Diabetes Test 4

Question 1

A patient with type 2 diabetes who has been diagnosed by the nurse is being admitted. In an assessment, the nurse should anticipate the following symptoms, with the exception of:

Accepted Answer

Hypoglycemia

Answer

Frequent bruising

Answer

Ketonuria

Answer

Dry mouth

Question 2

Obesity, type 2 diabetes, hypertension, and hyperlipidemia are all conditions your patient has. His memory takes him back to last night's meal, which included a low-fat turkey and cheese sandwich with mustard, a side salad with low-fat Italian dressing, pickles, a small portion of baked chips, and one can of club soda. Which of the patient's conditions is more at risk from his dietary choices, in your opinion?

Accepted Answer

Hypertension

Answer

Obesity

Answer

Hyperlipidemia

Answer

Type 2 diabetes

Question 3

All of the following are part of the clinical nursing examination for a patient with microangiopathy who has demonstrated reduced peripheral arterial circulation, with the exception of:

Accepted Answer

Palpation for increased pulse volume in the arteries of the lower extremities

Answer

Observation for blanching of the feet after the legs are elevated for 60 seconds

Answer

Integumentary inspection for the presence of brown spots on the lower extremities

Answer

Observation for paleness of the lower extremities

Question 4

The HbA1C test for glycosylated hemoglobin gauges a person's average blood glucose control over the past three months. Which of the following readings constitutes a pre-diabetes diagnosis?

Accepted Answer

5.7-6.4%

Answer

>5.6%

Answer

5-5.6%

Answer

6.5-7%

Question 5

A clinical trait that separates a ketoacidosis reaction from a hypoglycemia reaction is:

Accepted Answer

Diaphoresis

Answer

Nausea

Answer

Blurred vision

Answer

Weakness

Question 6

How much of a type 1 diabetic's morning dose of insulin is anticipated to be administered preoperatively, according to the nurse?

Accepted Answer

50-60%

Answer

25-40%

Answer

85-90%

Answer

10-20%

Question 7

A man nurse is giving his patient a snack before bed. This is based on the understanding that intermediate-acting insulins work over roughly the following time period:

Accepted Answer

14-18 hours

Answer

10-14 hours

Answer

24-28 hours

Answer

6-8 hours

Question 8

Injecting insulin should only be done at rotation sites, which should be spaced apart by 2.5 cm (1 inch).

Accepted Answer

1-2 weeks

Answer

2-4 weeks

Answer

Third day

Answer

Every other day

Question 9

When a nurse went to a patient's room to perform routine vital sign monitoring, she discovered that the patient had not eaten his or her bedtime snack. This should prompt the nurse to look for and evaluate:

Accepted Answer

Signs of hypoglycemia earlier than expected

Answer

Symptoms of hyperglycemia during the peak time of NPH insulin

Answer

Sugar in the urine

Answer

Elevated serum bicarbonate and decreased blood pH

Question 10

In the ER, a patient who has diabetic ketoacidosis (DKA) is receiving treatment. Which observation would a nurse anticipate making to support this diagnosis?

Accepted Answer

Elevated blood glucose level and a low plasma bicarbonate

Answer

Decreased urine output

Answer

Comatose state

Answer

Increased respiration and an increase in pH