Student Assessment

ASSESSMENT TASK 1 – QUESTIONING

Instructions for  You are required to answer all questions in this assessment task
completion  Assessment requirements may be hand written or typed
 If hand written, the writing must be legible and in pen NOT pencil
 Use of correct grammar and spelling is required to demonstrate foundational
skills
 Use of APA referencing must be used where original sources other than your
own have been used – to avoid plagiarism
 Write your name, student ID, the assessment task and the name of the unit of
competency on each piece of paper you attach to this assessment document
 Submit to your trainer/assessor by the due date
DUE DATE  The trainer/assessor will inform you of the due date

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Multiple choice questions, please circle the correct response from each question.

Q1. What cells make up the Islets of Langerhans?

A. Glucagon secreting Alpha cells

B. Insulin secreting Beta cells
C. Glucagon secreting Beta cells
D. Insulin secreting Alpha cells
E. Both a and b
F. Both c and d

Q2. The nurse enters a patient's room and sees the patient breathing rapidly with a fruity breath smell. This is
known as:

A. Trousseau's
B. Cullen's
C. Kussmaul's
D. Bitot's

Q3. Insulin causes the blood glucose levels to fall, but glucagon causes those levels to rise. The relationship
between the two hormones would be said to be

A. Antagonistic
B. Permissive
C. Expressive
D. Synergistic

Q4. The glycosylated haemoglobin value is a useful parameter when making decisions regarding the need for
insulin in a Type 2 diabetic. Is this statement true or false?

A. True
B. False

Q5. Risk factors for pre-diabetes are:

A. Being overweight – especially those who have excess weight around the waistline (ie: more than
94cm for men and more than 80cm for women).
B. Having high triglycerides and low HDL-C (good cholesterol) and/or high total cholesterol.
C. Having high blood pressure.
D. Having a family history of type 2 diabetes and/or heart disease.
E. All the above

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Q6. In regards to the pathophysiology of diabetes, which of the following is true?

A. The body’s cells lose sensitivity to insulin

B. Dietary fat is a driver of insulin resistance.
C. Sedentary lifestyle increases insulin resistance.
D. All the above.

Q7. Lucy has just given birth. She had gestational diabetes and did not have to take insulin. You determined Lucy’s
current understanding regarding her diabetic condition when she said that “she is very concerned that I will
now have to take insulin for the rest of my life”. What does a nurse say to educate Lucy about her condition?
A. Proper instruction of foot care
B. 25-50% of women will eventually develop type 2 diabetes
C. Losing the gained fat will help
D. Education her about her condition and what type of insulin she will need

Q8. After giving insulin, what is the most critical observation that needs to be made?

A. Tachycardia
B. Bradycardia
C. Hyperglycaemia
D. Hypoglycaemia

Q9. The nurse enters a diabetic patient's room at 11:30am and notices that the patient is diaphoretic, tachycardic
and anxious. The patient states she is hungry and doesn't remember where she is. This patient is most likely
showing signs of what?

A. Hyperglycaemic
B. Hypoglycaemic
C. Diabetic ketoacidosis
D. Hyperosmolar hyperglycaemic non-ketotic coma

Q10. Hyperglycaemia is when:

A. The blood sugar is too low

B. The blood sugar is normal
C. There is sugar in the urine
D. The blood sugar is too high

Q11. A patient arrives at the ED with severe hyperglycaemia, a blood sugar level of of 36 mmo/L, pH of 7.3,
severe thirst, dehydration, and confusion. The patient is breathing rapidly and has a fruity breath smell. This patient
has symptoms of:

A. Diabetic ketoacidosis
B. Hyperosmolar hyperglycaemic non-ketotic coma
C. Hypoglycaemia
D. Diabetic neuropathy

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Q12. The diabetic patient's lab work comes back with a pH of 7.4, Se Glucose of 38 mmol/L, paCO2 of 35 mm
Hg, HCO3 of 25 mEq/L. The patient is confused and dehydrated. This patient is showing signs and
symptoms of:

A. Diabetic ketoacidosis
B. Hyperosmolar hyperglycaemic non-ketotic coma
C. Hypoglycaemia
D. Diabetic neuropathy

Q13. What is the correct order of stages in Diabetic Retinopathy?

