1.

A patient who is diagnosed with type 1 DM would be expected to:

a. Be restricted to an American diabetic association diet
b. Need exogenous insulin
c. Have no damage to the islet cells of the pancreas
d. Need to receive daily doses of a hypoglycemic agent.
2. As a cause of death by disease in the US, DM ranks as:
a. first
c. third
b. second
d. fourth
3. Possible risk factors associated with type 1 DM (IDDM) include:
a. An autoimmune susceptibility to diabetogenic viruses.
b. Environmental factors
c. The presence of human leukocyte antigen (HLA)
d. All of the above.
4. Knowing that gluconeogenesis helps to maintain blood levels, a nurse should:
a. Document weight changes because of fatty acid mobilization
b. Evaluate the patients sensitivity to low room temperatures because of
decreased adipose tissue insulation
c. protect the patient from sources of infection because of the decreased
cellular protein deposits
d. do all of the above
5. Clinical manifestations associated with a diagnosis of type 1 DM include all of
the following except:
a. hypoglycemia
c. ketonuria
b. hyponatremia
d. polyphagia
6. A nurse is assigned to care for a patient who is suspected of having type 2
DM. Clinical manifestations for which the nurse would assess include:
a. Blurred or deteriorating vision.
b. Fatigue and muscle cramping
c. Wounds that heal slowly or respond poorly to treatment
d. All of the above
7. The nurse is asked to assess a patient for glucosuria. The nurse would secure
a specimen of:
a. Blood
c. stool.
b. Sputum
d. urine
8. There seems to be a positive correlation between type 2 DM and:
a. Hypotension.
c. obesity
b. Kidney dysfunction
d. sex
9. The lwest fasting plasma glucose level suggestive of a diagnosis of diabetes
is:
a. 90 mg/dl
c. 126 mg/dl
b. 115 mg/dl
d. 180 mg/dl
10.The most sensitive test for DM is the:
a. Fasting plasma glucose test
c. intravenous glucose test
b. Oral glucose tolerance test
d. urine glucose test
11.A female diabetic who weighs 130 lb has an ideal body weight of 116 lb. For
weight reduction, her daily caloric intake should be approximately:
a. 1000 cal.
C. 1500 cal
b. 1200 cal
d. 1800 cal

12.The nurse should encourage exercise in the management of diabetes,

because it:
a. Decreases total triglyceride levels c. lowers blood glucose
b. Improves insulin utilization
d. accomplishes all of the above
mechanism.
13.Self-monitoring of blood glucose is recommended for patients with:
a. Abnormal renal glucose thresholds. C. unstable diabetes
b. Hypoglycemia w/o warning symptoms
d. all of the above symptoms
14.An example of a commonly administered intermediate-acting insulin is:
a. NHP
c. Humalog
b. Iletin II
d. Humulin U.
15.The nurse knows that an intermediate-acting insulin should reach its peak in:
a. 1 to 2 hrs
c, 4 to 12 hours
b. 3 to 4 hrs
d. 16 to 20 hrs
16.Current insulin pumps in today:
a. can deliver a premeal dose (bolus) of insulin before each meal.
b. Deliver a continuous basal rate of insulin at 0.5-2 units/hr
c. prevent unexpected savings in blood glucose measurements
c. are capable of doing all of the above
17.A probable candidate for diabetic management with oral antidiabetic agents
is one who is:
a. Non-insulin dependent
c. unable to be managed by diet alone.
b. Stable and not prone to ketosis.
D. characterized by all of the
above
18.The nurse should expect that insulin therapy will be temporarily substituted
for oral antidiabetic therapy if the diabetic:
a. Develops an infection with fever.
C. undergoes major surgery
b. Suffers trauma
d. develops any or all of the above
19.The tissue area that provides the fasted absorption rate for regular insulin is
believed to be the:
a. Abdominal area.
C. deltoid area
b. Anterior thigh
d. gluteal site
20.Rotation sites for insulin injection should be separated from one another by
2.5 cm (1 in.) and should be used only once every:
a. Third day
c. 2 to three weeks
b. Week
d. 2 to 4 weeks.
21.Hypoglycemia, an abnormally low blood glucose lever occurs with a glucose
level:
a. Below 50-60 mg/dl
c. between 75 and 90 mg/dl
b. Between 60-80 mg/dl
d. of 95 mg/dl
22.A clinical feature that distinguishes a hypoglycemic reaction from a
ketoacidosis reaction is:
a. Blurred vision
c. nausea
b. Diaphoresing
d. weakness
23.The nurse knows that treatment modalities for diabetic keto acidosis should
focus on management of:
a. Acidosis
c. hyperglycemia
b. Dehydration
d. all of the above

24.Mortality rates for patients with diabetes are positively correlated with
atherosclerotic complications, especially in the coronary arteries which
account for about:
a. 10% of deaths
c. 40% of deaths
b. 30% of deaths
d. 60% of deaths
25.Macrovascular disease has a direct link with:
a. Hypertension
c. obesity
b. Increased triglyceride levels. D. all of the above
26.Clinical nursing assessment for a patient with microangiopathy who has
manifested impaired peripheral arterial circulation includes the following
except:
a. Integumentary inspection for the presence of brown spots on the lower
extremities.
b. Observation for paleness of the lower extremities
c. Observation for blanching of the feet after the legs are elevated for 60
secs.
d. Palpation for increased pulse volume in the arteries of the lower
extremities.
27.With nonprofilerative (background) retinopathy, examination of the retina
may reveal:
a. Leakage of fluid or serum ( exudates)
b. Microaneurysms
c. Focal capillary single closure
d. All of the above pathologic changes
28.A diagnostic manifestation of profilerative retinopathy is
a. Decreased capillary permeability
b. Microaneurysm formation
c. Neovascularization into the vitreous humor.
d. The leakage of capillary wall fragments into surrounding areas
29.Nursing care for a diabetic with peripheral neuropathy includes:
a. Assessing pain patterns to rule out peripheral vascular insufficiency
b. Inspecting the feet for breaks in skin integrity
c. Palpating lower extremities for temperature variations
d. All of the above
30.With peripheral neuropathy, a diabetic has limited sensitivity to:
a. Heat
c. pressure
b. Pain
d. all of the above
31.During surgery, glucose levels will rise because there is an increased
secretion of:
a. Cortisol
c. glucagon
b. Epinephrine
d. all of the above
32.The nurse expects that a type 1 diabetes may receive ___ of his or her usual
morning dose of insulin preoperatively.
a. 10% to 20%
c. 50 to 60%
b. 25 to 40 %
d. 85 to 90%