HHS), Dermatologic Conditions (Pressure Injuries, Psoriasis,
Skin Cancer, Infections), Eye Disorders (Glaucoma,
Cataracts, Retinal Detachment, AMD), Ear Disorders
(Hearing Loss, Otitis Media, Ménière's Disease) |
Comprehensive Study Guide
Latest 2026/2027 Update | 100% Correct Verified Answers | Grade A Guaranteed – Nursing Program
SUBJECT COURSE FOCUS
Medical-Surgical Nursing / NUR 256 Exam 4 Diabetes Mellitus, DKA, HHS, Skin
Endocrine / Dermatology / Disorders, Eye Disorders, Ear
Ophthalmology / Otolaryngology Disorders
Question 1
What is Diabetes Mellitus?
CORRECT ANSWER
A group of diseases characterized by hyperglycemia resulting from defects in insulin secretion,
insulin action, or both.
RATIONALE
• Chronic hyperglycemia leads to long-term damage, dysfunction, and failure of various organs.
• Type 1: autoimmune destruction of beta cells leading to absolute insulin deficiency.
• Type 2: insulin resistance with relative insulin deficiency.
, Question 2
What are the 3 Ps of diabetes symptoms?
CORRECT ANSWER
Polyphagia (excessive hunger), polyuria (excessive urination), polydipsia (excessive thirst)
RATIONALE
• Polyuria results from osmotic diuresis due to hyperglycemia.
• Polydipsia is compensatory thirst response to fluid loss.
• Polyphagia occurs because cells cannot utilize glucose despite high blood sugar.
Question 3
What is the diagnostic criterion for Hemoglobin A1C in diabetes?
CORRECT ANSWER
A1C >6.5% indicates diabetes; goal is <6.5% to reduce microvascular complications.
RATIONALE
• HbA1C reflects average blood glucose over the past 2-3 months.
• Each 1% reduction in A1C lowers risk of microvascular complications by 40%.
• Testing should be performed at least twice yearly in stable patients.