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Question 1 of 25
1. Question
The goal of preprandial blood glucose for those with type 1 diabetes mellitus is:
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Question 2 of 25
2. Question
The guidelines for carbohydrate counting as medical nutrition therapy for diabetes mellitus includes all of the following, except:
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Question 3 of 25
3. Question
The nurse working in the physician’s office is reviewing lab results on the clients seen that day. One of the clients who has classic diabetic symptoms had an eight-hour fasting plasma glucose (FPG) test done. The nurse realizes that diagnostic criteria developed by the American Diabetes Association for diabetes include classic diabetic symptoms plus which of the following fasting plasma glucose levels?
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Question 4 of 25
4. Question
When taking a health history, the nurse screens for manifestations suggestive of diabetes type 1. Which of the following manifestations are considered the primary manifestations of type 1 diabetes mellitus and would be most suggestive and require follow-up investigation?
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Question 5 of 25
5. Question
The nurse is working with an overweight client who has a high-stress job and smokes. This client has just received a diagnosis of type 2 diabetes mellitus and has just been started on an oral hypoglycemic agent. Which of the following goals for the client which if met, would be most likely to lead to an improvement in insulin efficiency to the point the client would no longer require oral hypoglycemic agents?
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Question 6 of 25
6. Question
During a visit to a community, the nurse will recommend routine screening for diabetes when the person has one or more of seven risk criteria. Which of the following persons that the nurse comes in contact with most needs to be screened for diabetes based on the seven risk criteria?
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Question 7 of 25
7. Question
A client was brought to the emergency room with complaints of slurring of speech, vomiting, dry mucosa, and dry skin turgor. Lab tests showing serum sodium 125 mEq/L and serum blood glucose of 350 mg/dL. Nurse Sophie will anticipate the physician to initially order which of the following intravenous solutions?
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Question 8 of 25
8. Question
You are doing some teaching with a client who is starting on a sulfonylurea antidiabetic agent. The client mentions that he usually has a couple of beers each night and takes an aspirin each day to prevent heart attacks and/or strokes. Which of the following responses would be best on the part of the nurse?
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Question 9 of 25
9. Question
Which of the following, if stated by the nurse, is correct about Hyperglycemic Hyperosmolar Nonketotic Syndrome (HHNS)?
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Question 10 of 25
10. Question
The nurse is conducting a teaching session for a 25-year-old underweight and emaciated client with newly diagnosed type 1 diabetes mellitus. The client lives alone and is anxious about managing their condition, particularly self-administering insulin injections. Considering the client’s physical condition and concerns, which is the most appropriate technique for self-administering insulin injections from the following options:
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Question 11 of 25
11. Question
Nurse Pira is explaining to the client about type 2 diabetes mellitus. Risk factors of such condition include all of the following, except:
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Question 12 of 25
12. Question
Blood sugar is well controlled when Hemoglobin A1C is:
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Question 13 of 25
13. Question
Which of the following diabetes drugs acts by decreasing the amount of glucose produced by the liver?
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Question 14 of 25
14. Question
A 39-year-old company driver presents with shakiness, sweating, anxiety, and palpitations and tells the nurse he has type 1 diabetes mellitus. Which of the following actions should the nurse do first?
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Question 15 of 25
15. Question
Which insulin can be administered through continuous intravenous infusion?
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Question 16 of 25
16. Question
A medication nurse is about to give insulin to a patient with diabetes mellitus. Upon reviewing the medications of the patient, which of the following would cause a further decrease in the blood glucose level of the patient?
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Question 17 of 25
17. Question
Tony is a night shift nurse who is assigned to a patient whose glucose levels remain normal at bedtime but experiences hypoglycemia at 3 am and hyperglycemia at 7 am. The patient is likely experiencing what kind of complication of insulin therapy?
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Question 18 of 25
18. Question
A nurse is caring for a client admitted with diabetic retinopathy. Which of the following would the nurse expect to note on the assessment of this client:
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Question 19 of 25
19. Question
A patient received 6 units of regular insulin three (3) hours ago. The nurse would be most concerned if which of the following was observed?
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Question 20 of 25
20. Question
Mr. Wesley is newly diagnosed with Type I DM and is being seen by the home health nurse. The doctor’s orders include: 1200 calorie ADA diet, 15 units NPH insulin before breakfast, and check blood sugar QID. When the nurse visits the patient at 5 pm, the nurse observes the man performing blood sugar analysis. The result is 50 mg/dL. The nurse would expect the patient to be:
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Question 21 of 25
21. Question
Give Regular insulin by continuous I.V. infusion at 20 units/hr. The solution is 250 ml NS with 100 units of Regular insulin. What rate on the infusion pump will deliver the correct dose? Fill in the blank.
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Answer: ml/hr
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Question 22 of 25
22. Question
Your patient has had the following intake: 2 ½ cups of coffee (240 mL/cup), 11.5 oz of grape juice, ¾ qt of milk, 320 mL of diet coke, 1 ¼ L of D5W IV and 2 oz of grits. What will you record as the total intake in mL for this patient? Fill in the blank.
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Answer: ml
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Question 23 of 25
23. Question
A health care provider prescribed ondansetron (Zofran) 8 mg p.o. T.i.d to a patient with Type 1 diabetes mellitus with complaints of vomiting.; Available stock of Zofran in a 100 ml bottle labeled 4 mg/tsp.; How many ml will the nurse administer for each dose? Fill in the blank.
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Answer: ml
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Question 24 of 25
24. Question
Your patient has had the following intake: 8 oz glasses of iced tea, 4 oz cartons of grape juice, ¾ pt of ice cream, 32 oz of juice, 1 ½ L of D5W IV and 6 oz of cottage cheese. What will you record as the total intake in mL for this patient? Fill in the blank.
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Answer: ml
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Question 25 of 25
25. Question
A patient was recently discharged after being hospitalized due to type 1 diabetes mellitus and was given ergocalciferol (Vitamin D) 225,000 units PO daily. The patient have on hand ergocalciferol in 50,000 unit tablets. How many tablet(s) should the patient take? Fill in the blank.
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Answer: tablet(s)
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