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NURS1495 EXAM QUESTIONS AND 100% CORRECT ANSWERS
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NURS1495 EXAM QUESTIONS AND 100%CORRECT ANSWERS
Chapter 52: Diabetes Mellitus - 40 Questions
The client is newly diagnosed with type 2 diabetes mellitus and asks the nurse what
"type 2" means as it relates to diabetes. Which of the following statements by the nurse
regarding type 2 diabetes is correct?
a. Insulin is not used in the treatment of the client with type 2 diabetes to control blood
glucose
b. Complications of type 2 diabetes are less serious than of type 1 diabetes
c. Type 2 diabetes is usually diagnosed when the client is admitted with a hyperglycemic
coma
d. Changes in diet and exercise may be sufficient to control blood glucose levels in type
2 diabetes - ANS D
The client has diabetes and comes to the clinic with a fasting plasma glucose of 6.7
mmol/L. Which of the following would the nurse include in the plan of care?
a. self-monitoring of blood glucose
b. low-dose regular insulin
c. lifestyle modifications to decrease blood glucose
d. oral hypoglycemic medications - ANSWER C
Which of the following is the action by a client with type 1 diabetes that indicates the
need for the nurse to provide teaching about exercise and glucose control? a. The client
always carries hard candies when exercising. b. The client takes a vigorous walk when
the glucose is 11.1 mmol/L c. The client has a peanut butter sandwich before taking a
bicycle ride
d. the client increases daily exercise when ketones are present in the urine - ANSWER D
,The nurse is assessing a client who is demonstrating the onset symptoms of type 1
diabetes. Which of the following questions is most appropriate for the nurse to ask?
a. "have you lost any weight lately?"
b. "how long have you felt anorexic?"
c. "is your urine unusually dark coloured?
d. "are you thirsty for sweet beverages?" - RESPONSE A
The nurse will prepare to order which of the following studies when expecting a clinic
visit from a client with type 2 diabetes to evaluate the treatment response?
a. urine glucose dipstick
b. oral glucose tolerance
c. fasting blood glucose level
d. glycosylated hemoglobin level - RESPONSE D
The nurse is caring for a client who has just been diagnosed with type 2 diabetes and
has a nursing diagnosis of imbalanced nutrition: more than body requirements. Which of
the following client goals is most important? a. The client will have a glycosylated
hemoglobin level of less than 7%. b. The client will have a diet and exercise plan that
results in weight loss
c. the client will choose a diet that distributes calories throughout the day
d. the client will discuss the reason simple sugars should not be included in the diet -
ANSWER A
A client with type 1 diabetes plans to attend a swimming class daily at 1:00 p.m. Which
of the following directions should the nurse teach the client?
a. blood glucose level should be measured before, during, and after swimming
a. stop eating lunch before attending the swimming class
b. eat the noon meal after the swimming class
c. increase the morning dose of NPH insulin
d. time the morning insulin injection so that the peak occurs while swimming - ANSWER
A
, The nurse is caring for a client who is newly diagnosed with type 1 diabetes and has
been provided dietary teaching. The nurse determines that the client understands the
following statements about hypoglycemia. Which of the following client statements
indicates the need for further teaching?
a. "I can have an alcoholic drink sometimes if I can include it into my meal plan"
b. "I will have to have a bedtime snack since I am taking an evening dose of NPH insulin"
c. "I can eat anything I want if only I can take enough insulin to cover the calories"
d. "I will not skip meals but eat at a scheduled time, even if I am not hungry, so that I will
not develop hypoglycemia" - ANWER C
Which of the following is the most important action the nurse can take to promote a
client with diabetes exercising moderately on a daily basis?
a. informing client that exercising will improve self-esteem
b. determining what types of exercise activities the client finds pleasurable
c. providing the client with a list of activities considered to be of moderate intensity
d. teach the client about exercise and its effect on glucose level - ANWER B
The nurse is teaching the client how to administer a dose of 10 units of regular insulin
and 28 units of NPH insulin. Which of the following statements made by the client would
indicate a need for further teaching?
a. "I will have to rotate injection sites among my arms, legs, and abdomen each day"
b. "I can buy the 0.5mL syringes because the line markings will be easier to see"
c. "I can draw up the regular insulin first after injecting air into the NPH bottle"
d. "I do not have to aspirate the plunger to assess for blood before injecting insuling" -
ANSWER A
Following a nurse teaching a client about self-administration of prescribed aspart
insulin, which of the following client actions reflect good understanding of the teaching?
A The client does not inject insulin into the upper abdominal area B The client washes
the skin with soap and water before administering insulin C The client returns the insulin
to the freezer after administering the prescribed insulin dose.
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