NURS 1245 Practice Quiz UPDATED ACTUAL
Questions and CORRECT Answers
A nurse is providing dietary instructions to a client with diabetes. What is most important for the nurse to include in
teaching for prevention of hypoglycemia?
- Avoid delaying or skipping meals.
- Increase protein intake in the morning.
- Drink orange juice if lightheadedness occurs.
- Reduce carbohydrate intake when drinking alcohol. - CORRECT ANSWER -Avoid delaying or skipping meals.
A client with diabetes begins to cry and says, "I just can't stand the thought of having to give myself a shot every day."
What would be the best response by the nurse?
- "If you don't give yourself your insulin shots, you'll be at greater risk for complications."
-"We can teach a family member to give the shots so you won't have to do it."
-"I can arrange to have a home care nurse give you the shots every day."
-"What is it about giving yourself the insulin shots that bothers you?" - CORRECT ANSWER -"What is it about
giving yourself the insulin shots that bothers you?"
A client who has been newly diagnosed with type 1 diabetes asks the nurse, "Why do I have to take two shots of insulin?
One shot isn't enough?" What should the nurse should tell the client?
- "I'll ask the health care provider (HCP) to change your insulin schedule."
- "Two shots will give you better control and decrease complications."
- "A single shot of long-acting insulin would be preferable."
- "You might be able to change to oral medications soon." - CORRECT ANSWER -"Two shots will give you better
control and decrease complications."
The laboratory comes to draw an Hgb A1c. The client asks the nurse what this test represents. Which statement would be
correct?
- "This blood test is done to measure hyperglycemia in your system for 3 to 4 days after you were diagnosed with diabetic
ketoacidosis (DKA)."
-"This test is done to determine length of time that will be needed to correct the diabetic ketoacidosis (DKA) state."
-"This test is needed to determine which insulin will be needed to prevent another diabetic ketoacidosis (DKA) episode."
-"This test reflects the average blood glucose over a period of approximately 2-3 months." - CORRECT
ANSWER --"This test reflects the average blood glucose over a period of approximately 2-3 months."
When referred to a podiatrist, a client newly diagnosed with diabetes mellitus asks, "Why do you need to check my feet
when I'm having a problem with my blood sugar?" The nurse's most helpful response to this statement is
- "Diabetes can affect sensation in your feet and you can hurt yourself without realizing it."
- "It's easier to get foot infections if you have diabetes."
- "The circulation in your feet can help us determine how severe your diabetes is."
- "The physician wants to be sure your shoes fit properly so you won't develop pressure sores." - CORRECT
ANSWER -Diabetes can affect sensation in your feet and you can hurt yourself without realizing it.
A nurse is teaching a client about type 2 diabetes mellitus. What information would reduce a client's risk of developing
this disease?
- "Prevent developing hypertension by reducing stress and limiting salt intake."
- "Maintain weight within normal limits for your body size and muscle mass."
- "Follow a high-protein diet including meat, dairy, and eggs."
- "You should stop cigarette smoking." - CORRECT ANSWER -- "Maintain weight within normal limits for your
body size and muscle mass."
A client with newly diagnosed type 2 diabetes is admitted to the metabolic unit. The primary goal for this admission is
education. Which goal should the nurse incorporate into their teaching plan?
- weight reduction through diet and exercise
, - an eye examination every 2 years until age 50
- maintenance of blood glucose levels between 180 and 200 mg/dl (9.9 and 11.1 mmol/L)
- smoking reduction but not complete cessation - CORRECT ANSWER -- weight reduction through diet and
exercise
The nurse has been assigned to a client who has had diabetes for 10 years. The nurse gives the client's usual dose of
regular insulin at 7 a.m. At 10:30 a.m., the client has light-headedness and sweating. The nurse should contact the
physician, report the situation, background, and assessment, and recommend intervention for:
-Metabolic acidosis.
-Hyperglycemia.
-Ketoacidosis.
-Hypoglycemia. - CORRECT ANSWER --Hypoglycemia.
The nurse is conducting an assessment of an elderly client who is blind. What would the nurse expect to be present in the
client's medical history?
