Galen College of Nursing NUR 170
Diabetes & Cardiac Care: Exam 3
Practice Questions
Diabetes
1. A client is brought to the emergency department in an unresponsive state,
and a diagnosis of hyperosmolar hyperglycemic syndrome is made. The
nurse would immediately prepare to initiate which anticipated primary health
care provider’s prescription?
1. Endotracheal intubation
2. 100 units of NPH insulin
3. Intravenous infusion of normal saline
4. Intravenous infusion of sodium bicarbonate
2. An external insulin pump is prescribed for a client with diabetes mellitus.
When the client asks the nurse about the functioning of the pump, the nurse
bases the response on which information about the pump?
1. It is timed to release programmed doses of either short-duration or NPH
insulin into the bloodstream at specific intervals.
2. It continuously infuses small amounts of NPH insulin into the bloodstream
while regularly monitoring blood glucose levels.
3. It is surgically attached to the pancreas and infuses regular insulin into the
pancreas. This releases insulin into the bloodstream.
4. It administers a small continuous dose of short-duration insulin
subcutaneously. The client can self-administer an additional bolus
dose from the pump before each meal.
3. A client with a diagnosis of diabetic ketoacidosis (DKA) is being treated in
the emergency department. Which findings support this diagnosis? Select all
that apply.
1. Increase in pH
2. Comatose state
,3.Deep, rapid breathing
4.Decreased urine output
, 5. Elevated blood glucose level
4. The nurse teaches a client with diabetes mellitus about differentiating
between hypoglycemia and ketoacidosis. The client demonstrates an
understanding of the teaching by stating that a form of glucose needs to be
taken if which symptoms develop? Select all that apply.
1.Polyuria
2.Shakiness
3.Palpitations
4. Blurred vision
5. Light-headedness
6. Fruity breath odor
5. A client with diabetes mellitus demonstrates acute anxiety when admitted
to the hospital for the treatment of hyperglycemia. What is the appropriate
intervention to decrease the client’s anxiety?
1. Administer a sedative.
2. Convey empathy, trust, and respect toward the client.
3. Ignore the signs and symptoms of anxiety, anticipating that they will soon
disappear.
4. Make sure that the client is familiar with the correct medical terms to
promote understanding of what is happening.
6. The nurse provides instructions to a client newly diagnosed with type 1
diabetes mellitus about measures to take if feeling sick to prevent diabetic
ketoacidosis (DKA). The nurse recognizes accurate understanding of
measures to prevent DKA when the client makes which statement?
1. “I will stop taking my insulin if I’m too sick to eat.”
2. “I will decrease my insulin dose during times of illness.”
Diabetes & Cardiac Care: Exam 3
Practice Questions
Diabetes
1. A client is brought to the emergency department in an unresponsive state,
and a diagnosis of hyperosmolar hyperglycemic syndrome is made. The
nurse would immediately prepare to initiate which anticipated primary health
care provider’s prescription?
1. Endotracheal intubation
2. 100 units of NPH insulin
3. Intravenous infusion of normal saline
4. Intravenous infusion of sodium bicarbonate
2. An external insulin pump is prescribed for a client with diabetes mellitus.
When the client asks the nurse about the functioning of the pump, the nurse
bases the response on which information about the pump?
1. It is timed to release programmed doses of either short-duration or NPH
insulin into the bloodstream at specific intervals.
2. It continuously infuses small amounts of NPH insulin into the bloodstream
while regularly monitoring blood glucose levels.
3. It is surgically attached to the pancreas and infuses regular insulin into the
pancreas. This releases insulin into the bloodstream.
4. It administers a small continuous dose of short-duration insulin
subcutaneously. The client can self-administer an additional bolus
dose from the pump before each meal.
3. A client with a diagnosis of diabetic ketoacidosis (DKA) is being treated in
the emergency department. Which findings support this diagnosis? Select all
that apply.
1. Increase in pH
2. Comatose state
,3.Deep, rapid breathing
4.Decreased urine output
, 5. Elevated blood glucose level
4. The nurse teaches a client with diabetes mellitus about differentiating
between hypoglycemia and ketoacidosis. The client demonstrates an
understanding of the teaching by stating that a form of glucose needs to be
taken if which symptoms develop? Select all that apply.
1.Polyuria
2.Shakiness
3.Palpitations
4. Blurred vision
5. Light-headedness
6. Fruity breath odor
5. A client with diabetes mellitus demonstrates acute anxiety when admitted
to the hospital for the treatment of hyperglycemia. What is the appropriate
intervention to decrease the client’s anxiety?
1. Administer a sedative.
2. Convey empathy, trust, and respect toward the client.
3. Ignore the signs and symptoms of anxiety, anticipating that they will soon
disappear.
4. Make sure that the client is familiar with the correct medical terms to
promote understanding of what is happening.
6. The nurse provides instructions to a client newly diagnosed with type 1
diabetes mellitus about measures to take if feeling sick to prevent diabetic
ketoacidosis (DKA). The nurse recognizes accurate understanding of
measures to prevent DKA when the client makes which statement?
1. “I will stop taking my insulin if I’m too sick to eat.”
2. “I will decrease my insulin dose during times of illness.”
