Diabetes Mellitus NCLEX Practice Quiz 3

Diabetes Mellitus NCLEX Practice | Quiz #3 ScienceMedicineNursing Neisha_PoohTop creator on Quizlet Save Diabetes Mellitus NCLEX Practice | ...25 terms Neisha_PoohPreview Diabetes 44 terms marvelousbrittany8 Preview DKA* 17 terms marlana_heindl Preview SIADH 10 terms flor Genevieve has diabetes type 1 and receives insulin for glycemic control. She tells the nurse that she likes to have a glass of wine with dinner.What will the best plan of the nurse for client education include?

• The alcohol could cause pancreatic disease.
• The alcohol could cause serious liver disease.
• The alcohol could predispose you to hypoglycemia.
• The alcohol could predispose you to hyperglycemia
• The alcohol could predispose you to hypoglycemia.

Dr. Wijangco orders insulin lispro (Humalog) 10 units for Alicia, a client with diabetes mellitus. When will the nurse administer this medication?

• When the client is eating
• Thirty minutes before meals
• Fifteen minutes before meals
• When the meal trays arrive on the floor
• When the client is eating

Nurse Matt makes a home visit to the client with diabetes mellitus. During the visit, Nurse Matt notes the client’s additional insulin vials are not refrigerated. What is the best action by the nurse at this time?

• Instruct the client to label each vial with the date when opened.
• Tell the client there is no need to keep additional vials.
• Have the client place the insulin vials in the refrigerator.
• Have the client discard the vials.
• Have the client place the insulin vials in the refrigerator.

During the morning rounds, Nurse AJ accompanied the physician in every patient's room. The physician writes orders for the client with diabetes mellitus. Which order would the nurse validate with the physician?

• Use Humalog insulin for sliding scale coverage.
• Metformin (Glucophage) 1000 mg per day in divided doses.
• Administer regular insulin 30 minutes prior to meals.
• Lantus insulin 20U BID.
• Lantus insulin 20U BID.

Gary has diabetes type 2. Nurse Martha has taught him about the illness and evaluates learning has occurred when the client makes which statement?

• "My cells have increased their receptors, but there is enough insulin."
• "My peripheral cells have increased sensitivity to insulin."
• "My beta cells cannot produce enough insulin for my cells."
• "My cells cannot use the insulin my pancreas makes."
• "My cells cannot use the insulin my pancreas makes."

The principal goals of therapy for older patients who have poor glycemic control are:

• Enhancing the quality of life.
• Decreasing the chance of complications.
• Improving self-care through education.
• All of the above.
• All of the above.

Which of the following is accurate pertaining to physical exercise and type 2 diabetes mellitus?

• Physical exercise can slow the progression of type 2 diabetes mellitus.
• Strenuous exercise is beneficial when blood glucose is high.
• Patients who take insulin and engage in strenuous physical exercise might experience hyperglycemia.
• Adjusting insulin regimen allows for safe participation in all forms of exercise.
• Physical exercise can slow the progression of type 2 diabetes mellitus.

Harry is a diabetic patient who is experiencing a reaction to alternating periods of nocturnal hypoglycemia and hyperglycemia. The patient might be manifesting which of the following?

• Uncontrolled diabetes
• Somogyi phenomenon
• Brittle diabetes
• Diabetes insipidus
• Somogyi phenomenon

Dr. Hugo has prescribed sulfonylureas for Rebecca in the management of diabetes mellitus type 2. As a nurse, you know that the primary

purpose of sulfonylureas, such as long-acting glyburide (Micronase), is to:

• Induce hypoglycemia by decreasing insulin sensitivity.
• Improve insulin sensitivity and decrease hyperglycemia.
• Stimulate the beta cells of the pancreas to secrete insulin.
• Decrease insulin sensitivity by enhancing glucose uptake.
• Stimulate the beta cells of the pancreas to secrete insulin.

Rosemary has been taking glargine (Lantus) to treat her condition. One of the benefits of glargine (Lantus) insulin is its ability to:

• Release insulin rapidly throughout the day to help control basal glucose.
• Release insulin evenly throughout the day and control basal glucose levels.
• Simplify the dosing and better control blood glucose levels during the day.
• Cause hypoglycemia with other manifestations of other adverse reactions.
• Release insulin evenly throughout the day and control basal glucose levels.

A 50-year-old widower is admitted to the hospital with a diagnosis of diabetes mellitus and complaints of rapid-onset weight loss, elevated blood glucose levels, and polyphagia. The gerontology nurse should anticipate which of the following secondary medical diagnoses?

• Impaired glucose tolerance
• Gestational diabetes mellitus
• Pituitary tumor
• Pancreatic tumor
• Pancreatic tumor

An older woman with diabetes mellitus visits the clinic concerning her condition. Which of the following symptoms might an older woman with diabetes mellitus complain?

• Anorexia
• Pain intolerance
• Weight loss
• Perineal itching
• Perineal itching

Gregory is a 52-year-old man identified as high-risk for diabetes mellitus. Which laboratory test should a nurse anticipate a physician would order for him? Select all that apply.

• Fasting Plasma Glucose (FPG)
• Two-hour Oral Glucose Tolerance Test (OGTT)
• Glycosylated hemoglobin (HbA1C)
• Fingerstick glucose three times daily
• Urinalysis and urine culture
• Fasting Plasma Glucose (FPG)
• Two-hour Oral Glucose Tolerance Test (OGTT)

According to the National Diabetes Statistics Report, diabetes remains one of the leading causes of death in the United States since 2010. Which of the following factors are risks for the development of diabetes mellitus? Select all that apply.

• Age over 45 years
• Overweight with a waist/hip ratio >1
• Having a consistent HDL level above 40 mg/dl
• Maintaining a sedentary lifestyle
• Polycystic ovary syndrome
• Age over 45 years
• Overweight with a waist/hip ratio >1
• Maintaining a sedentary lifestyle
• Polycystic ovary syndrome

During a visit to the hospital, the student nurses are asked which of the following persons would most likely be diagnosed with diabetes mellitus.

They are correct if they answered a 44-year-old:

• Caucasian woman.
• Asian woman.
• African-American woman.
• Hispanic male.
• African-American woman.

An ailing 70-year-old woman with a diagnosis of type 2 diabetes mellitus has been ill with pneumonia. The client’s intake has been very poor, and she is admitted to the hospital for observation and management as needed. What is the most likely problem with this patient?

• Insulin resistance has developed.
• Diabetic ketoacidosis is occurring.
• Hypoglycemia unawareness is developing.
• Hyperglycemic hyperosmolar nonketotic syndrome.
• Hyperglycemic hyperosmolar nonketotic syndrome.

After suffering an acute MI, a client with a history of type 1 diabetes is prescribed metoprolol (Lopressor) I.V. Which nursing interventions are associated with I.V. administration of metoprolol? Select all that apply.

• Monitor glucose levels closely.
• Monitor for heart block and bradycardia.
• Monitor blood pressure closely.
• Mix the drug in 50 ml of dextrose 5% in water and infuse over 30 minutes.
• Be aware that the drug is not compatible with morphine.
• Monitor glucose levels closely.
• Monitor for heart block and bradycardia.
• Monitor blood pressure closely.