-diabetes mellitus
-systemic lupus erythematosus
-cerebrovascular accident
-cancer - CORRECT ANSWER -diabetes mellitus
A client concerned about being diagnosed with type 2 diabetes tells a nurse, "My parent suffered with diabetes for many
years and finally died of kidney failure in spite of treatment. Why should I try if I'm going to go through the same thing?"
What is the nurse's most appropriate response?
"It sounds like your parent's diabetes wasn't under very good control."
"There are no guarantees about how diabetes will progress."
"Your parent didn't get the proper treatment."
"Are you worried that you'll have the same experience as your parent?" - CORRECT ANSWER -"Are you worried
that you'll have the same experience as your parent?"
A nurse is teaching a school-age child with diabetes and her parents about managing diabetes during illness. The nurse
determines that the parents understand the instruction when they indicate that they will make which treatment plan
modification on days when the child is ill?
decreasing the sliding scale insulin
monitoring morning ketone levels
holding all carbohydrate-containing foods
increasing the frequency of blood glucose monitoring - CORRECT ANSWER -increasing the frequency of blood
glucose monitoring
After being sick for three days, a client with a history of diabetes mellitus is admitted to the hospital with diabetic
ketoacidosis (DKA). Which diagnostic test will the nurse prioritize in monitoring?
serum sodium level
serum chloride level
serum potassium level
serum calcium level - CORRECT ANSWER -serum potassium level
The nurse is receiving results of a blood glucose level from the laboratory over the telephone. What should the nurse do?
- Repeat the results to the caller from the laboratory, write the results on scrap paper, and then transfer the results to the
medical record.
- Request that the laboratory send the results by e-mail to transfer to the client's medical record.
-Indicate to the caller that the nurse cannot receive results from lab tests over the telephone and ask the lab to bring the
written results to the nurses' station.
-Write down the results, read back the results to the caller from the laboratory, and receive confirmation from the caller. -
CORRECT ANSWER --Write down the results, read back the results to the caller from the laboratory, and receive
confirmation from the caller.
Questions and CORRECT Answers
A nurse is providing dietary instructions to a client with diabetes. What is most important for the nurse to include in
teaching for prevention of hypoglycemia?
- Avoid delaying or skipping meals.
- Increase protein intake in the morning.
- Drink orange juice if lightheadedness occurs.
- Reduce carbohydrate intake when drinking alcohol. - CORRECT ANSWER -Avoid delaying or skipping meals.
A client with diabetes begins to cry and says, "I just can't stand the thought of having to give myself a shot every day."
What would be the best response by the nurse?
- "If you don't give yourself your insulin shots, you'll be at greater risk for complications."
-"We can teach a family member to give the shots so you won't have to do it."
-"I can arrange to have a home care nurse give you the shots every day."
-"What is it about giving yourself the insulin shots that bothers you?" - CORRECT ANSWER -"What is it about
giving yourself the insulin shots that bothers you?"
A client who has been newly diagnosed with type 1 diabetes asks the nurse, "Why do I have to take two shots of insulin?
One shot isn't enough?" What should the nurse should tell the client?
- "I'll ask the health care provider (HCP) to change your insulin schedule."
- "Two shots will give you better control and decrease complications."
- "A single shot of long-acting insulin would be preferable."
- "You might be able to change to oral medications soon." - CORRECT ANSWER -"Two shots will give you better
control and decrease complications."
The laboratory comes to draw an Hgb A1c. The client asks the nurse what this test represents. Which statement would be
correct?
- "This blood test is done to measure hyperglycemia in your system for 3 to 4 days after you were diagnosed with diabetic
ketoacidosis (DKA)."
-"This test is done to determine length of time that will be needed to correct the diabetic ketoacidosis (DKA) state."
-"This test is needed to determine which insulin will be needed to prevent another diabetic ketoacidosis (DKA) episode."
-"This test reflects the average blood glucose over a period of approximately 2-3 months." - CORRECT
ANSWER --"This test reflects the average blood glucose over a period of approximately 2-3 months."
