NR325 / NR-325: Adult Health II EXAM 1 . Chamberlain College of Nursing

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NR-325 Adult Health II Exam 1 1. What is the most important teaching point when a Pt is Diagnosed with Pre-diabetes? a. Medication compliance b. How to mix insulins c. Need for monthly eye... exams d. Reduction of risk factors 2. Which of the following are modifiable risk factors for Type 2 DM? select all that apply a. Physical inactivity b. Ethnicity c. Hypertension d. Hyperlipidemia 3. Which of the following are manifestations of DM? select all that apply a. Polyuria b. Polydipsia c. Recurrent infections d. Increased hunger 4. What are the advantages of self-monitoring of BG? select all that apply a. it provides immediate info about BG levels b. It confirms a Pt's symptoms of hyperglycemia or hypoglycemia c. It is a tool for Pts to maintain specific glucose levels and goals d. It provides accurate records of a Pt's glucose trends 5. Which is correct regarding basal-bolus insulin dosing? select all that apply a. Mimics our pancreas' normal insulin release b. It's most effective in maintaining euglycemia c. It is only 1 injection per day d. Consists of a long acting and a short/rapid acting insulin 6. Why is it important to know the peak of each type of insulin? a. to know when to assess for hyperglycemia b. Because that is when the Pt is at risk for low blood sugar c. In order to evaluate when the Pt should exercise d. To know when the next injection should be given 7. How do you store insulin at home? select all that apply a. Store unopened, unused vials in the refrigerator b. Insulin pens stay at room temp for 90 days c. Pre-filled syringes are stored laying down at room temp d. Opened vials of insulin can be stored at room temp for 30 days 8. T/F: The abdomen is the best site for injection d/t its quick and consistent absorption. - 9. Which of the following are s/s of hypoglycemia? Select all that apply a. Abdominal cramping b. Shakiness c. Hunger d. Irritability 10. You are caring for a client who is awake, anxious, shaky, and sweaty. What is your first action? a. Administer glucose tablets b. Check blood glucose level c. Give IV fluids d. Perform a stroke assessment 11. You check the client's glucose level and it is 40. What is your next action? a. Re-check glucose with another glucometer b. Assess the client's mental status c. Give the client 4 oz. of OJ d. Provide a meal w/ whole grain RATIONALE: 12. What do you do after checking the BG and it was 40 and you gave the Pt 4 oz OJ? a. Re-check BG in 15 min b. Provide a meal w/ whole grains c. Give the client 4 oz OJ d. Assess the Pt's mental status - 13. Your Pts glucose is 52 (up from 40) after giving OJ and waiting 15 min. What is your next intervention? a. Assess the LOC b. Give food that is high in complex carbs c. Re-check BG in 15 min d. Provide 4 oz. OJ - 14. After providing your Client with a second 4 oz. OJ, the BG is 80. What do you do next? a. Give Pt 4 more oz of OJ b. Administer Dextrose IV push c. Give the client a complex carb snack like peanut butter d. Assess for s/s of hypoglycemia - 15. Which of the following are s/s of hyperglycemia? Select all that apply a. Extreme thirst b. Headache c. N/V/abdominal cramps d. Fatigue 16. What is the most effective strategy in preventing diabetic ketoacidosis (DKA)? a. Provide IV fluids b. Ensure clients have continuous glucose monitoring c. Maintain euglycemia d. Administer insulin regularly - 17. A diabetic Pt has a fever and sore throat and calls the clinic for help. Which instruction is appropriate? a. Start checking the urine for ketones b. Drive to the nearest ER for evaluation c. Begin monitoring BG every 2-4 hours d. Limit carb intake until evaluated by a physician 18. A diabetic client is having emesis and diarrhea. What instructions are appropriate? Select all that apply a. Continue taking insulin as prescribed b. If glucose reading is >240, start checking urine for ketones c. Continue eating and drinking as tolerated d. If urine ketones are present, contact the physician 19. You are giving rapid acting insulin, what are your nursing consideration in order? a. Assess the 7 rights of Meds b. Ensure meal tray is at the bedside and that the Pt is going to eat c. Check blood sugar d. Draw up the insulin per order with a second nurse - 20. Which lab values are indicative for Diabetes mellitus? Select all that apply a. HgA1C of 6.9% b. Random glucose of 103 mg/dL c. Fasting plasma glucose of 130 mg/dL d. Oral Glucose tolerance test of 142 mg/dL 21. which lab value indicates Pre-diabetes? a. HgA1C of 6.7% b. Fasting plasma glucose of 115 mg/dL c. Random glucose of 110 mg/dL d. Oral glucose tolerance test of 200 mg/dL - 22. Which of the following are causes of Type 1 DM? a. Obesity b. Old age c. Sedentary lifestyle d. Autoimmunity 23. What are common manifestations of type 1 DM? select all that apply a. Fatigue b. Urination c. Weight loss d. Decreased thirst 24. T/F Type 2 DM occurs when the pancreas secretes insulin, but it is poorly utilized by the cells - [Show More]

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