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Question 1

The nurse is caring for a client who has normal glucose levels at bedtime, hypoglycemia at 2am and hyperglycemia in the morning. What is this client likely experiencing?

A. Dawn phenomenon
B. Somogyi effect
C. An insulin spike
D. Excessive corticosteroids

Question 2

The nurse is caring for a patient whose blood glucose level is 55mg/dL. What is the likely nursing response?

A. Administer a glucagon injection
B. Give a small meal
C. Administer 10-15 grams of a carbohydrate
D. Give a small snack of high protein food

Question 3

What insulin type can be given by IV? Select all that apply:

A. Glipizide (Glucotrol)
B. Lispro (Humalog)
C. NPH insulin
D. Glargine (Lantus)
E. Regular insulin

Question 4

A client with type II diabetes is being educated about what to do if he catches the flu or a cold. What is something he should be informed of?

A. Discontinue Metformin (glucophage)
B. Expect hyperglycemia
C. Add 2-3 more snacks to diet
D. Come into the hospital for monitoring

Question 5

In educating a client about Type II Diabetes, what would be a proper explanation for poor wound healing?

A. High blood glucose damages capillaries
B. Swings in blood sugar prevent proper clotting
C. The pancreas fails to secrete the proper chemicals
D. Ketosis prevents proper healing

Question 6

When does regular insulin generally have peak action after application?

A. 30-45 minutes
B. 45-60 minutes
C. 1-2 hours
D. 2-3 hours

Question 7

In educating a client with diabetes, what response would reveal need for further education?

A. I should avoid tights
B. I should take good care of my toe nails
C. I should not go more than 3 days without washing my feet
D. I should avoid going barefoot and should wear clean socks

Question 8

A client with diabetes and coronary heart disease is being evaluated for treatment. In light of the heart condition, which medication option is more likely to be an issue?

A. Metformin (Glucophage)
B. Pioglitazone (Actos)
C. Insulin
D. Sitagliptin (Januvia)

Question 9

What is NOT true of hyperglycemic hyperosmolar nonketotic syndrome (HHNS) compared to diabetic ketoacidosis (DKA)?

A. HHNS is found mainly in Type II Diabetes
B. Both have high levels of hyperglycemia
C. Both typically are treated with insulin
D. In HHNS, blood pH tends to drop

Question 10

Insulin lipodystrophy should be treated in part by:

A. Alternating insulin injection sites
B. Balancing diet and snack routine
C. Reduction of insulin dose
D. Adding an oral glycemic medication

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