A. Non-Proliferative -> Proliferative -> Fibrotic

B. Proliferative -> Non-Proliferative -> Fibrotic
C. Fibrotic -> Proliferative –> Non-Proliferative
D. Fibrotic -> Non-Proliferative -> Proliferative

Q14. The newly diagnosed diabetic patient asks the nurse why he needs to check his feet every day. The nurse's
best response is:

A. To prevent leg amputation

B. To check for any cuts, sores, or dry cracked skin so they can be treated early to prevent
infection or gangrene
C. To check for fungal infections
D. To check for peripheral pulses

Q15. Which of the following is not a stage of grief associated with diagnosis of diabetes?
A. Denial
B. Guilt
C. Depression
D. Acceptance
E. None of the above

Q16. Anxiety in diabetes is primarily because of:

A. Fear of needles
B. Fear of hypoglycaemia
C. Financial fear related to medicines
D. D, A and B
E. All the above

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Q17. Classify the following into micro-vascular (m) or macro-vascular (M) complications of diabetes using small
(m) or capital (M) letters.

Complication (m) micro-vascular

(M) macro-vascular

Retinopathy

Heart Attack

Nephropathy

Neuropathy

Stroke

Diabetic foot

Q18. What are the three (3) main factors to success with diabetes?

A. Food, exercise, insulin

B. Food, insulin, ketones
C. Exercise, ketones, insulin

Q19. In regards to diabetic diet, identify which of the following statements are true and which of them are false.

Statements True/False

Choose reduced or low-fat milk, yoghurt, cheese, ice-cream and custard

Choose red meat but trim any fat off before cooking
Retain the skin from chicken, duck and other poultry
Avoid using butter, lard, dripping, cream, sour cream, copha, coconut milk, coconut
cream and hard cooking margarines
Limit pastries, cakes, puddings, chocolate and cream biscuits to special occasions
Pre-packaged biscuits, savoury packet snacks, cakes, frozen and convenience meals are a
good source of nutrition.
Limit the use of processed deli meats (devon/fritz/luncheon meat, chicken loaf, salami
etc.) and sausages
Avoid fried takeaway foods such as chips, fried chicken and battered fish and choose
BBQ chicken (without the skin) and grilled fish instead
Pies, sausage rolls and pastries give instant energy to a patient with Type 2 Diabetes

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Q20. A male of height 183cms, weighing about 89kgs came to the hospital. He was recently diagnosed with
diabetes. What is his Body Mass Index?

A. 14
B. 26
C. 18
D. 22

Q21. Which of the following are true regarding smoking tobacco?

A. It contributes in development of diabetes

B. It causes impaired glycaemic control
C. It causes micro vascular and macro vascular complications
D. All the above

Q22. All the following are true in regard to prevention of eye diseases, except:

A. Regular yearly eye check ups

B. Monitoring diabetes alone
C. Monitoring diabetes, hypertension and cholesterol
D. Regular exercise

Q23. Match the following statements to appropriate psychological characteristics seen in Diabetes.

1 Stopped going out Feeling

2 Thoughts such as, “I’m a failure” Physical change
3 Irritable Behavioural change
4 Tired all the time Low self-esteem thoughts

Q24. It’s 12.00pm and lunch is due to be served in 15 minutes. For the past 6 days, Mr. Smith, a 55-year-old patient has
been an inpatient on the medical ward for treatment of unstable diabetes and angina. He has been diagnosed with
coronary artery disease with two blocked arteries. His current blood glucose level is 6.7mmol/L. The consultant has
scheduled Mr Smith for coronary artery stenting at 3pm. Considering the change in circumstances, which one of
the following should an enrolled nurse do according to priority?
A. Collect all his X-rays, investigations and patient medical history and initiate patient transfer
B. Check his blood glucose levels
C. Shave the patient’s right groin in preparation for radiological intervention
D. Consult the registered nurse regarding the changed circumstances
E. Stop all the feeds as the patient is now under NBM (Nil by mouth) status

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Assessment Task 1 Checklist – for Assessor

This should be used by the trainer/assessor to document the Student’s skills, knowledge and performance as
relevant to the unit activity. Indicate in the table below if the learner is deemed satisfactory (S) or not satisfactory
(NS) for the activity or if reassessment is required.

Student’s Name
Assessor’s Name
Unit of Competence
(Code and Title)
Date(s) of Assessment

Has the Student provided correct response to all questions above? Yes No
(Please circle)

Comments

Provide your comments here:

The Student’s
Not yet satisfactory Satisfactory
Performance was:

If not yet satisfactory, date for reassessment:

Feedback to Learner:

Student’s signature

Assessor’s signature

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