NUR296 ACTUAL EXAM 80 QUESTIONS AND CORRECT

NUR296 ACTUAL EXAM 80 QUESTIONS AND CORRECT

ANSWERS LATEST UPDATE//ALL YOU NEED TO PASS

NURS 296 EXAM//GRADED A+

During lecture, the clinical instructor tells the students that 50% to 60% of daily calories should come from carbohydrates. What should the nurse say about the types of carbohydrates that can be eaten?

• Try to limit simple sugars to between 10% and 20% of daily calories.
• Simple carbohydrates are absorbed more rapidly than complex carbohydrates.
• Simple sugars cause rapid spike in glucose levels and should be avoided.
• Simple sugars should never be consumed by someone with diabetes. - ANSWER-A

At the time Cherrie Ann found out that the symptoms of diabetes were caused by high levels of blood glucose, she decided to break the habit of eating carbohydrates. With this, the nurse would be aware that the client might develop what complication?

• retinopathy
• atherosclerosis
• glycosuria
• acidosis - ANSWER-D

Joko has recently been diagnosed with Type I diabetes and asks Nurse Jessica for help formulating a nutrition plan. Which of the following recommendations would the nurse make to help the client increase calorie consumption to offset absorption problems?

• Eat small meals with two or three snacks throughout the day to keep blood glucose levels steady
• Increase consumption of simple carbohydrates
• Eating small meals with two or three snacks may be more helpful in maintaining blood glucose

levels than three large meals

• Skip meals to help lose weight - ANSWER-C.

Mr. Wesley is newly diagnosed with Type I DM and is being seen by the home health nurse. The doctors 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

• confused with cold, clammy skin and pulse of 110 1 / 3

• lethargic with hot dry skin and rapid deep respirations
• alert and cooperative with BP of 130/80 and respirations of 12
• short of breath, with distended neck veins and bounding pulse of - ANSWER-A

A patient received 6 units of regular insulin 3 hours ago. The nurse would be MOST concerned if which of the following was observed?

• kussmaul respirations and diaphoresis
• anorexia and lethargy
• diaphoresis and trembling
• headache and polyuria - ANSWER-C.

Diaphoresis and trembling indicates hypoglycemia.

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

D.Maintaining a sedentary lifestyle - ANSWER-A,B,D

A 39-year-old company driver presents with shakiness, sweating, anxiety, and palpitations and tells the nurse he has Type I Diabetes Mellitus. Which of the follow actions should the nurse do first?

• Inject 1 mg of glucagon subcutaneously.
• Administer 50 mL of 50% glucose I.V.
• Give 4 to 6 oz (118 to 177 mL) of orange juice.
• Give the client four to six glucose tablets. - ANSWER-Because the client is awake and

complaining of symptoms, the nurse should first give him 15 grams of carbohydrate to treat hypoglycemia. This could be 4 to 6 oz of fruit juice, five to six hard candies such as Lifesavers, or 1 tablespoon of sugar. When a client has worsening symptoms of hypoglycemia or is unconscious, treatment includes 1 mg of glucagon subcutaneously or intramuscularly, or 50 mL of 50% glucose I.V.The nurse may also give two to three glucose tablets for a hypoglycemic reaction.

Which of the following diabetes drugs acts by decreasing the amount of glucose produced by the liver? 2 / 3

A.Alpha-glucosidase inhibitors

• Biguanides
• Meglitinides
• Sulfonylureas - ANSWER-B.

Blood sugar is well controlled when Hemoglobin A1C is:

• Below 5.7%
• Between 12%-15%
• Less than 180 mg/dL
• Between 90 and 130 mg/dL - ANSWER-A1c measures the percentage of hemoglobin that is

glycated and determines average blood glucose during the 2 to 3 months prior to testing. Used as a diagnostic tool, A1C levels of 6.5% or higher on two tests indicate diabetes. A1C of 6% to 6.5% is considered prediabetes.

Nurse Pira is explaining to the client about Type II Diabetes. Risk factors of such condition include all

of the following except:

• Advanced age
• Physical inactivity
• Obesity
• Smoking - ANSWER-D

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 II Diabetes 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?

• Comply with medication regimen 100% for 6 months
• Quit the use of any tobacco products by the end of three months
• Lose a pound a week until weight is in normal range for height and exercise 30 minutes daily
• Practice relaxation techniques for at least five minutes five times a day for at least five months -

ANSWER-C.

Marlisa has been diagnosed with diabetes mellitus type 1. She asks Nurse Errol what this means.What is the best response by the nurse? Select all that apply.

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