-long-acting insulin, such as insulin glargine, is intended to provide basal
glucose control. the dosage is typically once daily at the same time each
day - ANS/A nurse is caring for a client who has type one diabetes mellitus
and is in need of a long acting insulin prep. The nurse anticipates
receiving a prescription for which of the following insulins?
give the client 4 oz of apple juice
-after confirming hypoglycemia, the nurse should give the client 15 to 20 g
of a rapid-acting, concentrated carbohydrate source, such as 4 to 6 oz of
fruit juice, 8 oz of skim milk, 1 tbsp of honey, or commercially prepared
glucose tablets per package instructions - ANS/A nurse is caring for a
client who has type one diabetes mellitus and reports feeling anxious and
having palpitations. The glucometer reads 50 mg/dL. Which of the
following actions should the nurse take?
,NPH insulin peaks in 6-14 hours
-NPH insulin has an onset of 60 to 120 min, peaks in 6 to 14 hr, and has a
duration of 16 to 24 hr - ANS/A nurse is teaching a client who has type one
diabetes mellitus about the peak time of neutral protamine hagedorn
(NPH) inulin. Which of the following statements by the client indicates an
understanding of the teaching?
keep the pen at room temperature for a few minutes
-injecting room-temperature insulin is less painful than injecting cold
insulin - ANS/A nurse is reviewing self-administration of insulin using a pre-
filled pen with a client who started using the pen the previous week. The
client asks what can be done to help reduce injection pain. Which of the
following instructions should the nurse give the client?
reducing hepatic glucose production
-Biguanides reduce hepatic glucose production while increasing insulin
action on muscle glucose uptake - ANS/A nurse is teaching a client who
has a new diagnosis of type two diabetes mellitus about metformin. The
nurse should explain that this type of medication works by which of the
following mechanisms?
118 mg/dL
-this result exceeds the expected reference range for a fasting blood
glucose measurement, which is generally between 74 and 106 mg/dL -
ANS/A nurse is reviewing he results of routine lab test performed as a part
of a client's annual physical examination. Which of the following values
indicates a fasting blood glucose measurement that is outside of the
expected reference range?
,the risk for developing DKA can be increased with the use of an insulin
pump
-malfunction of the pump from low battery power, occlusion of tubing or
needles, or lack of insulin in the pump increases the risk of DKA,
particularly if the client is not aware of it - ANS/A nurse is teaching a
client who has type one diabetes about the use of an insulin pump. Which
of the following information should the nurse include in the teaching?
"To collect a sample for testing, hold the test strip next to the blood on
the fingertip."
-this allows the blood to flow over the reagent pad until the amount of
blood on the strip is adequate. a sample that is too small can result in
falsely low readings - ANS/A nurse is teaching a client who was recently
diagnosed with type one diabetes mellitus how to check blood glucose
levels. Which of the following instructions should the nurse include in her
teaching?
a disorder of metabolism causing excessive thirst and production of large
amounts of urine
-a group of diseases
Hyperglycemia due to defects:
-in insulin secretion
-in insulin action
-or both
-defined as fasting blood sugar (4 hrs) greater than 100 - ANS/Diabetes
-transports and metabolizes glucose for energy
-stimulates storage of glucose in the liver and muscle
, -signals the liver to stop the release of glucose
-enhances storage of fat in adipose tissue
-accelerates transport of amino acids into cells
-inhibits the breakdown of stored glucose, protein, and fat - ANS/Functions
of insulin
Type 1- beta cell destruction (absolute insulin deficiency)
Type 2- insulin resistance (with relative insulin deficiency)
Other types- genetic, drug or chemical induced, infection
Gestational - ANS/4 classifications of diabetes
autoimmune destruction of beta cells of pancreas
-rapid progression of symptoms
-the "Polys" (polyuria, polydipsia, polyphagia)
-little or no insulin secreted
-insulin injections required!!
