NUR 325 Exam 2 Questions And Correct Answers
Which of the following pathophysiologic processes occur in diabetic ketoacidosis?
Select all that apply.
a. Decreased lipolysis
b. Increased serum pH
c. Increased fatty acids
d. Increased glyconeogenesis
e. Increased hormonal levels, including cortisol levels - Answer c. Increased fatty acids
d. Increased glyconeogenesis
e. Increased hormonal levels, including cortisol levels
The HCP teaches a client with type 1 diabetes mellitus about the cause of recurring
infections. Which statement by the client indicates that the teaching was effective?
A. "My immune system has become overactive.
B. "My pancreas became infected and is damaged."
C. "Sugar in the blood nourishes bacteria
D. "It takes insulin to kill both bacteria and viruses." ANS: C "Sugar in the blood
nourishes bacteria
Two clients have type 1 diabetes mellitus and one has type 2. Both have polydipsia,
polyphagia and polyuria. The HCP would interpret these findings to mean which of the
following?
A. Both have hyperglycemia.
B. Both are experiencing an acute illness.
C. Both have taken too much insulin.
D. Both have necrosis of the pancreas. - Answer A. Both have hyperglycemia.
A patient with diabetes and microvascular disease would be monitored by the HCP for
,the following conditions.
A. Stroke
B. Neuropathy
C. Retinopathy
D. Nephropathy
E. Coronary artery disease
F. Peripheral vascular disease - Answer B. Neuropathy
C. Retinopathy
D. Nephropathy
The HCP is teaching a pregnant client about gestational diabetes. Based on the
following statements, which indicates the client requires further teaching?
A. "After I have the baby, this will go away permanently."
B. "I will need to be evaluated closely for type 2 diabetes."
C. "The baby is affected if my blood glucose levels are high."
D. "I will likely have gestational diabetes again with my next pregnancy." - Answer A.
"After I deliver the infant, this will permanently disappear."
The HCP teaches the staff about the role of advanced glycosylation end products
(AGEs) in the patient with diabetes. Which statement by the staff indicates successful
teaching?
A. "AGEs promote tissue injury."
B. "AGEs inhibit platelet aggregation."
C. "AGEs promote ketoacid production."
D. "AGEs decrease chronic complications." - Answer A. "AGEs increase tissue
damage."
Which of the following is a patient who would be diagnosed with diabetes mellitus?
A. A patient who has a glycosylated hemoglobin of 5.5%
,B. A patient who has a fasting blood glucose of 128 mg/dL
C. A patient who has a random serum glucose of 197 mg/dL
D. An individual whose serum glucose is 185 mg/dL two hours after consuming 75 grams
of glucose - Answer B. A person with a fasting blood glucose of 128 mg/dL
What is the disorder causing hormone deficiency due to absence of ACTH, TSH, FSH,
and LH?
A. Hypothyroidism
B. Graves disease
C. Panhypopituitarism
D. Hypoparathyroidism - Answer C. Panhypopituitarism
What could the HCP include when educating staff
about the two mechanisms responsible for the development of type 2 diabetes
mellitus?
A. Insulin resistance and beta-cell dysfunction
B. Ketone formation and nonenzymatic glycation
C. Insulin deficiency and autosomal dominant mutations
D. Pancreatic enzyme deficiency and autoantibody production - Answer A. Insulin
resistance and beta-cell dysfunction
Which clinical manifestations will alert the HCP that a person with type 1 diabetes is
experiencing hypoglycemia? Select all that apply.
A. Coma
B. Confusion
C. Diaphoresis
D. Tachycardia
E. Ketoacidosis
F. Kussmaul respirations - Answer A. Coma
, B. Confusion
C. Diaphoresis
D. Tachycardia
For the following question, select all appropriate choices.
Which disease characteristics would the HCP include when teaching a community
group about type 1 diabetes mellitus? Choose all that apply.
A. Individuals are prone to diabetic ketoacidosis.
B. This type of diabetes results in insulin dependence.
C. Most individuals are diagnosed before 30 years of age.
D. It often is associated with dyslipidemia and hypertension.
E. The underlying genetic problem involves an autosomal dominant gene mutation. -
Answer A. Patients are at risk for diabetic ketoacidosis.
B. This form of diabetes is an insulin-dependent disease.
C. Patients are typically diagnosed before age 30 years.
For which treatments would the HCP include in teaching a patient newly diagnosed with
type 1 diabetes mellitus? Select all that apply.
A. Meal planning
B. Insulin therapy
C. Exercise schedule
D. C-peptide supplements
E. Oral hypoglycemic drugs - Answer A. Meal planning
B. Insulin therapy
C. Exercise schedule
Which information would the HCP include when teaching the staff about metabolic
mechanisms that contribute to chronic complications of diabetes
Which of the following pathophysiologic processes occur in diabetic ketoacidosis?