When referred to a podiatrist, a client newly diagnosed with diabetes mellitus asks, "Why do you need to check my feet
when I'm having a problem with my blood sugar?" The nurse's most helpful response to this statement is
- "Diabetes can affect sensation in your feet and you can hurt yourself without realizing it."
- "It's easier to get foot infections if you have diabetes."
- "The circulation in your feet can help us determine how severe your diabetes is."
- "The physician wants to be sure your shoes fit properly so you won't develop pressure sores." - CORRECT
ANSWER -Diabetes can affect sensation in your feet and you can hurt yourself without realizing it.
A nurse is teaching a client about type 2 diabetes mellitus. What information would reduce a client's risk of developing
this disease?
- "Prevent developing hypertension by reducing stress and limiting salt intake."
- "Maintain weight within normal limits for your body size and muscle mass."
- "Follow a high-protein diet including meat, dairy, and eggs."
- "You should stop cigarette smoking." - CORRECT ANSWER -- "Maintain weight within normal limits for your
body size and muscle mass."
A client with newly diagnosed type 2 diabetes is admitted to the metabolic unit. The primary goal for this admission is
education. Which goal should the nurse incorporate into their teaching plan?
- weight reduction through diet and exercise
, - an eye examination every 2 years until age 50
- maintenance of blood glucose levels between 180 and 200 mg/dl (9.9 and 11.1 mmol/L)
- smoking reduction but not complete cessation - CORRECT ANSWER -- weight reduction through diet and
exercise
The nurse has been assigned to a client who has had diabetes for 10 years. The nurse gives the client's usual dose of
regular insulin at 7 a.m. At 10:30 a.m., the client has light-headedness and sweating. The nurse should contact the
physician, report the situation, background, and assessment, and recommend intervention for:
-Metabolic acidosis.
-Hyperglycemia.
-Ketoacidosis.
-Hypoglycemia. - CORRECT ANSWER --Hypoglycemia.
The nurse is conducting an assessment of an elderly client who is blind. What would the nurse expect to be present in the
client's medical history?
-diabetes mellitus
-systemic lupus erythematosus
-cerebrovascular accident
-cancer - CORRECT ANSWER -diabetes mellitus
A client concerned about being diagnosed with type 2 diabetes tells a nurse, "My parent suffered with diabetes for many
years and finally died of kidney failure in spite of treatment. Why should I try if I'm going to go through the same thing?"
What is the nurse's most appropriate response?
"It sounds like your parent's diabetes wasn't under very good control."
"There are no guarantees about how diabetes will progress."
"Your parent didn't get the proper treatment."
"Are you worried that you'll have the same experience as your parent?" - CORRECT ANSWER -"Are you worried
that you'll have the same experience as your parent?"
A nurse is teaching a school-age child with diabetes and her parents about managing diabetes during illness. The nurse
determines that the parents understand the instruction when they indicate that they will make which treatment plan
modification on days when the child is ill?
decreasing the sliding scale insulin
monitoring morning ketone levels
holding all carbohydrate-containing foods
increasing the frequency of blood glucose monitoring - CORRECT ANSWER -increasing the frequency of blood
glucose monitoring
After being sick for three days, a client with a history of diabetes mellitus is admitted to the hospital with diabetic
ketoacidosis (DKA). Which diagnostic test will the nurse prioritize in monitoring?
serum sodium level
serum chloride level
serum potassium level
serum calcium level - CORRECT ANSWER -serum potassium level
The nurse is receiving results of a blood glucose level from the laboratory over the telephone. What should the nurse do?
- Repeat the results to the caller from the laboratory, write the results on scrap paper, and then transfer the results to the
medical record.
- Request that the laboratory send the results by e-mail to transfer to the client's medical record.
-Indicate to the caller that the nurse cannot receive results from lab tests over the telephone and ask the lab to bring the
written results to the nurses' station.
-Write down the results, read back the results to the caller from the laboratory, and receive confirmation from the caller. -
CORRECT ANSWER --Write down the results, read back the results to the caller from the laboratory, and receive
confirmation from the caller.