-onset is quick (before age 30)
-5-10% of diabetes - ANS/Type 1 diabetes
90% of diabetic population
characterized by:
-decrease in beta cell insulin production
-insulin resistance
-increase in glucose production by liver
-over time, beta cells fail, and insulin is needed
-affects people over age 30
Exam 1 Preparation /NURS 327 Exam
1 Practice Exam With Complete
Questions And Correct Answers|
Brand New Version!
insulin glargine
-long-acting insulin, such as insulin glargine, is intended to provide basal
glucose control. the dosage is typically once daily at the same time each
day - ANS/A nurse is caring for a client who has type one diabetes mellitus
and is in need of a long acting insulin prep. The nurse anticipates
receiving a prescription for which of the following insulins?
give the client 4 oz of apple juice
-after confirming hypoglycemia, the nurse should give the client 15 to 20 g
of a rapid-acting, concentrated carbohydrate source, such as 4 to 6 oz of
fruit juice, 8 oz of skim milk, 1 tbsp of honey, or commercially prepared
glucose tablets per package instructions - ANS/A nurse is caring for a
client who has type one diabetes mellitus and reports feeling anxious and
having palpitations. The glucometer reads 50 mg/dL. Which of the
following actions should the nurse take?
,NPH insulin peaks in 6-14 hours
-NPH insulin has an onset of 60 to 120 min, peaks in 6 to 14 hr, and has a
duration of 16 to 24 hr - ANS/A nurse is teaching a client who has type one
diabetes mellitus about the peak time of neutral protamine hagedorn
(NPH) inulin. Which of the following statements by the client indicates an
understanding of the teaching?
keep the pen at room temperature for a few minutes
-injecting room-temperature insulin is less painful than injecting cold
insulin - ANS/A nurse is reviewing self-administration of insulin using a pre-
filled pen with a client who started using the pen the previous week. The
client asks what can be done to help reduce injection pain. Which of the
following instructions should the nurse give the client?
reducing hepatic glucose production
-Biguanides reduce hepatic glucose production while increasing insulin
action on muscle glucose uptake - ANS/A nurse is teaching a client who
has a new diagnosis of type two diabetes mellitus about metformin. The
nurse should explain that this type of medication works by which of the
following mechanisms?
118 mg/dL
-this result exceeds the expected reference range for a fasting blood
glucose measurement, which is generally between 74 and 106 mg/dL -
ANS/A nurse is reviewing he results of routine lab test performed as a part
of a client's annual physical examination. Which of the following values
indicates a fasting blood glucose measurement that is outside of the
expected reference range?
,the risk for developing DKA can be increased with the use of an insulin
pump
-malfunction of the pump from low battery power, occlusion of tubing or
needles, or lack of insulin in the pump increases the risk of DKA,
particularly if the client is not aware of it - ANS/A nurse is teaching a
client who has type one diabetes about the use of an insulin pump. Which
of the following information should the nurse include in the teaching?
"To collect a sample for testing, hold the test strip next to the blood on
the fingertip."
-this allows the blood to flow over the reagent pad until the amount of
blood on the strip is adequate. a sample that is too small can result in
falsely low readings - ANS/A nurse is teaching a client who was recently
diagnosed with type one diabetes mellitus how to check blood glucose
levels. Which of the following instructions should the nurse include in her
teaching?
a disorder of metabolism causing excessive thirst and production of large
amounts of urine
-a group of diseases
Hyperglycemia due to defects:
-in insulin secretion
-in insulin action
-or both
-defined as fasting blood sugar (4 hrs) greater than 100 - ANS/Diabetes
-transports and metabolizes glucose for energy
-stimulates storage of glucose in the liver and muscle
, -signals the liver to stop the release of glucose
-enhances storage of fat in adipose tissue
-accelerates transport of amino acids into cells
-inhibits the breakdown of stored glucose, protein, and fat - ANS/Functions
of insulin
Type 1- beta cell destruction (absolute insulin deficiency)
Type 2- insulin resistance (with relative insulin deficiency)
Other types- genetic, drug or chemical induced, infection
Gestational - ANS/4 classifications of diabetes
autoimmune destruction of beta cells of pancreas
-rapid progression of symptoms
-the "Polys" (polyuria, polydipsia, polyphagia)
-little or no insulin secreted
-insulin injections required!!
-onset is quick (before age 30)
-5-10% of diabetes - ANS/Type 1 diabetes
90% of diabetic population
characterized by:
-decrease in beta cell insulin production
-insulin resistance
-increase in glucose production by liver
-over time, beta cells fail, and insulin is needed
-affects people over age 30
