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Question 1 of 25
1. Question
1 point(s)Knowing that gluconeogenesis helps to maintain blood glucose levels, a nurse should:
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Question 2 of 25
2. Question
1 point(s)The nurse is admitting a patient diagnosed with type 2 diabetes mellitus. The nurse should expect the following symptoms during an assessment, except:
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Question 3 of 25
3. Question
1 point(s)Glycosylated hemoglobin (HbA1C) test measures the average blood glucose control of an individual over the previous three months. Which of the following values is considered a diagnosis of pre-diabetes?
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Question 4 of 25
4. Question
1 point(s)Rotation sites for insulin injection should be separated from one another by 2.5 cm (1 inch) and should be used only every:
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Question 5 of 25
5. Question
1 point(s)A clinical feature that distinguishes a hypoglycemic reaction from a ketoacidosis reaction is:
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Question 6 of 25
6. Question
1 point(s)Clinical nursing assessment for a patient with microangiopathy who has manifested impaired peripheral arterial circulation includes all of the following, except:
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Question 7 of 25
7. Question
1 point(s)The nurse expects that a type 1 diabetic may receive how much of his or her morning dose of insulin preoperatively?
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Question 8 of 25
8. Question
1 point(s)Albert, a 35-year-old insulin-dependent diabetic, is admitted to the hospital with a diagnosis of pneumonia. He has been febrile since admission. His daily insulin requirement is 24 units of NPH. Every morning Albert is given NPH insulin at 0730. Meals are served at 0830, 1230, and 1830. The nurse expects that the NPH insulin will reach its maximum effect (peak) between the hours of:
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Question 9 of 25
9. Question
1 point(s)A male nurse is providing a bedtime snack for his patient. This is based on the knowledge that intermediate-acting insulins are effective for an approximate duration of:
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Question 10 of 25
10. Question
1 point(s)A nurse went to a patient’s room to do routine vital signs monitoring and found out that the patient’s bedtime snack was not eaten. This should alert the nurse to check and assess for:
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Question 11 of 25
11. Question
1 point(s)A client is taking NPH insulin daily every morning. The nurse instructs the client that the most likely time for a hypoglycemic reaction to occur is:
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Question 12 of 25
12. Question
1 point(s)An external insulin pump is prescribed for a client with DM. The client asks the nurse about the functioning of the pump. The nurse bases the response on the information that the pump:
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Question 13 of 25
13. Question
1 point(s)A client with a diagnosis of diabetic ketoacidosis (DKA) is being treated in the ER. Which finding would a nurse expect to note as confirming this diagnosis?
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Question 14 of 25
14. Question
1 point(s)A client with DM demonstrates acute anxiety when first admitted for the treatment of hyperglycemia. The most appropriate intervention to decrease the client’s anxiety would be to:
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Question 15 of 25
15. Question
1 point(s)A nurse is preparing a plan of care for a client with diabetes mellitus who has hyperglycemia. The priority nursing diagnosis would be:
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Question 16 of 25
16. Question
1 point(s)A nurse is caring for a client admitted to the ER with DKA. In the acute phase the priority nursing action is to prepare to:
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Question 17 of 25
17. Question
1 point(s)A nurse performs a physical assessment on a client with type 2 diabetes mellitus. Findings include fasting blood glucose of 120mg/dl, temperature of 101ºF, pulse of 88 bpm, respirations of 22 bpm, and a BP of 140/84 mmHg. Which finding would be of most concern to the nurse?
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Question 18 of 25
18. Question
1 point(s)A client with type 1 diabetes mellitus calls the nurse to report recurrent episodes of hypoglycemia with exercise. Which statement by the client indicated an inadequate understanding of the peak action of NPH insulin and exercise?
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Question 19 of 25
19. Question
1 point(s)A client with diabetes mellitus visits a health care clinic. The client’s diabetes previously had been well controlled with glyburide (Diabeta), 5 mg PO daily, but recently, the fasting blood glucose has been running 180-200 mg/dl. Which medication, if added to the clients regimen, may have contributed to the hyperglycemia?
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Question 20 of 25
20. Question
1 point(s)Glucose is an important molecule in a cell because this molecule is primarily used for:
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Question 21 of 25
21. Question
1 point(s)When a client is first admitted with hyperglycemic hyperosmolar nonketotic syndrome (HHNS), the nurse’s priority is to provide:
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Question 22 of 25
22. Question
1 point(s)The nurse is admitting a client with hypoglycemia. Identify the signs and symptoms the nurse should expect. Select all that apply.
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Question 23 of 25
23. Question
1 point(s)When a client is experiencing diabetic ketoacidosis, the insulin that would be administered is:
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Question 24 of 25
24. Question
1 point(s)The nurse recognizes that additional teaching is necessary when the client who is learning alternative site testing (AST) for glucose monitoring says:
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Question 25 of 25
25. Question
1 point(s)A 44-year-old woman with type 1 diabetes comes to the emergency department due to abdominal pain accompanied by nausea and vomiting. The patient had a history of chronic back pain due to a motor accident 20 years ago. Her situation renders her unable to work and pay for the increasing price of insulin, which has doubled during the last five years. The patient doesn’t have medical coverage or insurance; therefore, she rations her insulin intake, making her unable to follow her prescribed therapeutic regimen for her diabetes. Because of her situation, the client is at high risk of developing diabetic ketoacidosis. As her nurse, which of the following symptoms would you anticipate the client to exhibit? Select all that apply.
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