Select all that apply.
a. Decreased lipolysis
b. Increased serum pH
c. Increased fatty acids
d. Increased glyconeogenesis
e. Increased hormonal levels, including cortisol levels - Answer c. Increased fatty acids
d. Increased glyconeogenesis
e. Increased hormonal levels, including cortisol levels
The HCP teaches a client with type 1 diabetes mellitus about the cause of recurring
infections. Which statement by the client indicates that the teaching was effective?
A. "My immune system has become overactive.
B. "My pancreas became infected and is damaged."
C. "Sugar in the blood nourishes bacteria
D. "It takes insulin to kill both bacteria and viruses." ANS: C "Sugar in the blood
nourishes bacteria
Two clients have type 1 diabetes mellitus and one has type 2. Both have polydipsia,
polyphagia and polyuria. The HCP would interpret these findings to mean which of the
following?
A. Both have hyperglycemia.
B. Both are experiencing an acute illness.
C. Both have taken too much insulin.
D. Both have necrosis of the pancreas. - Answer A. Both have hyperglycemia.
A patient with diabetes and microvascular disease would be monitored by the HCP for
,the following conditions.
A. Stroke
B. Neuropathy
C. Retinopathy
D. Nephropathy
E. Coronary artery disease
F. Peripheral vascular disease - Answer B. Neuropathy
C. Retinopathy
D. Nephropathy
The HCP is teaching a pregnant client about gestational diabetes. Based on the
following statements, which indicates the client requires further teaching?
A. "After I have the baby, this will go away permanently."
B. "I will need to be evaluated closely for type 2 diabetes."
C. "The baby is affected if my blood glucose levels are high."
D. "I will likely have gestational diabetes again with my next pregnancy." - Answer A.
"After I deliver the infant, this will permanently disappear."
The HCP teaches the staff about the role of advanced glycosylation end products
(AGEs) in the patient with diabetes. Which statement by the staff indicates successful
teaching?
A. "AGEs promote tissue injury."
B. "AGEs inhibit platelet aggregation."
C. "AGEs promote ketoacid production."
D. "AGEs decrease chronic complications." - Answer A. "AGEs increase tissue
damage."
Which of the following is a patient who would be diagnosed with diabetes mellitus?
A. A patient who has a glycosylated hemoglobin of 5.5%
,B. A patient who has a fasting blood glucose of 128 mg/dL
C. A patient who has a random serum glucose of 197 mg/dL
D. An individual whose serum glucose is 185 mg/dL two hours after consuming 75 grams
of glucose - Answer B. A person with a fasting blood glucose of 128 mg/dL
What is the disorder causing hormone deficiency due to absence of ACTH, TSH, FSH,
and LH?
A. Hypothyroidism
B. Graves disease
C. Panhypopituitarism
D. Hypoparathyroidism - Answer C. Panhypopituitarism
What could the HCP include when educating staff
about the two mechanisms responsible for the development of type 2 diabetes
mellitus?
A. Insulin resistance and beta-cell dysfunction
B. Ketone formation and nonenzymatic glycation
C. Insulin deficiency and autosomal dominant mutations
D. Pancreatic enzyme deficiency and autoantibody production - Answer A. Insulin
resistance and beta-cell dysfunction
Which clinical manifestations will alert the HCP that a person with type 1 diabetes is
experiencing hypoglycemia? Select all that apply.
A. Coma
B. Confusion
C. Diaphoresis
D. Tachycardia
E. Ketoacidosis
F. Kussmaul respirations - Answer A. Coma
, B. Confusion
C. Diaphoresis
D. Tachycardia
For the following question, select all appropriate choices.
Which disease characteristics would the HCP include when teaching a community
group about type 1 diabetes mellitus? Choose all that apply.
A. Individuals are prone to diabetic ketoacidosis.
B. This type of diabetes results in insulin dependence.
C. Most individuals are diagnosed before 30 years of age.
D. It often is associated with dyslipidemia and hypertension.
E. The underlying genetic problem involves an autosomal dominant gene mutation. -
Answer A. Patients are at risk for diabetic ketoacidosis.
B. This form of diabetes is an insulin-dependent disease.
C. Patients are typically diagnosed before age 30 years.
For which treatments would the HCP include in teaching a patient newly diagnosed with
type 1 diabetes mellitus? Select all that apply.
A. Meal planning
B. Insulin therapy
C. Exercise schedule
D. C-peptide supplements
E. Oral hypoglycemic drugs - Answer A. Meal planning
B. Insulin therapy
C. Exercise schedule
Which information would the HCP include when teaching the staff about metabolic
mechanisms that contribute to chronic complications of diabetes
